Nursing
Title: Evidence-Based Practice and the Quadruple Aim
Number of sources: 3
Paper instructions:
To Prepare:
Read the articles by Sikka, Morath, & Leape (2015); Crabtree, Brennan, Davis, & Coyle (2016); and Kim et al. (2016) 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 Essay Answer
Evidence-Based Practice and the Quadruple Aim
The Relationship between Quadruple Aim and EBP
EBP heavily relies on the adoption and implementation of available scientific evidence in the development of competent and effective clinical decisions. Such practices have primarily been used in management, nursing practice, and public policy implementation. The EBP approach promotes the advancement of quality patient care by incorporating patient values, preferences, and scientific studies. The fundamental framework that facilitates the quality of care provided while also improving patient outcomes is referred to as the quadruple aim. As a result, each healthcare facility’s core concept is based on the aspect of improving the lives of those served by prioritizing patient satisfaction as well as the quality of care (Crabtree et al., 2016). The quadruple goal contributes to the creation of competent and valid measures for achieving these core concepts. It focuses on practices for lowering predetermined healthcare costs as well as the patient experience while receiving care. Furthermore, it promotes the well-being of the respective workforce as well as population health.
Given that the quadruple aim focuses on providing quality care as well as increasing patient satisfaction, it is directly related to EBP measures. This is because EBP focuses on the development of quality patient care by integrating patient values, preferences, and scientific studies. These are concepts that are similar to the quadruple aim, which means that EBP measures can be used to improve the quadruple aim’s efficiency, competence, and effectiveness. EBP’s impact on the quadruple goal is organized around the development of four primary goals. These objectives include improving healthcare practitioners’ work lives, improving patient experiences, lowering healthcare costs, and improving population health. The quadruple goal is to achieve the above-mentioned goals through the process of redesigning healthcare facilities (Sikka, Morath & Leape, 2015). It is also combined with competent EBP practices to help achieve common goals.
Nonetheless, there is a significant challenge based on improving population health across the health sector while also controlling underlying costs. This is due to the fact that such a situation necessitates a high level of effectiveness and efficiency. A productive and healthy workforce is unavoidable for the system’s effectiveness.
EBP’s Influence on Factors Influencing the Quadruple Aim Elements
EBP has a variety of effects on the factors that influence the quadruple aim elements, which include the approach to healthcare delivery and the prevention of medical errors. The adoption and implementation of EBP are designed to improve the quality of care while focusing on inpatient care in the respective clinical settings (Kim & Lee, 2016). EBP, on the other hand, has a direct impact on the well-being of healthcare professionals because in order for patients to receive high-quality services and treatment, the staff must be highly productive. In this regard, each healthcare setting should ensure that the welfare of patients and staff members is improved and maintained in order for the quadruple aim and EBP to be efficient and effective.
The Role of EBP in Achieving the Quadruple Goal
EBP makes active development and application of the quadruple aim goals possible. These objectives include population health, patient experience, employee welfare, and cost effectiveness. In terms of the patient experience, EBP provides findings that are required for clinical practice, allowing healthcare providers to use available and acquired scientific knowledge based on the individual needs of a specific patient. As a result, both the quality of services and the patient experience have improved. Based on the aspect of healthcare costs, incorporating all expenditures into per capita costs may be difficult. Indexing the costs to the system and measuring the actual costs involved are two other practices involved in such a process. As a challenge to provide quality care at lower costs, healthcare institutions are required to implement EBP measures in determining effective technology to be used, thereby improving efficiency. On the other hand, the population health aspect uses EBP to inform and educate members of the community about the limitations and benefits of specific treatments, personal health determinants, and cultural healthcare practices. EBP practices also provide a dependable platform for the equitable distribution of resources within the community that are geared toward addressing individual needs rather than the transformation of healthcare patterns based on the society’s dominant subgroups. Finally, the welfare of healthcare providers is organized around inter-professional collaboration. According to the EBP findings, collaboration improves care provider satisfaction and patient outcomes. It also reduces turnover and burnout, increasing productivity in the workplace. To improve collaboration in healthcare settings, the workforce must be actively involved in decision-making processes.
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. Y., & Lee, E. (2016). The relationship among critical thinking disposition, nursing process competency, and evidence-based practice competency in nurses working in hospitals. Journal of the Korean Data and Information Science Society, 27(2), 451-461.
Sikka, R., Morath, J. M., & Leape, L. (2015). The Quadruple Aim: care, health, cost, and meaning in work.
