Determinants Influencing the Success of an Initiative in an Organization

Recently, I was working in a hospital which faced challenges with its nurses’ workload. The organization introduced an electronic health records initiative in a bid to monitor and address the workflow challenges facing the organization and maintain an efficient and cost-effective exchange of health information (Palabindala, 2016). However, the initiative became inefficacious.

Reasons why the Initiative Failed

The initiative failed due to bad timing. First, the organization’s administrative support team failed to involve the staff members in incorporating the technology into their working stations. This led the nurses perceive the technology as complex thus making work more difficult by affecting patient care. They were also apprehensive of possible malpractice legal suits due to possible wrong entries involved (Kim, Coiera, & Magrabi 2017). Second, no orientation was conducted on its use before introducing the innovation. Thus, the nursing staff had no initial skills and the relevant knowledge on the application of the new technology. Third, the new system was not integrated into the old one. Consequently, nurses were frustrated at the duplication of documentation which further burdened the nurses by adding more documentation work to their already drowning paperwork. Fourth, the procured hardware was inadequate thus rendering the experience more unpleasant.

Determinants that Might Have Influenced its Success

In order for the initiative to register success, it was important for the administrative support team to consider various actions. First, the administration should have involved the entire team before imposing the new technology on them. This would have reduced the sense of isolation that the nursing staff felt. This would have helped them appreciate the possibility of reduced clerical and administrative work. Second, training the team might have been the best initiative before incorporating the electronic health records innovation in the workplace. This would have ensured gaining appropriate skills and knowledge on use of the technology. Further, this would have helped streamline essential information that was required to be documented to prevent ethical and legal repercussions such as professional negligence in the event of mistakes during documentation (Balestra, 2017). Third, the administration should have developed an integrated record system that was paper-light and more supportive to the nurses.



Balestra, L. M. (2017, February). Electronic Health Records: Patient Care and Ethical and Ethical and Legal Implications for Nurse Practitioners. The Journal of Nurse Practitioners, 13(2), 105-111.

Kim, O. M. (2017, March). Problems with helth information technology and their effects on care delivery and patient outcomes: a systematic review. Journal of the American Medical Informatics Association, 24(2), 246-250.

Palabindala, V. P. (2016, October). Adoption of electronic health records and barriers. Journal Of CommunityHospital Internal Medicine Perspectives, 6: 32643.