Sample Paper on Advocating for the Nursing Role in Program Design and Implementation

The increasing number of deaths and other untreatable health implications emanating from errors made by nurses while gathering and analyzing patients’ records has necessitated the introduction and implementation of the Electronic Health Records program. The program seeks to increase the value of care and safety in healthcare facilities across the world. By automating how patients’ data is handled, an improvement in treatment efficiency will be evident by reducing medical errors, which arise from the use of incorrect information about the patient (Scott et al., 2019). There must be a set of goals to assess the program being a new tool for improving the continuity and quality of care provided by nurses considering the crucial issues relating to both the design and implementation of this primary health care program. Therefore, the implementation of this program requires that local implementers must design an electronic healthcare record system founded on the International Classification for Primary care.

As part of the design and implementation, at least 15 cohort users must be involved during the experimentation process. The feedback of each user will be recorded at the end of the experiment to evaluate the correctional acceptance of the program by its users. The monitoring process inhibited in the early stages of designing and implementation was important since it enables nurses to acquire immediate feedback in the form of requests and comments from the users (Scott et al., 2019). Some positive outcomes brought about by the program to the nursing profession will include the promotion of routine availability of patients’ data needed for consultation, as well as the promotion of good healthcare practice.


Interview Transcript

Interviewer: Tell us about a healthcare program, within your practice. What are the

costs and projected outcomes of this program?

Interviewee: An electronic health record program is a digital way of recording patients’ data to ensure its users can easily retrieve it (Burton et al., 2004). An electronic health record program is built in a way that it goes beyond the data collected from the patient, their significant other, and the caregiver since it is easy to retrieve the medical history of the patient. On the cost of implementing the program, recent research has revealed that the estimated cost of acquiring both the software and the hardware, installing the program, and training its users is approximately US$ 19,000 per physician not including the higher cost of maintaining the program (Burton et al., 2004). To the organization in the adoption of the electronic health record program, largely it is likely to enjoy positive outcomes, among them being increased revenue and averted cost of treatment subjected to the patients and their significant others. By using the electronic health record system, unnecessary billing errors are eliminated, thus increasing the cash flow in the health facility.

Interviewer: Who is your target population? What is your role as an advocate for your target population for this healthcare program?

Interviewee: The targeted segment of the population is the health care providers across the world. As an advocate to healthcare providers covered by this program, my role is to ensure that nurses recognize the benefits of this new electronic data system and how it will help them to improve patient care. The medical care sector is far much behind in terms of adopting various technological innovations that are more efficient and effective, unlike other industries such as banking and aviation.

Interviewer: What is the role of the nurse in healthcare program implementation? How does this role vary between the design and implementation of healthcare programs? Can you provide examples?

Interviewee: Many nurses can proudly showcase their contribution to implementing the new health care programs that come across their lines of duty. It is the role of a nurse to adopt and implement any changes that may emerge either in terms of design or the foundation of any healthcare program. Since each attempt to seek medical attention is unique, nurses ought to understand the needs of each patient. However, this crucial role played by nurses varies between implementation and design; notably, in each health care facility, each managing body puts more emphasis on the design of the program rather than how the program will be implemented (Classen et al., 2018). For example, a nurse manager may provide an insight into an electronic health record system that can allow them to retrieve patients’ information easily during the design process. However, the role may change in the course of implementation since the nurse manager may be required to observe how their staffs use the new system.

Interviewer: Who are the members of a healthcare team that you believe is most needed to implement a program? Can you explain why?

Interviewee: Every stakeholder in the healthcare team is equally needed while implementing this program. For instance, medical directors will help nurses to decide on how the hospital will utilize the opportunities generated in the program. Therefore, from a medical perspective, the electronic health record program is vital in helping the relevant authorities to give suggestions on the patient’s recovery, which is a complex decision in situations whereby the program is not present (Menachemi & Collum, 2011). If the patient requires to be transferred from one health facility to another, healthcare managers will rely on the electronic data to make a decision.


Burton, L. C., Anderson, G. F., & Kues, I. W. (2004). Using electronic health records to help coordinate care. The Milbank Quarterly, 82(3), 457–481.

Classen, D., Li, M., Miller, S., & Ladner, D. (2018). An electronic health Record–Based real-time analytics program for patient safety surveillance and improvement. Health Affairs, 37(11), 1805-1812.

Maddox, K. E. J., Epstein, A. M., Samson, L. W., & Chen, L. M. (2017). Performance and participation of physicians in year one of Medicare’s value-based payment modifier program. Health Affairs,36(12), 2175-2184.

Menachemi, N., & Collum, T. H. (2011). Benefits and drawbacks of electronic health record systems. Risk management and healthcare policy, 4(1), 47–55.

Scott, A., Sullivan, C., & Staib, A. (2019). Going digital: A checklist in preparing for hospital-wide electronic medical record implementation and digital transformation. Australian Health Review, 43(3), 302-313.