NURS 6052 Assignment Evidence-Based Practice and the Quadruple Aim

NURS 6052 Assignment Evidence-Based Practice and the Quadruple Aim

NURS 6052 Assignment Evidence-Based Practice and the Quadruple Aim

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With increasing healthcare demand, the healthcare system has been advancing drastically over the years, with the introduction of  Evidence-based Practice (EBP) for the provision of safe and quality care. Several models such as the triple aim which has evolved to quadruple aim have also been established to promote population health with enhanced patients experience at a reduced cost (Bowles et al., 2018). Healthcare experts believe that the incorporation of EBP into current clinical practice will help reach the Quadruple Aim. As such, the purpose of the present paper is to discuss the quadruple aim and its role in evidence-based practice.

EBP and the Quadruple Aim on Patient Experience

The quadruple aim is focused on the creation of better care output among patients, at a reduced cost, with an improved experience for both the patient and the healthcare provider. With EBP, all the four measures of the quadruple aim can be achieved. For instance, utilization of EBP in the delivery of care and decision-making process on the most appropriate intervention promotes the experience of the patient, with improved care outcome (Haverfield et al., 2020). Patients tend to feel safe when clinicians utilize evidence-based treatment approaches when taking care of them.

EBP and the Quadruple Aim on Population Health

Concerning population health, EBP promotes the utilization of research in better understanding the characteristics, values, needs, and preferences of a certain population, which are key elements in care delivery. For instance, common chronic illnesses such as diabetes and cardiovascular conditions have posed great challenges over the years, with increasing morbidity and mortality rates (Wagner et al., 2018). However, EBP, through research has led to the introduction of novel approaches which are time efficient and easily accessible helping populations with the highest prevalence of these comorbidities hence promoting the achievement of the quadruple aim.

EBP and the Quadruple Aim on Healthcare Cost

Additionally, with the introduction of EBP, clinicians have reported improved prognosis of several health complications with has reduced hospitalization rate hence reduced healthcare costs. Consequently, the use of proven diagnostic tools and treatment approaches has led to a reduced treatment period, hence reducing the costs associated with diagnostic tests and medication (Haverfield et al., 2020). Clinicians have also been trained to utilize cost-effective care approaches and avoid unnecessary procedures to help reach the quadruple aim.

EBP and the Quadruple Aim on Work-Life of Healthcare Providers

Lastly, despite EBP promoting patient-centered care, the experience of the healthcare workforce has also been considered for optimal care benefits. As the fourth element of the quadruple aim, EBP has ensured that clinicians are adequately trained to utilize time-saving and effective medical tools, to improve the efficiency of the care process (Haverfield et al., 2020). The current healthcare system has introduced several interventions through EBP to decrease provider burnouts, stress, and depression which would otherwise lead to poor health outcomes and decreased patient satisfaction.

Conclusion

            The healthcare system has evolved over the years towards the provision of safe and quality services. Currently, clinicians are encouraged to utilize EBP in care provision to improve the quality and efficiency of care provided at a reduced cost (Wagner et al., 2018). In the same line, the quadruple aim which evolved recently from the triple aim focuses on four main elements which can be achieved with the incorporation of EBP into current clinical practice.

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.

Assignment: Evidence-Based Practice and the Quadruple Aim SAMPLE

Introduction:

In this week’s assignment, I will briefly describe and analyze the similarities and connections between EBP and the Quadruple Aim (QA). This paper’s primary focus is on how EBP may (or may not) aid in the achievement of the Quadruple Aim. It will incorporate all four healthcare provider metrics: patient experience, population health, cost, and work-life balance. Finally, the impact of EBP on factors influencing these quadruple aim elements, such as avoidable errors in a clinical setting or nursing practice, will be considered.

Evidence-based practice is a technique that assists clinicians in determining the best course of action based on the values of their patients, relevant external research, and the clinician’s own experience. When it comes to the best principle that facilitates the patient’s experience with the capability of the clinician’s experience and up-to-date knowledge, EBP is a good choice (Petra Dannapfel, 2015). It is putting in place a problem-solving strategy in healthcare that includes the most appropriate conclusions based on clinical 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).

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Patient experience

The quadruple aim’s main objective goal is to foster and develop improved quality care experiences for patients (Sikka, Morath, & Leape, 2015). Medical practitioners and clinicians can incorporate EBP strategies into their research studies and then translate the findings into practical clinical roles. Using knowledge and strategies, literature-searching methods, and the application of EBP concepts in the evaluation of research findings. As nurses in a clinical setting, we are constantly applying existing scientific knowledge to care for our patients (Melnyk, 2018). We are able to address the various needs and problems that each individual presents for treatment by doing so. Eventually, EBP allows nurses to provide better patient care in their various practices (Crabtree, Brennan, Davis, & Coyle, 2016). More importantly, the concept of EBP takes the patient’s preferences and values into account, allowing for ultimate patient care satisfaction (Melnyk & Fineout-Overholt, 2018).

NURS 6052 Assignment Evidence-Based Practice and the Quadruple Aim

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).

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.

A Brief Analysis of the Connection between EBP and the Quadruple Aim

Evidence-based practice (EBP) places a heavy emphasis on available scientific evidence when making healthcare choices. Since its inception in the 1990s, this system of practice has gained acceptance and is being utilized in the creation of public policies, management, nursing practice, and education. (Crabtree, Brennan, Davis, & Coyle, 2016) Evidence-based practice incorporates the available evidence from high-quality scientific studies, the preferences and values of patients, and the knowledge of clinicians when making decisions regarding patient treatment. The purpose of evidence-based practice is to provide customers with safe and high-quality services. In addition, the paradigm of evidence-based practice mimics an inter-professional system in which decision-making collaboration is widely utilized. The majority of nurses hold a favorable view of the evidence-based practice model. According to Crabtree et al. (2016), the majority of nurses are eager and able to acquire the necessary information and abilities for its implementation in clinical practice.
There are four primary objectives in the quadruple aim. Population health, the reduction of healthcare-related expenses, and the work-life of healthcare providers are examples (Kim et al., 2016). The quadruple aim attempts to redesign healthcare facilities to achieve the four purposes. Improving population health while simultaneously cutting healthcare costs, which requires high standards of efficacy and efficiency, remains a formidable problem.
The establishment and implementation of evidence-based practice aims primarily to improve and promote the quality of the supplied health service and places a high premium on the treatment of hospitalized patients. This paradigm affects the work lives of healthcare practitioners since employees must excel in productivity to deliver high-quality care healthcare services Every healthcare facility exists to improve the lives of both patients and healthcare professionals (Sikka, Morath, & Leape, 2015).
Patient experience
The application of research evidence in clinical practice is made possible by all of the evidence-based practice techniques. Healthcare professionals and nurses can effectively incorporate existing scientific information into clinical practice based on patient-specific needs by utilizing excellent literature search skills and specifically adhering to the criteria that guide the evaluation of study findings (Kim et al., 2016). As a result, the standard of care delivered to patients improves. The majority of healthcare facilities have implemented evidence-based practice to address clinical difficulties that directly impact patient care, resulting in improved patient care.
Population wellness
The purpose of evidence-based practice is to educate individuals about cultural practices, the benefits of various therapies, and the determinants of health. When evidence-based approaches are integrated into a range of demographic scenarios, an equal allocation of resources to achieve specific goals is ensured. People can be grouped according to their needs, which are determined by family support, individual health, and socioeconomic status, thereby promoting equity and efficiency in resource distribution for the promotion of health (Kim et al., 2016).
Costs
The assessment of per capita healthcare expenses, which necessitates the recording of all healthcare costs, indexing costs to the healthcare market, and measuring actual costs represents a formidable challenge for the majority of healthcare facilities. Pricing and discounts are the most prevalent ways.

It is extremely difficult for the majority of healthcare facilities to strike a balance between providing safe, high-quality care at a lower cost, given that the majority of healthcare facilities are investing a fortune in acquiring 21st-century technologies to improve the quality of care, which are expensive (Sikka, Morath, & Leape, 2015).
Work life of healthcare professionals
The essential components of a positive healthcare work environment should foster interprofessional collaboration. This system has been linked to the prognosis of patients’ health and the job satisfaction of healthcare professionals. Additionally, it reduces practitioner attrition and burnout, which increases staff output. Active participation of staff members in decision-making, structural and policy aspects are the three primary components of such an environment (Kim et al., 2016).

References

E. Crabtree, E. Brennan, A. Davis, and A. A. Coyle (2016). Improving patient care by using evidence-based nursing practice. 13(2), 172–175 in Worldviews on Evidence-Based Nursing. doi:10.1111/wvn.12126
Kim, S. C., J. F. Stichler, L. Ecoff, C. E. Brown, A.-M. Gallo, and J. E. Davidson (2016).
Predictors of application of evidence-based practice, job satisfaction, and group cohesion among participants in a regional fellowship program. 13(5):340–348. Worldviews on Evidence-Based Nursing. doi:10.1111/wvn.12171
Sikka, R., J. M. Morath, and L. Leape (2015). The Quadruple Aim: care, health, cost, and work-related meaning. 24:608–610 in BMJ Quality & Safety doi:10.1136/bmjqs-2015-004160

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