information systems and changing organizational culture


Information Systems and Changing Organizational Culture

The Committee on the Robert Wood Johnson Foundation Initiative on the Future of Nursing, at the Institute of Medicine (2011) notes that “the nursing profession is the largest segment of the nation’s health care workforce.” Nursing’s three million–plus members are known for their ability to react quickly and efficiently on the front lines of patient care. This agility is lost, however, when the nursing profession fails to evolve with the field of information technology. Have you witnessed any unintentional barriers that have excluded nurses from quickly adopting and accepting informatics systems?

Those nurses who apply strategies developed by change management experts can help expedite the adoption process by positively addressing staff concerns and implementation challenges. In this Discussion, you explore change leadership strategies through a role-playing activity.

Committee on the Robert Wood Johnson Foundation Initiative on the Future of Nursing, at the Institute of Medicine. (2011). The future of nursing: Leading change, advancing health [Consensus report]. Retrieved from the Institute of Medicine of the National Academies website:

To prepare:

  • Review      the Learning Resources, focusing on the findings of the TIGER Leadership      Collaborative.
  • Consider      the TIGER Nursing Informatics Competencies model from a leadership      standpoint.
  • Engage      in the following role play: Your practice setting has appointed you to      lead the implementation of a new information technology initiative. As you      plan for this undertaking, you consider the various challenges that this      implementation may bring to your practice.


  • Select       an information technology initiative that your practice could benefit       from (i.e., a new information system, point-of-care service, robotics       machinery, mobile devices, glucometers, smart pumps etc.).
  • What       change management strategies might you utilize to facilitate a quick and       successful implementation?
  • What       potential barriers might the initiative bring to the practice? What       leadership strategies could shift the culture toward a smooth transition?

By tomorrow Tuesday October 31, 2017, write a minimum of 550 words essay in APA format with at least 3 references. Include the level one headings as numbered below:

post a cohesive response that addresses the following:

1) Briefly identify your practice setting (hospital setting) and the information technology initiative you selected. Provide a rationale for your selection. (i.e., a new information system, point-of-care service, robotics machinery, mobile devices, glucometers, smart pumps etc.).

2) Evaluate the potential barriers to implementing your hypothetical initiative.

3) Identify the change management strategies that you would use to facilitate a successful implementation. Identify key resources that you would need to promptly overcome potential barriers.

4) Appraise the leadership strategies that you would employ to establish a culture that supports the new information technology initiative. Reference the TIGER Informatics Competencies where appropriate.

Course Text: Ball, M. J., Douglas, J. V., Hinton Walker, P., DuLong, D., Gugerty, B., Hannah, K. J., . . . Troseth, M. R. (Eds.) (2011). Nursing informatics: Where technology and caring meet (4th ed.). London, England: Springer-Verlag.

Chapter 2, “Strategies for Culture Change”

Chapter 9, “Leadership Collaborative”

Chapter 10, “Challenging Leadership Status Quo”

Chapters 2 and 10 discuss the theories, models, and trends of technology. Chapter 9 details TIGER’s strides in the realms of education and basic competency requirements to better prepare nurses in informatics principles.

Caballero Muñoz, E., & Hullin Lucay Cossio, C. M. (2010). Engaging clinicians in health informatics projects. Studies in Health Technology and Informatics, 151,195-206.

The authors of this article break down the implementation, planning, and design phases of informatics projects into specific management categories. Each category consists of factors that can help to integrate clinician’s work flow needs.

Liaw, S. T., & Gray, K. (2010). Clinical health informatics education for a 21st century world. Studies in Health Technology and Informatics, 151, 479-491.

This article examines the educational and competency requirements put into place by the American Medical Informatics Association.

T.I.G.E.R. Technology Informatics Guiding Education Reform. (2011). Informatics competencies collaborative team. Retrieved from 

Use this website to acquire the informatics competencies as outlined by the TIGER collaborative. Useful links, resources, and learning objectives can be easily located, as they are categorized into the competencies of basic computer, information literacy, and information management.

Laureate Education, Inc. (Executive Producer). (2011). Transforming nursing and healthcare through technology: Information systems and changing culture. Baltimore, MD: Author.

Note: The approximate length of this media piece is 7 minutes.

This week’s media presentation provides real-world examples of doctors, nurses, and general staff changing their standard methods and procedures to reap the benefits of new technology systems. 

Simpson, R. L. (2009). Innovations in transforming organizations. Nursing Administration Quarterly, 33(3), 268-272.

Stanton, M. P., & Barnett Lammon, C. A. (2008). The “wins” of change: Evaluating the impact of predicted changes on case management practice. Professional Case Management, 13(3), 161-168.

Szydlowski, S., & Smith, C. (2009). Perspectives from nurse leaders and chief information officers on health information technology implementation. Hospital Topics, 87(1), 3-9.Bottom of Form

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