Implementing Technology in Healthcare: Enhancing Practice Environment through Change Theory


The integration of technology in healthcare is a crucial endeavor aimed at improving patient care, efficiency, and outcomes. This paper provides an overview of the practice environment where the selected technology will be implemented, identifies stakeholders who could contribute valuable input, outlines the introduction strategy using change theory, and explains how the chosen theory will guide the implementation process.

Practice Environment Overview

The chosen practice environment for implementing technology is a busy urban hospital’s emergency department (ED). The ED encounters high patient volumes and demands rapid assessments and interventions. The selected technology is an advanced Electronic Health Record (EHR) system designed to streamline patient data management, enhance communication between healthcare professionals, and facilitate timely decision-making. This EHR system is expected to reduce documentation errors, improve care coordination, and enhance overall patient safety (Smith et al., 2020).

Stakeholders for Input

Stakeholders who can offer crucial input into this project include:

Frontline Healthcare Staff: Physicians, nurses, and other healthcare professionals directly involved in patient care can provide insights into the practical utility of the technology in real-time situations. Their feedback is essential for ensuring that the technology aligns with their workflow and enhances patient care delivery.
IT Department: The hospital’s IT department can offer expertise on technical aspects, integration with existing systems, and cybersecurity measures. Collaboration with IT experts is vital to ensure a seamless integration that meets data security and privacy standards.
Hospital Administration: Leadership and administrative staff can provide input regarding budget allocation, resource allocation, and alignment with the hospital’s strategic goals. Their support and approval are crucial for securing necessary resources and creating a conducive environment for implementation.

Introduction Strategy Using Change Theory

The technology introduction will be guided by the Kotter’s Eight-Step Change Model. This model emphasizes the importance of creating a sense of urgency, forming a guiding coalition, developing a vision and strategy, communicating the vision, empowering action, generating short-term wins, consolidating gains, and anchoring change in the organizational culture (Kotter, 2022).

Kotter’s Eight-Step Change Model

Kotter’s model will guide the implementation process by providing a structured approach to ensure successful integration. For instance, the first step involves creating a sense of urgency among ED staff regarding the benefits of the new technology. This could be achieved by showcasing the potential improvements in patient care and efficiency, such as reduced documentation time and enhanced collaboration among healthcare teams. The second step, forming a guiding coalition, will involve assembling a multidisciplinary team of ED professionals, IT experts, and hospital administrators to lead the implementation process. This team will develop a clear vision and strategy for the technology’s integration, ensuring alignment with the ED’s goals and objectives. Communication of the vision and strategy to all stakeholders will be pivotal to generate buy-in and commitment.


Implementing technology in the dynamic environment of an urban hospital’s emergency department requires a strategic approach. Stakeholders’ involvement, the use of change theory, and the integration of advanced Electronic Health Record systems all play a critical role in ensuring a successful and seamless implementation. By following Kotter’s Eight-Step Change Model, the ED can enhance patient care, communication, and decision-making, ultimately improving overall healthcare outcomes.


Jones, R. C., & Brown, S. M. (2021). Leading Change in Healthcare Settings: A Nursing Perspective. Nurse Leader, 36(4), 28-35.

Kotter, J. P. (2022). Leading change. Harvard Business Review Press.

Smith, A. B., Johnson, L. K., & Davis, M. W. (2020). Technology Integration in Healthcare: Implications for Nursing Practice. Journal of Nursing Informatics, 45(2), 78-92.

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