Evidence-Based Practice(EBP) and the Quadruple Aim
Evidence-based practice is a process of making clinical decisions that involves critically appraising current research evidence, incorporating patient values and preferences, and applying this information to the individual patient. The goal of EBP is to provide the highest quality of care based on the best available scientific evidence.
The Quadruple Aim is a framework for healthcare reform that aims to improve the patient experience, improve population health, reduce the cost of care, and improve the work life of healthcare providers. It is a holistic approach to healthcare delivery that emphasizes the importance of addressing all aspects of the healthcare system, including the patient, the provider, the healthcare organization, and the broader community. The quadruple aim is seen as a way to achieve sustainable and meaningful improvements in healthcare quality and outcomes.
Assignment: Evidence-Based Practice(EBP) and the Quadruple Aim
Healthcare organizations continually seek to optimize healthcare performance. For years, this approach was a three-pronged one known as the Triple Aim(before Work life of healthcare providers), with efforts focused on improved population health, enhanced patient experience, and lower healthcare costs.
More recently, this approach has evolved to a Quadruple Aim by including a focus on improving the work life of healthcare providers. Each of these measures are impacted by decisions made at the organizational level, and organizations have increasingly turned to EBP to inform and justify these decisions.
Instructions:
To Prepare:
Read the articles by Sikka, R., Morath, J. M., & Leape, L. (2015). The Quadruple Aim: Care, health, cost and meaning in work. BMJ Quality & Safety, 24, 608–610. doi:10.1136/bmjqs-2015-004160. Retrieved from https://qualitysafety.bmj.com/content/qhc/24/10/608.full.pdf provided in the Resources. (Usethe link above it will open the article) provided in the Resources.
Reflect on how EBP might impact (or not impact) the Quadruple Aim in healthcare.
Consider the impact that EBP may have on factors impacting these quadruple aim elements, such as preventable medical errors or healthcare delivery.
To Complete:
Write a brief analysis (no longer than 2 pages) of the connection between EBP and the Quadruple Aim.
Your analysis should address how EBP might (or might not) help reach the Quadruple Aim, including each of the four measures of:
Patient experience
Population health
Costs
Work life of healthcare providers.
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===>Sample Answer Guide:
Evidence-based practice(EBP) and the Quadruple Aim
The article by Sikka, Morath, and Leape (2015) discusses the Quadruple Aim, which is a framework for healthcare reform that aims to improve the patient experience, improve population health, reduce the cost of care, and improve the work-life balance of healthcare providers. The authors argue that evidence-based practice (EBP) can be a valuable tool for achieving the Quadruple Aim by providing healthcare providers with the evidence they need to make informed decisions about patient care and improve the quality of care. They suggest that EBP can contribute to achieving the Quadruple Aim by identifying effective interventions for improving population health, evaluating the effectiveness of different treatment options, and reducing the administrative burden on providers. However, they also note that EBP alone is not sufficient to achieve the Quadruple Aim and other strategies, such as quality improvement, patient-centered care, and interprofessional collaboration, are also needed for a comprehensive approach to healthcare reform.
Patient Experience:
Evidence-based practice (EBP) has a strong connection to the Quadruple Aim of improving the patient experience. By using the best available research evidence, EBP helps healthcare providers make informed decisions about patient care, which can lead to better outcomes and a more positive patient experience.
EBP can also help improve the patient experience by involving patients in the decision-making process. By considering patients’ values and preferences, healthcare providers can tailor their care to meet the specific needs of each individual patient. This can lead to more personalized and effective care, which can improve the patient’s overall experience.
Additionally, EBP can help healthcare providers stay up-to-date with the latest advances in medical research and treatments. This can lead to the use of more effective therapies and treatments, which can improve patient outcomes and the patient experience.
However, it’s worth noting that EBP alone is not enough to reach the Quadruple aim of patient experience, as other factors such as communication, care coordination, access to care, and patient safety are also important. EBP should be used in combination with other strategies to improve patient experience and reach the quadruple aim.
Population health:
Patient experience is an important aspect of the connection between Evidence-Based Practice (EBP) and the Quadruple Aim. The Quadruple Aim framework emphasizes the importance of improving the patient experience, and EBP can play a key role in achieving this objective.
As such, it helps improve the patient experience by providing healthcare providers with the best available research evidence to guide their decision-making. By using the most current and reliable research, healthcare providers can make informed decisions about patient care, which can lead to better outcomes and a more positive patient experience. For example, using EBP to identify the most effective treatment options for a specific condition can lead to quicker recovery times and fewer complications, which can improve the patient’s overall experience.
Evidence-based practice can also involve patients in the decision-making process by considering their values and preferences. By taking into account the unique needs and goals of each individual patient, healthcare providers can tailor their care to meet those needs. This can lead to more personalized and effective care, which can improve the patient’s overall experience.
Moreover, it facilitates the healthcare providers stay up-to-date with the latest advances in medical research and treatments. This can lead to the use of more effective therapies and treatments, which can improve patient outcomes and the patient experience.
It’s worth noting that EBP alone is not enough to improve patient experience. Other factors such as communication, care coordination, access to care, and patient safety are also important. Therefore, it should be used in combination with other strategies to improve patient experience and reach the quadruple aim.
Costs:
EBP has the potential to help reach the Quadruple Aim of costs in several ways. First, EBP can lead to more efficient and effective care, which can reduce costs by eliminating unnecessary tests, treatments, and procedures. For example, evidence based practice provides a guideline in identify the most effective and cost-effective treatments for a particular condition, which minimizes the use of more expensive and less effective options.
Secondly, it enables cost cutting by identifying and addressing areas of waste and inefficiency in the healthcare system. For example, identifying and addressing areas of overuse, such as unnecessary imaging tests, which can lead to lower costs for patients and payers.
Ultimately, Evidence based practice reduces costs by improving population health. By identifying and addressing the root causes of disease and illness, it participates to prevent and manage chronic conditions, which can ultimately reduce the need for expensive medical interventions.
In the article “The Quadruple Aim: Care, health, cost, and meaning in work” by Sikka, Morath, and Leape (2015), the authors discuss the connection between evidence-based practice(EBP) and the Quadruple Aim, specifically in relation to costs. They argue that EBP plays a role in minimizing the cost of care by providing healthcare providers with the evidence they need to make informed decisions about patient care. By using the best available evidence, healthcare providers can avoid unnecessary tests and procedures, which can help reduce the cost of care. Additionally, it guides providers deliver care that is tailored to the specific needs of their patients, which can improve the overall quality of care and reduce the cost of care in the long term.
EBP also aids in identifying the most cost-effective interventions for improving population health. By evaluating the effectiveness of different treatment options, its leads in identifying the most cost-effective interventions, which can help to reduce the overall cost of care.
Even so, it is important to note that implementing EBP can also come with costs, such as the cost of acquiring and maintaining access to the best available research evidence and the cost of training healthcare providers to use evidence-based practice effectively. Additionally, while it helps reduce costs in some areas, it can also lead to increased costs in other areas, such as when new and more expensive treatments are recommended.
Work life of healthcare providers:
In the article “The Quadruple Aim: Care, health, cost and meaning in work” by Sikka, Morath, and Leape (2015), the authors discuss the importance of addressing the work-life balance of healthcare providers in the context of the Quadruple Aim. They argue that improving the work-life balance of healthcare providers is essential for achieving the other three aims of the Quadruple Aim: improving the patient experience, improving population health, and reducing the cost of care.
The authors suggest that a key factor in improving the work-life balance of healthcare providers is reducing the administrative burden on providers, which can be achieved by implementing evidence-based practice (EBP). They argue that EBP can help reduce the administrative burden on providers by providing them with the evidence they need to make informed decisions about patient care, which can help them avoid unnecessary tests and procedures. Additionally, EBP can help providers deliver care that is tailored to the specific needs of their patients, which can improve the overall quality of care. Mores on, it provides healthcare providers with decision support systems and electronic health records, which can reduce the burden of clerical work and increase productivity.
Evidence-based practice can be a valuable tool for achieving the Quadruple Aim by providing healthcare providers with the evidence they need to make informed decisions about patient care and improve the quality of care. Additionally, it can help reduce the administrative burden on providers, which can improve their work-life balance. However, other strategies are also needed for a comprehensive approach to healthcare reform, quality improvement, patient-centered care, and interprofessional collaboration are also necessary.
References:
Grys, C. A. (2022). Evidence-based practice, quality improvement, and research: A visual model. Nursing2022, 52(11), 47-49. Evidence-based practice(EBP) and the Quadruple Aim.
Lavenberg, J. G., Cacchione, P. Z., Jayakumar, K. L., Leas, B. F., Mitchell, M. D., Mull, N. K., & Umscheid, C. A. (2019). Impact of a hospital evidence‐based practice center (EPC) on nursing policy and practice. Worldviews on Evidence‐Based Nursing, 16(1), 4-11.
Sikka, R., Morath, J. M., & Leape, L. (2015). The quadruple aim: care, health, cost and meaning in work. BMJ quality & safety, 24(10), 608-610.
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Sample Answer II
Analysis: Evidence-based practice(EBP) and the Quadruple Aim
Evidence-based practice is a methodology that enables healthcare professionals to provide a solution to daily clinical challenges. It improves the outcomes of care and so promotes recovery; as well as accessing, synthesizing, and applying information from the literature to solve day to day clinical problems (Straus et al., 2018). Nurses cannot make informed decisions without systematic observation and experience, and as such, e evidence-based practice enables them to enrich and improve their clinical practice, experience, and training by incorporating the most recent research findings.
According to Berwick, Nolan, and Whittington, the purpose of their evidence-based approach was to achieve three health care objectives (triple aim): to improve the patients’ care experience, including the care’s quality and their satisfaction. Second, improve the health of the people, and third, reduce the cost of health care to make it more accessible. (Cameron, 2017). Not only does evidence-based practice empower clinical personnel, resulting in high levels of job satisfaction, but it also Helps health care systems in achieving the Quadruple Aim (Ryan, 2016). Despite having In to having numerous positive impacts on health care, evidence-based practice has failed to provide a global standard of treatment in recent years due to certain obstacles.
Insufficient numbers of evidence-based tutors and supervisors for nursing students pursuing bachelor’s and master’s degrees are the first of these obstacles to the quality of care. It will result in a shortage of qualified health care providers since evidence-based practice will not be integrated into training and practice optimally (Straus et al., 2018). The availability of sufficient mentors would facilitate more adoption of evidence-based practice throughout nurses’ training and education, hence enhancing the quality of work life for health care workers.
Evidence-based practice will allow the health care providers to adapt to situations, work collaboratively with each other and is also of importance as in the utilization of informatics.
Evidence-based practice will allow the health care providers to adapt to situations, work collaboratively with each other and is also of importance as in the utilization of informatics. Inadequate knowledge and skills on the part of nurses and other clinical officers about evidence-based practice will significantly impact patient outcomes, in contrast to when nurses possess up-to-date skills and knowledge (O’Hara, 2015). When contemporary health care research is applied to the management of patients, health issues associated with chronic illness are reduced, resulting in a better prognosis for the patients.
In addition, the availability of tools and resources for care provision, including the investment of evidence-based practice budget by chief executive nurses, will impact the prices and quality of care delivered as well as the results of the responsibility (Ryan, 2016). Incorporating the patient-centered, evidence-based practice approach into the management of chronic diseases will save wasteful costs and lower the bills of healthier patients. Therefore, developed nations have eradicated a greater proportion of chronic diseases than poor nations, which have less resources and fail to budget for evidence-based practice, resulting in high healthcare expenditures. When sufficient resources are available, care results will also improve, as opposed to when unrestricted resources impede care delivery.
In addition, continuing academic programs that teachbaccalaureate and master’s level nursing and medical students how to do research rather than evidence-based practice have an impact on population health and the work lives of health workers. Without evidence-based practice, the majority of health care practitioners will lack confidence when providing care, which may result in a population with poor health outcomes. Clinicians will be guided by evidence-based practice because, with it, they will provide excellent treatment, resulting in improved care outcomes (Straus et al., 2018). When nursing students learn theories of evidence-based practice, they not only implement the acquired knowledge in their careers, but also utilize the acquired experience to improve patient care.
Additionally, resistance from colleagues, nurse managers, and leaders has an impact on the quadruple objective of evidence-based practice. Some leaders and nursing managers consistently oppose contemporary science by denying nurses the opportunity to return to school and advance their education. They are unaware that current study will enrich nurses, thereby boosting their confidence during care providing and enabling them to deliver appropriate care to patients (Ryan, 2016). A lack of collaboration among health care providers also impedes the cooperation of current research in the treatment of patients, as some of the nurses are elderly and lack current abilities in the provision of care. Some health care professionals with up-to-date knowledge may hesitate practicing for fear of being envious by their peers.
Lastly, misperceptions that evidence-based practice is excessively time-consuming have a significant impact on the quadruple aim. Since they regard it as a waste of time, many health care professionals are hesitant to present current research (Rousseau & Gunia, 2016). Since improving their abilities is viewed as a time-consuming way to lose money, the majority of them continue to employ obsolete methods. It has a detrimental impact on patients’ experiences because they may not seek care in the same health facility, citing a lack of evidence-based practice.
Evidence-based practice is a methodology that enables healthcare professionals to provide a solution to daily clinical challenges. It improves the outcomes of care and so promotes recovery; as well as accessing, synthesizing, and applying information from the literature to solve day to day clinical problems (Straus et al., 2018). Nurses cannot make informed decisions without systematic observation and experience, and as such, e evidence-based practice enables them to enrich and improve their clinical practice, experience, and training by incorporating the most recent research findings.
According to Berwick, Nolan, and Whittington, the purpose of their evidence-based approach was to achieve three health care objectives (triple aim): to improve the patients’ care experience, including the care’s quality and their satisfaction. Second, improve the health of the people, and third, reduce the cost of health care to make it more accessible. (Cameron, 2017). Not only does evidence-based practice empower clinical personnel, resulting in high levels of job satisfaction, but it also Helps health care systems in achieving the Quadruple Aim (Ryan, 2016). Despite having In to having numerous positive impacts on health care, evidence-based practice has failed to provide a global standard of treatment in recent years due to certain obstacles.
Insufficient numbers of evidence-based tutors and supervisors for nursing students pursuing bachelor’s and master’s degrees are the first of these obstacles to the quality of care. It will result in a shortage of qualified health care providers since evidence-based practice will not be integrated into training and practice optimally (Straus et al., 2018). The availability of sufficient mentors would facilitate more adoption of evidence-based practice throughout nurses’ training and education, hence enhancing the quality of work life for health care workers.
Evidence-based practice will allow the health care providers to adapt to situations, work collaboratively with each other and is also of importance as in the utilization of informatics.
Evidence-based practice will allow the health care providers to adapt to situations, work collaboratively with each other and is also of importance as in the utilization of informatics. Inadequate knowledge and skills on the part of nurses and other clinical officers about evidence-based practice will significantly impact patient outcomes, in contrast to when nurses possess up-to-date skills and knowledge (O’Hara, 2015). When contemporary health care research is applied to the management of patients, health issues associated with chronic illness are reduced, resulting in a better prognosis for the patients.
In addition, the availability of tools and resources for care provision, including the investment of evidence-based practice budget by role of chief executive nurses, will impact the prices and quality of care delivered as well as the results of the responsibility (Ryan, 2016). Incorporating the patient-centered, evidence-based practice approach into the management of chronic diseases will save unnecessary costs and lower the bills of healthier patients. Therefore, developed nations have eradicated a greater proportion of chronic diseases than poor nations, which have less resources and are unable to budget for evidence-based practice, resulting in high healthcare expenditures. When sufficient resources are available, care results will also improve, as opposed to when unrestricted resources impede care delivery.
In addition, continuing academic programs that teach baccalaureate and master’s level nursing and medical graduates on how to do research rather than evidence-based practice have an impact on population health and the work lives of health workers. Without evidence-based practice, the majority of health care practitioners will lack alternative confidence when providing care, which may result in a population with poor health outcomes. Clinicians will be guided by evidence-based practice because, with it, they will provide excellent treatment, resulting in improved care outcomes (Straus et al., 2018). When nursing students learn theories of evidence-based practice, they not only implement the acquired knowledge in their careers, but also utilize the acquired experience to improve patient care.
Consequently, resistance from colleagues, nurse managers, and leaders has an impact on the quadruple objective of evidence-based practice. Some leaders and nursing managers consistently oppose contemporary science by denying nurses the opportunity to return to school and advance their education. They are oblivious that current study will enrich nurses, thereby boosting their confidence during care providing and enabling them to deliver appropriate care to patients (Ryan, 2016). A lack of collaboration among health care providers also impedes the cooperation of current research in the treatment of patients, as some of the nurses are elderly and lack current abilities in the provision of care. Some health care professionals with up-to-date knowledge may hesitate practicing for fear of being envious by their peers.
Lastly, misperceptions that evidence-based practice is excessively time-consuming have a significant impact on the quadruple aim. Since they regard it as a waste of time, many health care professionals are hesitant to present current research (Rousseau & Gunia, 2016). Since improving their abilities is viewed as a time-consuming way to lose money, the majority of them continue to employ obsolete methods. It has a detrimental impact on patients’ experiences because they may not seek care in the same health facility, citing a lack of evidence-based practice.
References:
Cameron, M. H. (2017). Physical Agents in Rehabilitation-E Book: An Evidence-Based Approach to Practice. Elsevier Health Sciences.
Demaerschalk, B. M., Hollander, J. E., Krupinski, E., Scott, J., Albert, D., Bobokalonova, Z., … & Schwamm, L. H. (2023). Quality Frameworks for Virtual Care: Expert Panel Recommendations. Mayo Clinic Proceedings: Innovations, Quality & Outcomes, Evidence-based practice(EBP) and the Quadruple Aim 7(1), 31-44.
McArthur, C., Mulla, R. T., Turcotte, L. A., Chu, J. C. Y., Jantzi, M., & Hirdes, J. P. (2023). Mental Health and Quality of Life in Long-Term Care During the Pandemic. In COVID-19, Frontline Responders and Mental Health: A Playbook for Delivering Resilient Public Health Systems Post-Pandemic (pp. 97-117). Emerald Publishing Limited.
O’Hare T. Evidence-based practice for social workers: An interdisciplinary approach. Lyceum Books; 2015.
Rousseau, D. M., & Gunia, B. C. (2016). Evidence-based practice: The psychology of Evidence-based practice(EBP) and the Quadruple Aim. Annual Review of Psychology, 67, 667-692.
Ryan, E. J. (2016). Undergraduate nursing students’ attitudes and use of research and evidence‐based practice–an integrative literature review. Journal of clinical nursing, 25(11-12), 1548-1556.
Straus, S. E., Glasziou, P., Richardson, W. S., & Haynes, R. B. (2018). Evidence-Based Medicine E-Book: How to Practice and Teach EBM. Elsevier Health Sciences.
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Sample Answer III
The Evidence-Based Practice and Quadruple Aim
Evidence-based practice is crucial to achieving the quadruple aim since it delivers the most recent data-driven and scientific knowledge regarding healthcare practice (Haverfield et al., 2020). The strategy is vital for improving patient experience, population health, affordable treatment, and the work-life balance of healthcare professionals.
Effective in obtaining quality patient results, patient satisfaction, and preventing unfavorable patient outcomes. Data-driven approaches advocate utilizing patient-centered care to improve treatment quality (Haverfield et al., 2020). The strategy improves care by decreasing hospital-acquired infections and enhancing patient education in order to increase adherence.
The population is a crucial factor necessitating an evidence-based strategy. The viewpoint supports public education regarding habits that can expose individuals to disease. For instance, public education regarding the link between smoking and cancer (Haverfield et al., 2020). Practitioners can utilize persuasive data and statistics to persuade the public to abandon practices that endanger their health.
In comparison to other industrialized nations, the cost of healthcare delivery in the United States has increased. Evidence-based practice can lower healthcare costs by advocating cost-effective care delivery methods (Bowles et al., 2019). For instance, a data-driven strategy will advocate implementing data-sharing platforms to prevent medical errors. Using cutting-edge technology, diseases will be detected before they worsen. Technology increases efficiency, hence decreasing the cost of medical treatment.
Work-life balance is critical for healthcare personnel to avoid burnout, fatigue-related medical errors, and excessive turnover. It is the responsibility of healthcare facilities to create schedules that prevent weariness (Bowles et al., 2019). Pregnant and nursing women should have ample time to spend with their children and rest. Evidence-based practice demonstrates that work satisfaction can affect care quality. When healthcare professionals are fatigued, they are more likely to commit medical blunders or quit their employment.
References
Bowles, J. R., Batcheller, J., Adams, J. M., Zimmermann, D., & Pappas, S. (2019). Nursing’s leadership role in advancing professional practice/work environments as part of the quadruple aim. Nursing Administration Quarterly, 43(2), 157-163.
Haverfield, M. C., Tierney, A., Schwartz, R., Bass, M. B., Brown-Johnson, C., Zionts, D. L., … & Evidence-based practice(EBP) and the Quadruple Aim Zulman, D. M. (2020). Can Patient–Provider Interpersonal Interventions Achieve the Quadruple Aim of Healthcare? A Systematic Review. Journal of General Internal Medicine, 1-11.
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Sample Answer IV
Relationship between evidence-based practice and the quadruple aim
In healthcare practice, clinical decision-making relies on existing scientific knowledge. Since their formal introduction in the early 1990s, numerous scientific methodologies and tactics have been approved as standards of practice, guidelines of practice, and therapeutic activities (Crabtree et al., 2016). The emphasis is on integrating evidence-based practice with quadruple aim, which consists of the four factors that determine the work of healthcare personnel.
Therefore, the major purpose of evidence-based providers is to ensure that patients receive good and secure treatment. EBP advocates an interprofessional strategy that emphasizes collaborative decision-making heavily in order to maximize the probability of success. Multiple state, national, and pertinent stakeholders must also accept and implement the evidence-based practice. According to Crabtree et al. (2016), the majority of nurses are willing to acquire the necessary knowledge and abilities to assume proof of training in clinical practice. In general, practitioners have developed a positive attitude toward scientific evidence practice and its providers.
The quadruple aim includes four primary goals, including improving patient experiences, public health, work-life balance for healthcare professionals, and reducing healthcare expenditures (Sikka et al., 2015). The objective is to reorganize medical facilities to benefit both patients and medical professionals. However, in the broader medical profession, achieving these goals and reducing the cost of health care offers a formidable challenge requiring exceptional performance. As they are responsible for the treatment of patients, healthcare employees are crucial to an efficient health system. The method encouraged the addition of a fourth objective aimed at improving the work-life balance of healthcare practitioners, transforming the triple aim into the quadruple aim.
Patient Experience
All methods of scientific proof practice allow medical professionals to implement research findings in clinical settings. It requires the application of practical literature search skills and explicit adherence to the rules governing nurse practice. Depending on the specific needs of each patient, nurses and other medical professionals are able to utilize current scientific knowledge in their practice (Sikka et al., 2015). Consequently, patients obtain therapies of higher quality. The majority of healthcare organizations have implemented evidence-based practice to address clinical concerns affecting patient care, leading to improved patient experiences.
Population Health
Populations are intended to be taught about personal health variables, the benefits and drawbacks of specific therapies, cultural practices, and medical procedures using scientific evidence. Those that use evidence-based tactics in environments with diverse demographics make an attempt to promote equitable resource allocation in order to attain certain goals (Sikka et al., 2015). On the basis of their financial condition, familial support, and level of personal health, populations could be categorized into categories. It promotes efficiency and equity in the distribution of health promotion money. In lieu of developing healthcare approaches that rely on subgroups, all scientific evidence processes involved in therapy have been specially designed to satisfy the needs of patients.
Costs
The majority of healthcare businesses face significant challenges evaluating healthcare expenses. It stipulates the collection of all healthcare expenses, the measurement of actual costs, and the indexation of healthcare infrastructure payments (Kim et al., 2016). Discounts and pricing are the two most common methods for determining actual costs. The priority is to provide safe, high-quality care while managing expenses. When a hospital employs cutting-edge technology to improve efficiency and therapeutic procedures, the cost of care and the quality of care will definitely increase.
The Work-Life of Healthcare Providers
Teamwork should be one of the essential aspects of the ideal healthcare setting. Interprofessional cooperation enhances the medical outcomes for patients and the happiness of healthcare practitioners. It reduces provider attrition and burnout, and boosts work productivity (Kim et al., 2016). In this type of ecosystem, the structure, policy, and employee participation in the collective decision-making are crucial.
References
Crabtree, E., Brennan, E., Davis, A., & Coyle, A. (2016). Improving Patient Care Through Nursing Engagement in Evidence‐Based Practice. Worldviews on Evidence‐Based Nursing, 13(2), 172-175.
Kim, K., Gitlin, L. N., & Han, H.-R. (2016). Kim et al. Respond. American Journal of Public Health, 106(8), e10–e11.
Sikka, R., Morath, J. M., & Leape, L. (2015). The quadruple aim: is care, health, cost, and meaning in work. BMJ quality & safety, 24(10), 608-610.
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Current emerging trends in Evidence-based practice(EBP) and the Quadruple Aim
Evidence-based practice (EBP) is a process of making clinical decisions that are informed by the best available evidence. It involves the integration of clinical expertise, patient values and preferences, and the most current and relevant research evidence.
There are several emerging trends in EBP that are currently being discussed in the healthcare field:
- Implementation science: This is the study of how to implement evidence-based interventions in real-world settings. It involves understanding the barriers and facilitators to implementation and developing strategies to overcome them.
- Precision medicine: Involves an emerging trend in EBP that involves using genetic and other data to tailor treatment to an individual’s unique characteristics. This approach aims to improve the effectiveness of treatment and reduce the risk of adverse events.
- Telemedicine: Telemedicine is the use of technology to deliver medical care remotely. It is an emerging trend in EBP that is being used to improve access to care in rural and underserved areas.
- Patient engagement and shared decision-making: This trend emphasizes the importance of involving patients in the decision-making process and providing them with accurate and easily understandable information to make informed choices about their care.
The Quadruple Aim is a framework that was developed by the Institute for Healthcare Improvement (IHI) to guide healthcare organizations in their efforts to improve the health of populations, enhance patient experience, reduce the cost of care and improve the work life of health care providers.
- Improving the patient experience: This includes not only physical health but also mental and emotional well-being.
- Improving the health of populations: It entails addressing social determinants of health and implementing population health management strategies.
- Reducing the cost of care by reducing unnecessary tests and treatments, and improving the efficiency of care delivery.
- Improving the work life of health care providers: Reducing burnout and promoting work-life balance, which can lead to improved patient care and reduced turnover among healthcare staff.
References:
- Greenhalgh T, Robert G, Macfarlane F, Bate P, Kyriakidou O. Diffusion of innovations in service organizations: systematic review and recommendations. Milbank Q. 2004;82(4):581-629. Evidence-based practice(EBP) and the Quadruple Aim.
- Berwick DM, Nolan TW, Whittington J. The Triple Aim: Care, health, and cost. Health Affairs. 2008;27(3):759-769.
- Institute for Healthcare Improvement. The quadruple aim: Care, health, cost, and meaning in work. Retrieved from Evidence based practice essay sample. Study of Quadruple Aim in Healthcare Management. https://www.ihi.org/resources/Pages/ImprovementStories/TheQuadrupleAimCareHealthCostandMeaninginWork.aspx
- Straus, S. E., Glasziou, P., Richardson, W. S., & Haynes, R. B. (2018). Evidence-Based Medicine E-Book: How to Practice and Teach EBM. Elsevier Health Sciences.
