Leadership journal 2- change - Essay Example

Likewise, the response to evaluating the change in the work setting would necessitate including a change theory and detailing how the use of the theory did or would have helped the implementation of the change. The Change Transition in the Work Setting One is currently working as a registered nurse with a Nursing and Rehabilitation Health Care Facility. The change that currently occurred in this work setting is transitioning from manual or paper-based documentation to computer-based documentation system.

Due to the fast paced-technological developments that ensued in the current century, the impetus for change to transcend from paper-based documentation to computer-based documentation through the electronic medical record (EMR) was deemed inevitable. Previous Paper-Based Documentation System The system that had been used to document crucial information, assessment, and interventions provided to patients were traditionally recorded through charting. This means that a patient’s chart is used to record all pertinent information since the patient’s entry in the health care setting for confinement.

Several health care practitioners and professionals use the patients’ charts to document their observation, recommended intervention, and diverse health-related information to record the patients’ progress throughout the confined period. Several variables or factors paved the way for the paper based documentation system to exhibit inefficiencies in the health care setting. For one, the volume of patients that have significantly increased through time could not appropriately contain all the information through a patient’s chart.

In addition, the number of diagnostic or laboratory tests, and recommended interventions by different health care professionals make recording tedious and complex. As such, there were evident disadvantages found to be related to paper-based documentation; including it being considered a “poor repository of patient information… also the tasks associated with such record keeping consume up to 38 percent of the physician's time associated with an outpatient visit” (Tang, LaRosa, & Gorden, 1999, par. 5). Likewise, it is prone to wear and tear; have greater tendencies for encountering difficulties in updating and keeping in file through time; missing information or record; as well as ineligble handwriting could significantly affect and influence the quality and accuracy of patient care that would be provided on a timely manner.

Proposed Electronic or Computer-Based Documentation The change that is currently being implemented in using a computer-based patient record (CPR) or documentation system. According to previous studies, the objective or goal of the CPR is “supporting patient care and improving the quality of care as well as enhancing the productivity of the health care personnel while reducing the costs of health care delivery” (Rodriguez, Borges, Rodriguez, Angarita, & Munoz, n.d., p. 1). The CPR therefore addresses all the weaknesses of the paper-based documentation system, particularly limiting or preventing errors in transcribing ineligible handwriting; preventing records being lost; and doing away with filing the patients’ records in repositories which could be destroyed or ineffectively maintained.

The Manner by Which the Change was Received Several health car