This is my paper on my project The Setting and Access to Potential Subjects The implementation of EHR-supported communication among acute care nurses is the basic framework of the project yet to be implemented. The setting of the plan implementation will be in the emergency room. Care coordination is a valuable element within the emergency department owing to the sense that the unit deals with the most critical and serious issues. Acute care is the basic service rendered within the emergency department. During the plan implementation, the central and primary subjects to be considered involve acute care nurses. Acute care nurses are the primary players in the implementation. They are the facilitators of effective communication during care coordination. The Timeline The first activity to be undertaken within the project implementation will involve processes adopted to affirm that the installed computer system is working effectively. At this point, the effectiveness and the working condition of the computer system will be evaluated and corrected if necessary. This process will take the first three weeks. The second step towards the implementation will involve nurse training. The training will be rendered by nurse educators. At this point, nurses will be trained regarding the use of the electronic or computer system to be used in communication. Nurse training on the use of EHR systems is associated with improved technical competencies that further influence the nurse's willingness to use the systems productively (Shahian et al., 2017). Besides, nurse training on the use of EHR systems improves their understanding regarding how the system may be leveraged to enhance clinical practices via advanced features of the current technology (Blijleven et al., 2017). The training will take approximately three months, a period in which each member of the implementation team is required to have mastered the right and necessary skills to implement communication. The second activity to be undertaken during the implementation is monitoring the preparedness of all nurses, who are the central facilitators and implementers. The step to monitor their preparedness will pinpoint the anticipated resistance to the expected change (Ahmed, 2016). The preparedness monitoring process will be executed for a period of two weeks. For illustration, surveys and questionnaires will be used to evaluate nurse preparation. The next activity to be involved in the actual plan implementation. In this sense, patient information will be fed into the EHR systems, after which they will be used to ease the care coordination process. The EHR-supported communication will be adopted on a long-term basis to ensure constant improvement in the care coordination process. A Budget and Resource List Some of the clinical tools to be used during the implementation process include computer systems. The computer system of the organization will be checked to ensure that it is functioning and effective. In case of such issues, a machine downtime, the replacement will be prioritized. Further, financial resources will be necessary prior to the implementation. Training of the human resources will be among the processes that will require financial resources. The resources for the plan implementation include: a. Human resources b. Computers c. Time d. Financial resources The estimated cost of personnel is approximately US $ 2000. Since the plan implementation involves nursing practices issues, consumable supplies will be profoundly limited. The equipment to be deployed will centrally involve computers and other electronic devices for information storage. The care system is equipped with such devices and systems, although approximately US $ 500 can be set in place for any necessary change, boost, or replacement of the system. Data Collection and Effectiveness of the Evidence-Based Practice Project Proposal I would adopt a qualitative design to collect data and evaluate the use of EHR-supported communication to enhance the care coordination process. I would use the qualitative design to collect data since it is effective in ascertaining a particular frequency or characteristic of a given trend. Among the qualitative methods that can be adopted in this instance include interviews, observations, surveys, and observations. The interviews would include acute care nurses. Further, discussion sessions through which the brainstorming can be actualized can be held. In essence, the preparedness of the nurses and other care practitioners can be gauged along with these processes. The data tracking process would involve questionnaires and surveys regarding the impact of EHR-support communication in care coordination after the implementation (Kallio et al., 2016). The data can be compared with the data of the same dimension prior to the implementation. The comparison could highlight any change in care coordination effectiveness. Methods and Instruments to Be Used for Monitoring the Implementation of the Solution The questionnaire method will be deployed in monitoring the implementation of EHR-aided communication to enhance care coordination among acute care nurses. During the monitoring process, the team leaders will be providing questionnaires to track, assess, and observe nurses' perceptions of the implementation processes. For illustration, the questionnaires can evaluate nurses' views regarding the practicability of the plan under implementation. The emotional and physical responses of the nurses will help understand the potential results of the EHR-aided communication in the effort to improve care coordination. Through the questionnaires, monitoring questions can be integrated to determine whether the plans are in line with the goals. According to Weenk et al. (2019), monitoring questions helps the implementation team leaders determine whether the implementation progress aligns with the desired outcome or the primary objectives. Such questions can be used to evaluate the progress of the implementation process throughout the endeavor. Process of Delivering the Intervention The first process to be undertaken during the implementation process is the training process. The training process can be actualized and undertaken as an in-service training that involves a set of measures and initiatives adopted to empower nurses and other care practitioners that may influence the plan implementation process. Training is critical before the plan implementation since it improves the competency of the implementation team members. The in-service session will be undertaken to improve nurse skills in using computers and other data storage devices used in electronic health record systems. The next process of the plan implementation would include the integration of communication-based EHR system support. The Stakeholders The key stakeholders necessary during the implementation include the nurses. Nurses are the fundamental elements of care coordination which justify their importance during the implementation of EHR-aided communication to enhance care coordination during care delivery among acute patients. Nurse educators will also be vitally important during the implementation. Nurse educators will train nurses on the use of EHR systems. Aspects of the Implementation and Potential Barriers Various barriers to communication can be encountered during the implementation process. One of the possible barriers is technical limitations. Despite the in-service session or training, nurses may possibly have challenges in technical skills necessary during the use of EHR systems to foster communication. Moreover, challenges associated with ethical issues can be expected during the implementation. At this point, extensive sharing of patient information may provoke risks of violation of standards that oversee their confidentiality, privacy, data inaccuracies, and security breaches (Evans, 2016). Profound supervision can be implemented as a strategy to avoid the two barriers to project implementation. Extensive and thorough supervision may help detect risks of such violations while aiding leader-staff and staff-staff collaboration that solve barriers associated with technical skills during the implementation. The Feasibility of the Implementation Plan Information is critically important during care coordination. At this point, care coordinators need to ensure that the information flow is steady and unobstructed during the continuum of care (Shenoy & Appel, 2017). The content considered in the communication involves patient information. At the same time, patient information is stored through EHR systems for safety and effective use. Besides, smooth handling of patient health information is attained along with the use of EHR systems for patient information storage (Singal et al., 2019). Therefore, the EHR systems can effectively improve patient information communication among care coordinators. Therefore, the implementation of EHR-supported communication is a feasible strategy to enhance care coordination. References Ahmed O. I. (2016). Disease management, case management, care management, and care coordination: A framework and a brief manual for care programs and staff. Professional Case Management, 21(3), 137–146. https://doi.org/10.1097/NCM.0000000000000147 Blijleven, V., Koelemeijer, K., Wetzels, M., & Jaspers, M. (2017). Workarounds emerging from electronic health record system usage: Consequences for patient safety, effectiveness of care, and efficiency of care. JMIR Human Factors, 4(4), 1-11. https://doi.org/10.2196/humanfactors.7978 Evans R. S. (2016). Electronic health records: Then, now, and in the future. Yearbook of Medical Informatics, Suppl 1(Suppl 1), 48–61. https://doi.org/10.15265/IYS-2016-s006 Kallio, H., Pietilä, A. M., Johnson, M., & Kangasniemi, M. (2016). Systematic methodological review: Developing a framework for a qualitative semi-structured interview guide. Journal of advanced nursing, 72(12), 2954–2965. https://doi.org/10.1111/jan.13031 Shahian, D. M., McEachern, K., Rossi, L., Chisari, R. G., & Mort, E. (2017). Large-scale implementation of the I-PASS handover system at an academic medical centre. BMJ quality & safety, 26(9), 760–770. https://doi.org/10.1136/bmjqs-2016-006195 Shenoy, A., & Appel, J. M. (2017). Safeguarding Confidentiality in Electronic Health Records. The International Journal of Healthcare Ethics Committees, 26(2), 337–341. https://doi.org/10.1017/S0963180116000931 Singal, G., Miller, P. G., Agarwala, V., Li, G., Kaushik, G., Backenroth, D., Gossai, A., Frampton, G. M., Torres, A. Z., Lehnert, E. M., Bourque, D., O'Connell, C., Bowser, B., Caron, T., Baydur, E., Seidl-Rathkopf, K., Ivanov, I., Alpha-Cobb, G., Guria, A., He, J., … Miller, V. A. (2019). Association of patient characteristics and tumor genomics with clinical outcomes among patients with non-small cell lung cancer using a clinicogenomic database. JAMA, 321(14), 1391–1399. https://doi.org/10.1001/jama.2019.3241 Weenk, M., Koeneman, M., van de Belt, T. H., Engelen, L., van Goor, H., & Bredie, S. (2019). Wireless and continuous monitoring of vital signs in patients at the general ward. Resuscitation, 136, 47–53. https://doi.org/10.1016/j.resuscitation.2019.01.017 Appendices The setting of the plan implementation will be in the Emergency department and acute care nurses are the potential subjects of the plan implementation. Evaluation of the working condition of the computer and electronic health system will be done in the first three weeks. Nurses training will be undertaken for three months. Nurse preparedness will be monitored for two weeks. Order Custom Paper Now

ANSWER. PAPER DETAILS
Academic Level	Masters
Subject Area	Nursing
Paper Type	Discussion Post
Number of Pages	1 Page(s)/275 words
Sources	2
Format	APA 7
Spacing	Double Spacing

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