Competency 1: Ch 5: Using Informatics to support EBP

Question 1

What is OCR

Answer 1

outcomes research

Question 2

what are the main concepts of outcomes research (OCR)

Answer 2

to minimize variations in practice by developing qual-ity guidelines, providing ways to systematically measure the functioning and well-being of patients, linking treatments and outcomes data through databases, and analyzing databases so results can be quickly and easily disseminated

Question 3

The overall goal of this project was accelerating the diffusion of research into practice, it continued to use the field-based collaborative relationship model established by the IDSRN project, focused on finding results, both successful and unsuccessful, to improve healthcare outcomes and disseminating results

Answer 3

Accelerating Change and Transformation in Organiza-tions and Networks (ACTION) program

Question 4

Through the AHRQ, federal grant funding has been available for ________. Information aggregated from it improves practice for the primary care provider and patient. Through this network, information becomes relevant to the clinician and can be introduced quickly into practice

Answer 4

practice-based research networks (PBRN)

Question 5

These were studies funded by AHRQ beginning in 1999 and designed to look at the way primary-care teams were using health-information technology (HIT) . looked at Practice Partner Research Network (PPRNet) participants for project-specific electronic health data and the effect on practice in improving quality that came from this translated information

Answer 5

Translating research into practice (TRIP) and, later, TRIP II

Question 6

This approach for addressing levels of evidence was to get input from many contributors including representatives of other grading systems. The thought behind this strategy was to bring forward previous work and ideas and promote the development of a transparent approach for grading research evidence. Among the international organizations represented in the initial work group were the World Health Organization, Centers for Dis-ease Control and Prevention, and Oxford Center for Evidence-Based Medicine.

Answer 6

Grading of Recommendations Assessment, Development, and Evaluation (GRADE

Question 7

This initiated in 2005, was challenged to improve healthcare delivery in the United States by improving quality, efficiency, and effectiveness

Answer 7

The Effective Health Care (EHC) Program

Question 8

The initial of this was based on the approach devel-oped by the GRADE working group

Answer 8

methods guide

Question 9

This provides a strength of recommendation based on a body of evidence. The strength of recommenda-tion is based on an A, B, C scale with A indicating consistent, good-quality patient-oriented evidence; B indicating inconsistent or limited-quality patient-oriented evidence; and C indicating consensus, disease-oriented evidence, usual practice, expert opinion, or case series for studies of diagnosis, treatment, prevention, or screening

Answer 9

Strength of Recommendation Taxonomy (SORT)

Question 10

What are the top models for the purpose of integrating EBP into use?

Answer 10

Stetler model
Iowa Model of EBP to promote quality care
ACE star model of knowledge transformation
PARIHS framework

Question 11

What is necessary for the successful implementation of EBP?

Answer 11

Promoting a culture of change
(agreement—from the very top levels of administration through the clinical caregivers—that change in practice is necessary and will happen.)

Question 12

This is the process used to determine if the evidence-based intervention(s)
implemented are/have been successful.

Answer 12

Evaluation

Question 13

What are the phases of the Stetler Model

Answer 13

(1) preparation, (2) validation, (3) comparative evaluation/decision-making, (4) translation and application, and (5) evaluation. The Stetler model can be oriented toward the individual or team approach

Question 14

This model stresses the importance of prioritizing triggers based on the need for change and the needs of the clinical agency. Once supporting evidence of change is found, the change is introduced in a pilot environment. Evaluation of the pilot leads the facility to the decision of adopting the change or not

Answer 14

Iowa Model of Evidence-Based Practice to Promote Quality Care

Question 15

This model was developed to address translation and implementation aspects of the evidence-based practice process. The model applies evidence to clinical nursing by considering factors that determine the likeli-hood of adoption of practice.

Answer 15

Academic Center for Evidence-Based Practice (ACE) Star Model of Knowledge Transformation

Question 16

What are the 5 steps in the ACE start model

Answer 16

(1) discovery of new knowledge; (2) rigorous review process of evidence followed by summary; (3) translation of evidence for clinical practice; (4) integration of intervention into practice; and (5) evaluation of the practice change

Question 17

This model is considered less structured than a true model of practice, providing a theory of practical application. It defines three key elements that, when used together, will mutually influence each other for a successful EBP imple-mentation (

Answer 17

The PARIHS (Promoting Action on Research Implementation in Health Services) frame-work

Question 18

What are the 3 elements of the PARIHS framework?

Answer 18

1) evidence—sources of knowl-edge from multiple stakeholders, (2) context—quality of the environment EBP is to be implemented, and (3) facilitation—how change will be supported

Question 19

This is is simply a term that indicates communication of information, in this case research knowledge, from a source

Answer 19

Dissemination