GUIDE 2026 COMPREHENSIVE REVIEW
◉ 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.
◉ 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
◉ 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.
◉ usability. Answer: 1.Increased user productivity and efficiency
2.Decreased user errors and increased safety 3.Improved cognitive
support