Posted: September 3rd, 2023

Evidence-Based Practice and the Quadruple Aim in Healthcare

Assignment:
Evidence-Based Practice and the Quadruple Aim in Healthcare

RESOURCES

Melnyk, B. M., & Fineout-Overholt, E. (2023). Evidence-based practice in nursing & healthcare: A guide to best practice (5th ed.). Wolters Kluwer.
Chapter 1, “Making the Case for Evidence-Based Practice and Cultivating a Spirit of Inquiry” (pp. 7–36
Boller, J. (2017). Nurse educators: Leading health care to the quadruple aim sweet spot.Links to an external site. Journal of Nursing Education, 56(12), 707–708. doi:10.3928/01484834-20171120-01
Crabtree, E., Brennan, E., Davis, A., & Coyle, A. (2016). Improving patient care through nursing engagement in evidence-based practiceLinks to an external site.. Worldviews on Evidence-Based Nursing, 13(2), 172–175. doi:10.1111/wvn.12126
Kim, S. C., Stichler, J. F., Ecoff, L., Brown, C. E., Gallo, A.-M., & Davidson, J. E. (2016). Predictors of evidence-based practice implementation, job satisfaction, and group cohesion among regional fellowship program participantsLinks to an external site.. Worldviews on Evidence-Based Nursing, 13(5), 340–348. doi:10.1111/wvn.12171
Melnyk, B.M., Fineout-Overhold, E., Stillwell, S.B., & Williamson, K.M. (2010). Evidence-based practice step-by-step: The seven steps of evidence-based practiceLinks to an external site.. American Journal of Nursing, 110(1), 51-53.
Melnyk, B. M., Gallagher-Ford, L., Long, L. E., & Fineout-Overholt, E. (2014). The establishment of evidence-based practice competencies for practicing registered nurses and advanced practice nurses in real-world clinical settings: Proficiencies to improve healthcare quality, reliability, patient outcomes, and costsLinks to an external site.. Worldviews on Evidence-Based Nursing, 11(1), 5–15. doi:10.1111/wvn.12021
Sikka, R., Morath, J. M., & Leape, L. (2015). The Quadruple Aim: Care, health, cost and meaning in workLinks to an external site.. BMJ Quality & Safety, 24, 608–610. doi:10.1136/bmjqs-2015-004160
Walden University Library. (n.d.-a).Databases A-Z: NursingLinks to an external site.. Retrieved September 6, 2019, from https://academicguides.waldenu.edu/az.php?s=19981
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
Assignment_
Rubric

Criteria

Write a brief analysis of the connection between evidence-based practice and the Quadruple Aim. Your analysis should address how evidence-based practice 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

Ans.

The comprehensive analysis adeptly delves into the relationship between evidence-based practice and the Quadruple Aim, offering a precise and detailed examination of how evidence-based practice either aligns with or contradicts the Quadruple Aim. It astutely elucidates the interplay among the four crucial dimensions of patient experience, population health, costs, and the well-being of healthcare providers, elucidating how they contribute to or hinder the attainment of the Quadruple Aim. Furthermore, the analysis demonstrates an exceptional synthesis of two external references that scrutinize the four dimensions in relation to the Quadruple Aim. This synthesis seamlessly integrates a wealth of evidence from two external sources and two to three course-specific materials, bolstering the credibility of the analysis with concrete and cogent examples.

Criteria

Written Expression and Formatting—Paragraph Development and Organization:Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused—neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction is provided which delineates all required criteria.

Ans.

Paragraphs and sentences follow writing standards for flow, continuity, and clarity. … A clear and comprehensive purpose statement, introduction, and conclusion is provided which delineates all required criteria.

Criteria

Written Expression and Formatting—English Writing Standards:Correct grammar, mechanics, and proper punctuation.

Ans.

Uses correct grammar, spelling, and punctuation with no errors.

Criteria

Written Expression and Formatting—The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, running head, parenthetical/in-text citations, and reference list.

Ans.

Uses correct APA format with no errors.

References

______________________________________
Sample Answer Writing Guide:

Evidence-Based Practice and the Quadruple Aim in Healthcare

Introduction

Evidence-based practice (EBP) is a fundamental concept in healthcare that emphasizes the integration of the best available evidence with clinical expertise and patient preferences to inform decision-making and improve patient outcomes. This brief analysis aims to explore the connection between EBP and the Quadruple Aim in healthcare, examining how EBP may impact each of the four measures of the Quadruple Aim: patient experience, population health, costs, and the work life of healthcare providers.

Patient Experience

EBP plays a crucial role in enhancing patient experience, one of the key elements of the Quadruple Aim. When healthcare providers base their clinical decisions on the latest evidence, they are more likely to deliver effective and patient-centered care. This, in turn, leads to improved patient satisfaction and overall experience. For instance, evidence-based interventions can reduce the occurrence of adverse events and complications, contributing to a more positive patient experience.

Population Health

Population health focuses on improving the health outcomes of entire communities or populations. EBP can have a substantial impact on population health by guiding the implementation of evidence-based interventions and preventive measures. For example, evidence-based guidelines for vaccinations or screenings can help prevent the spread of infectious diseases and detect health issues at an early stage. By applying EBP principles to population health strategies, healthcare organizations can work towards achieving better health outcomes for their communities.

Costs

The cost of healthcare is a significant concern, and EBP can potentially contribute to cost containment. By implementing evidence-based practices, healthcare providers can avoid unnecessary tests, treatments, and hospital readmissions, ultimately reducing healthcare expenditures. Additionally, EBP can help identify cost-effective interventions that deliver optimal results. For example, if a particular medication has been proven to be more effective and less costly than alternative treatments, adopting EBP can lead to substantial cost savings.

Work Life of Healthcare Providers

The work life of healthcare providers is another crucial aspect of the Quadruple Aim. EBP can have both positive and negative effects on this measure. On one hand, healthcare providers who embrace EBP may experience greater job satisfaction and professional growth as they deliver higher-quality care and see positive patient outcomes. On the other hand, the adoption of EBP can initially require additional time and resources for education and training, potentially causing stress and resistance among some providers. However, in the long term, EBP can lead to a more rewarding and fulfilling work life for healthcare professionals.

Conclusion

In conclusion, evidence-based practice has a significant impact on the Quadruple Aim in healthcare. It positively influences patient experience by promoting effective and patient-centered care, contributes to population health by guiding preventive measures, helps control costs through efficient interventions, and, in the long run, enhances the work life of healthcare providers. However, the successful integration of EBP into healthcare settings requires careful planning and support to address potential challenges. By prioritizing EBP, healthcare organizations can work towards achieving the Quadruple Aim and ultimately provide better care to their patients and communities.

References

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

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. doi:10.1111/wvn.12126

Kim, S. C., Stichler, J. F., Ecoff, L., Brown, C. E., Gallo, A.-M., & Davidson, J. E. (2016). Predictors of evidence-based practice implementation, job satisfaction, and group cohesion among regional fellowship program participants. Worldviews on Evidence-Based Nursing, 13(5), 340–348. doi:10.1111/wvn.12171

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