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:
Homework help – 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 I
Evidence-Based Practice and the Quadruple Aim
Student’s Name
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Evidence-Based Practice and the Quadruple Aim
The Relationship between Quadruple Aim and EBP
EBP depends a lot on adopting and using the available scientific evidence to make decisions that are smart and effective in the clinical setting. Most of the time, these kinds of practices have been used in management, nursing, and the implementation of public policy. By taking into account patients’ values, preferences, and scientific studies, the EBP approach helps improve the quality of care for patients. The quadruple aim is the basic structure that helps improve the quality of care and the health outcomes of patients. As a result, the quadruple aim is the main idea behind every healthcare facility. The idea is to improve the lives of the people being served by putting patient satisfaction and quality of care first (Crabtree et al., 2016). The quadruple aim helps come up with good ways to measure how well these core ideas are being reached. In particular, it looks at how to reduce the fixed costs of health care and how the patient feels while getting care. It also helps to improve the health of the population and the well-being of the people who work there.
Since the quadruple aim is about giving good care and making patients happier, it is directly related to the EBP measures. This is because EBP focuses on making sure that patients get good care by combining their values, their preferences, and scientific studies. Such ideas are similar to the quadruple aim. This means that the EBP measures can be used to make the quadruple aim more efficient, competent, and effective. The effect of evidence-based practice (EBP) on the quadruple aim is built around the achievement of four main goals. These goals are to improve the work life of health care workers, improve the experience of patients, lower the cost of health care, and improve the health of the whole population. The above-mentioned goals will be reached by redesigning healthcare facilities, which is the quadruple goal (Sikka, Morath & Leape, 2015). It is also combined with good EBP practices to help people reach the same goals.
Still, there is a big problem with improving the health of the population in the health sector as a whole and keeping costs down at the same time. This is because a situation like this calls for a lot of efficiency and effectiveness. For the system to work well, it must have a productive and healthy workforce.
How EBP affects the factors that affect the four goals of the quadruple aim
EBP has different effects on the factors that affect the quadruple aim, which includes the way health care is delivered and the prevention of medical mistakes. Adopting and using evidence-based practice is based on improving the quality of care, with a focus on inpatient care in all clinical settings (Kim & Lee, 2016). On the other hand, EBP has a direct effect on the health of healthcare workers. For patients to get high-quality services and care, the staff needs to be very productive. In this way, each healthcare setting should make sure that both the patients’ and the staff’s well-being is improved and well-kept so that the quadruple aim and EBP can work well and efficiently.
How EBP helps reach the Quadruple Aim
EBP makes it easier to develop and use the four goals of the quadruple aim. These goals include the health of the population, the experience of the patients, the well-being of the employees, and the costs that are applied. As for how the patient feels, EBP gives the clinical practice the findings it needs so that doctors can use the available and learned scientific knowledge based on the specific needs of each patient. In turn, both the quality of services and the patient’s experience tend to get better. Based on the cost of health care, it might be hard to figure out how to include all of the costs in the per capita costs. In such a process, other steps include indexing the costs to the system and measuring the real costs. Since it’s hard to provide high-quality care at low costs, healthcare institutions are required to use EBP to figure out which technologies will work best and improve their efficiency. On the other hand, EBP is used in the area of population health to teach and inform people about the limits and benefits of certain treatments, personal health factors, and cultural practices related to healthcare. EBP practices also give a reliable place for the fair distribution of resources in the community. These resources are meant to meet the needs of each person, not to change the way healthcare is done based on the most common subgroups in society. Lastly, the welfare of healthcare providers is built around collaboration between professionals. Based on what the EBP found, collaboration helps both care providers and patients have better outcomes. It also cuts down on employee turnover and burnout, which increases productivity in the workplace. In order to improve collaboration in healthcare settings, the staff needs to be involved in making decisions.
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.
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Sample II
Evidence-Based Practice and the Quadruple Aim
The Quadruple Aim and Practice Based on Evidence
Evidence-based practice is important for reaching the Quadruple Aim because it gives reliable data and information that has been proven by science. EBP helps reach the Quadruple Aim, which includes population health, cost, work-life balance, and patient experience (Sikka et al., 2015). EBP helps people who work in healthcare make the right decisions about how to treat patients, what policies to follow, and what practices to use.
Patient experience is the time a person spends with health care workers who learn about their health and how to meet their needs. EBP helps improve the patient experience so that they don’t have to go back to the hospital. Scientific evidence shows how important it is to keep appointments and see patients on time (Crabtree et al., 2016). Doctors and nurses can use scientific information to make decisions about how good a patient’s experience will be.
Population health means dealing with health problems like quitting smoking, being overweight, not getting vaccinated, and teen pregnancy. EBP is important for the success of population health strategies. For example, studying the cultural beliefs of different ethnic groups can help explain why so many people smoke and how many teenagers are getting pregnant (Crabtree et al., 2016). With this information, people who work in health care can make good decisions.
In the healthcare system, the cost of care is a problem that keeps coming up. The rising cost of health care is causing health inequity because it makes it harder for low-income families to get health care. To solve the problem, you need scientific information to understand how it works (Sikka et al., 2015). For example, the problem can be fixed by giving low-income families government aid or running health campaigns. EBP shows that the high cost of health inequality hurts the reputation of healthcare institutions and makes the death rate go up (Sikka et al., 2015). EBP suggests that people take action to deal with the health crisis.
Work-life balance is an important part of providing healthcare. Nurses and doctors who don’t find a good balance between work and life are more likely to make mistakes. Fatigue and burnout can lead to mistakes in the medical field. When hospitals make their nurses and doctors work long shifts, medical mistakes can happen (Crabtree et al., 2016). EBP says that when work-life balance is low, people are less happy with their jobs and more likely to want to quit. The work-life balance should give workers time to spend with their families and time off from their jobs (Crabtree et al., 2016). EBP says that organizations in the health care field should let nursing mothers work from home. It seems to say that work shifts should last about 10 hours. The goal is to cut down on medical mistakes, which can slow down a patient’s recovery, lead to lawsuits, cause death, or make a patient stay in the hospital for a long time.
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.
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 III
EBP and Quadruple Aim
EBP and Quadruple Aim
EBP and Quadruple Aim: Evidence-based practices (EBP) and the Quadruple Aim (QA) promote using the best and most up-to-date ways to do medical procedures. The goal of evidence-based practice is to make patient care better (Melnyk, 2017). When it comes to taking care of patients, nurses’ jobs are also very important. Quadruple Aim, on the other hand, is a term for the four pillars of healthcare, which include care for patients, health of the population, cost of healthcare, and the quality of life of healthcare providers. Evidence-based practice and the Quadruple Aim have something in common (Lavenberg et al., 2019). The reason is that the Quadruple Aim has been made easier to reach by using current and best practices. Before, you could only get Quadruple Aim by upgrading from Triple Aim. The upgrade is a clear example of how best practices and current methods were used to improve Quadruple Aim. Quadruple Aim relies on the results of research to make medical procedures better. For example, one of the four pillars of the Quadruple Aim is to make sure that patients are happy when they go to a health facility (Morrow, Call, Marcus & Locke, 2018). The quality of care will depend on how well the health facility uses practices that have been shown to work. The best hospitals in the world get high marks for how well they take care of their patients. One reason is that they use methods that have been shown to work. Some hospitals have separate departments that do research and put together information from different studies. For example, using the best and most up-to-date medical practices has helped get rid of medical complications during treatment (Morrow, Call, Marcus & Locke, 2018). The Quadruple Aim is linked to evidence-based practice because of this. Population health is made up of the things that people can do to make themselves healthier. Scholars have found that healthy eating and regular exercise can improve the health of a population as a whole (Lavenberg et al., 2019). Some habits, like smoking, drinking too much alcohol, or drinking water that hasn’t been treated, make people sicker. So, the goal of evidence-based practice is to find ways to get people in a community to start doing healthy things. For instance, abortion, family planning, and HIV/AIDS are all examples of things that are part of population health (Melnyk, 2017). To make a healthy community, researchers need to find out how to stop abortions, get rid of HIV/AIDS, and promote healthy ways to plan a family. Population health, which is an important part of the Quadruple Aim, will be helped by practices that are based on evidence. Cost of health care has always been a hot topic all over the world. Obamacare was put in place in the United States by former president Barack Obama to lower the cost of health care. Cost of healthcare, which is a part of the Quadruple Aim, can’t be reached without research that shows what works (Melnyk, 2017). One of the arguments about Obamacare is whether or not it is based on facts. In the end, it was shown that the approach was based on facts. Evidence-based practices will work to get rid of medical procedures that aren’t needed and waste time and money.
The work life of health care providers is important because it prevents doctors from making mistakes because they are too tired. When a health worker has a lot to do and is stressed out about it, they are more likely to make mistakes. The quality of care has been shown to go down when clinical burnouts happen. So, evidence-based practices will be used to improve the work environment and start professional programs like “friendly shifts” (Morrow, Call, Marcus & Locke, 2018). The reason is that the research will show how the health care workers’ jobs are going and what can be done to make them better.
References
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 (EBP) on nursing policy and practice. Worldviews on Evidence‐Based Nursing, 16(1), 4-11.
Melnyk, B. M. (2017). Igniting and sustaining evidence-based practice to meet the Quadruple Aim in healthcare.
Morrow, E., Call, M., Marcus, R., & Locke, A. (2018). Focus on the quadruple aim: development of a resiliency center to promote faculty and staff wellness initiatives. The Joint Commission Journal on Quality and Patient Safety, 44(5), 293-298.
