Which of the following examples most closely represents a revolutionary, or transformative, change in clinical practice?
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AA nursing leader learns about using tablets for patient documentation and replaces the existing paper charting method with this technology, planning to transition to a fully electronic system over time.
BA nursing leader learns about a new electronic health record (EHR) system that significantly improves patient care coordination. Without involving other staff or administration, she purchases the system and implements it across the department within weeks, replacing all prior documentation processes.
CA nursing leader learns about a new EHR system and provides staff with articles and training sessions, obtaining approval from administration and setting a timeline for gradual implementation.
DA nursing leader learns about a new EHR system and proposes the use of tablets for patient documentation, allowing nurses to input data in real-time.
✓ Correct answer: B. A nursing leader learns about a new electronic health record (EHR) system that significantly improves patient care coordination. Without involving other staff or administration, she purchases the system and implements it across the department within weeks, replacing all prior documentation processes.Answer: A nursing leader learns about a new electronic health record (EHR) system that significantly improves patient care coordination. Without involving other staff or administration, she purchases the system and implements it across the department within weeks, replacing all prior documentation processes. The revolutionary, or transformative, change process is one that rapidly overhauls an organization using new technologies, altering its structure, processes, and/or culture. Quickly implementing a new EHR system without broader involvement is an extreme example of transformative change. Learning about a new technology, involving other staff, discussing through articles, and setting a gradual plan is an example of evolutionary change. Introducing a less radical technology to enhance processes is an example of developmental change. Transitioning from a current technology to a more advanced one over time is an example of transitional change.
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