emergence of new technologies might have on professional interactions.
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O’Keefe-McCarthy (2009) stated that “The overwhelming presence of technology at the
clinical bedside has the power to become the strongest reference point that nurses use to inform,
direct, interpret, evaluate and understand nursing care” (p.787).
This statement is very true in
today’s practice. I remember when I first started to travel as a nurse to different hospitals, my
contracts were for Electronic Medical Records (EMR) conversions. Each hospital I went to has a
team of Nursing Informaticists who led the conversions and training for staffs including the
travel nurses.
I was most familiar with Cerner, EPIC, and Meditech. During my contracts, the nursing
leaders and staff collaborated with the IT or IS department to customize the version of the
software to suit the hospital unit’s needs. But there will always be challenges with every
conversion. Some staffs were resistant to change and learning new technology. The creation of a
supportive knowledge culture and user-friendly infrastructure will prevent the resistance

(McGonigle & Mastrian, 2018). Nurse leaders and the IS department must provide support
throughout the process.
The Nursing Informaticists bridged the nursing practice and the
technology behind the software so the nurses and staff will have a better experience with the
conversions and the use of the EMR. Each specialty has its own representatives, giving their own
input on how the assessments and workflow were done in their individual units. Before the final
launch, quirks were straightened out, and the “Super Users” were trained to support the staff
including the doctors. The unit staffs have to be trained, leaving the units short of nurses, that
was when the travel RNs came to help. The nurses were trained in the “Sandbox,” and each has


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- Fall '17
- keisha lovence