WGU C790 NURSING INFORMATICS QUESTIONS
AND ANSWERS 100% CORRECT
goal of EBP ✔✔is improvement of systems and microsystems within healthcare, with these
improvements based on science
STEEEP principles ✔✔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 ✔✔Safe-Avoid injuries to patients from the care that is intended to help them.
(T) in STEEEP ✔✔Timely-Reduce waits and sometimes harmful delays for both those who
receive and those who give care.
(E) in STEEEP ✔✔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 ✔✔Efficient-Avoid waste, including waste of equipment, supplies, ideas, and
energy.
(E) in STEEEP ✔✔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 ✔✔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 ✔✔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 ✔✔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 ✔✔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 ✔✔(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 ✔✔These five points are discovery research, evidence summary, translation to
guidelines, practice integration, and evaluation of process and outcome
clinical practice guidelines (CPGs) ✔✔The IOM defines clinical guidelines as "systematically
developed statements to assist practitioner and patient decisions about appropriate health care for
specific clinical circumstances.
usability ✔✔1.Increased user productivity and efficiency 2.Decreased user errors and increased
safety 3.Improved cognitive support
human factors ✔✔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 ✔✔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) ✔✔is the study of how people design, implement, and
evaluate interactive computer systems in the context of users' tasks and work
usability ✔✔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 ✔✔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 ✔✔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 ✔✔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.
AND ANSWERS 100% CORRECT
goal of EBP ✔✔is improvement of systems and microsystems within healthcare, with these
improvements based on science
STEEEP principles ✔✔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 ✔✔Safe-Avoid injuries to patients from the care that is intended to help them.
(T) in STEEEP ✔✔Timely-Reduce waits and sometimes harmful delays for both those who
receive and those who give care.
(E) in STEEEP ✔✔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 ✔✔Efficient-Avoid waste, including waste of equipment, supplies, ideas, and
energy.
(E) in STEEEP ✔✔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 ✔✔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 ✔✔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 ✔✔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 ✔✔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 ✔✔(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 ✔✔These five points are discovery research, evidence summary, translation to
guidelines, practice integration, and evaluation of process and outcome
clinical practice guidelines (CPGs) ✔✔The IOM defines clinical guidelines as "systematically
developed statements to assist practitioner and patient decisions about appropriate health care for
specific clinical circumstances.
usability ✔✔1.Increased user productivity and efficiency 2.Decreased user errors and increased
safety 3.Improved cognitive support
human factors ✔✔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 ✔✔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) ✔✔is the study of how people design, implement, and
evaluate interactive computer systems in the context of users' tasks and work
usability ✔✔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 ✔✔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 ✔✔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 ✔✔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.
