C790 Nursing Informatics (WGU)
UPDATED ACTUAL Exam Questions and
CORRECT Answers
goal of EBP - CORRECT ANSWER - is improvement of systems and microsystems
within healthcare, with these improvements based on science
STEEEP principles - CORRECT 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 - CORRECT ANSWER - Safe-Avoid injuries to patients from the care that
is intended to help them.
(T) in STEEEP - CORRECT ANSWER - Timely-Reduce waits and sometimes harmful
delays for both those who receive and those who give care.
(E) in STEEEP - CORRECT 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 - CORRECT ANSWER - Efficient-Avoid waste, including waste of
equipment, supplies, ideas, and energy.
(E) in STEEEP - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT
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 - CORRECT 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 - CORRECT ANSWER - These five points are discovery research,
evidence summary, translation to guidelines, practice integration, and evaluation of process and
outcome
clinical practice guidelines (CPGs) - CORRECT 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 - CORRECT ANSWER - 1.Increased user productivity and efficiency
2.Decreased user errors and increased safety 3.Improved cognitive support
human factors - CORRECT 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 - CORRECT 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) - CORRECT ANSWER - is the study of how people
design, implement, and evaluate interactive computer systems in the context of users' tasks and
work
usability - CORRECT 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.
allows users to achieve goals
joint cognitive systems - CORRECT ANSWER - 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 - CORRECT ANSWER -
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.
UPDATED ACTUAL Exam Questions and
CORRECT Answers
goal of EBP - CORRECT ANSWER - is improvement of systems and microsystems
within healthcare, with these improvements based on science
STEEEP principles - CORRECT 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 - CORRECT ANSWER - Safe-Avoid injuries to patients from the care that
is intended to help them.
(T) in STEEEP - CORRECT ANSWER - Timely-Reduce waits and sometimes harmful
delays for both those who receive and those who give care.
(E) in STEEEP - CORRECT 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 - CORRECT ANSWER - Efficient-Avoid waste, including waste of
equipment, supplies, ideas, and energy.
(E) in STEEEP - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT
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 - CORRECT 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 - CORRECT ANSWER - These five points are discovery research,
evidence summary, translation to guidelines, practice integration, and evaluation of process and
outcome
clinical practice guidelines (CPGs) - CORRECT 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 - CORRECT ANSWER - 1.Increased user productivity and efficiency
2.Decreased user errors and increased safety 3.Improved cognitive support
human factors - CORRECT 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 - CORRECT 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) - CORRECT ANSWER - is the study of how people
design, implement, and evaluate interactive computer systems in the context of users' tasks and
work
usability - CORRECT 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.
allows users to achieve goals
joint cognitive systems - CORRECT ANSWER - 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 - CORRECT ANSWER -
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.
