C790 Nursing Informatics (WGU)
goal of EBP Ans- is improvement of systems and microsystems within healthcare, with these
improvements based on science
STEEEP principles Ans- The Institute of Medicine (IOM) expert panel issued recommendations for urgent
action to redesign healthcare so that it...
C790 Nursing Informatics (WGU)
goal of EBP Ans- is improvement of systems and microsystems within healthcare, with these
improvements based on science
STEEEP principles Ans- The Institute of Medicine (IOM) expert panel issued recommendations for urgent
action to redesign healthcare so that it is safe, timely, effective, efficient, equitable, and patient-
centered
(S) in STEEEP Ans- Safe-Avoid injuries to patients from the care that is intended to help them.
(T) in STEEEP Ans- Timely-Reduce waits and sometimes harmful delays for both those who receive and
those who give care.
(E) in STEEEP Ans- Effective-Provide services based on scientific knowledge to all who could benefit, and
refrain from providing services to those not likely to benefit.
(E) in STEEEP Ans- Efficient-Avoid waste, including waste of equipment, supplies, ideas, and energy.
(E) in STEEEP Ans- Equitable-Provide care that does not vary in quality because of personal
characteristics such as gender, ethnicity, geographic location, and socioeconomic status.
(P) in STEEEP Ans- Patient-centered Provide care that is respectful of and responsive to individual
patient preferences, needs, and values, and ensure that patient values guide all clinical decisions.
ACE Star Model of Knowledge Transformation
Advancing Research and Clinical Practice through Close Collaboration (ARCC)
Model of Evidence-Based Practice in Nursing and Healthcare
Johns Hopkins Nursing Evidence-Based Practice Model and Guidelines
Iowa Model of Evidence-Based Practice
,Stetler Model of Research Utilization Ans- FOCUS: EBP, research use, and knowledge transformation
processes
DESCRIPTION: Direct a systematic approach to synthesizing knowledge and transforming research
findings to improve patient outcomes and the quality of care
Address both individual practitioners and healthcare organizations Focus on increasing the
meaningfulness and utility of research findings in clinical decision making
Promoting Action on Research Implementation in Health Services (PARiHS)
Vratny and Shriver Model for Evidence-Based Practice Pettigrew and Whipp Model of Strategic Change
Outcomes-Focused Knowledge Translation
Determinants of Effective Implementation of Complex Innovations in Organizations
Ottawa Model of Research Use Ans- FOCUS: Strategic and organizational change theory to promote
uptake and adoption of new knowledge
DESCRIPTION:Trace mechanisms by which individual, small group, and organizational contexts affect
diffusion, uptake, and adoption of new knowledge and innovation
Premise is that interventions, outcomes evaluations, and feedback are important methods to promote
practice change
Collaborative Model for Knowledge Translation between Research and Practice Settings
Framework for Translating Evidence into Action
Knowledge Transfer and Exchange
Canadian Institutes of Health Research Knowledge Translation within the Research Cycle Model or
Knowledge Action Model
Interactive Systems Framework for Dissemination and Implementation Ans- FOCUS: Knowledge
exchange and synthesis for application and inquiry
DESCRIPTION: Structure ongoing interactions among practitioners, researchers, policy-makers, and
consumers to facilitate the generation of clinically relevant knowledge and the application of knowledge
in practice
All parties are engaged in bidirectional collaboration across the translation continuum
,Knowledge Transformation Ans- (Ace Star Model)
is defined as the conversion of research findings from discovery of primary research results, through a
series of stages and forms, to increase the relevance, accessibility, and utility of evidence at the point of
care to improve healthcare and health outcomes by way of evidence-based care.
Ace Star Model Ans- These five points are discovery research, evidence summary, translation to
guidelines, practice integration, and evaluation of process and outcome
clinical practice guidelines (CPGs) Ans- The IOM defines clinical guidelines as "systematically developed
statements to assist practitioner and patient decisions about appropriate health care for specific clinical
circumstances.
usability Ans- 1.Increased user productivity and efficiency 2.Decreased user errors and increased safety
3.Improved cognitive support
human factors Ans- is "the scientific discipline concerned with the understanding of interactions among
humans and other elements of a system, and the profession that applies theory, principles, data and
methods to design in order to optimize human well-being and overall system performance."
In healthcare, human factors might concern the design of a new operating room to better support
teamwork and patient flow.
ergonomics Ans- used interchangeably with human factors by the HFES in Europe but in the U.S. and
other countries its focus is on human performance with physical characteristics of tools, systems, and
machines
i.e. power drill fitting in hand
Human-computer interaction (HCI) Ans- is the study of how people design, implement, and evaluate
interactive computer systems in the context of users' tasks and work
, usability Ans- is often used interchangeably with HCI when the product is a computer but usability also
concerns products beyond computers. Usability is also more focused on interactions within a specific
context or environment for a specific product.
Formally, the ISO defines usability as the extent to which a product can be used by specific users in a
specific context to achieve specific goals with effectiveness, efficiency, and satisfaction.
allows users to achieve goals
joint cognitive systems Ans- imply that information is shared or distributed among humans and
technology. This framework is useful for examining teamwork in healthcare where team members work
together on patient care
Health Human-Computer Interaction (HHCI) Framework Ans- Humans or products can initiate
interactions. The information is processed through either the product or the humans according to
characteristics. The recipient then reacts to the information; for example, a healthcare provider could
read and respond to email from a patient or a product might process interactions after the "enter" key is
pressed. Iterative cycles continue as humans behave and products act according to defined
characteristics. Goals and planning are implicit within the tasks displayed in the framework.
discount usability methods Ans- reduce the number of required users in usability projects and to use
early design prototypes.
These methods offer economies of time, effort, and cost and can be completed at any point in the
systems life cycle.
Two common techniques are heuristic evaluation and think-aloud protocol.
Heuristic evaluations Ans- compare products against accepted usability guidelines to reveal major and
minor usability issues.
think-aloud protocol Ans- also involves a small number of users and has them talk aloud while they
interact with a product. Users voice what they are trying to do, indicate where interactions are
confusing, and provide other thoughts about the product during interactions.
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