As a nurse, you can have a great impact on the success or failure of the adoption of EHRs. It is important for nurses to understand their role as change agents and the ways they can influence others when addressing the challenges of changing to a drastically different way of doing things. Everett Rogers, a pioneer in the field of the diffusion of innovations, identified five qualities that determine individual attitudes towards adopting new technology (2003). He theorized that individuals are concerned with: Relative advantage: The individual adopting the new innovation must see how it will be an improvement over the old way of doing things. Compatibility with existing values and practices: The adopter must understand how the new innovation aligns with current practices. Simplicity: The adopter must believe he or she can easily master the new technology; the more difficult learning the new system appears, the greater the resistance that will occur. Trialability: The adopter should have the opportunity to “play around’ with the new technology and explore its capabilities. Observable results: The adopter must have evidence that the proposed innovation has been successful in other situations. Note: You are not required to purchase Rogers’ book or pursue further information regarding his list of five qualities. The information provided here is sufficient to complete this Assignment. The full reference for Rogers’ work is provided below the due date on this page. For this Assignment, you assume the role of a nurse facilitator in a small hospital in upstate New York. You have been part of a team preparing for the implementation of a new electronic health records system. Decisions as to the program that will be used have been finalized, and you are now tasked with preparing the nurses for the new system. There has been an undercurrent of resistance expressed by nurses, and you must respond to their concerns. You have a meeting scheduled with the nurses 1 week prior to the training on the new EHR system. Consider how you can use the five qualities outlined by Rogers (2003) to assist in preparing the nurses for the upcoming implementation. To prepare Review the Learning Resources this week about successful implementations of EHRs. Consider how you would present the new EHR system to the nurses to win their approval. Reflect on the five qualities outlined by Rogers. How would addressing each of those areas improve the likelihood of success? By Day 7 of Week 6 Write a 3- to 5-page paper which includes the following: Using Rogers’ (2003) theory as a foundation, outline how you would approach the meeting with the nurses.
In 1898 the United States picked up control of the Philippines. Not long after procuring the islands, they started a grisly battle to smother the guerrilla uprising that was approaching. Not long after their landing in the Philippines, the troops that were positioned in the Philippines were encouraged how to smoke opium. Despite the fact that this training was exceptionally normal among the troops, the current U.S. Opium Commissioner Hamilton Wright chose to preclude all cases from claiming them taking an interest in this demonstration. He expressed in 1909 that “among the staff of our Army and Navy [in the Philippines] there isn’t the smallest proof that the utilization of opium or its subsidiaries has been presented (Brush, n.d.).” This utilization of opium in the Philippines was disobediently not the last time that the U.S. military would utilize medications, for example, opium amid the battle to battle guerilla powers. Whenever that this training was utilized was in the United States’ inclusion in the Vietnam War between the years 1965-1975. Since the start of the twentieth century the United States had willingly volunteered begin controlling medications by framing diverse strategies to manage tranquilizes and secure the general population of their nation. One of the main fronts of the control of medications was the leader of the Bureau of Narcotics, Harry Anslinger. Amid the time of the 1950’s, the department initially settled distinctive posts in Southern Asia in wants to bend the wellspring of where diverse medications were coming into the United States from (Kuzmarov, 2008). At that point later in 1962, the Kennedy Administration gave Mexico “$500,00 worth of helicopters, light planes, jeeps, and rifles through the Agency of International Development for extraordinary opiate obliteration battle focusing on pot and opium producers (Kuzmarov, 2008).” This would set a point of reference for the not so distant future. The Vietnam War took after the First Indochina War and was battled between North Vietnam and South Vietnam. North Vietnam was upheld by comrade powers and South Vietnam was bolstered by hostile to socialist nations, for example, the United States. A couple of years before in 1945, President Truman expressed, “I trust that it must be the strategy of the United States to help free people groups who are opposing endeavored enslavement by furnished minorities or by outside weights. I trust that we should help free people groups to work out their own predeterminations in their own specific manner (Yancey, 2001).” The Unites States saw that the help of the Southern Vietnamese individuals as an approach to battle their concept of “regulation” (Yancey, 2001). Numerous officers in the instituted amid the Vietnam War did not have any desire to make the Army a vocation. They were for the most part uneducated people who needed in the experience that the higher positioning authorities did. These GI’s absence of intrigue, training, and involvement in wars may have been one of the numerous reasons that assurance for the Vietnam War blurred so rapidly. In 1971, President Nixon declared the development of the Special Action for Drug Abuse Prevention (SAODAP) that was accountable for planning and giving an account of the developing medication issues of the Vietnam War. A portion of their discoveries incorporated that around 40% of the willful enlistees of the troops were school dropouts and a considerable lot of them enrolled in the military before the suitable age due to what number of little open doors that they had concerning parts of their lives, for example, occupations. They additionally had significantly more medication encounters than that of the draftees later on in the war (Korsmeyer and Kranzler, 2009). In the later long stretches of the war, the draftees were picked by a lottery intended to make a choice less defenseless to “social class predispositions (Korsmeyer and Kranzler, 2009).” Their best need in this odd land was survival and numerous swung to drugs as an approach to get away (Yancy, 2001). In this paper I will talk about the part liquor, maryjane, opium, and amphetamine had on the Vietnam War. In the beginning times of the Vietnam War, liquor mishandle was the most widely recognized medication utilized. A significant number of the men shared in day by day drinking keeping in mind the end goal to pass the long days and evenings in Vietnam. This liquor manhandle did not cause much discussion in exemption of the individuals who were underage. The high positioning officers who shared in day by day liquor manhandle were nicknamed “the juicers,” and the lower positioning draftees of the war were nicknamed “the heads” because of their liberality in unlawful medications, for example, cannabis (Kutler, 1996). Drinking liquor was essentially empowered by the Army men. The drinking did everything to energize their generalization of the intense and generous men that they endeavored to depict. Bars around the bases were given exceptional licenses keeping in mind the end goal to apportion brew and different alcohols to the troops, even in the fortifications (Kutler, 1996). As the war proceeded with, numerous couldn’t disregard the way that pot utilize was relentlessly expanding. As the Army’s battle part in the Vietnam War slowed down, illegal medications kept on being an issue. With the diminishing help from the home front, the U.S. powers chose to swing to the Nixon Doctrine. Through the Army of the Republic of Vietnam (ARVN) and the Vietnamization program, fighters were required to spend incalculable forlorn months behind shelters in disconnection (Sanders, 1973). The men persevered through numerous desolate evenings in a world that was totally new and unfamiliar to them. They were tossed into a world that was so new to them and their families and companions that were of high repute to them were most of the way around the globe. This negative mentality on the war and the home front caused the Vietnam War to lose its help and a lot of its authenticity which energized an extraordinary situation for tranquilize utilize and manhandle (Kutler, 1996). The most usually manhandled of the medications being pot. Weed is one of those remarkable medications that can have an altogether different impact on various individuals. In one hand, it can act like a stimulant however in the meantime go about as a depressant (Iversen, 2008). The United States has been attempting to manage the conveyance and offers of maryjane since the 1930’s after the Marijuana Tax Stamp. In 1954 the Federal Bureau of Narcotics started to examine the trafficking of opium from Laos. The landscape of Laos is for the most part rocky with numerous slopes and levels. This gave the ideal scene to pirating opiates, for example, opium with little doubts from the legislature and other prying eyes (Kuzmarov, 2008). As the fighters came pouring in from the United States amid the war, this caused stress over the unlawful medications being pirated through the landscape and what this implied for the U.S. Military. A significant number of the agriculturists around of the territory sold and bundled pot as a methods for extra salary. Cannabis is a simple plant to develop in light of the fact that it is a weed. It doesn’t require exceptionally ripe soils or even a lot of water, making it the ideal harvest for these poor ranchers (Iversen, 2008). It was likewise an aftereffect of the little requirement of Drug Laws that were not all around characterized and of little significance according to the Vietnamese criminal equity framework. There was no administration control or requirement organization over cannabis (Brush, n.d.). The agriculturists would regularly pack their cannabis in various brands of cigarettes and other smoking tobacco for conveyance. The extremely strong maryjane was sold for a $1.50 in US cash, which was exceptionally modest when contrasted with the cost in America. U.S. News and World Report cited that “Maryjane in Vietnam is shoddy, simple to discover and powerful. Each of the a man needs to do to get it is say the work Khan Sa (Zinberg, 1975).” Even however this medication was promptly accessible numerous men just smoked it coolly to quiet down after a fight or to get away from the demise and demolition that they were seeing each day. In an investigation done at the Long Binh Jail, therapist Roger A. Roffman inferred that exclusive 28.9% of GI’s positioned in the Southern Corps had attempted cannabis at any rate once. After later distributing their investigation, the broad communications expanded their discoveries and were announcing that as high as 90% of American troops in Vietnam were on drugs (Kuzmarov, 2008). Just a little level of American troops revealed vigorously smoking maryjane. Media consideration regarding the utilization of medications in Vietnam was incredibly understood to what was really going on. They didn’t recognize for the majority between the medication utilize and the medication manhandle (Zinberg, 1975). In steady worry over the consistently expanding “enslavement” issue among the GI’s, in 1969, a crusade for the pulverization of maryjane was propelled by the Bureau of Narcotics and Dangerous Drugs and the Vietnamese uncommon police. Some estimate this was likewise an elective motivation to the Vietnamese to constrain out any guerillas and power different villagers into government ran camps. The consequence of this mission included “504,795 maryjane plants” being decimated. These agriculturists were paid a little measure of cash, short of what one U.S. penny for each harvest that was crushed on their property (Kuzmarov, 2008). Writer Richard Boyle remarked, “The United States is presently pursuing two wars in Vietnam; one against the Vietcong and the other against Mary Jane (Sanders, 1973).” With the consistent weight from the military to chop down cannabis smoking in Vietnam, a considerable lot of the GI’s discovered the danger of smoking maryjane much excessively extraordinary, making it impossible to proceed with their utilization. In light of this crackdown, fighters found an alternate methods for getting high in this remote world, and its name was heroin. The heroin of the territory was so promptly accessible and unadulterated that the men could attentively shroud the heroin in their cigarettes and smoke it with no segregating scent of any sort, enabling it to be effortlessly concealed (Kutler, 1996). As the 1970’s gradually came, heroin dependence quickly expanded all through all positions of the military in Vietnam. An expected 450,000 U.S. military powers in Vietnam were allegedly at present utilizing or had striven out of the blue heroin. In light of the strict requirement of cannabis, it actually thumped out the majority of the opposition that heroin had. Heroin was all the more promptly accessible tha>