NRSE 6052 Week 1 Assignment: EBP and the Quadruple Aim

NURS 6052 Week 1 Assignment: Evidence-Based Practice and the Quadruple Aim

NRSE 6052 Week 1 Assignment: EBP and the Quadruple Aim

NRSE 6052 Week 1 Assignment: EBP and the Quadruple Aim

In this week’s assignment I will briefly describe and analyze the similarities and connection between Evidence-based practice (EBP) and the Quadruple Aim (QA). This paper is primarily focused on how EBP might (or might not) help reach the Quadruple Aim. It will each of the four measures of patient experience, population health, costs, and work-life of healthcare providers. Finally, the impact that EBP may have on factors affecting these quadruple aim elements, such as preventable errors in a clinical setting or nursing practice will also be considered.

Evidence-based practice is a method that helps clinical practitioners to select the best course of action according to patients’ values, useful external research, and the clinician’s own experience. The EBP is a good choice when it comes to the best principle the facilitates the patient’s experience with the capability of the clinician’s experience, and up-to-date knowledge (Petra Dannapfel, 2015). It is applying a problem-solving strategy to the delivery of healthcare which included the most appropriate conclusions based off research that have been tested clinician expertise, medical practitioners and patient preferences and outcomes (Melnyk, Fineout-Overholt, Stillwell, & Williamson, 2010).

The Quadruple aim combines the clinician’s experience, the patient’s experience, optimal outcomes, and the costs of the whole practice involved altogether. The quadruple aim focuses not only on the patients, health practitioners but also on the cost of the method. It enhances healthcare quality and patient outcomes, eliminates unnecessary costs, reduced costs, and empowered clinicians by the utilization of EBP (Melnyk & Fineout-Overholt, 2018).

Patient Experience

The main objective goal of the quadruple aim is foster and develop improved quality care experience for

the patient (Sikka, Morath, & Leape, 2015). Medical Practitioners and clinicians are able to incorporate EBP strategies into their research studies and eventually interpret the conclusions deduced into practical clinical roles. By making use of knowledgeable skills and strategies, literature-searching methods, and the implementation of EBP’s concepts in the evaluation of research findings. As nurses in a clinical setting we are constantly using existing scientific knowledge as we render care to our patients (Melnyk, 2018). By so doing we are able to address the various needs and problems each and every individual present for treatment. Eventually with EBP, nurses maintain improved patient care in their various practices respectively (Crabtree, Brennan, Davis, & Coyle, 2016). More importantly, with the concept of EBP, the patient’s preference and values are greatly considered which allows for ultimate patient care satisfaction (Melnyk & Fineout-Overholt, 2018).

Population Health

The Centers for Disease Control (CDC) as well as other major federal agencies require approaches that have been tested by EBP, especially during the funding phase of population-based chronic disease prevention and control (Allen et al., 2018). This can foster overall improved health on the populace while eradicating disease burden in populations (Allen et al., 2018). Some other components of the Quadruple Aim include developing better and more effective patient outcomes and fostering improved quality healthcare (Melnyk & Fineout-Overholt, 2018).

Costs

Evidence-based practices on the nurse retention have helped to create guidelines and strategies for nursing leaders to foster increased job satisfaction which in turn leads to an increase in the retention of newly hired nurses’ overtime (Tang & Hudson, 2019). Experiencing a high turnover in nursing staff can be quite expensive and costly, which negatively impacts the safety and quality of care provided to patients (Tang & Hudson, 2019). EBP can be used to enhance job satisfaction amongst clinicians, it decreases unnecessary costs, establishes improved patient care and outcomes, which are all components of the quadruple aim (Tang & Hudson, 2019).

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Work-life of Healthcare Providers

Extensive research studies reveal that nurses that have training and knowledge d in EBP have more efficient educational backgrounds and attitudes (Kim et al., 2016). Clinicals that have a sense of confidence and empowerment in their practices factor into a quadruple aim in healthcare, which is the foundation and core of a well-structured healthcare system (Kim et al., 2016).

In summary, the implementation of EBP in in patient care, overall health and well-being of a population, costs and clinical practices of a medical practitioner collectively factor into the quadruple aim. The principle of EBP helps to develop and create optimum patient care, without unnecessary cost, fwhile fostering quality patient outcomes, and empowering medical practitioners and clinicians.

NRSE 6052 Week 1 Assignment: EBP and the Quadruple Aim References

Allen, P., Jacob, R., Lakshman, M., Best, L. A., Bass, K., & Brownson, R. C. (2018, Oct). Lessons learned in promoting evidence-based public health: Perspectives from managers in state public health departments. Journal of Community Health, 43(5), 856-863. http://dx.doi.org/10.1007/s10900-018-0494-0

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. http://dx.doi.org/10.1111/wvn.12126

Kim, S. C., Stichler, J. F., Ecoff, L., Brown, C. E., Gallo, A., & Davidson, J. E. (2016, Oct). 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. http://dx.doi.org/10.1111/wvn.12171

Melnyk, B. M., & Fineout-Overholt, E. (2018). Making the Case for Evidence-Based Practice and Cultivating a Spirit of Inquiry. In B. M. Melnyk, Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed. (pp. 7-32). Philadelphia, PA: Wolters Kluwer.

^{Pannunzio, Valeria, Kleinsmann, Maaike. (2019). Design research, eHealth, and the convergence revolution. Retrieved from https://arxiv.org/ftp/arxiv/papers/1909/1909.08398.pdf}

^{Petra Dannapfel. (2015). Evidence-Based Practice in Practice: Exploring Conditions forUsing Research in Physiotherapy. Retrieved from diva-portal.org/smash/get/diva2:862658/FULLTEXT01.pdf}

1. ^{Mauricio Barría P. (2014). Implementing Evidence-Based Practice: A challenge for the nursing practice. Retrieved from scielo.org.co/pdf/iee/v32n2/v32n2a01.pdf}

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. http://dx.doi.org/10.1136/bmjqs-2015-004160

Tang, J. H., & Hudson, P. (2019, Nov). Evidence-based practice guideline: Nurse retention for nurse managers. Journal of Gerontological Nursing, 45(11), 11-19. http://dx.doi.org/10.3928/00989134-20191011-03

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.

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.

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Evidence-Based Practice and Quadruple Aim

The performance of healthcare organization is often measured based on metrics such as costs of operation, quality of care, and improved patient experiences. The implication is that healthcare organizations are striving to ensure that these outcomes are met. They are in constant search of leadership as well as management models that will provide them with the competitive edge they desire in their markets. They also consider the use of quality improvement models as well as theories that would increase their productivity and performance. Over time, the increased focus on performance, productivity, safety, and efficiency have led to the rise of two models of healthcare practice that include evidence-based practice and the Quadruple Aim. Quadruple Aim and evidence-based practice focuses on improving healthcare outcomes by focusing on aspects that include patient experience, population health, costs, and work life of the healthcare providers. While these models of care promise to improve health outcomes, their role in underpinning each other’s success has not been explored. Therefore, this essay examines the manner in which evidence-based practice help reach Quadruple Aim.

Evidence-based practice has been defined by Dang et al., (218) as the provision of healthcare with the use of best-available clinical evidence on the efficacy of the interventions used. It also entails the incorporation of the preferences and values of the patients as well as the expertise of the healthcare providers in determining the care needs of the patients. The increased use of evidence-based practice has been shown in studies to result in outcomes that include patient and provider satisfaction, improved quality and safety of care, and reduction in healthcare costs. Quadruple Aim is a model of care that Institute for Health Improvement introduced to improve patient experiences, health of the population, reduce costs incurred in healthcare, and enhance the work life of healthcare providers.

Evidence-based practice helps reach Quadruple Aim in many ways. The practice focuses on the use of best available clinical evidence in the provision of care. Healthcare providers are required to undertake a critical appraisal of the available evidence on meeting the health needs of the diverse populations. The appraisal allows them to identify the best approaches to care that are associated with efficiency, quality, and safety (Yoder-Wise, 2019). Through it, patient outcomes such as access to safe, quality, and efficient care are met, hence, the realization of the Quadruple Aim. Evidence-based practice also focuses reducing healthcare costs. Its use results in cost efficiency in a number ways. Firstly, healthcare providers focus on care that is safe and promotes optimum recovery by the patients. Such a focus reduces healthcare costs by reducing incidences of hospital readmissions, unnecessary costs incurred due to adverse events, and reduced hospital stays. Further, EBP brings together experience of the healthcare providers, research, and values and preferences of the patients to drive optimum outcomes and best care in clinical settings (Garrett, 2018). The outcomes of such outcomes are improved patient experiences, population health, care outcomes, and reduced costs of care, hence, the indirect realization of Quadruple Aim.

There is also a correlation between the utilization of evidence-based practice with staff satisfaction. Evidence-based practice updates nursing practice, informs the use of efficient interventions in healthcare, and utilizes research to evaluate the work environment. Evidence-based practice encourages the use of modern methods of providing healthcare. The methods focus on the efficient use of the available resources. They also encourage the need for continuous development of the staffs, as a way of improving the care offered to those in need. There is also the evidence that it encourages staffs to engage in activities that promote the creation of safe working environment (Kang, 2016). Consequently, the wellbeing of the healthcare providers is enhanced due to safe working conditions, hence, the indirect realization of the Quadruple Aim.

In summary, evidence-based practice, helps improve the Quadruple Aim. It underpins the initiatives that should be adopted for the realization of the objectives of Quadruple Aim. Evidence-based practice focuses on improving healthcare metrics such as safety, quality, patient experiences, staff outcomes, and healthcare costs. These outcomes are also evident in Quadruple Aim. Therefore, as healthcare organizations focus on adopting evidence-based practice, the outcomes of Quadruple Aim will be met indirectly.

NRSE 6052 Week 1 Assignment: EBP and the Quadruple Aim References

Dang, D., Dearholt, S., Sigma Theta Tau International., & Johns Hopkins University. (2018). Johns Hopkins nursing evidence-based practice: Model and guidelines. Indianapolis, IN : Sigma Theta Tau International.

Garrett, B. (2018). Empirical nursing: The art of evidence-based care. Bingley, UK: Emerald Publishing Limited.

Kang, H. (2016). Evidence-Based Practice and Job Satisfaction of Nurses in Long-Term Care. Open Journal of Nursing, 6(12), 977.

Yoder-Wise, P. S. (2019). Leading and Managing in Nursing. New York: Mosby.

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

How EBP Helps: EBP can significantly improve patient experience by ensuring that healthcare providers deliver care based on the best available evidence (Lavenburg et al., 2019). When clinical decisions are grounded in high-quality research and clinical guidelines, patients are more likely to receive effective, safe, and patient-centered care (Kim et al., 2016). This can lead to higher levels of patient satisfaction and a more positive healthcare experience.

Example: EBP can guide the implementation of evidence-based communication techniques, leading to better patient-provider interactions, improved patient education, and shared decision-making, all of which contribute to a more positive patient experience.

Population health

How EBP Helps: EBP is instrumental in promoting better population health outcomes. By identifying and implementing evidence-based interventions and preventive measures, healthcare organizations can target specific health issues within their populations more effectively (Crabtree et al., 2016). EBP enables the development of population health strategies that are grounded in scientific evidence, leading to better health outcomes and disease prevention (Whelihan et al., 2022).

Example: EBP can guide population health initiatives such as vaccination programs, chronic disease management protocols, and health promotion campaigns, resulting in improved overall health within the community served by the healthcare organization

Costs

How EBP Helps: EBP has the potential to control healthcare costs by reducing the use of ineffective or unnecessary interventions and treatments. When healthcare providers rely on evidence to make clinical decisions, they are less likely to order costly tests, treatments, or medications that may provide little to no benefit (Sikka et al. 2015). This can contribute to cost containment and more efficient resource allocation.

Example: EBP can help identify cost-effective interventions, such as preventive care measures, that yield better health outcomes while reducing the overall financial burden on the healthcare system.

Work life of healthcare providers

How EBP Helps: EBP can enhance the work life of healthcare providers by promoting a culture of learning, collaboration, and professional growth (Tang et al., 2019). When providers are encouraged to engage in evidence-based practice, they are more likely to feel that their clinical decisions are supported by research and best practices (de Belvis et al., 2019). This can lead to increased job satisfaction, reduced burnout, and a more positive work environment.

Example: Offering EBP training and resources to healthcare providers allows them to stay updated on the latest research findings and clinical guidelines. This continuous learning can empower providers to make more informed decisions and feel more confident in their roles.