WK1 Assn nursing EBP
Assignment: Evidence-Based Practice 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, with efforts focused on improved population health, enhanced patient experience, and lower healthcare costs.
This approach has recently evolved to a Quadruple Aim by including a focus on improving healthcare providers’ work lives. Each of these measures is influenced by organizational decisions, and organizations are increasingly turning to EBP to inform and justify these decisions.
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.
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
By Day 7 of Week 1
Submit your anaylsis.
Submission and Grading Information
To submit your completed Assignment for review and grading, do the following:
Please save your Assignment using the naming convention “WK1Assgn+last name+first initial.(extension)” as the name.
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Sample Notes 1
Evidence-Based Practice and the Quadruple Aim Assignment:
The Quadruple Aim and Evidence-Based Practice
In terms of patient outcomes, research shows that EBP improves them. Because EBP focuses on problem-solving, it emphasizes the application of current best practices derived from clinical expertise, well-designed studies, and patient values and preferences. As a result, there is an improvement in patient safety and clinical outcomes.
EBP can be empowering for nurse practitioners who are experiencing burnout symptoms. Furthermore, evidence shows that when providers use EBP, the patient experience improves (Sikka, Morath, & Leape 2015). As a result, there is a close relationship between EBP and patient care quality because it improves the patient experience. EBP also benefits public health. EBP aims to assess, analyze, and communicate the health needs of the population as well as community expectations. Furthermore, it seeks to promote, develop, and support healthy public policy through research and implementation of best healthcare practices. As a result, EBP is critical to improving population health.
EBP also leads to a reduction in healthcare costs. EBP aims to translate evidence into practices, with the goal of lowering costs through shorter hospital stays and the prevention of hospital-acquired infections (Crabtree, Brennan, Davis, & Coyle 2016). The use of evidence ensures that the care provided to patients is one that directly addresses their needs, resulting in a reduction in healthcare costs.
The use of EBP is critical in achieving healthcare’s quadruple goal. The quadruple goal focuses on patient experience, population health, costs, and healthcare providers’ work-life balance (West 2016). Each of these goals is met by focusing on providing the best knowledge that the healthcare provider can use to provide the best care. Furthermore, it prevents burnout among nurse practitioners, allowing them to devote more of their energy to providing quality healthcare services.
References
E. Crabtree, E. Brennan, A. Davis, and A. Coyle (2016). Improving Patient Care Through Nursing Participation in Evidence-Based Practice EvidenceBased Nursing Worldviews, 13(2), 172-175.
R. Sikka, J. M. Morath, and L. Leape (2015). The Quadruple Aim: care, health, cost, and work meaning
C. P. West (2016). Physician well-being: broadening the triple goal.
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Sample Notes 2
Write a brief analysis of the connection between EBP and the Quadruple Aim
Evidence-Based Practice (EBP) is a method of providing healthcare that combines clinical expertise, patients’ values and preferences, and the best evidence from reliable studies. Any given healthcare organization’s primary goal is to improve healthcare performance and impact patient outcomes. And the three-pronged approach known as the “Triple Aim,” proposed by Donald Berwick and colleagues in 2008, has been used for many years. The approach’s three overarching goals are to improve population health, improve the patient experience, and reduce healthcare costs.
However, the framework has evolved over time to include a fourth goal of improving the work life and experience of healthcare providers. Sikka, Morath, and Leape (2015) propose expanding on the 2008 Triple Aim approach to recognize and value the role that health care providers play in finding meaning in their work. Aside from improving the Triple Aim model’s three main goals, EBP has an impact on the newly introduced fourth goal of improving group cohesion and promoting job satisfaction among healthcare providers.
EBP and patient experience
Evidence-based practice enables clinicians to access and incorporate research findings into clinical practice. This allows nurses and physicians to use their knowledge, skills, and experience to effectively apply existing scientific knowledge into clinical practice based on the health needs of each patient. This has had a significant impact on the quality of services provided to patients.
EBP and populations health
Another important role of EBP in healthcare is to educate people about various health determinants, the benefits and limitations of various treatment options, as well as cultural and health practices. EBP also enables researchers to categorize populations based on their specific needs, economic status, and distribution, allowing for appropriate health promotion and resource allocation.
EBP and healthcare costs
Measuring per capita healthcare costs is one of the most difficult challenges that healthcare organizations face. The procedure entails recording all expenditures, calculating actual costs, and indexing them to the healthcare system. Most facilities use the discount and pricing approach to determine the actual cost of healthcare, making it critical for them to provide high-quality care while keeping costs low. Quality of care improves as efficiency and delivery improves through EBP, lowering operational costs.
EBP and healthcare provider job satisfaction
The productivity of health care providers is determined by the work environment. A conducive working environment in healthcare should, among other things, encourage interprofessional collaboration. Existing evidence suggests that interprofessional collaboration increases provider satisfaction, which improves patient health outcomes. It also reduces worker burnout and turnover, improving the overall performance of each provider.
B. M. Melnyk (2017). Igniting and Sustaining Evidence-based Practice in Healthcare to Meet the Quadruple Aim
Melnyk, B. M., and L. Gallagher-Ford (2019). Using Evidence-Based Practice to Achieve the Quadruple Aim in Healthcare: A Necessary Leadership Strategy for Improving Quality, Safety, Patient Outcomes, and Cost Reductions Evidence-Based Nursing and Healthcare Leadership, Innovation, and Entrepreneurship: A Practical Guide to Success
L. GallagherFord, B. Koshy Thomas, L. Connor, L. Sinnott, and B. M. Melnyk (2020). The Impact of an Intensive EvidenceBased Practice Educational and Skills Development Program on EBP Competency and Attributes 17(1), 71-81. Worldviews on Evidence-Based Nursing.
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Sample Notes 3
Relation between EBP and the Quadruple Aim
Clinical decision-making in healthcare practice relies on available scientific knowledge. Various scientific methods and strategies have been accepted as standards of practice and guidelines of practice and clinical activities since their formal introduction in the early 1990s (Crabtree et al., 2016). The focus is to blend evidence-based practice with quadruple aim which involves the four elements that determine the work of the healthcare staff.
As a result, evidence-based providers’ primary objective is ensuring patients receive excellent, secure healthcare. EBP encourages an interprofessional strategy that strongly emphasizes team decision-making for the best chance of success. Similarly, multiple state, national, and relevant stakeholders must adopt and apply the evidence-based practice. Crabtree et al. (2016), states that most nurses are willing to acquire the essential skills and information to assume proof of training in clinical practice. Practitioners have generally adopted a good mindset toward scientific proof practice and its providers.
The quadruple aim has four main objectives such as improving patient experiences, public health, job balance for healthcare professionals, and cutting costs associated with healthcare (Sikka et al., 2015). The goal is to restructure medical facilities to accomplish the purposes that serve both patients and practitioners. But in the wider medical field, attaining these objectives and reducing health services costs presents a huge challenge that calls for great efficacy. Healthcare workers are essential for an effective health system since they are involved in caring for patients. The approach encouraged the establishment of a fourth goal of enhancing the balance between work and life of healthcare practitioners, turning the triple aim into the quadruple aim.
Patient Experience
All scientific proof practice techniques allow medical professionals to use research results in clinical settings. It involves utilizing practical literature searching skills and explicitly adhering to the standards that govern nurse practice. Nurses and healthcare providers may effectively employ current scientific knowledge in medical care depending on unique patients’ needs (Sikka et al., 2015). Consequently, patients receive higher-quality healthcare treatments. Most healthcare organizations have adopted evidence-based practice to address clinical issues impacting patient care, resulting in better patient experiences.
Population Health
Through scientific proof, populations are meant to be educated about personal health factors, the advantages, and disadvantages of specific therapies, cultural customs, and medical procedures. To achieve particular objectives, those using evidence-based strategies in contexts with a variety of demographics make an effort to encourage fair resource allocation (Sikka et al., 2015). Populations could be divided into groups based on their financial situation, familial support, and level of personal health. It encourages efficiency and justice in the distribution of funds for health promotion. Instead of forming healthcare methods that rely on subgroups, all scientific proof processes engaged in treatment have been uniquely created to meet patients’ requirements.
Costs
Evaluating healthcare costs is a big challenge for most healthcare organizations. It mandates the collection of all healthcare expenses, measuring actual costs, and the indexation of payments to the healthcare infrastructure (Kim et al., 2016). Discounts and prices are the two most frequently utilized approaches to determine actual costs. The focus is to deliver safe, top-notch treatment while controlling costs. Scientific proof practice has shown that the quality of treatment and prices inevitably rise when a hospital uses the newest technology to boost efficiency and therapeutic techniques.
The Work-Life of Healthcare Providers
An ideal healthcare environment should include teamwork as one of its fundamental elements. Interprofessional cooperation improves patients’ medical outcomes and healthcare practitioner satisfaction. It lowers provider turnover and burnout, and increases work efficiency (Kim et al., 2016). The structure, policy, and active involvement of staff in the collective decision-making are essential to this type of ecosystem.
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.
