Posted: May 13th, 2023

Healthcare informatic

Healthcare informatic

Unit 1 Assignment Instructions
With the changes in healthcare reform, we often forget about how human behavior can

influence health informatics in a medical organization.
Review the information in the scenario below, and answer the questions that follow.
A good friend of yours is director of nursing at a 220-bed community hospital. Last

year the hospital merged with a much larger medical center. One of the upsides, as

well as
One of the challenges, resulting from this change has been the rapid introduction of

new computer systems. The goal is to bring the hospital “up to speed” within 3 years.
At present CPOE is being implemented. The general medical and surgical units went

live last month. The ICU and pediatrics and obstetrics units are scheduled to go-live

next month. The plan is to work out any kinks or problems on the general units and

then go-live in the specialty units.
Most of the physicians, nurse practitioners, and physician assistants initially

complained but are now becoming more comfortable with the computers and are beginning

to integrate the CPOE process into their daily routines. Several physicians are now

requesting the ability to enter orders from their offices and others are looking into

this option.
However, there are three physicians who have not commented during this process but

are clearly resisting. For example, after performing rounds and returning to their

offices they called the unit with verbal orders. After being counseled on this

behavior they began to write the orders on scraps of paper and put these in the

patient’s charts or leave them at the nurses’ station. When they were informed that

these were not “legal orders” they began smuggling in order sheets from the non-

activated units. In addition, they have been coercing the staff nurses on the units

to enter the orders for them. This has taken two forms. Sometimes they sign and then

ask the nurses to enter the orders. Other times they ask the nurses to put the orders

in verbally and then they confirm the orders. The nurses feel caught between the

hospital’s goals and the need to maintain a good working relationship with these

physicians.
How would you use the theories presented in order to diagnosis the problems

demonstrated in this case. List your diagnoses and explain your analysis.
What actions would you recommend to your friend and what reason (theories) would

you use as a basis for your recommendations
In your response, also discuss how the history and development of health

informatics influenced your analysis and recommendations.

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