DNPs are uniquely prepared and qualified to accept and work in a variety of advanced healthcare roles especially in clinical practice. Roles such as to reduce costs by focusing on primary care, health promotion, and disease prevention as expert clinicians, faculty in schools, health care consultants, entrepreneurs and scholars caring for multiple patient populations in various geographic areas and as global health leaders (Zaccagnini, & Pechacek, 2019). As an expert clinician and academic scholar, the DNP prepared nurse is able to improve patient care through initiation of quality improvement (QI) initiatives, assisting with healthcare policy development. And also has knowledge and skills in healthcare economics, finances, leadership, and quality improvement (Zaccagnini, & Pechacek, 2019).
Workflow is a repeatable series of standard tasks that needs to be completed to achieve specific goals such as clinical processes in nursing. So, healthcare providers (HCPs) should be involved in the creating, planning and the implementation of health information technologies (health IT), to improve support. When an organization adopts an electronic health record (EHR) it changes the usual workflow standard. Therefore, the workflow is redesigned to suit the new system. The workflow redesign is a process of looking at all the aspects of the organization and mapping out current workflows and analyzing how the work gets done in the organization and they plan for the future and create new workflows to increase the organizations efficiency and the quality of health care. Workflow redesign helps most organizations to improve their EHR implementation, their efficiencies, enhance health care quality and safety, remove chaos from your current workflow, improve care coordination (HealtIT.gov., 2019).
As a DNP leader, I would assess to understand what will be involved, such as patients, a new EHR system. I would communicate with the senior information technology (IT) analyst team to understand what kind of system they plan to implement and then plan for a meeting with the nurses that will be working with the EHR to inform them of the system and when training would begin. The training would take place for 1-2 weeks at the most one month to make sure that all the staff is trained appropriately and efficiently by IT professionals and the clinical specialist to integrate the EHR into their work flow. During the implementation, the patients will be informed of the new EHR system and that the IT professionals and the clinical specialist would be available to help the staff to trouble shoot any problems encountered while working with the patients (Fecher, McCarthy, Porreca, & Yaraghi, 2020).
The term “Magnet” is a gold standard term for nursing practice in hospitals which is used to delineate those who are able to attract and retain qualified nurses based on five goals such as transformational leader, structural empowerment, new knowledge, innovation, and empirical outcomes and development. The effectiveness of magnet hospitals is the existence of work environments that focus on decentralized decision-making, autonomy, control over practice, resource adequacy, supportive management, effective inter-professional communication, and career development.
As a DNP leader in a magnet hospital, I will ensure that the staff are well trained to maintain our nursing excellence standards and the structures needed for the training are in place during training as well as during implementation and maintain communication with the staff in terms of when this will take place so that they are well prepared. Adequate structures such as adequate computers, the IT professional team, the scheduling of their time for the training is adequate with enough staffing to cover patient care for those in training to maintain patient safety and excellent nursing care. Providing adequate knowledge of the improvement in the quality of nursing care that this new system will provide will enhance their desire to learn and implement the program.
In a rural setting, the pace would be slower, so, as a DNP leader, I would have to reevaluate my strategy. I would have to also give them time to assimilate the need for change to a new EHR system. They will need more time to train and for implementation knowing that the patient influx maybe slower and the staffing may be less adequate. As the DNP leader, I will collaborate with all the leadership teams to make them aware of the process change taking place and the need for their collaboration with my team, explain to the patients the new changes that will take p
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