The implementation of electronic health records involves some stepsand factors that must be followed to ensure successfulimplementation. It is vital to state that EHRs are a new phenomenonin the health industry, and therefore most of the nurses and healthpractitioners are hesitant to accept the change. It is, therefore,critical for the management team to be committed to theimplementation of the process. The management needs to ensure thatall the stakeholders are involved in the change process, and theyshare a common vision for the implementation of the change (McGonigle&amp Mastrian, 2015). In other words, all the stakeholders must knowthe benefits that will be brought forth by the new change. It is alsoessential to ensure that the necessary resources such as finances andtechnical infrastructure, and time are available for theimplementation of the EHRs. This process of adopting new technologyalso requires the stakeholders to be ready for the change and to havethe right culture. The management must ensure that the modificationprocess has timelines and deadlines. Role-based training for thenurses is essential, and this will make sure that they accept thechange.

In order to acquire the approval of the nurses for the newelectronic health records system, it is important to provide thenurses with the necessary information regarding the new technology.To start with, it is paramount for the leader to demonstrate to thenurses how the new technology of EHRs will enhance and simplify theirwork. It is vital to inform the nurses on the importance of the newtechnology. Most of the nurses show the resistance to the newtechnology due to the lack of the necessary information about theEHRs (Mooney &amp Boyle, 2011). Secondly, the leader must show thenurses or provide them with examples of other health centers wherethe technology has been applied. Visiting such health centers for thenurses to witness the effectiveness of the new systems would reducethe resistance they have significantly. The nurse facilitator mustalso ensure that she assures the nurses of the sufficient trainingbefore the new system is rolled out. Most of the nurses developresistance from the assumption that the new system is difficult touse and that they have never used it before. The facilitator mustdemonstrate to the nurses how the new system is going to help themimprove the service delivery, as well as improve the health of thepatients.

With regards to the five qualities proposed by Rogers, it isessential to use them as tools for reducing the resistance by thenurses. The five qualities are the relative advantage, compatibilitywith existing values and practices, simplicity, trialability andobservable results. It is clear from research that the conditions areintegral in the implementation of a change process such as theapplication of electronic health records. The nurse facilitator canapply the five qualities in a manner that the meeting with the nursesregarding their resistance will end with success. The nursefacilitator must address the relative advantage of EHRs as opposed tothe old paperwork. It is evident that the EHRs occupy less space thanthe paper records (Mooney &amp Boyle, 2011). Additionally, researchhas indicated that the EHRs are effective and efficient whenretrieving patient information. The details of a particular patientcan be retrieved quickly from EHRs as opposed to the paper records.This reduces the chances of errors, and the right medication isalways given to the right patient. EHRs have also been proven to beuseful tools for enhancing communication between the variousstakeholders in the health sector (Bates, 2010). For instance, theEHRs will ensure that the nurses can communicate quickly andprecisely among themselves, their managers and other stakeholders.Patient history and medication can be relayed quickly from onedepartment to the other such as from the laboratory to the pharmacy.The nurse facilitator must also assure the nurses that the new systemwill improve the security and privacy of patient information. This isbecause every stakeholder who has access to the network will be knownand given specific logins.

Secondly, it is critical for the facilitator to demonstrate to thenurses how the new technology system will be compatible with theexisting paper records. In other words, it is vital for the nurses tounderstand that the new system will serve the same functions as theold method, but the new regime will be more efficient and quick. Forinstance, it is paramount for the facilitator to ensure that thenurses are informed of the record keeping function of the HER system,as well as its efficiency in the retrieval of patient data. Anothercompatibility aspect of the new system would be the role it plays insecuring the privacy of patient data. Sharing of information amongstthe various health stakeholders is yet another compatibility aspectof the new system that the facilitator must inform the nurses(Cresswell &amp Sheikh, 2009). It is imperative to tell the nursesthat the new system will provide all the services and functions thatthe old paper records were serving and that the new system will maketheir work easier.

Thirdly, it is critical to have the nurses know of the simplicity ofthe new system. The facilitator must demonstrate how easy it is touse the new system. A visit to a health center that uses the newsystem will be imperative in explaining to the nurses the easiness ofuse of the system. It is important for the facilitator to have adummy EHR system that she can use to demonstrate to the nurses. Thiswill reduce the resistance significantly. With regards to Roger’squality of trialability, the nurse facilitator must inform the nursesthat they will have ample time to try the system and to practice. Itis notable that most of the nurses resist change since they do notknow how to handle the new challenges that might come along with thechange (Bates, 2010). Therefore, assuring the nurses that they willhave an opportunity to try the system and practice will reduce theresistance. Lastly, the visits to the various health centers whichhave adopted the system will prove to the nurses that the system hasnoticeable results. Additionally, using a dummy system during themeeting to demonstrate the results will improve the chances ofacceptance. It will be easy to deal with the resistance from thenurses while having the information provided above. The Roger’sfive qualities will be critical in addressing the resistance.

Nurses as change agents have some roles that they need to play. As achange agent, it is important to assist others to understand the needfor change. The nurses must communicate to the other stakeholderssuch as the physicians on the necessity of the change and thebenefits that the new change will bring to the health sector. Thechange agent must not judge or point fingers to other people who areresistant to change, but should rather assist them to understand thechange (Bates, 2010). The change agent must always listen to theviews of other people and be the facilitator who provides informationand resources for change.


McGonigle, D., &amp Mastrian, K. G. (2015). Nursing informaticsand the foundation of knowledge (3rd ed.). Burlington, MA: Jonesand Bartlett Learning. Chapter 15, The Electronic Health Record andClinical InformaticsBates, D. W. (2010). Getting in step:Electronic health records and their role in care coordination.Journal of General Internal Medicine, 25(3), 174-176.Retrieved from the Walden Library databases.Cresswell, K., &ampSheikh, A. (2009). The NHS Care Record Service: Recommendations fromthe literature on successful implementation and adoption.Informatics in Primary Care, 17(3), 153-160. Retrieved fromthe Walden Library databases.Mooney, B. L., &amp Boyle, A. M.(2011). 10 steps to successful EHR implementation. Medical Economics, 88(9), S4-6, S8 S11. Retrieved from the WaldenLibrary databases.