Change Fatigue in Clinical Practice

Deborah K. Mayer

Karen Hammelef

informatics and electronic health records, strategic change, quality improvement
CJON 2013, 17(5), 461-462. DOI: 10.1188/13.CJON.461-462

The University of North Carolina is switching electronic health records (EHRs) next year, and the University of Michigan did so last year. Many others already have or will be adopting them for the first time. What is behind these recent efforts? In two words: meaningful use (see Figure 1). The Centers for Medicare and Medicaid Services (CMS) has issued a set of standards that governs the use of EHRs to improve the quality, safety, and efficiency of health care. Attainment of these meaningful use goals is tied to financial incentives, hence the movement by so many health systems and practices to select and implement these systems.

Jump to a section


    Brainy Quote. (n.d.) Quote. Retrieved from http://www.brainyquote.com/quotes/quotes/f/frederickd377775.html
    McMillan, K., & Perron, A. (2013). Nurses amidst change: The concept of change fatigue offers an alternative perspective on organizational change. Policy, Politics, and Nursing Practice, 14(1), 26-32. doi:10.1177/1527154413481811
    Moore, R., & Jones, M. (2010). What can nurse leaders and staff nurses do to prepare to implement electronic care records? Nursing Times, 106(13), 10-12.
    Reineck, C. (2007). Models of change. Journal of Nursing Administration, 37, 388-391. doi:10.1097/01.NNA.0000285137.26624.f9
    Valusek, J. R. (2007). The change calendar: A tool to prevent change fatigue. Joint Commission Journal on Quality and Patient Safety, 33, 355-360.