The informatics nurse is seeking information about human—computer interaction (HCI) frameworks that are based on work-centered research and distributed cognition. On which framework should the nurse focus?

A) CoCom (Contextual Control Model)
B) UFuRT (User, Function, Representation, and Task analysis) framework
C) SEIPS 2.0 (Systems Engineering Initiative for Patient Safety)
D) The Staggers Human—Computer Interaction Framework


B) UFuRT (User, Function, Representation, and Task analysis) framework

Explanation: A) The contextual control model, or CoCom is based upon users' planning and action with feedback and feedforward loops. Users are part of the whole model, and the influence of a context is direct. The distinctions of the CoCom model compared to others include that humans anticipate actions, and human behavior is seen as a plan versus single actions. Joint cognitive systems and the CoCom model imply that information is shared or distributed among humans and technology.
B) TURF was originally called UFuRT for user, function, representation, and task analyses. The model asserts that system knowledge is distributed across multiple users who have differences in expertise and cognitive characteristics. TURF includes a task-analysis portion to describe steps in tasks and interactions. However, how interactions mature is not considered a part of this framework.
C) SEIPS 2.0, or systems engineering initiative for patient safety, incorporates human factors using three higher level concepts: configuration, engagement, and adaptation. This model is useful for thinking about work systems and the performance of work in a sociotechnical environment. It is constructed at a much higher level of abstraction than typical HCI frameworks.
D) The Staggers Human—Computer Interaction Framework outlines the interaction between the computer and the individual.

Nursing

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A patient complains of periods of confusion and forgetfulness at times, and reports clear thought process at most times of the day. The symptoms have been gradually worsening. What should the nurse say in response to this patient?

A. "Everybody has a few problems with memory as they get older." B. "You should probably have an MRI of your brain." C. "Have you started any new medications since the symptoms began?" D. "You probably have nothing to worry about; it's most likely stress-related."

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