You are required to provide a thread in response to the provided
prompts for each discussion. Each thread must be 300 words. Each
thread must contain at least 2 references other than the textbook and at
least 1 biblical integration. Current APA format must be used.
Discussion Thread: Case Study- Selection, Implementation, Delivery
Read the following case study and answer the discussion prompts:
A good friend of yours is director of nursing at a 220-bed community hospital. Last year the
hospital merged with a much larger medical center. One of the upsides, as well as one of the
challenges, resulting from this change has been the rapid introduction of new computer systems.
The goal is to bring the hospital “up to speed” within 3 years. At present, the Computerized
Physician Order Entry (CPOE) is being implemented. The general medical and surgical units went
live last month. The ICU, pediatrics, and obstetrics units are scheduled to go live next month. The
plan is to work out any kinks or problems on the general units and then go live in the specialty
units. Most of the physicians, nurse practitioners, and physician assistants initially complained
but are now becoming more comfortable with the computers and are beginning to integrate the
CPOE process into their daily routines. Several physicians are now requesting the ability to enter
orders from their offices and others are looking into this option. However, three physicians have
not commented during this process but are clearly resisting. For example, after performing
rounds and returning to their offices they called the unit with verbal orders. After being
counseled on this behavior, they began to write the orders on scraps of paper and put these in
the patient’s charts or leave them at the nurses’ station. When they were informed that these
were not “legal orders,” they began smuggling in order sheets from the non-activated units. In
addition, they have been coercing the staff nurses on the units to enter the orders for them. This
has taken two forms. Sometimes they sign in and then ask the nurses to enter the orders. Other
times they ask the nurses to put the orders in verbally and then they confirm the orders. The
nurses feel caught between the hospital’s goals and the need to maintain a good working
relationship with these physicians.
Identify issues that occurred during CPOE implementation, identify potential causes of such
issues, and list specific recommendations, using evidence-based rational and research to resolve
the identified issues prior to the next CPOE implementation.
Elaborate on a scripture reference related to the discussion content.
Discussion Thread: Evidence-Based Practice
Discuss how Evidence-Based Practice (EBP) influences the current health care practice.
List examples of challenges or barriers to EBP.