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Added on 08.07.2016 20:08
Respond by
Ask a probing question, substantiated with additional background information, evidence or research.
Share an insight from having read your colleagues postings, synthesizing the information to provide new perspectives.
Offer and support an alternative perspective using readings from the classroom or from your own research in the Walden Library.
Validate an idea with your own experience and additional research.
Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.
Expand on your colleagues postings by providing additional insights or contrasting perspectives based on readings and evidence.

Pitfalls of Health Information Technology
In the event of implementing a new health information technology resource (HIT), nurses should be involved at each stage of the development life cycle. With nurses being the general end user of HIT systems, nursing involvement is crucial to compliance and acceptance of new systems. As it is well known, nurses fight change, but by using nursing input the change can become better welcomed and utilized.
Health Information Technology Implementation Stages
When implementing a new HIT system there are several models from which to select. The Dynamic System Development Method (DSDM) encourages user input and involvement with system development (McGonigle, 2015). The project change involves preproject, project life cycle, and postproject development. In the preproject phase, the need for change is expressed and the organizational need for change is presented. Funding is ascertained and support from administration and the end users (nurses) is established. Without support from nursing at this stage can quickly kill a project or cause resistance to the proposed change. The proposed change must appear as perceived usefulness, where the end users must see the new system as necessary before becoming more accepting of the system (Hsiao, 2011).
The next phase includes the project life cycle. Within the project life cycle we find the five steps of feasibility, business studies, functional model iteration, design and build iteration, and implementation (McGonigle, 2015). For feasibility and business studies we explore of the business needs and risks involved for the proposed change. By not obtaining nursing input at this part can again hamper the desired change as if it is not perceived as necessary, nurses will not be as accepting as there is already a system in place that works. Planning at the early stages to the ideal of \”Must have, Should have, Could have, and Would have\” (MoSCoW) will increase nursing participation and perceived usefulness (McGonigle, 2015).
The third stage involves functional model iteration, where without nursing input can again fail. During this stage continual effort is made toward the needs within the project before the propose change occurs. Nursing input is highly needed at this point, as nursing is the end user of the change. The project must be compatible between the system and the end users values, needs, and experience (Hsiao, 2011).
The fourth stage of design and build iteration involves testing of the project. During this stage fine tuning of the project is made as the change is implemented. Again nursing is the end users of the change, and if the system does not live up to the standards of the end users, the system can fail. Nursing input at this level will need to be addressed, the project must prove to be of greater usefulness to complete specific tasks to gain desire and acceptance of the proposed project change (Hsiao, 2011).
In the final stage of implementation, training is key to successful transitioning. Nursing has the final say so to project success, without full support the project will experience increased errors and resistance to change. Proper training and care must be used to facilitate a smooth transition to the change. The goals of both the business and end users must match in order for a large scale project change, such as a HIT system, to work.