1
WGU C790 NURSING INFORMATICS OA EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS
goal of EBP - (answer)is improvement of systems and microsystems within
healthcare, with these improvements based on science
STEEEP principles - (answer)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 - (answer)Safe-Avoid injuries to patients from the care that is
intended to help them.
(T) in STEEEP - (answer)Timely-Reduce waits and sometimes harmful delays for
both those who receive and those who give care.
(E) in STEEEP - (answer)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 - (answer)Efficient-Avoid waste, including waste of equipment,
supplies, ideas, and energy.
(E) in STEEEP - (answer)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 - (answer)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.
, 2
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 - (answer)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 - (answer)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
, 3
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 -
(answer)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 - (answer)(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 - (answer)These five points are discovery research, evidence
summary, translation to guidelines, practice integration, and evaluation of
process and outcome
clinical practice guidelines (CPGs) - (answer)The IOM defines clinical guidelines
as "systematically developed statements to assist practitioner and patient
decisions about appropriate health care for specific clinical circumstances.
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usability - (answer)1.Increased user productivity and efficiency 2.Decreased
user errors and increased safety 3.Improved cognitive support
human factors - (answer)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 - (answer)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) - (answer)is the study of how people
design, implement, and evaluate interactive computer systems in the context
of users' tasks and work
usability - (answer)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.
WGU C790 NURSING INFORMATICS OA EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS
goal of EBP - (answer)is improvement of systems and microsystems within
healthcare, with these improvements based on science
STEEEP principles - (answer)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 - (answer)Safe-Avoid injuries to patients from the care that is
intended to help them.
(T) in STEEEP - (answer)Timely-Reduce waits and sometimes harmful delays for
both those who receive and those who give care.
(E) in STEEEP - (answer)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 - (answer)Efficient-Avoid waste, including waste of equipment,
supplies, ideas, and energy.
(E) in STEEEP - (answer)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 - (answer)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.
, 2
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 - (answer)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 - (answer)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
, 3
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 -
(answer)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 - (answer)(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 - (answer)These five points are discovery research, evidence
summary, translation to guidelines, practice integration, and evaluation of
process and outcome
clinical practice guidelines (CPGs) - (answer)The IOM defines clinical guidelines
as "systematically developed statements to assist practitioner and patient
decisions about appropriate health care for specific clinical circumstances.
, 4
usability - (answer)1.Increased user productivity and efficiency 2.Decreased
user errors and increased safety 3.Improved cognitive support
human factors - (answer)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 - (answer)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) - (answer)is the study of how people
design, implement, and evaluate interactive computer systems in the context
of users' tasks and work
usability - (answer)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.
