4-2 WORKING THROUGH THE CHANGE PROCESS\ 235\ 4-2 WORKING THROUGH THE CHANGE PROCESS\ the hospital administration has agreed to replace all white board patient communication boards with the first dectronic patient communication board. The new boards will initially be installed in every patient room of the (n)

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dical-surgical units. For the last 3 months the staff has been required to attend computer training classes to learn how to input and update data from the main computer onto the electronic patient communication board. The information on the electronic patient communication board needs to be verified every shift and updated as new orders are received. Training manuals and informational flyers have been developed.\ Information about administration's decision: The electronic patient communication board offers more flexibility to immediately update information from the main computer onto the electronic patient communication board. The electronic patient communication board has the upgraded feature of automatically translating selected information into six different languages with just one click. Charge nurses and staff nurses from all shifts have been involved in evaluating and giving feedback. Administration has invested time and money into this new electronic patient communication board, is excited about the other patient-centered features that can be developed, and is committed to installing this throughout the hospital. The staff will have the opportunity to provide feedback after 3 months of use.\ Information about the nursing staff: The implementation of the new electronic patient communication board has brought about mixed feelings among the nursing staff.\ Comments from the nurses range from "The white board is so much easier to keep up," "Some patients, such as the elderly, cannot even read the information on the board," "It is a useless piece of technology and is one more required task for us to do," to "I am excited to see how patients react when they are able to see us update the information in their language." The managers, supervisors, and charge nurses are asked to support this change and to ensure that all nursing staff follow through every shift.\ Identifv the issues/reactions\ How does the implementation of the electronic patient communication board and the nursing staff's comments and feelings correlate with the change process?

WORKING THROUGH THE CHANGE PROCESS 235 dectronic patient communication board. The new white board patient communication boards with the first the information how to input and update data from the main cos has been required to attend computer training classes to the information on the electronic patient communin computer onto the electronic patient communication board. new orders are received. Training manuals and inforniction board needs to be verified every shift and updated as ibility to immediately update inform's decision: The electronic patient communication board offers more flextion board. The electronic patient com from the main computer onto the electronic patient communicaselected information into six different lanication board has the upgraded feature of automatically translating have been involved in evaluating and givenages with just one click. Charge nurses and staff nurses from all shifts electronic patient communication board, ing feedback. Administration has invested time and money into this new oped, and is committed to installing this is excited about the other patient-centered features that can be develfeedback after 3 months of use. Information about the nursing staff: The implementation of the new electronic patient communication board has brought about mixed feelings among the nursing staff. Comments from the nurses range from "The white board is so much easier to keep up," "Some patients, such as the elderly, cannot even read the information on the board," "It is a useless piece of technology and is one more required task for us to do," to "I am excited to see how patients react when they are able to see us update the information in their language. The managers, supervisors, and charge nurses are asked to support this change and to ensure that all nursing staff follow through every shift. 1. Identify the issues/reactions from the different levels. How does the implementation of the electronic patient communication board and the nursing staffs comments and feelings correlate with the change process