CPOE Training Program: Nursing Staff Development in Health Informatics
This practicum report describes a six-month staff development program designed to train nurses at a nursing home care facility in the use of Computerized Provider Order Entry (CPOE) systems. Using Lewin's Model of Change as the theoretical framework, the program assessed baseline knowledge of health informatics, identified educational gaps, and delivered targeted training in both facility and community settings. Participants included Bachelor of Science in Nursing (BSN) graduates encountering CPOE technology for the first time. The program successfully advanced nurses' technical competency with the system, increased acceptance of automated healthcare technologies, and prepared both clinical staff and community members for effective implementation of modern health information systems.
- Introduction and Theoretical Framework: Practicum overview and Lewin's change model application
- Project Description and Objectives: Training setting, facility goals, and program objectives
- Training Content and Implementation: CPOE technical training and change management delivery
- Outcomes and Community Impact: Nurse competency gains and community acceptance results
- Conclusion: Summary of program success and regional impact
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What makes this paper effective
- Clear alignment with Lewin's change management model (unfreezing, transition, freezing phases) as an organizing framework for the entire practicum
- Specific identification of baseline knowledge gaps—nurses' familiarity with basic computing but limited ability with medical records systems and zero CPOE experience
- Dual training environments (facility and community) with concrete examples of how the program adapted to real-world constraints (shift from manual to automated systems, cost barriers, change resistance)
- Measurable outcomes that directly address the stated objectives, including nurses' ability to operate CPOE, solve system problems, and adopt positive attitudes toward automated systems
Key academic technique demonstrated
The paper uses change management theory as both a diagnostic and instructional lens. Rather than simply delivering technical training, the practicum applies Lewin's three-phase model to understand nurse resistance and readiness, then structures the entire six-month program around psychological and organizational preparation for change. This moves beyond surface-level skill transfer to address the deeper question of why practitioners accept or reject new technologies.
Structure breakdown
The report follows a standard practicum format: introduction of the problem and theoretical framework, detailed description of project context and goals, implementation details showing what was taught and where, results demonstrating competency gains and attitude shifts, and conclusion reflecting on program success. The logical progression from problem identification (low informatics knowledge) through intervention (theory-based training) to evaluation (competency and acceptance measures) creates a coherent evidence-based practice narrative.
Introduction and Theoretical Framework
This practicum focused on analyzing the current practices and educational needs of nurses in a nursing home care setting during the initial implementation of Computerized Provider Order Entry (CPOE) technology. The program involved developing, implementing, and evaluating evidence-based staff development practices for nurses with Bachelor of Science in Nursing (BSN) degrees who were using the technology for the first time. The six-month training program was grounded in Kurt Lewin's change theory, a foundational model for understanding organizational and individual transitions.
According to Lewin's Model of Change, the training program was structured in three phases. The unfreezing phase focused on enabling nurses to understand changes in the medical field with respect to health informatics, preparing them psychologically and organizationally for the transition ahead. This was followed by the transition phase, in which trainees were guided through the change process and developed competency with the new systems. Finally, the freezing phase stabilized their ability to use health informatics effectively in daily practice. The model emphasizes that acceptance of change must be built on preparation—familiarity with what is to occur enables individuals to understand why the transition is necessary. (Miner, 2005)
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