Evidence Based Project Part Two Draft



Evidence Based Project Part Two Draft




Evidence Based Project Part Two Draft

Recommendation for Practice Change

The key problem that hospital administrators need to deal with in this case is resistance to change. A review of literature discussing HIT (health information technology) shows that nurses who reject change risk the lives of their patients. The implementation of HIT in medical institutions could enhance the care that people get by reducing errors and improving the way health facilities keep patient records. Communication is the best way to deal with the nurses who are resisting change. Experts claim that the communication has to be purposeful, reactive and creative so that it can have the desired effect (Paton & McCalman, 2008). Part of this communication process should involve acquiring feedback from the nurses to find out why they are reluctant to adopt HIT in their daily operations. This communication process can also help the management make the nurses understand that the technology is supposed to make their work easier while improving the care that patients get.

This kind of intervention is well suited for the situation because any medical facility can apply it with relative ease. The solution does not require any expensive equipment or advanced technology. For instance, research on the implementation of HIT has shown that the technology invariably improves the quality of healthcare at a lower cost. The dissemination of this information to nurses can help them understand why the change is needed without costing the affected medical facility a lot of money. At most, the implementation of this intervention requires printing resources, access to the relevant information and a room to host the meeting between nurses and the management.



Sample, Practice Setting

The study will collect data from patients of local hospitals and journal articles discussing the impact of HIT on healthcare. The study will involve twenty patients and an equal number of journal articles that discuss the issue. The researcher will select the patients using random sampling to ensure that there is no possibility of bias in the selection. Alternatively, the researcher will select journal articles carefully to ensure that they are relevant to the topic. The use of forty patients and articles will provide a reasonable amount of data to work with for reliability, while remaining within a manageable range. Local hospitals will be used because they will be easier for the researcher to access. The articles analyzed in the literature review used larger sample sizes and setting. This may have been because the study’s involved larger research teams that were capable of handling the data.

Outcome Measures/ Tools

Patient satisfaction will be the key indicator of the success of the proposed changes. The researchers will use the Health IT Patient Satisfaction Survey to gauge the extent to which the recipients of medical services are pleased with the way that they were treated. The designers of the survey tool modeled it with the intentions of giving healthcare providers a way of analyzing the effects of HIT on the quality of their services (Health IT patient satisfaction survey, 2012). The survey tool asks questions regarding a number of issues such as the interaction between the patients and the nurses. The tool also tries to discover patient opinions on the use of HIT in the facility and their treatment processes. The survey tool is consistent with this research for various reasons. Firstly, its principles are similar to those from this study, with the designers believing that the patients’ perspectives are an important indicator of the success of a healthcare system or plan. Secondly, both the study and the survey focus on the implementation of health information technology within medical institutions to improve the quality of care.



Health IT patient satisfaction survey. (2012). Retrieved from http://www.healthit.gov/providers-professionals/health-it-patient-satisfaction-survey.

Paton, R.A. & McCalman, J. (2008). Change management: a guide to effective implementation. London: Sage Publications.

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