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1) What is Nursing Informatics
2) How to formulate a budget
3) How to conduct specific database research
4) Hesitance of working nurses and new project implementation
5)Telehealth Technologies

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Over this course I have been able to learn terms and phrases of technologies that as nurses, we use everyday. Below is a video that covers the basics of what I've learned.

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What is Nursing Informatics | Time to put a spotlight on this growing field.

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I have only ever used basic functions of excel, to create sign in sheets or lists. Using the excel formulas and research, I was able to create a budget of a technology that was rolled out at my facility and understand the cost investment the hospital made in it.

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Before this course, I used basic google searches and google scholar to locate research and information. Now I use the ASU Library database, in particular CINAHL. I have learned to not use sentence structures in searches. Use and/or to add additional parameters to my search. Also using parameters such as including a PDF file and research between certain dates help in providing relevant and up to date research.

Attached is a video tutorial for advanced search

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CINAHL Databases - Advanced Searching Tutorial

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addin will. (2018, November 11). What
is Nursing Informatics: Time to put a spotlight of this growing field [Video file]. Retrieved from https://www.youtube.com/watch?v=Xwo8TTqANeU

EBSCO Tutorials. (2018, May 1). CINAHL Database-Advanced Searching Tutorial [Video file]. Retrieved from https://www.youtube.com/watch?v=OTvSwEZ1pP4

theMercyChannel. (2015, August 27). What is Telestroke? How does it work? [Video file]. Retrieved from https://www.youtube.com/watch?v=yFwHuHua1E0

Kaminski, J. (2011). Theory in Nursing Informatics Column. Canadian Journal in Nursing Informatics, ⁶(2). Retrieved from https://cjni.net/journal/?p=1444

Sewell, J. (2019). Nursing Informatics: Theoretical Basis, Education Program, and Profession. In J. Sewell (Ed.), Informatics and Nursing: Opportunities and Challenges (pp. 277–296). Philadelphia: Wolters Kluwer.

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Working in a hospital setting, I had not heard much about Telehealth in practical uses. The most impressive one I learned about, via discussion boards, was Tele-stroke. Its capabilities of prevention, education, and consultation to communities that don't have access is truly remarkable.

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In the class assigned text, Informatics and Nursing: Opportunities and Challenges, Roger's Theory of Diffusion of Innovation relates most to our unit. Management seems to be eager about changes and staff trickles behind.
Attached is an article related to typical adaptations to change

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Theory in Nursing Informatics Column
by June Kaminski, RN MSN PhD(c)
CJNI Editor in Chief

This feature is the first entry of our new column - Theory in Nursing Informatics written by our Editor in Chief, June Kaminski. Theory is an important aspect of nursing informatics - one that is often neglected due to time and context. In each column, a relevant theory will be presented and applied to various aspects of informatics in nursing practice, education, research and/or leadership.

OVERVIEW

The Diffusion of Innovation Theory was first discussed historically in 1903 by the French sociologist Gabriel Tarde (Toews, 2003) who plotted the original S-shaped diffusion curve, followed by Ryan and Gross (1943) who introduced the adopter categories that were later used in the current theory popularized by Everett Rogers. Katz (1957) is also credited for first introducing the notion of opinion leaders, opinion followers and how the media interacts to influence these two groups. The Diffusion of Innovation theory is often regarded as a valuable change model for guiding technological innovation where the innovation itself is modified and presented in ways that meet the needs across all levels of adopters. It also stresses the importance of communication and peer networking within the adoption process.

In simple terms, the diffusion of innovation refers to the process that occurs as people adopt a new idea, product, practice, philosophy, and so on. Rogers mapped out this process, stressing that in most cases, an initial few are open to the new idea and adopt its use. As these early innovators 'spread the word' more and more people become open to it which leads to the development of a critical mass. Over time, the innovative idea or product becomes diffused amongst the population until a saturation point is achieved. Rogers distinguished five categories of adopters of an innovation: innovators, early adopters, early majority, late majority, and laggards. Sometimes, a sixth group is added: non-adopters. The original five categories are illustrated in the bell-shaped curve image below. As you can see. Rogers estimated the percentage of each category, which in fact, are very similar to the proportions found in a normal bell-curve.

Figure 1: Diffusion of Innovation Adopter Categories

The five categories of adopters can be described in the context of technological innovation adoption and their influence on the innovative and adoption processes.

Within this theory, the goal is not to move people within the five adopter categories into another category, but to streamline the innovation to meet the needs of all five categories.

Figure 2: Diffusion Process

Peer Networks

The concept of peer networks is important in the Diffusion of Innovation theory. It is the critical mass achieved through the influence of innovators and early adopters who serve as opinion leaders that sparks the initial "take off" point in the innovation adoption process. These opinion leaders serve as valuable integral change agents who influence their peers through peer to peer communication, role modeling, and networking. This process works well within an organization or in society at large. A prime example is the use of social media networking to influence people through opinion leader tactics.

Five Stage Adoption Process

Knowledge or Awareness Stage

Individual is exposed to innovation but lacks complete information

Persuasion or Interest Stage

Individual becomes interested in the new idea and seeks additional information

Decision or Evaluation Stage

Individual mentally applies innovation to his present and anticipated future situation, and then decides whether or not to try it

Implementation or Trial Stage

Individual makes full use of innovation

Confirmation or Adoption Stage

Individual decides to continue the full use of innovation

Rogers (2003) explained that diffusion of innovation was the process by which an innovation is communicated through certain channels over time among members of a social system.

It is important to examine why some innovations are successful, while others never become widely accepted. Five distinct innovation characteristics have been identified by Rogers to explain this mystery. These characteristics include observability, relative advantage, compatibility, trialability, and complexity and according to Rogers, account for 49 to 87 per cent of the adoption variation seen across all categories of adopters. These characteristics also provide a valuable evaluation list for technology project leaders to apply when first considering innovative changes.

Innovation Characteristics

Observability

The degree to which the results of an innovation are visible to potential adopters

Relative Advantage

The degree to which the innovation is perceived to be superior to current practice

Compatibility

The degree to which the innovation is perceived to be consistent with socio-cultural values,
previous ideas, and/or perceived needs

Trialability

The degree to which the innovation can be experienced on a limited basis

Complexity

The degree to which an innovation is difficult to use or understand, its simplicity.

Re-invention

Re-invention is another important consideration. This is basically referring to the degree that an innovation is changed or modified as the adoption and implementation process is enacted. If an innovation is amenable to re-invention as dictated by the needs of the five adopter categories, , the more versatile and adaptable it is seen to be, and the more likely it will be fully adopted to a healthy saturation point.

Communication Channels

Communication Channels refers to the rate and degree that people talk about and spread the news about the innovations. Two major communication channels were described by Rogers:

Mass Media Channels

These are effective in creating knowledge about the innovation, for instance system related videos or DVDs, or television commercials within the mainstream media

Interpersonal Channels

Person to person communication is very effective in changing people's attitudes about the innovation which ultimately influences their decision to accept or reject the innovation. Peer subjective evaluations of an innovation are very influential.

Time

Time is involved in three distinct dimensions of the innovation process

Innovation Adoption Process

- including first knowledge of the innovation through to final acceptance or rejection of its utility and ultimate implementation, as discussed earlier.

Innovation Adopter Categories

- time is also critical within the five adopter categories and how they influence one another to support full saturation of the innovation.

Rate of Adoption

- time is also involved when looking at the ultimate rate of adoption, say within an organization, from start to finish, and how many people of the total population have adopted the innovation. This rate of adoption is influenced by the innovation characteristics introduced above.

Social System

The fourth and final dimension refers to the groups of people involved in the innovation adoption process. This could be employees at an institution, a neighborhood or a whole nation.

Conclusion

The Diffusion of Innovation theory is a very important theory that can serve administrators, information technologists, nursing informatics experts, and change agents well. The theory also benefits the targets of change, since respect and consideration for all involved stakeholders is intertwined with robust strategies for implementing innovative change. The theory fits nursing informatics well, and provides a scaffold for planning informatics related innovations.

REFERENCES

Katz, E. (1957). The Two-Step Flow of Communication: an Up-To Date Report on a Hypothesis. The Public Opinion Quarterly, 21 (1). pp. 61-78.

Rogers, E. (2003). Diffusion of Innovations. Fifth edition. Free Press: New York.

Ryan & Gross (1943), The Diffusion of Hybrid Seed Corn in Two Iowa Communities, Rural Sociology 8 (March): 15

Toews, D. (2003) The New Tarde: Sociology after the End of the Social Theory Culture & Society 20 (5), 81-98.

CITATION

Kaminski, J. (Spring 2011).Diffusion of Innovation Theory Canadian Journal of Nursing Informatics, 6(2). Theory in Nursing Informatics Column. http://cjni.net/journal/?p=1444

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by June Kaminski, RN MSN PhD(c) CJNI Editor in Chief This feature is the first entry of our new column - Theory in Nursing Informatics written by our Editor in Chief, June Kaminski. Theory is an important aspect of nursing informatics - one that is often neglected due to time and context.

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As a newer nurse, I had never considered how working nurses react to new technologies and policies being implemented onto a busy unit. My unit recently rollwed out two new projects this year and the resistance to change is very clear among staff.