Date of Graduation

Winter 12-16-2016

Document Type


Degree Name

Doctor of Nursing Practice (DNP)


School of Nursing and Health Professions



First Advisor

Brian Budds

Second Advisor

Cathy Coleman


In May 2015, an electronic health record (EHR) was implemented at an urban, long-term care facility. This facility is part of the county Department of Public Health (DPH) and was one of the last locations to implement the designated EHR system. The unique nature of the facility compared to the smaller, health care centers within the DPH network necessitated development of a customized training and onboarding program for new employees. It was not possible to duplicate an existing training program. The registered nurse (RN) informaticist assigned to the EHR used data from nursing staff surveys and information collected through a literature search to assist with developing a training program. Several “best practices” for training and instructional design recommendations based on adult learning theory were identified. The budget for the project was $26,649 which included establishing a mobile classroom, certification training for the informatics RN, and educational materials. The potential and perceived value for improved patient safety, nurse satisfaction, and interoperability among other facilities justified the initial program investment. The program established a channel for communication between departments regarding EHR access, training, and staff support. Tools were developed to track and document the onboarding process; these resources are available for future orientations and ongoing implementation and training needs. This paper will describe program development, tools, and best practices that directly impact the clinical and operational phases of onboarding for new technology deployment in a long-term care setting.