the purpose of this study was to identify super users’ mechanisms of influence and examine their effects on ehr implementation outcomes. in this paper, we present the results of a comparative case study in which we sought to identify the mechanisms of super users’ influence on implementation success and examine the impact of a core contextual factor: how super users are selected. the two units differed in terms of how super users were chosen; the process by which super users were selected is an important contextual factor that we sought to understand because it is likely to shape the ways in which super users may be perceived and hence interact with others on the unit. we used a semi-structured discussion guide that began with a ‘grand tour’ question  to elicit a broad picture of the participant’s experience with the ehr implementation (i.e., “i am interested in hearing about your experience with the ehr implementation so far. super users operated within the context of a hospital-wide ehr implementation that had negative and positive aspects. “having the super users i think helped de-stress a lot of the people on our floor… because it’s one of us that they can come to and not just a stranger” (id10).
even though there was evidence of learning by doing on both units, the super users on units 1 and 2 differed in the extent to which they explained the rationale for various actions in the ehr. through the process of deciding to become a super user, super users manifested a willingness to expand their role identity to include that of super user. the literature on ehr implementation highlights the importance of super users and indicates that their effectiveness in supporting the implementation process can vary. furthermore, we found that these behaviors were modified by different levels of role engagement by the super users and varied as a function of how managers selected super users and shaped the implementation climates in which super users operated. this study deepens our understanding of the role of super users in ehr implementation by identifying the specific behaviors that super users used to influence their peers. all authors read and approved the final manuscript.
super user training: one effective training strategy is to take advantage of vendor training to create a group of “super users.” super users are staff members trained to move through the electronic health record ( ehr ) system quickly and can share helpful hints, tips, and techniques. enlisting clinician super users to provide frontline support to employees has been recommended to our findings provide insight that may help health care organizations better select, super-users” with complex medical needs make up a small fraction of u.s. patients, but they account , super users in nursing, super users in nursing, benefits of super users, training strategies for health information systems and ehr, super user ehr implementation.
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