WGU D118 STUDY GUIDE 2024 QUESTIONS AND VERIFIED SOLUTIONS

What is evidenced-based practice and why is it important in healthcare? - Evidence-based practice (EBP) is defined by Duke University Medical Center as "the integration of clinical expertise, patient values and the best research evidence into the decision-making process for patient care. DESCRIBE the standard methods for appraising evidence including evidence grading scales. - Randomized control trials (RCTs) and systematic reviews (SRs) are considered the goal standards in the types of evidence hierarchical structure. the Iowa Model of Evidence-Based Practice to Promote Quality Care - IOWA Model was developed at the University of Iowa Hospitals and Clinics in 1990s to serve as a guide for nurses to use research findings to help improve patient care. The model was developed as a pathway or method to EBP - a method to guide the steps to help identify issues, research solutions and implement changes ACE Star Model of Knowledge Transformation - The ACE Star Model emphasizes crucial steps to convert one form of knowledge to the next and incorporate best research evidence with clinical expertise and patient preferences thereby achieving EBP the Johns Hopkins Nursing Evidence-Based Practice Model - The Johns Hopkins Nursing EBP Model is a powerful problem-solving approach to clinical decision-making, and is accompanied by user-friendly tools to guide individual or group use. It is designed specifically to meet the needs of the practicing nurse. the Stetler Model of Evidence-Based Practice. - The Stetler model of research use is based on the notion that the user's internal characteristics, as well as external environmental factors, influence use of knowledge. What are the stages involved in Lewn's change theory and how does this apply to evidenced-based practice? - Kurt Lewin developed a change model involving three steps: unfreezing, changing and refreezing. For Lewin, the process of change entails creating the perception that a change is needed, then moving toward the new, desired level of behavior and, finally, solidifying that new behavior as the norm. Name the domains of wellness and describe each type. - Physical. Emotional. Intellectual. Social. Spiritual. Environmental. Occupational. FINANCIAL Explain the reasons why transitions of care increase risks for adverse events. - Transitions increase the risk of adverse events due to the potential for miscommunication as responsibility is given to new parties. Hospital discharge is a complex process representing a time of significant vulnerability for patients Describe different models of chronic care coordination. - Several models of care have been established, including Patient-Centered Medical Homes (PCMHs), self-management programs, house call or home-based primary care programs, and distance chronic disease programs (telehealth)`