WGU C790 Nursing Informatics Study Guide 2023 with
complete solution
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.
Heuristic evaluations
compare products against accepted usability guidelines to reveal major and minor
usability issues.
think-aloud protocol
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.
complete solution
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.
Heuristic evaluations
compare products against accepted usability guidelines to reveal major and minor
usability issues.
think-aloud protocol
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.
