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NURS FPX 4040 Assessment Informatics and Nursing Sensitive Quality Indicators

Capella NURS FPX 4040 Assessment 4: Informatics and Nursing-Sensitive Quality Indicators

Assignment Brief: NURS FPX 4040 Assessment Informatics and Nursing Sensitive Quality Indicators

Course: NURS FPX 4040 Managing Health Information and Technology

Assignment Title: Assessment Informatics and Nursing Sensitive Quality Indicators

Assignment Overview:

This assignment aims to deepen your understanding of informatics and its role in Nursing Sensitive Quality Indicators (NSQIs). Focusing on the National Database of Nursing Quality Indicators (NDNQI) framework, you will explore the significance of nursing-sensitive indicators, their impact on patient outcomes, and the integration of informatics to enhance nursing care.

Understanding Assignment Objectives:

This assignment aims to enhance your comprehension of nursing-sensitive quality indicators, emphasizing the role of informatics in optimizing patient care outcomes. You will explore theoretical frameworks, legal considerations, and the practical application of technology in healthcare settings.

The Student’s Role:

As a student, your role is to engage critically with the NDNQI framework, select a specific nursing-sensitive quality indicator, and analyze its implications for patient care and organizational performance. Investigate the challenges faced by nurses and the potential benefits of informatics in addressing these challenges. Additionally, explore the legal and ethical responsibilities associated with accurate data reporting.

Detailed Assessment Instructions for the NURS FPX 4040 Assessment Informatics and Nursing Sensitive Quality Indicators Assignment

Prepare an 4-5 page paper on the importance of nursing-sensitive quality indicators.

As you begin to prepare this assessment you are encouraged to complete the Conabedian Quality Assessment Framework activity. Quality healthcare delivery requires systematic action. Completion of this will help you succeed with the assessment as you consider how the triad of structure (such as the hospital, clinic, provider qualifications/organizational characteristics) and process (such as the delivery/coordination/education/protocols/practice style or standard of care) may be modified to achieve quality outcomes.

The American Nursing Association (ANA) established the National Database of Nursing Quality Indicators (NDNQI®) in 1998 to track and report on quality indicators heavily influenced by nursing action.

NDNQI® was established as a standardized approach to evaluating nursing performance in relation to patient outcomes. It provides a database and quality measurement program to track clinical performance and to compare nursing quality measures against other hospital data at the national, regional, and state levels. Nursing-sensitive quality indicators help establish evidence-based practice guidelines in the inpatient and outpatient settings to enhance quality care outcomes and initiate quality improvement educational programs, outreach, and protocol development.

The quality indicators the NDNQI® monitors are organized into three categories: structure, process, and outcome. Theorist Avedis Donabedian first identified these categories. Donabedian’s theory of quality health care focused on the links between quality outcomes and the structures and processes of care (Grove, Gray, Jay, Jay, & Burns, 2015).

Nurses must be knowledgeable about the indicators their workplaces monitor. Some nurses deliver direct patient care that leads to a monitored outcome. Other nurses may be involved in data collection and analysis. In addition, monitoring organizations, including managed care entities, exist to gather data from individual organizations to analyze overall industry quality. All of these roles are important to advance quality and safety outcomes.

The focus of Assessment 4 is on how informatics supports the monitoring of nursing-sensitive quality indicator data. You will develop an 8–10 minute audio (or video) training module to orient new nurses in a workplace to a single nursing-sensitive quality indicator critical to the organization. Your recording will address how data are collected and disseminated across the organization along with the nurses’ role in supporting accurate reporting and high-quality results.

Reference

Grove, S. K., Gray, J. R., Jay, G.W., Jay, H. M., & Burns, N. (2015). Understanding nursing research: Building an evidence-based practice (6th ed.). St. Louis, MO: Elsevier.

Demonstration of Proficiency

By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:

Competency 1: Describe nurses’ and the interdisciplinary team’s role in informatics with a focus on electronic health information and patient care technology to support decision making.

Describe the interdisciplinary team’s role in collecting and reporting quality indicator data to enhance patient safety, patient care outcomes, and organizational performance reports.

Competency 3: Evaluate the impact of patient care technologies on desired outcomes.

Explain how a health care organization uses nursing-sensitive quality indicators to enhance patient safety, patient care outcomes, and organizational performance reports.

Competency 4: Recommend the use of a technology to enhance quality and safety standards for patients.

Justify how a nursing-sensitive quality indicator establishes evidence-based practice guidelines for nurses to follow when using patient care technologies to enhance patient safety, satisfaction, and outcomes.

Competency 5: Apply professional, scholarly communication to facilitate use of health information and patient care technologies.

Deliver a professional and effective audio tutorial on a selected quality indicator that engages new nurses and motivates them to accurately report quality data in a timely fashion.

Follow APA style and formatting guidelines for citations and references.

Preparation

This assessment requires you to prepare a 4-5 page paper on the importance of nursing-sensitive quality indicators. To successfully prepare for your assessment, you will need to complete the following preparatory activities:

Select a single nursing-sensitive quality indicator that you see as important to a selected type of health care system.

Conduct independent research on the most current information about the selected nursing-sensitive quality indicator.

Interview a professional colleague or contact who is familiar with quality monitoring and how technology can help to collect and report quality indicator data. You do not need to submit the transcript of your conversation, but do integrate what you learned from the interview into the audio tutorial. Consider these questions for your interview:

What is your experience with collecting data and entering it into a database?

What challenges have you experienced?

How does your organization share with the nursing staff and other members of the health care system the quality improvement monitoring results?

What role do bedside nurses and other frontline staff have in entering the data? For example, do staff members enter the information into an electronic medical record for extraction? Or do they enter it into another system? How effective is this process

Instructions

For this assessment, imagine you are a member of a Quality Improvement Council at any type of health care system, whether acute, ambulatory, home health, managed care, et cetera. Your Council has identified that newly hired nurses would benefit from comprehensive training on the importance of nursing-sensitive quality indicators. The Council would like the training to address how this information is collected and disseminated across the organization. It would also like the training to describe the role nurses have in accurate reporting and high-quality results.

The Council indicates a recording is preferable to a written fact sheet due to the popularity of audio blogs. In this way, new hires can listen to the tutorial on their own time using their phone or other device.

As a result of this need, you offer to create an audio tutorial orienting new hires to these topics. You know that you will need a script to guide your audio recording. You also plan to incorporate into your script the insights you learned from conducting an interview with an authority on quality monitoring and the use of technology to collect and report quality indicator data.

You determine that you will cover the following topics in your audio tutorial script:

Introduction: Nursing-Sensitive Quality Indicator

What is the NDNQI®?

What are nursing-sensitive quality indicators?

Which particular quality indicator did you select to address in your tutorial?

Why is this quality indicator important to monitor?

Be sure to address the impact of this indicator on quality of care and patient safety.

Why do new nurses need to be familiar with this particular quality indicator when providing patient care?

Collection and Distribution of Quality Indicator Data

According to your interview and other resources, how does your organization collect data on this quality indicator?

How does the organization disseminate aggregate data?

What role do nurses play in supporting accurate reporting and high-quality results?

As an example, consider the importance of accurately entering data regarding nursing interventions.

Additional Requirements

References: Cite a minimum of three scholarly and/or authoritative sources.

APA: Submit along with the recording a separate Reference page that follows APA style and formatting guidelines. For an APA refresher, consult the APA Style and Formatpage on Campus.

NURS FPX 4040 Assessment Informatics and Nursing Sensitive Quality Indicators Example

Introduction

Welcome to this comprehensive tutorial on Nursing Informatics and Nursing-Sensitive Quality Indicators. I’m [Your Name], and in this session, we’ll explore why nursing-sensitive quality indicators are crucial, focusing on patient safety, quality care outcomes, and the essential role of health informatics. Let’s dig into the dynamic relationship between healthcare structures, processes, and outcomes, emphasizing the importance of evidence-based practice and technology in nursing.

Nursing-Sensitive Quality Indicators: A Foundation for Quality Care

Nursing-sensitive quality indicators, as defined by the American Nursing Association (ANA), are crucial measures reflecting the quality of organizational structures, processes, and outcomes in nursing care. These indicators play a vital role in enhancing patient safety and satisfaction while influencing organizational performance. For our tutorial, we will spotlight the nursing-sensitive quality indicator of patient falls.

Importance of Patient Falls as a Quality Indicator

Patient falls are a significant quality indicator due to their impact on patient safety and healthcare outcomes. According to the ANA, patient falls can lead to severe consequences, including extended hospitalization, physical injuries, and, in severe cases, fatalities. The rates of patient falls serve as a barometer for assessing the effectiveness of nursing practices and the overall safety of healthcare environments.

Collection and Distribution of Quality Indicator Data

Data Collection Through Health Information Systems

To monitor and improve patient safety practices, robust data collection mechanisms are crucial. Health information systems, including Electronic Health Records (EHRs), are instrumental in gathering and managing data related to nursing-sensitive quality indicators. During an interview with a senior information system executive, insights were gained into the role of technology in data collection and reporting.

Challenges and Opportunities in Data Collection

While health information systems provide a streamlined approach to data collection, challenges such as unrepresentative samples, lower response rates, and limited follow-up data persist. Our interviewee emphasized the need for continuous improvement in data collection tools, citing the benefits of web-based systems in accessing diverse populations and reducing costs.

Nurse’s Role in Accurate Reporting

Nurses play a pivotal role in supporting accurate reporting and achieving high-quality results. The accuracy of data, especially regarding nursing interventions, is crucial for informed decision-making. Integrating data into electronic medical records and other systems requires precision, and frontline staff’s effectiveness in this process contributes significantly to the reliability of quality indicator data.

Nursing Informatics: Empowering the Interdisciplinary Team

Nursing informatics encompasses the application of information technology in patient care, education, and organizational management. Let’s explore how nursing informatics empowers the interdisciplinary team:

Role of Nursing Informatics in Patient Care

Nursing informatics facilitates efficient data documentation, supports interdisciplinary collaboration, and enhances communication across different healthcare settings. Through electronic systems, nurses can collect, analyze, and report data, contributing to evidence-based decision-making in patient care.

Impact of Patient Care Technologies

Health information systems, including Electronic Health Records, have demonstrated transformative effects on patient care outcomes. Studies show that these systems reduce human errors, improve clinical outcomes, and enhance interdisciplinary coordination. The standardization of documentation procedures in EHRs contributes to positive patient outcomes, reducing information omissions and improving handover processes.

Technology for Quality and Safety: Electronic Health Records

Electronic Health Records (EHRs) are integral to enhancing quality and safety standards for patients. The adoption of EHRs has become widespread, with 96% of U.S. hospitals implementing these systems. The benefits of EHRs include increased organizational productivity, reduced documentation time, and improved access to complete and accurate patient information.

Evidence-Based Practice Guidelines

Nursing-sensitive quality indicators, such as patient falls, serve as a foundation for evidence-based practice guidelines. The systematic collection and analysis of data through EHRs enable organizations to identify areas for improvement. By implementing evidence-based guidelines derived from quality indicators, healthcare leaders can develop targeted interventions to prevent patient falls and enhance overall patient safety.

Conclusion

In conclusion, nursing-sensitive quality indicators are invaluable tools for measuring and improving organizational structures, processes, and outcomes in healthcare. Our focus on patient falls as a quality indicator highlights its significance in assessing patient safety and the effectiveness of nursing practices. Leveraging health informatics, particularly through EHRs, enhances the collection, analysis, and dissemination of quality indicator data, contributing to evidence-based practice and improved patient care outcomes.

Thank you for joining this tutorial on Nursing Informatics and Nursing-Sensitive Quality Indicators. As healthcare professionals, your commitment to understanding and applying these concepts is essential for ensuring the delivery of high-quality and safe patient care.

References

Agency for Healthcare Research and Quality – AHRQ (2019, September 7). Falls. Retrieved from https://psnet.ahrq.gov/primer/falls.

Agency for Healthcare Research and Quality – AHRQ (2013). 5. How do you measure fall rates and fall prevention practices? Retrieved from https://www.ahrq.gov/professionals/systems/hospital/fallpxtoolkit/fallpxtk5.html.

Alotaibi, Y., and Federico, F. (2017). The Impact of Health Information Technology on Patient Safety. Saudi Medical Journal, 38(12), 1173–1180. https://doi.org/10.15537/smj.2017.12.20631.

Dellinger, A. (2017). Older Adult Falls: Effective Approaches to Prevention. Current Trauma Reports, 3(2), 118–123. https://doi.org/10.1007/s40719-017-0087-x.

Health IT. (2019). Improved Diagnostics and Patient Outcomes. Retrieved from https://www.healthit.gov/topic/health-it-and-health-information-exchange-basics/improved-diagnostics-patient-outcomes#footnote-1.

NURS FPX 4040 Assessment Informatics and Nursing Sensitive Quality Indicators Example Two

Hello everyone, I’m Rebecca, and I’m excited to welcome you to the RWJBarnabas Health nursing team. In this tutorial, I’ll help you understand how our facility uses Nursing Sensitive Quality Indicators (NSQIs). NSQIs measure and assess the quality of nursing care, capturing elements influenced by nursing interventions. These indicators act as measures of effectiveness and outcomes, aiding in identifying areas for improved patient care.

Importantly, NSQIs, like pressure ulcers and patient satisfaction, help healthcare organizations spot areas of concern and implement targeted interventions to enhance patient care. They also inform evidence-based practice and evaluate the effectiveness of nursing interventions. Analyzing NSQI data reveals patterns, trends, and relationships, advancing nursing knowledge and best practices.

Now, let’s have a look at the National Database of Nursing-Sensitive Quality Indicators (NDNQI).

NDNQI, developed by Press Ganey and the American Nurses Association (ANA), is a comprehensive database collecting data on various nursing-sensitive indicators. It enables facilities to benchmark performance, track progress, and classify information into structure, process, and outcome indicators for standardized assessment.

Here’s how our nursing staff uses NDNQI ratios and an acuity system for staffing. The charge nurse assesses patient complexity using an acuity system, adjusting staffing levels accordingly. NDNQI includes nurse-to-patient ratios, monitored regularly to ensure adherence to guidelines. If ratios indicate inadequate staffing, adjustments are made for effective and safe patient care.

For instance, our facility addresses the increase in pressure ulcers among certain patient groups. Pressure ulcers impact care quality, Medicare reimbursement, and patient satisfaction. They also pose a financial burden on hospitals. Nurses actively engage in prevention through monthly training programs, staff meetings, and reporting data in Press Ganey surveys, contributing to NDNQI.

The interdisciplinary team, including nurses, plays a crucial role in data collection. Using tools like the Braden Scale, they assess patient risk factors, documenting in EHRs for reporting to NDNQI. This data informs quality improvement initiatives, resource allocation, and staff education, promoting a culture of safety.

As nurses, your role is vital. Using the Braden Scale, you assess, document, and report pressure ulcer data. This data drives quality improvement, resource allocation decisions, and staff education, contributing to positive patient outcomes.

Your actions impact healthcare on a broader scale. The data you provide supports research, informs evidence-based practice, and aids in protocols and guideline development. It also influences Medicare reimbursements, helping the facility thrive in the evolving healthcare landscape.

In conclusion, your role in NDNQI contributes to enhanced nursing practice, patient outcomes, and the future of healthcare. Welcome to the organization, and thank you for your dedication to making a difference in patients’ lives.

References:

Afaneh, T., Abu-Moghli, F., & Ahmad, M. (2021). Nursing-sensitive indicators: A concept analysis. Nursing Management, 28(3), 28–33.

Madaris, S. (2023, January 12). Your comprehensive guide to the Press Ganey National Database of Nursing Quality Indicators (NDNQI).

Padula, W. V., & Delarmente, B. A. (2019). The national cost of hospital-acquired pressure injuries in the United States. International Wound Journal, 16(3), 634–640.

Paulsen R. A. (2018). Taking nurse staffing research to the unit level. Nursing Management, 49(7), 42–48.

Smith, S., Snyder, A., McMahon, L. F., Jr, Petersen, L., & Meddings, J. (2018). Success in hospital-acquired pressure ulcer prevention: A tale in two data sets. Health Affairs, 37(11), 1787–1796.

NURS FPX 4040 Assessment Informatics and Nursing Sensitive Quality Indicators Example Three

Introduction

Ensuring high-quality care and patient safety is a fundamental goal for healthcare providers, with a focus on nursing staff and hospital administration. The American Nurses Association (ANA) addressed this by establishing the National Database of Nursing Quality Indicators (NDNQI). This database reports unit-level performance data regularly to assist medical facilities in evaluating their nursing care delivery. This paper explores the significance of a specific nursing-sensitive quality indicator (NSI), Nosocomial Infections, in relation to patient safety, care outcomes, and organizational performance. It also examines the role of nurses in supporting accurate reporting and high-quality results, along with the collection and dissemination of nursing-sensitive quality indicator data across healthcare organizations.

Nursing Quality Indicators

NDNQI primarily focuses on collecting and assessing process, structure, and outcome indicators related to healthcare to enable nursing leadership and staff to review their performance regarding patient outcomes. Process indicators involve techniques of nursing interventions and patient assessment, such as nursing job satisfaction or Pediatric Pain Assessment, Intervention, Reassessment (AIR) Cycle. Structural indicators include nursing staff supply and their education, skill, and certification levels. Outcome indicators represent patient results sensitive to nursing care, such as falls and pressure ulcers. This paper specifically examines the nosocomial infections rate as it reflects medical quality and patient safety in hospitals.

Nosocomial Infection Indicator

Nosocomial infections, or Healthcare-associated infections (HCAIs), pose a significant global public health problem due to their impact on mortality and morbidity among hospitalized patients. In the USA alone, the Centers for Disease Control and Prevention reports approximately 1.7 million cases of Healthcare-Acquired infections, resulting in over 98,000 deaths annually. Patients with surgical-associated infections spend an additional average of 6.5 days in the hospital. The outbreak of the COVID-19 pandemic has further emphasized the critical importance of this issue for patient outcomes and safety.

Resilience to antibiotics is a concerning aspect, with about 50 percent of surgical-associated infections, especially Staphylococcus aureus and gram-negative bacilli, being antibiotic-resistant. Various types of HCAIs include Catheter-associated Urinary Tract Infection (CAUTI), Surgical Site Infection (SSI), Central Line-Associated Bloodstream Infection (CLABSI), and Ventilator-Associated Pneumonia (VAP). Nursing staff, at the forefront of patient care, directly contribute to reducing infection transmission by following essential prevention procedures like hand hygiene, surface sanitation, sterilization, and using protective equipment.

Data Collection on the Quality Indicator

To address human factor-related errors, healthcare personnel need advanced technology support, such as the Health Information System (HIS). HIS is a documentation tool designed to manage, collect, store, and transmit healthcare data, including the patient’s electronic medical record (EMR) and Clinical Decision Support Systems (CDSS). EMR replaces traditional paper-based methods, providing accurate patient history, test results, and treatment information. CDSS offers health-related information, clinical guidelines, and diagnostic support, promoting decision-making.

HIS contributes to accuracy in documentation by aggregating information from different sources, selecting required tests for diagnosis, and facilitating clinical workflow. Despite challenges such as usability, interoperability, and scalability, HIS significantly improves staff expertise and computer literacy. It aids in monitoring and obtaining information about nosocomial infections, allowing healthcare organizations to develop a comprehensive picture of potential problem areas and provide excellent service.

Nurse’s Role in Supporting Accurate Reporting and High-Quality Results

An interdisciplinary team, including nurses, physicians, pediatricians, and clinical pharmacists, is crucial for the accurate collection and reporting of NSIs. Nurses play a key role in reporting adverse reactions to medications, changes in patients’ conditions, and entering relevant data into electronic medical records. Other stakeholders, such as office staff, managers, patients, and their families, are also responsible for providing correct information.

In conclusion, this paper emphasizes the importance of collecting and reporting data on nursing-sensitive quality indicators, focusing on Nosocomial Infections. HCAIs have significant implications for patient safety and outcomes, and the Health Information System serves as a vital tool in this context. Nurses, as part of interdisciplinary teams, contribute to accurate reporting, ensuring high-quality results and promoting patient safety.

References

Haque, M., Sartelli, M., McKimm, J., & Bakar, M. A. (2018). Health care-associated infections–an overview. Infection and Drug Resistance, 11, 2321-2333.

Healthcare-Acquired Infections (HAIs). (n.d.). PatientCareLink.

Infection prevention and control (n.d.). WHO.

Oliver, M. (2019). Communication devices and electronic aids to activities of daily living (5th ed.). In Atlas of Orthoses and Assistive Devices (pp. 403-417). Elsevier.

Sutton, R. T., Pincock, D., Baumgart, D. C., Sadowski, D. C., Fedorak, R. N., & Kroeker, K. I. (2020). An overview of clinical decision support systems: Benefits, risks, and strategies for success. NPJ Digital Medicine, 3(1), 1-10.

NURS FPX 4040 Assessment Informatics and Nursing Sensitive Quality Indicators Example Four

At Community Hospital, our dedication to continuously assess and enhance patient care is unwavering. We are fortunate to contribute to the Nebraska Hospital Association (NHA), a state organization that collects and analyzes nursing data. Collaborating with other agencies, the NHA strives to develop effective processes for hospital nurses, fostering improvements in patient care. The NHA’s mission is to assist Nebraska hospitals in becoming leaders in the quality of care and safety they provide to patients. Currently, 61 Nebraska hospitals have pledged to lead in healthcare best practices, ensuring the quality and safety of every patient, as per information from Nebraskahospitals.org.

The NHA sends us annual quality surveys, crucial for gathering necessary data. Once obtained, the NHA provides facility-specific reports containing statistics and data. This information empowers us to implement processes that enhance the quality of care, patient safety, and staff performance. For instance, human resources utilizes these reports to assess staff retention, patient satisfaction, and other areas. Subsequently, appropriate departments receive these reports, initiating the development of plans to enhance patient care quality and safety. The data, collected from nurses actively engaged in their work, aids in retaining skilled nurses and ensuring the delivery of quality care.

One notable outcome of these efforts is the increase in patient satisfaction scores in various departments, including outpatient infusion, inpatient services, and the emergency department. Additionally, the focus on reducing 30-day readmission rates, which incur penalties for hospitals, has proven beneficial. Hospitals face reimbursement reductions for readmissions within 30 days, impacting both financials and the quality of care. Nurses, through their research and data analysis, have identified causes of readmissions, emphasizing their crucial role in patient safety.

Nurses, as key contributors, are responsible for collecting and reporting data to the NHA, playing an essential role in the interdisciplinary team. The data collected contributes significantly to improving patient safety and the overall patient experience. The simplicity of survey data entry ensures all team members can easily participate. Community Hospital’s quality team oversees data related to readmission rates, length of stay, incident reports, catheters, infections, and more.

Nurses at Community Hospital are entrusted with providing quality care based on best practices, thorough documentation, patient education, and identifying areas for further education. The impact of their work and data collection is substantial, potentially reducing readmissions and contributing to patients’ longer, healthier lives at home.

The data submitted for surveys provides valuable insights into patient care, influencing interventions and significantly impacting patient outcomes. The hospital’s quality improvement team utilizes this data to create and implement plans that enhance patient outcomes and safety. The team communicates updates to the NHA, outlining their plans for the collected data.

Through the CMS Value-Based Purchasing Program, acute care facilities receive incentive money for higher performance quality measures and improvements in quality and safety. Nurses’ efforts contribute to increased reimbursement and financial benefits for the facility, demonstrating the direct impact of their care.

In conclusion, our collaboration with the NHA offers a unique opportunity to positively influence nursing practices and enhance patient care and safety across the state. Nurses are urged to ensure complete and accurate documentation and timely completion of surveys. Nurse managers are committed to supporting nurses in these efforts, focusing on quality improvement and sharing data received. Every team member plays a crucial role in elevating the quality of patient care and safety, and their contributions are highly valued.

References:

CMS.gov – https://cms.gov

Nebraska Hospital Association – https://nha.org

Upadhyay, S., Stevenson, A., & Smith, D. (2019). Readmission rates and their impact on hospital financial performance. https://ncbi.nlm.nih.gov

NURS FPX 4040 Assessment Informatics and Nursing Sensitive Quality Indicators Example Five

Greetings esteemed members, I am Julian Nkem, and it is a pleasure to welcome some of the brightest minds in this field to contribute to our patients’ well-being. Today, I am excited to discuss our advancements in the healthcare system and how we are leveraging the Nursing Sensitive Quality Indicators (NDNQI) approach to enhance the quality of care at Vila Health Hospital.

The NDNQI, introduced in 1998 by the National Database of Nursing Quality Indicators, serves to track and report quality indicators influencing nurses’ performance in healthcare organizations (Merkley, 2018).

NDQI and Nursing Quality Indicators

At Vila Health Hospital, we utilize the NDNQI framework to assess hospital performance, comparing nursing actions against relevant data. This data aids in establishing evidence-based practice guidelines, enhancing both inpatient and outpatient strategies. Today’s presentation is part of our ongoing efforts to improve nursing care through educational and outreach programs.

Quality indicators under the NDNQI encompass structure, processes, and outcomes. Avedis Donabedian initially integrated these elements into the NDNQI framework. The four types of nursing-sensitive quality indicators include nurse-focused outcomes, patient-focused outcomes, organizational-focused indicators, and nursing-focused interventions and processes.

Chosen Indicator and Its Importance

Addressing the growing issue of medical errors causing stress and fatigue among nurses (Kieft, 2018), our focus is on Outcome Indicators related to the quantity and quality of nursing care. This choice aims to establish a link between nursing outcomes and organizational processes, emphasizing the need for nurses to be informed about these indicators.

Role of Nurses in Accurate Data Reporting

Nurses, integral to accurate data reporting, spend vital time on documentation and reporting. The Data Protection Act of 1988 emphasizes their responsibility to ensure patient safety through accurate record-keeping. Nurses play a crucial role in the legal, ethical, and professional duty of storing patient records accurately in the Electronic Health Record (EHR) system, preventing misunderstandings, and promoting quality care.

Importance of the Indicator

Leveraging technology, such as Electronic Health Records (EHR), enhances nurses’ ability to handle daily tasks efficiently, ensuring error-free work and improved patient care outcomes (Gao, 2018). This nursing-sensitive quality indicator is essential for promoting evidence-based practices at Vila Health Hospital.

Why Nurses Need to Be Aware of This Indicator

Clinical documentation using IT systems, as suggested by Merkley (2018), aids in effective patient information presentation and medication accounting. It significantly contributes to the chosen nursing-sensitive quality indicator, impacting both the quantity and quality of nursing care at our hospital.

Collection and Distribution of Quality Indicator Data

The interview with Dr. Raymond Dallas, in charge of our ICU and psychiatric ward, emphasizes the importance of data collection speed. Nurses play a vital role in collecting and reporting data for NDNQI, ensuring accurate and timely entry through online surveys. Data is then analyzed and entered into the system to improve nursing care in our hospital.

Conclusion

In conclusion, Vila Health Hospital’s adoption of IT informatics positively impacts the quality of nursing care and patient safety. The chosen nursing-sensitive quality indicator, “nursing quality of care outcomes using IT informatics,” highlights the significance of accurate data entry by nurses to drive improvements in quality.

References:

Alharbi, J., Jackson, D., & Usher, K. (2020). Compassion fatigue in critical care nurses and its impact on nurse-sensitive indicators in Saudi Arabian hospitals. Australian Critical Care, 33(6), 553-559.

Gao, J. L., Liu, X. M., Che, W. F., & Xin, X. (2018). Construction of nursing-sensitive quality indicators for haemodialysis using Delphi method. Journal of clinical nursing, 27(21-22), 3920-3930.

Kieft, R. A. M. M., Stalpers, D., Jansen, A. P. M., Francke, A. L., & Delnoij, D. M. J. (2018). The methodological quality of nurse-sensitive indicators in Dutch hospitals: A descriptive exploratory research study. Health Policy, 122(7), 755-764.

Merkley, J., Amaral, N., Sinno, M., Jivraj, T., Mundle, W., & Jeffs, L. (2018). Developing a Nursing Scorecard Using the National Database of Nursing Quality Indicators®: A Canadian Hospital’s Experience. Nursing Leadership (Toronto, Ont.), 31(4), 82-91.

Myers, H., Pugh, J. D., & Twigg, D. E. (2018). Identifying nurse-sensitive indicators for stand-alone high acuity areas: A systematic review. Collegian, 25(4), 447-456.

Start, R., Matlock, A. M., Brown, D., Aronow, H., & Soban, L. (2018). Realizing momentum and synergy: Benchmarking meaningful ambulatory care nurse-sensitive indicators. Nursing Economics, 36(5), 246-251.

Thomas-Hawkins, C., Latham, C. E., & Hain, D. J. (2017). Emphasizing the Value of Nephrology Nursing Through Nursing-Sensitive Indicators: A Call for Action. Nephrology Nursing Journal, 44(4).

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NRSG266 Principles of Nursing Contexts of Ageing Assessments Examples

NRSG266 Principles of Nursing Contexts of Ageing Assessments Assignments

NRSG266 – Principles of Nursing: Contexts of Ageing Course

NRSG266 Principles of Nursing Contexts of Ageing Assessments Assignment Briefs

Assignment Instructions Overview

NRSG266 comprises two key assessments that require students to apply theoretical knowledge to promote best nursing practices for older adults. Assessment One is a written essay focused on analysing the registered nurse’s role in empowering older adults to achieve healthy ageing, drawing on the World Health Organisation’s (2015) framework. Assessment Three is a case-study-based academic essay where students critically respond to six structured questions drawn from three diverse clinical scenarios. Each response must demonstrate integration of pathophysiology, evidence-based nursing care, person-centred principles, and ethical and legal considerations relevant to gerontological practice.

Both assessments are designed to be completed in third-person academic writing, use current and credible references, and be submitted via the designated LEO dropboxes by the due dates outlined. Presentation guidelines are strict, requiring standard academic formatting and adherence to APA 6th Edition referencing.

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Understanding Assignment Objectives

These assessments aim to foster students’ ability to critically reflect on the ageing process and the registered nurse’s pivotal role in supporting ageing populations across various healthcare settings. Students are expected to analyse how the biological, psychological, sociocultural, spiritual, and environmental factors impact older adults and influence care decisions. The assignments encourage critical engagement with current research, application of clinical reasoning, and alignment with national and international aged care standards. Through these tasks, students will develop competencies necessary for delivering respectful, dignified, and evidence-informed care that enhances functional ability and quality of life in older age.

The Student’s Role

Students are expected to demonstrate an evolving understanding of nursing responsibilities through the lens of gerontological care. In Assessment One, students act as advocates for healthy ageing, drawing on evidence to propose practical strategies for promoting independence, dignity, and wellness among older individuals. In Assessment Three, students function as problem-solvers, critically addressing real-world clinical issues such as mobility decline, adverse drug reactions, pain management, labelling, and pressure injury risks. These assessments require students to synthesise learning, research, and professional standards to deliver compassionate, person-centred care solutions tailored to the unique needs of ageing individuals.

Competencies Measured

The NRSG266 assessments are structured to evaluate the following core competencies:

• Critical Analysis: Students must evaluate complex health concepts such as healthy ageing and functional ability, identifying nursing interventions that align with best practice principles.
• Theoretical Application: Demonstrated through integration of the Roper-Logan-Tierney model, students are required to link theory with practical nursing care in ageing contexts.
• Evidence-Based Practice: Each response must be informed by contemporary, peer-reviewed literature to support clinical decisions and health promotion strategies.
• Ethical and Legal Reasoning: Particularly in Assessment Three, students must show awareness of professional standards, autonomy, consent, and ethical care for vulnerable older adults.
• Person-Centred Approach: A recurring focus is maintaining dignity, respecting diversity, and supporting individual values throughout all stages of ageing and care delivery.

These competencies reflect both the learning outcomes of the unit and the graduate attributes of Australian Catholic University—ensuring that nursing graduates are equipped with insight, empathy, and professional impact across gerontological settings.

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NRSG266 Principles of Nursing Contexts of Ageing Assessments Examples

NRSG266 Principles of Nursing Contexts of Ageing Assessment One: Written Assessment

Healthy Ageing and the Role of the Registered Nurse

The World Health Organization (2015) defines healthy ageing as the process of developing and maintaining functional ability that enables well-being in older age. This involves empowering older adults to live a life that they value. The concept of functional ability includes the capacity to meet basic needs, make decisions, remain mobile, build and maintain relationships, and contribute to society. As the global population ages, promoting healthy ageing has become a central public health focus. Registered nurses (RNs) play a vital role in promoting the functional ability and well-being of older adults through evidence-based, person-centred care that addresses physical, psychological, social, cultural, and spiritual dimensions.

Understanding Healthy Ageing

Healthy ageing is influenced by the interplay of genetic, environmental, lifestyle, and social factors throughout a person’s life. It is not simply the absence of disease but a holistic approach to maintaining autonomy, independence, and quality of life (Beard et al., 2016). Functional ability is impacted by intrinsic capacity, including physical and mental capabilities, and the environment in which the individual lives. For nurses, understanding these complex interactions allows for targeted interventions that promote resilience and adaptability in older adults.

The Australian Institute of Health and Welfare (AIHW, 2021) highlights that older Australians are increasingly living longer with chronic illnesses. Therefore, healthy ageing involves managing long-term conditions, reducing risks of disability, and enhancing participation in daily life. A strengths-based approach recognises older adults’ capabilities and supports their decision-making.

The Role of the Registered Nurse in Promoting Healthy Ageing

Registered nurses contribute significantly to healthy ageing through health promotion, disease prevention, early intervention, and coordinated care. Nurses provide education, facilitate access to resources, and advocate for policies that support older adults. Empowerment is central to nursing practice, requiring that care be inclusive, respectful, and collaborative (Australian College of Nursing [ACN], 2020).

One of the primary roles of nurses is to educate older adults about healthy behaviours, such as balanced nutrition, physical activity, smoking cessation, and medication adherence (Kendig et al., 2017). Nurses use motivational interviewing techniques to assess readiness to change and promote autonomy. For example, by involving older adults in goal-setting and care planning, nurses support their sense of control and dignity.

In clinical settings, nurses screen for risk factors like falls, malnutrition, depression, and social isolation. Early identification and intervention can prevent decline in functional ability. The implementation of comprehensive geriatric assessment (CGA) is an evidence-based strategy that allows multidisciplinary teams to tailor care to individual needs (Ellis et al., 2017). Nurses play a crucial role in conducting assessments and coordinating care across services.

Person-Centred and Culturally Responsive Care

Person-centred care is essential to promoting healthy ageing. It involves recognising the values, preferences, and life history of older adults. Nurses must be sensitive to the cultural and spiritual needs of older people, particularly in Australia where there is a diversity of cultural backgrounds, including Aboriginal and Torres Strait Islander communities (Department of Health, 2019).

Culturally responsive care enhances trust and engagement. For instance, incorporating cultural practices into care plans and involving family or community supports can significantly impact outcomes. Registered nurses require ongoing training in cultural safety and communication to effectively engage with diverse populations (Best & Fredericks, 2018).

Promoting Social Participation and Mental Wellbeing

Social engagement is a key determinant of healthy ageing. Loneliness and isolation are associated with poorer health outcomes, including depression and cognitive decline (Holt-Lunstad et al., 2015). Nurses can support older adults by facilitating connections with community resources, support groups, and volunteering opportunities.

Mental health is equally important. The stigma surrounding mental illness in older adults can lead to underdiagnosis and undertreatment. Nurses are in a position to identify signs of depression, anxiety, or cognitive impairment and to refer clients to appropriate services. Cognitive stimulation activities and maintaining meaningful roles in society can preserve mental function and enhance self-worth (Prince et al., 2015).

Supporting Functional Ability and Independence

Maintaining mobility, managing chronic conditions, and supporting self-care are crucial aspects of functional ability. Nurses assess activities of daily living (ADLs), implement mobility plans, and use assistive devices to support independence. They collaborate with physiotherapists, occupational therapists, and dietitians to design care plans that enhance older adults’ physical functioning (WHO, 2015).

Medication management is another area where nurses make a substantial impact. Polypharmacy is common in older adults and increases the risk of adverse drug events. Nurses conduct medication reviews, educate patients on correct usage, and liaise with pharmacists and prescribers to reduce harm (Maher et al., 2014).

Fall prevention strategies are also central to promoting functional ability. These include home safety assessments, exercise programs like tai chi, and vision screening. Registered nurses educate clients and families on risk factors and create safer living environments (Sherrington et al., 2019).

Advocacy and Policy Engagement

Nurses are advocates for older adults, ensuring their rights and preferences are respected in all care settings. Advocacy extends to influencing health policies that support access to aged care services, funding for community programs, and age-friendly urban planning. The voice of nurses is crucial in shaping systems that support healthy ageing at a population level (ACN, 2020).

Ageism remains a significant barrier to healthy ageing. Nurses challenge stereotypes and promote positive images of ageing through their interactions and health promotion efforts. By addressing discrimination and advocating for inclusivity, nurses contribute to social change and improved outcomes for older adults (Officer & de la Fuente-Núñez, 2018).

Conclusion

Healthy ageing is a dynamic process that requires collaboration between individuals, families, communities, and health professionals. Registered nurses are central to this process, using a holistic, evidence-based approach to empower older adults and enhance their functional ability. By addressing physical, psychological, social, cultural, and spiritual factors, nurses promote independence, dignity, and well-being in ageing populations. Continuous education, advocacy, and cultural competence enable nurses to meet the complex needs of older adults and foster environments that support healthy ageing at both individual and societal levels.

References

Australian College of Nursing. (2020). Nurses and healthy ageing position statement. https://www.acn.edu.au

Australian Institute of Health and Welfare. (2021). Older Australia at a glance. https://www.aihw.gov.au/reports/older-people/older-australia-at-a-glance

Beard, J. R., Officer, A. M., Cassels, A. K., & Sadana, R. (2016). The World report on ageing and health: A policy framework for healthy ageing. The Lancet, 387(10033), 2145-2154. https://doi.org/10.1016/S0140-6736(15)00516-4

Best, O., & Fredericks, B. (2018). Yatdjuligin: Aboriginal and Torres Strait Islander nursing and midwifery care. Cambridge University Press.

Department of Health. (2019). Aged care diversity framework. https://www.health.gov.au

Ellis, G., Whitehead, M. A., Robinson, D., O’Neill, D., & Langhorne, P. (2017). Comprehensive geriatric assessment for older adults admitted to hospital. Cochrane Database of Systematic Reviews, (9), CD006211. https://doi.org/10.1002/14651858.CD006211.pub3

Holt-Lunstad, J., Smith, T. B., Baker, M., Harris, T., & Stephenson, D. (2015). Loneliness and social isolation as risk factors for mortality: A meta-analytic review. Perspectives on Psychological Science, 10(2), 227-237. https://doi.org/10.1177/1745691614568352

Kendig, H., Wells, Y., O’Loughlin, K., & Heese, K. (2017). Australian perspectives on global ageing. Springer.

Maher, R. L., Hanlon, J., & Hajjar, E. R. (2014). Clinical consequences of polypharmacy in elderly. Expert Opinion on Drug Safety, 13(1), 57-65. https://doi.org/10.1517/14740338.2013.827660

Officer, A., & de la Fuente-Núñez, V. (2018). A global campaign to combat ageism. Bulletin of the World Health Organization, 96(4), 295. https://doi.org/10.2471/BLT.17.202424

Prince, M., Comas-Herrera, A., Knapp, M., Guerchet, M., & Karagiannidou, M. (2015). World Alzheimer report 2016: Improving healthcare for people living with dementia. Alzheimer’s Disease International.

Sherrington, C., Fairhall, N. J., Wallbank, G. K., Tiedemann, A., Michaleff, Z. A., Howard, K., … & Lord, S. R. (2019). Exercise for preventing falls in older people living in the community: An abridged Cochrane systematic review. British Journal of Sports Medicine, 53(17), 905-911. https://doi.org/10.1136/bjsports-2018-099509

World Health Organization. (2015). World report on ageing and health. https://www.who.int/ageing/events/world-report-2015-launch/en/

NRSG266 Principles of Nursing Contexts of Ageing Assessment Three: Case Study

Question One

Labelling older adults with terms like “acopia”—a non-specific diagnosis implying functional decline without clear pathology—can contribute to ageism and diagnostic overshadowing in clinical settings (McLean, 2015). This label may prevent further investigations into underlying causes of decline, such as infection, delirium, or medication side effects. It can also affect the way nurses and other healthcare professionals perceive and interact with the patient, potentially leading to delayed or inadequate care (Stolz et al., 2021).

When patients like Edith are labelled as having “acopia,” there is a risk that their condition will be treated with less urgency or empathy. This can impact the therapeutic relationship, reduce patient dignity, and negatively influence health outcomes (Royal College of Physicians, 2012). From a nursing perspective, critical thinking is essential to challenge such labels and advocate for comprehensive assessments that explore physical, psychological, and social contributors to functional decline (Boltz et al., 2020).

Additionally, the nurse has a key role in supporting holistic care planning for patients like Edith. Recognising the implications of language used in diagnoses, nurses must champion a respectful, person-centred approach that values older adults’ experiences and supports optimal recovery (De Vries et al., 2021).

Question Two

The ageing process results in physiological changes that significantly increase the risk of pressure injury in older adults, particularly in hospital settings. In Edith’s case, prolonged immobility on an ED trolley, combined with age-related changes such as decreased skin elasticity, reduced subcutaneous fat, and impaired microcirculation, heightens her susceptibility (Jaul & Calderon-Margalit, 2015).

Additionally, muscle atrophy and reduced sensory perception in older adults may delay recognition of discomfort or pressure, increasing the duration of unrelieved pressure on bony prominences (Barakat-Johnson et al., 2020). Skin becomes drier and more fragile with age, further compromising its ability to withstand mechanical stress.

From a nursing perspective, early risk assessment using tools like the Braden Scale is essential (Haesler, 2019). Regular repositioning, use of pressure-relieving devices, and skin inspection are fundamental nursing interventions. Nurses must also advocate for timely ward transfer or ensure appropriate pressure care can be provided in ED, reducing the risk of hospital-acquired pressure injuries and enhancing patient safety (Australian Commission on Safety and Quality in Health Care [ACSQHC], 2020).

Question Three

Chronic pain, such as that experienced by Amita from her venous ulcer, can significantly impair an older adult’s ability to maintain a safe environment. Pain often results in reduced mobility, increased fatigue, sleep disturbances, and impaired concentration, all of which compromise her ability to perform daily activities safely (Molton & Terrill, 2014).

Cognitive effects of persistent pain may include forgetfulness and reduced attention, increasing the risk of accidents such as falls or medication errors (Morlion, 2020). In Amita’s case, isolation and living alone may exacerbate these risks. Pain may also lead to fear of movement (kinesiophobia), which promotes sedentary behaviour and muscle deconditioning.

The nurse’s role includes regular pain assessments using validated tools like the Abbey Pain Scale or Numeric Rating Scale and implementing a multidisciplinary pain management plan. Nurses should provide education on safe home environments, such as removing hazards and ensuring assistive devices are used appropriately. Monitoring for side effects of analgesics, especially opioids like codeine, is critical to prevent falls or cognitive changes that may further threaten safety (Australian Institute of Health and Welfare [AIHW], 2021).

Question Four

Older adults like Amita are more vulnerable to adverse drug events (ADEs) due to physiological changes associated with ageing. Decreased renal and hepatic function affects the metabolism and clearance of medications, increasing the risk of toxicity, especially for drugs like codeine, which can accumulate in the system (Mangoni & Jackson, 2004).

Polypharmacy, which is common in managing multiple chronic conditions, further elevates this risk by increasing the likelihood of drug-drug interactions and medication non-adherence (Maher et al., 2014). Cognitive impairment, visual or hearing deficits, and physical limitations may hinder the correct administration of medications.

Nurses must conduct comprehensive medication reviews regularly and collaborate with pharmacists to identify potential risks. Education for Amita on medication timing, side effects, and safe storage is essential. Strategies such as using pill organisers and medication calendars can enhance adherence and reduce errors. Importantly, nurses must advocate for deprescribing where appropriate, focusing on patient-centred care to enhance quality of life and minimise harm (Scott et al., 2015).

Question Five

Normal age-related changes in the respiratory system predispose older adults like Oliver to pneumonia during hospitalisation. These changes include decreased chest wall compliance, weakened respiratory muscles, and reduced alveolar surface area, which impair effective ventilation and gas exchange (Meyer et al., 2021).

Additionally, ciliary function and cough reflex diminish with age, reducing the clearance of secretions and increasing susceptibility to infection (Ezzie & Parsons, 2020). Immobility, as seen in Oliver’s case due to IVAB therapy and cellulitis, further compromises lung expansion and promotes secretion retention, creating an environment conducive to pneumonia.

Nurses play a crucial role in pneumonia prevention through interventions such as encouraging deep breathing and coughing exercises, administering prescribed incentive spirometry, and facilitating regular repositioning to enhance lung expansion. Monitoring for early signs of infection and collaborating with the interdisciplinary team to optimise hydration and nutrition are also essential nursing responsibilities (AIHW, 2021).

Question Six

Increasing mobility in hospitalised older adults like Oliver has numerous benefits. It reduces the risk of complications such as pneumonia, deep vein thrombosis, constipation, and functional decline (Brown et al., 2004). Mobility supports the maintenance of muscle mass, joint flexibility, and cardiovascular function, thereby promoting faster recovery and reducing hospital length of stay.

From a nursing perspective, promoting incidental exercise—small movements performed during daily activities—can be particularly effective. Nurses should encourage Oliver to sit out of bed for meals, walk short distances with supervision, and perform gentle limb exercises while seated. Incorporating mobility into routine care, such as walking to the bathroom instead of using a bedpan, helps normalise physical activity and supports independence (Boltz et al., 2020).

It is essential for nurses to collaborate with physiotherapists and occupational therapists to tailor mobility plans according to Oliver’s capabilities. Educating the patient and family on the importance of movement and providing reassurance and pain management can enhance adherence to mobility plans, supporting holistic and person-centred care.

References

Australian Commission on Safety and Quality in Health Care. (2020). Preventing pressure injuries. https://www.safetyandquality.gov.au/standards/nsqhs-standards/preventing-and-controlling-healthcare-associated-infection-standard/pressure-injuries

Australian Institute of Health and Welfare. (2021). Older Australians. https://www.aihw.gov.au/reports/older-people/older-australians

Barakat-Johnson, M., Barnett, C., Wand, T., White, K., & Coyer, F. (2020). The role of nurses in preventing pressure injuries in the emergency department. Journal of Wound, Ostomy and Continence Nursing, 47(2), 129-134. https://doi.org/10.1097/WON.0000000000000626

Boltz, M., Capezuti, E., Shabbat, N., & Hall, K. (2020). Going home better not worse: older adults’ views on physical function during hospitalization. International Journal of Nursing Practice, 26(4), e12843. https://doi.org/10.1111/ijn.12843

Brown, C. J., Friedkin, R. J., & Inouye, S. K. (2004). Prevalence and outcomes of low mobility in hospitalized older patients. Journal of the American Geriatrics Society, 52(8), 1263–1270. https://doi.org/10.1111/j.1532-5415.2004.52354.x

De Vries, K., Drury-Ruddlesden, J., & Gaul, C. (2021). Person-centred care in nursing homes: context, practice and outcomes. International Journal of Older People Nursing, 16(1), e12330. https://doi.org/10.1111/opn.12330

Ezzie, M. E., & Parsons, J. P. (2020). Pulmonary issues in older adults. Clinics in Geriatric Medicine, 36(3), 405–417. https://doi.org/10.1016/j.cger.2020.04.004

Haesler, E. (Ed.). (2019). Evidence-based practice in nursing (4th ed.). Elsevier.

Maher, R. L., Hanlon, J. T., & Hajjar, E. R. (2014). Clinical consequences of polypharmacy in elderly. Expert Opinion on Drug Safety, 13(1), 57–65. https://doi.org/10.1517/14740338.2013.827660

Mangoni, A. A., & Jackson, S. H. D. (2004). Age-related changes in pharmacokinetics and pharmacodynamics: basic principles and practical applications. British Journal of Clinical Pharmacology, 57(1), 6–14. https://doi.org/10.1046/j.1365-2125.2003.02007.x

McLean, A. (2015). The problem with ‘acopia’. BMJ, 350, h1765. https://doi.org/10.1136/bmj.h1765

Meyer, K. C., Franciosi, J. P., & Gibson, K. F. (2021). Pulmonary defense mechanisms and the aging lung. Clinics in Geriatric Medicine, 37(2), 295–312. https://doi.org/10.1016/j.cger.2021.01.004

Molton, I. R., & Terrill, A. L. (2014). Overview of persistent pain in older adults. American Psychologist, 69(2), 197–207. https://doi.org/10.1037/a0035794

Morlion, B. (2020). Chronic pain: The role of the nurse. British Journal of Nursing, 29(5), S16–S22. https://doi.org/10.12968/bjon.2020.29.5.S16

Royal College of Physicians. (2012). Acute care toolkit 3: Acute medical care for frail older people. https://www.rcplondon.ac.uk/guidelines-policy/acute-care-toolkit-3-acute-medical-care-frail-older-people

Scott, I. A., Hilmer, S. N., Reeve, E., Potter, K., Le Couteur, D., Rigby, D., Jansen, J., & Martin, J. H. (2015). Reducing inappropriate polypharmacy: the process of deprescribing. JAMA Internal Medicine, 175(5), 827–834. https://doi.org/10.1001/jamainternmed.2015.0324

Stolz, K., Mayer, H., & Riedl, D. (2021). Ageism and the nursing care of older people. Journal of Clinical Nursing, 30(1-2), e16–e24. https://doi.org/10.1111/jocn.15525

Detailed Assessment Instructions for the NRSG266 Principles of Nursing Contexts of Ageing Assessments

NRSG266 Principles of Nursing Contexts of Ageing Assessment One: Written Assessment

School of Nursing, Midwifery and Paramedicine

Faculty of Health Sciences Australian Catholic University

NRSG266 Assessment One: Written Assessment

NRSG266 _ Assessment One: Written Assessment _ Semester Two, 2020 _ Page 1 of 1

NRSG266 Principles of Nursing Contexts of Ageing Assessment Three: Case Study

School of Nursing, Midwifery and Paramedicine

Faculty of Health Sciences Australian Catholic University

NRSG266 Assessment Three: Case Study

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NRSG372 Chronic Illness and Disability Written Assignment Example

NRSG372 Chronic Illness and Disability Written Assignment

NRSG372 – Principles of Nursing: Chronic Illness and Disability Course

NRSG372 Chronic Illness and Disability Written Assignment Brief

Assignment Instructions Overview:

This assessment task invites students to engage directly with an individual in the community who lives with a chronic illness or disability. The primary goal is to understand the lived experience of managing such a condition and to use that understanding to plan person-centred care. The task requires students to apply two clinical frameworks—the Levett-Jones Clinical Reasoning Cycle and the Roper-Logan-Tierney (RLT) Model of Nursing—to identify and justify two care priorities relevant to the interviewee. Students must also integrate evidence-based practice, demonstrate clinical reasoning, and align their work with national safety and quality standards. The paper is to be written in a formal academic style, adhering to strict formatting and referencing guidelines.

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Understanding Assignment Objectives:

The purpose of this assignment is to develop students’ capacity to critically assess and address the needs of individuals living with chronic illness or disability. It fosters the application of person-centred care principles, encourages engagement with real-world experiences, and promotes safe and ethical nursing practice. Through this process, students will:

• Explore how chronic conditions impact individuals’ lives physically, emotionally, socially, and functionally.
• Use clinical reasoning to assess, plan, and evaluate care in a structured, evidence-based manner.
• Apply theoretical models to support patient autonomy and independence.
• Practice respectful communication, cultural sensitivity, and advocacy through consumer partnership.

The Student’s Role:

Students take on the role of a thoughtful and ethical nurse-in-training who seeks to understand, not diagnose. Their responsibilities include:

• Identifying and gaining informed written consent from a suitable interviewee.
• Conducting a safe and respectful phone or video interview.
• Ensuring strict confidentiality and de-identification throughout the assignment.
• Demonstrating empathy and professionalism during the interview process.
• Analysing data using relevant frameworks and justifying clinical decisions with scholarly literature.
• Submitting both the consent form and the written paper on time, following academic integrity and formatting expectations.

Competencies Measured:

This assessment aligns with several Learning Outcomes (LO1, LO2, LO3, LO6) and evaluates the following core competencies:

• Clinical Reasoning and Critical Thinking: Ability to apply the Clinical Reasoning Cycle to real patient scenarios, justify care priorities, and anticipate outcomes of nursing interventions.
• Person-Centred Care Planning: Demonstrating how to collaborate with the health consumer to create achievable, culturally appropriate goals.
• Application of Theoretical Frameworks: Competently incorporating the Roper-Logan-Tierney model to assess the level of dependence and required support for each care priority.
• Evidence-Based Practice: Integration of current and credible sources (minimum 17) to support arguments and justify nursing interventions.
• Professional Communication: Structuring the assignment according to academic conventions, maintaining clear paragraph logic, and adhering to APA 7th referencing style.
• Ethical and Safe Practice: Maintaining patient confidentiality, securing consent, and showing awareness of professional boundaries.

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NRSG372 Chronic Illness and Disability Written Assignment Example

Introduction

This paper explores the impact of chronic illness on an individual’s life through the lens of a real community interview. Anna (pseudonym), a 49-year-old woman living with multiple sclerosis (MS), shared her lived experience with this progressive neurological condition. MS is a chronic autoimmune disorder affecting the central nervous system, leading to a wide range of symptoms, including fatigue, mobility issues, and cognitive impairment (Moss-Morris et al., 2020). Based on the interview, two care priorities were identified: (1) management of fatigue and (2) support for emotional wellbeing. These priorities were explored using Levett-Jones’ (2018) Clinical Reasoning Cycle and assessed against the Roper-Logan-Tierney (RLT) model of independence to dependence continuum. This paper emphasizes person-centred care and aligns with the National Safety and Quality Health Service (NSQHS) standards, particularly Partnering with Consumers, to ensure evidence-based and collaborative care planning.

Care Priority One: Fatigue Management

Fatigue emerged as Anna’s most debilitating symptom, significantly affecting her quality of life. She described it as “like dragging a lead weight all day,” particularly on warm days or after minimal physical activity. This aligns with the literature, as 80% of MS patients experience chronic fatigue, which is often the most disabling symptom (Branas et al., 2021). Anna reports difficulty completing daily tasks such as cooking, walking short distances, or even concentrating on conversations. On the RLT continuum, she demonstrated partial dependence in the “mobilising” and “maintaining a safe environment” activities of daily living, requiring mobility aids and home modifications to maintain independence (Roper et al., 2001).

Consequences of Not Addressing Fatigue

Failure to address fatigue could lead to increased functional decline, heightened dependence on carers, social isolation, and mental health deterioration (Strober, 2020). Fatigue contributes to reduced participation in physical activity, which in turn can worsen MS symptoms through deconditioning. Moreover, unmanaged fatigue often results in unemployment, as seen in Anna’s case—she had to resign from her role as a schoolteacher, which deeply impacted her sense of identity and purpose. Research highlights a correlation between untreated fatigue and higher healthcare utilisation due to falls, infections, and exacerbations of MS symptoms (Braley & Chervin, 2019).

Goal and Intervention

The nursing goal is to enhance Anna’s functional capacity and improve energy conservation through collaborative planning. A comprehensive fatigue management program incorporating occupational therapy, energy conservation techniques, and physical activity tailored to tolerance levels is essential. Evidence supports graded aerobic exercise and cognitive behavioural strategies for reducing fatigue in MS (Kjølhede et al., 2018). Nurses can coordinate referrals and implement fatigue diaries, promoting patient education on activity pacing. Partnering with consumers (NSQHS Standard 2) ensures that Anna’s goals and preferences are incorporated, empowering her to manage her condition and maintain autonomy in daily life (ACSQHC, 2023).

Care Priority Two: Emotional Wellbeing and Coping

Anna disclosed frequent episodes of low mood, hopelessness, and withdrawal from social activities. She described grieving her pre-diagnosis life and expressed anxiety about disease progression. The emotional toll of MS is well-documented, with over 50% of patients experiencing depression and anxiety (Boeschoten et al., 2017). On the RLT continuum, Anna showed increasing dependence in “communication” and “maintaining social relationships,” withdrawing from previously enjoyed community groups and friendships due to stigma and fatigue.

Consequences of Not Addressing Emotional Health

Ignoring Anna’s emotional wellbeing may worsen her mental health and diminish treatment adherence. Depression is associated with increased MS relapses and greater disability progression (Mohr et al., 2018). Without psychological support, Anna risks social isolation, caregiver burden on her partner, and potentially harmful coping strategies such as substance misuse or neglecting medical appointments. A holistic approach is essential to mitigate these risks, supporting both physical and psychosocial aspects of her condition.

Goal and Intervention

The goal is to promote emotional resilience and coping capacity. Nursing interventions include referral to a clinical psychologist for cognitive behavioural therapy, introduction to peer support groups, and regular mental health screening using the Hospital Anxiety and Depression Scale (HADS). Evidence supports multidisciplinary care models that incorporate mental health professionals into chronic illness management (Gunn et al., 2021). Nurses play a key role in therapeutic communication, normalising emotional responses, and ensuring Anna’s voice is central to decision-making, aligned with NSQHS Standard 2. Collaborative care planning fosters trust and allows Anna to reframe her life with MS from a place of acceptance and empowerment.

Conclusion

This paper has examined the lived experience of Anna, a woman managing the complexities of multiple sclerosis. Two care priorities—fatigue and emotional wellbeing—were explored through the Clinical Reasoning Cycle and contextualised within the RLT model of independence. Interventions were grounded in evidence and aligned with NSQHS standards. Moving forward, the nursing role in ongoing assessment, education, and interprofessional coordination is vital to achieving meaningful, person-centred outcomes. Evaluation of these interventions will help ensure they remain responsive to Anna’s evolving needs, enhancing both her autonomy and quality of life.

References

Australian Commission on Safety and Quality in Health Care (ACSQHC). (2023). NSQHS Standards: Partnering with consumers. https://www.safetyandquality.gov.au/

Boeschoten, R. E., Braamse, A. M., Beekman, A. T., Cuijpers, P., van Oppen, P., Dekker, J., & Uitdehaag, B. M. (2017). Prevalence of depression and anxiety in multiple sclerosis: A systematic review and meta-analysis. Journal of the Neurological Sciences, 372, 331–341.

Braley, T. J., & Chervin, R. D. (2019). Fatigue in multiple sclerosis: Mechanisms, evaluation, and treatment. Sleep, 42(8), zsz117.

Branas, P., Jordan, H., Fry-Smith, A., Burls, A., & Hyde, C. (2021). Treatments for fatigue in multiple sclerosis: A rapid and systematic review. Health Technology Assessment, 7(27), 1-61.

Gunn, J., Palmer, V., Dowrick, C., Herrman, H., Griffiths, F., Kokanovic, R., & Furler, J. (2021). Embedding mental health care in chronic disease management: An Australian case study. The British Journal of General Practice, 71(703), e53–e60.

Kjølhede, T., Vissing, K., & Dalgas, U. (2018). Multiple sclerosis and progressive resistance training: A systematic review. Multiple Sclerosis Journal, 24(6), 703–716.

Levett-Jones, T. (2018). Clinical reasoning: Learning to think like a nurse (2nd ed.). Pearson.

Mohr, D. C., Hart, S. L., Julian, L., Cox, D., & Pelletier, D. (2018). Association between depressive symptoms and clinical outcomes in multiple sclerosis. Multiple Sclerosis Journal, 24(1), 34–41.

Moss-Morris, R., Norton, S., & McCrone, P. (2020). A randomized controlled trial of internet-based cognitive behavioural therapy for distress in people with multiple sclerosis. Journal of Behavioral Medicine, 43(3), 590–602.

Roper, N., Logan, W. W., & Tierney, A. J. (2001). The Roper-Logan-Tierney model of nursing: Based on activities of living. Elsevier Health Sciences.

Detailed Assessment Instructions for the NRSG372 Chronic Illness and Disability Written Assignment

ADMINISTRATION

Late penalties will be applied from 9:01am on the due date, incurring 5% penalty of the maximum marks available up to a maximum of 15%. Assessment tasks received more than three calendar days after the due or extended date will receive feedback but will not not be allocated a mark.

Late Penalties

Example:

An assignment is submitted 12 hours late and is initially marked at 60 out of

100. A 5% penalty is applied (5% of 100 is 5 marks). Therefore, the student receives 55 out of 100 as a final mark.

Return of Marks

Marks will be generally returned in three weeks; if this is not achievable, you will be notified via your campus LEO forum.

Final Assignment

Marks for the final assessment (assessment two) of NRSG372 will be withheld until after grade ratification and grade release.

Assessment template project informed by ACU student forums, ACU Librarians and the Academic Skills Unit.

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NRSG372 Principles of Nursing Chronic Illness and Disability Health Education Narrated PowerPoint Example

NRSG372 Principles of Nursing Chronic Illness and Disability Health Education Narrated PowerPoint Assignment Example

NRSG372 Health Education Narrated PowerPoint

NRSG372 – Principles of Nursing: Chronic Illness and Disability Course

NRSG372 Principles of Nursing Chronic Illness and Disability Health Education Narrated PowerPoint Assignment Brief

Assignment Instructions Overview:

This assessment task requires students to develop an 8–10 minute narrated PowerPoint presentation. Students will explore a modifiable risk factor behaviour in the context of a person living with multiple chronic conditions or disabilities. Using one of two provided case studies, students will focus on one key risk factor and deliver a health education presentation that reflects critical thinking, evidence-based strategy, and patient-centred care.

Students must include:

• A concise summary of the case study and risk factor
• Contributing factors and the impact on the individual’s chronic condition(s)
• A relevant behaviour change theory
• A practical at-home strategy with the Registered Nurse’s (RN) role
• A local real-world support service, including how it assists and the RN’s role

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Understanding Assignment Objectives:

This assignment is designed to deepen students’ understanding of the complex relationship between chronic illness or disability and modifiable behaviours such as diet, exercise, substance use, or medication adherence. It challenges students to:

• Recognise factors affecting independence and quality of life
• Apply behavioural theories to guide educational interventions
• Use person-centred, evidence-based approaches
• Advocate for accessible health strategies and support systems

The Student’s Role:

Students act in the role of a future Registered Nurse, applying critical reasoning and empathetic communication to:

• Explain why a behaviour occurs
• Identify its health implications
• Suggest practical and tailored interventions
• Support behaviour change using nursing knowledge and external resources

The presentation should reflect the student’s clinical judgment and ability to integrate patient education into real-world care.

Competencies Measured:

This assessment addresses key learning outcomes by evaluating students’ ability to:

• Analyse and interpret chronic illness presentations in complex community and home settings
• Apply health behaviour models and nursing interventions to promote positive change
• Demonstrate cultural sensitivity and a strengths-based perspective
• Incorporate community resources and interdisciplinary collaboration
• Communicate clearly and effectively through digital presentation

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NRSG372 Principles of Nursing Chronic Illness and Disability Health Education Narrated PowerPoint Example

Slide 1: Title Slide

Narration Note:

“Hello, and welcome to this health education presentation for NRSG372. Today, I’ll be focusing on the case of Alan, a 75-year-old man living with multiple chronic conditions. The primary focus will be on his modifiable risk factor—physical inactivity—and how targeted strategies, supported by nursing care and community resources, can help Alan improve his health outcomes and quality of life.”

Slide 2: Introduction

This presentation addresses modifiable risk factor behaviour change for Alan, a 75-year-old man with multiple chronic illnesses. Alan’s case highlights physical inactivity, which contributes to his ongoing health challenges. This presentation will discuss the behaviour, contributing factors, its impact on chronic illness, an applicable health behaviour theory, one practical at-home intervention, and a real-life community service to support Alan’s behaviour change. The role of the registered nurse in supporting this behaviour modification will also be explored throughout.

Narration Note:

“This presentation explores how behaviour change strategies can assist a person with chronic illness—in this case, Alan—in managing their health. We’ll begin with a summary of Alan’s situation and the chosen risk factor, then examine why this behaviour occurs and how it affects his health. A behaviour change model will be introduced, followed by an at-home strategy and a relevant support service. Throughout, the role of the registered nurse will be highlighted.”

Slide 3: Case Study Summary and Modifiable Risk Factor

Alan is a 75-year-old retired public servant with chronic illnesses and limited mobility. He lives alone, does not drive, and has a BMI of 34.9. His sedentary lifestyle is the modifiable risk factor identified. Physical inactivity contributes to the progression of his hypertension, obesity, and osteoarthritis (Australian Institute of Health and Welfare [AIHW], 2020).

Narration Note:

“Alan is 75 and lives alone in a second-floor apartment. He has multiple chronic illnesses including osteoarthritis, hypertension, hepatitis C, skin cancer, and polycystic kidney disease. His BMI is 34.9, indicating obesity. Alan rarely leaves his home and spends most of his day sedentary, watching Netflix or playing games on his iPad. His only outings are brief visits to the GP and the nearby petrol station. The risk factor chosen here is physical inactivity, which directly impacts Alan’s chronic disease progression and independence.”

Slide 4: Contributing Factors and Impact of Behaviour

Contributing factors to Alan’s inactivity include environmental limitations, chronic pain, social isolation, lack of transport, and possible mental wellbeing issues (World Health Organization [WHO], 2020). Inactivity exacerbates chronic conditions, increases fall risk, promotes weight gain, and reduces independence and quality of life.

Narration Note:

“Several factors contribute to Alan’s inactivity: limited mobility due to osteoarthritis, vision issues, lack of transport, and a home environment not conducive to physical activity. Psychosocial factors like isolation and possible low mood may also play a role. Inactivity exacerbates his obesity, worsens hypertension and joint health, increases fall risk, and leads to a cycle of declining function and increasing dependence. Addressing this behaviour is critical for his overall wellbeing.”

Slide 5: Health Behaviour Theory – Health Belief Model (HBM)

The Health Belief Model (HBM) is used to understand health behaviours (Champion & Skinner, 2018). Key elements include perceived susceptibility, severity, benefits, barriers, cues to action, and self-efficacy. It helps tailor interventions by addressing Alan’s beliefs and motivations about physical activity.

Narration Note:

“The Health Belief Model helps explain why people engage in—or avoid—health behaviours. It looks at how individuals perceive their susceptibility to illness, the severity of their condition, the benefits and barriers to changing a behaviour, and their confidence in making a change. For Alan, we need to assess whether he recognises the dangers of inactivity and if he believes a change will benefit him. By using this model, the nurse can tailor communication and strategies that resonate with Alan’s beliefs and motivations.”

Slide 6: Practical Strategy: Chair-Based Exercise

A home-based, guided chair-exercise program is an ideal strategy for Alan. It improves strength and mobility while minimising fall risk. The RN’s role includes education, assessment, goal-setting, resource provision, and monitoring progress.

Narration Note:

“A suitable and safe strategy for Alan is a home-based chair exercise program. These exercises are low-impact and reduce the risk of falls, yet can improve circulation, strength, flexibility, and overall mobility. As a nurse, the role is to introduce this option to Alan, provide resources such as online videos or printed routines, and encourage small, achievable goals. Regular check-ins can reinforce motivation, monitor progress, and adapt the plan as needed.”

Slide 7: Community Support Service: My Aged Care

My Aged Care, via the Commonwealth Home Support Programme, offers tailored in-home services such as physiotherapy and transport. The RN coordinates referrals, advocates for Alan, and ensures service alignment with his needs.

Contact Details:

• Website: https://www.myagedcare.gov.au
• Phone: 1800 200 422

Narration Note:

“My Aged Care offers a range of support services, including physiotherapy at home and transport assistance through the Commonwealth Home Support Programme. These services are government-funded and tailored to help older Australians stay independent. As a nurse, referring Alan through My Aged Care and assisting him in accessing these supports is essential. The nurse also acts as an advocate, ensuring services are delivered according to Alan’s needs and preferences. More information is available at www.myagedcare.gov.au.”

Slide 8: Conclusion

Alan’s physical inactivity is a modifiable risk factor that impacts his chronic conditions. By applying the HBM, implementing chair exercises, and connecting with community resources, the RN can support meaningful behaviour change and promote Alan’s independence and wellbeing.

Narration Note:

“In summary, Alan’s inactivity is a key modifiable risk factor contributing to his complex health profile. By applying the Health Belief Model, initiating a practical home-based activity, and involving community resources like My Aged Care, nurses can help Alan regain some independence and improve his quality of life. Supporting behaviour change requires empathy, education, and a partnership approach—principles central to nursing care.”

Slide 9: References

Australian Institute of Health and Welfare (AIHW). (2020). Australia’s health 2020: In brief. https://www.aihw.gov.au/reports/australias-health/australias-health-2020-in-brief

Champion, V. L., & Skinner, C. S. (2018). The health belief model. In K. Glanz, B. K. Rimer, & K. Viswanath (Eds.), Health behavior: Theory, research, and practice (5th ed., pp. 75–94). Jossey-Bass.

World Health Organization. (2020). Guidelines on physical activity and sedentary behaviour. https://www.who.int/publications/i/item/9789240015128

My Aged Care. (2024). Commonwealth Home Support Programme. https://www.myagedcare.gov.au

Detailed Assessment Instructions for the NRSG372 Principles of Nursing Chronic Illness and Disability Health Education Narrated PowerPoint Assignment

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NURS 6052/5052 EB001 Quadruple Aim and Evidence-Based Practice Assignment Example

NURS 6052/5052 EB001 Module01 Quadruple Aim and Evidence-Based Practice Assignment

NURS 6052/5052 EB001 Quadruple Aim and Evidence-Based Practice Assignment Brief

Course: NURS 5052 – Essentials of Evidence-Based Practice

Assignment Title: NURS 6052/5052 EB001 Module01 Quadruple Aim and Evidence-Based Practice Assignment

Assignment Overview:

In this assignment, you will explore the interconnectedness of the Quadruple Aim in healthcare and Evidence-Based Practice (EBP). The Quadruple Aim, an extension of the Triple Aim, emphasizes four key goals: improving patient experience, enhancing population health, reducing healthcare costs, and promoting healthcare team well-being. EBP, on the other hand, is a systematic approach that integrates the best available evidence into healthcare decision-making. Your task is to analyze how EBP contributes to achieving the Quadruple Aim and understand its impact on patient care, population health, cost management, and healthcare provider well-being.

Understanding Assignment Objectives:

The primary objectives of this assignment are to:

• Explore the Relationship: Investigate the connection between the Quadruple Aim and EBP. Understand how EBP can serve as a strategic tool to achieve the goals outlined in the Quadruple Aim.
• Analyze Impact on Patient Experience: Examine the role of EBP in enhancing patient experience. Provide examples and evidence supporting the idea that EBP positively influences the first goal of the Quadruple Aim.
• Evaluate Contribution to Population Health: Assess how EBP aligns with evidence-based public health and explore how it directly impacts population health. Provide insights into how EBP can be a driver for success in achieving the second goal of the Quadruple Aim.
• Investigate Cost Implications: Analyze the impact of EBP on healthcare costs. Evaluate the Return on Investment (ROI) of EBP and discuss how it can contribute to the cost-related goal of the Quadruple Aim.
• Examine Healthcare Team Well-being: Explore how EBP empowers healthcare professionals and its role in mitigating burnout and stress. Discuss strategies within EBP that contribute to achieving the fourth goal of the Quadruple Aim.

The Student’s Role:

As a student, your role is to critically engage with the literature and scholarly articles related to the Quadruple Aim and EBP. Analyze the information to draw connections between the two concepts and support your arguments with evidence. You are encouraged to provide real-world examples and practical applications to illustrate the impact of EBP on each dimension of the Quadruple Aim. Additionally, consider potential challenges and barriers to implementing EBP in healthcare settings and propose strategies to overcome them.

Ensure that your analysis is thorough, well-organized, and supported by reputable sources. Utilize the provided references, and supplement them with additional scholarly articles and research to strengthen your arguments. This assignment aims to deepen your understanding of the practical implications of EBP in achieving the Quadruple Aim in healthcare.

You Can Also Check Other Related Assessments for the NURS 5052 – Essentials of Evidence-Based Practice Course:

NURS 6052/5052 EB001 Module01 Where in the World Is Evidence-Based Practice Discussion Assignment Example

NURS 6052/5052 EB002 Module02 Identifying Research Methodologies Evidence-Based Project Assignment Example

NURS 6052/5052 EB003 Module03 Advanced Levels of Clinical Inquiry and Systematic Reviews Evidence-Based Project Assignment Example

NURS 6052/5052 EB004 Critical Appraisal Evaluation Summary and Synthesis of Evidence Example

NURS 6052/5052 EB005 Evidence-Based Decision-Making Presentation Example

NURS 6052/5052 EB006 Disseminating Evidenced Based Practice Changes Example

NURS 6052/5052 EB001 Quadruple Aim and Evidence-Based Practice Assignment Example

In the pursuit of optimal healthcare performance, organizations have evolved from the traditional Triple Aim—focused on improved population health, enhanced patient experience, and lower healthcare costs—to the more comprehensive Quadruple Aim. The Quadruple Aim introduces a crucial fourth dimension: the improvement of the work life of healthcare providers. Evidence-based practice (EBP) emerges as a strategic tool in this evolving landscape, guiding healthcare decisions based on the integration of clinical expertise, the best available research evidence, patient values, and best practices. This analysis explores the intricate connection between EBP and the Quadruple Aim, specifically addressing their impact on patient experience, population health, costs, and the work-life of healthcare providers.

Patient Experience

Patient experience is a cornerstone of quality healthcare, emphasizing the need for personalized, patient-centric care that minimizes errors and enhances overall satisfaction. EBP plays a pivotal role in improving patient experience by aligning clinical decisions with the latest research findings. For instance, the implementation of evidence-based strategies, such as hourly rounding and effective communication protocols, has been shown to significantly elevate patient satisfaction (Skaggs et al., 2018). EBP encourages healthcare providers to tailor interventions based on scientific evidence, fostering a proactive role for patients in their treatment plans and increasing overall engagement.

Population Health

Improving population health involves addressing the diverse needs of communities, understanding prevalent conditions, and promoting equitable distribution of resources. EBP provides a systematic approach to achieving these goals by empowering healthcare professionals to utilize research effectively. By identifying prevailing health issues, such as obesity, through evidence-based methodologies, healthcare organizations can implement targeted interventions to enhance population health (Lhachimi, Bala, & Vanagas, 2016). EBP not only offers access to high-quality information but also serves as a catalyst for successful quality improvement programs.

Costs

The rising cost of healthcare is a global concern, and organizations strive to provide quality services while maintaining financial viability. EBP contributes to cost reduction by eliminating unnecessary medical procedures and enhancing the efficiency of care delivery. Implementation of evidence-based recommendations has demonstrated substantial decreases in adverse events and healthcare costs, with simultaneous improvements in patient satisfaction (Walewska-Zielecka et al., 2021). While initial investments in modern healthcare technologies may increase capital costs, the long-term impact includes reduced treatment costs and enhanced quality of care.

Work-Life of Healthcare Providers

A positive work environment is essential for healthcare providers to deliver optimal care. EBP practices promote inter-professional collaboration, patient-provider engagement, and overall staff well-being. The implementation of EBP is associated with reduced burnout, increased job satisfaction, and enhanced productivity among healthcare providers (Kim et al., 2016). The integration of electronic health records, facilitated by EBP, has streamlined administrative tasks, replacing tedious paperwork and contributing to a more conducive work environment.

Conclusion

In conclusion, the synergy between EBP and the Quadruple Aim is evident in their collective impact on patient experience, population health, costs, and the work-life of healthcare providers. EBP serves as the guiding force that aligns organizational decisions with the latest scientific evidence, promoting a culture of continuous improvement and patient-centered care. As healthcare organizations navigate the complexities of the modern healthcare landscape, the strategic integration of EBP emerges as a fundamental approach to achieving the Quadruple Aim. By enhancing the quality of care, promoting efficient resource utilization, and fostering a supportive work environment, EBP becomes the cornerstone of healthcare excellence in the pursuit of the Quadruple Aim.

References

Skaggs, M. K. D., Daniels, J. F., Hodge, A. J., & DeCamp, V. L. (2018). Using the Evidence-Based Practice Service Nursing Bundle to Increase Patient Satisfaction. Journal of Emergency Nursing, 44(1), 37–45. https://doi.org/10.1016/j.jen.2017.10.011

Lhachimi, S. K., Bala, M. M., & Vanagas, G. (2016). Evidence-Based Public Health. BioMed Research International, 2016, 5681409. https://doi.org/10.1155/2016/5681409

Walewska-Zielecka, B., Religioni, U., Soszyński, P., & Wojtkowski, K. (2021). Evidence-Based Care Reduces Unnecessary Medical Procedures and Healthcare Costs in the Outpatient Setting. Value in Health Regional Issues, 25, 23–28. https://doi.org/10.1016/j.vhri.2020.07.577

Kim, S. C., Stichler, J. F., Ecoff, L., Brown, C. E., Gallo, A., & 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. https://doi.org/10.1111/wvn.12171

NURS 6052/5052 EB001 Quadruple Aim and Evidence-Based Practice Assignment Example Two

Introduction

The amalgamation of Evidence-Based Practice (EBP) and the Quadruple Aim in healthcare signifies a transformative approach to decision-making, policy formulation, and the delivery of patient-centered care. EBP, rooted in scientific evidence and shaped by patient preferences and clinician expertise, aligns seamlessly with the Quadruple Aim’s pursuit of improving patient experience, population health, reducing costs, and enhancing the work-life of healthcare providers. This analysis explores the profound relation between EBP and the Quadruple Aim, shedding light on how EBP influences the four key elements of this transformative framework.

Evidence-Based Practice

EBP, a cornerstone of contemporary healthcare, is driven by the imperative to provide high-quality and safe healthcare services. With its roots in well-designed scientific studies, EBP integrates patient values and clinician expertise, fostering a holistic approach to decision-making (Crabtree et al., 2016). The interprofessional model embraced by EBP promotes shared decision-making, highlighting the collaboration among healthcare providers and the active involvement of patients in their care plans.

The Quadruple Aim

The Quadruple Aim expands the traditional Triple Aim by introducing the crucial fourth dimension—improving the work-life of healthcare providers. This addition recognizes the essential role of a productive and satisfied healthcare workforce in achieving overall healthcare excellence (Bodenheimer & Sinsky, 2014). The Quadruple Aim’s goals encompass enhancing patient experience, improving population health, reducing healthcare costs, and fostering a positive work environment for healthcare providers.

Influence of EBP on the Quadruple Aim Elements

Patient Experience

EBP’s impact on patient experience is profound, emphasizing the translation of research findings into clinical practice. Through efficient literature searching and evidence evaluation, healthcare providers can tailor care plans based on individual patient needs, leading to improved quality and safety of healthcare services (Jacobs et al., 2018). The integration of EBP in clinical problem-solving contributes directly to enhancing the overall patient experience.

Population Health

EBP serves as a linchpin for promoting population health by educating communities on health determinants, treatment benefits and limitations, and cultural practices. The equitable distribution of resources is facilitated by identifying and addressing prevailing health issues within specific populations (Sakallaris et al., 2016). EBP’s emphasis on individual patient needs ensures that healthcare interventions are tailored to diverse population segments, fostering efficiency in health promotion strategies.

Costs

While the upfront costs of implementing EBP, such as adopting modern technologies, may initially increase capital costs, the long-term impact is cost reduction. EBP contributes to the elimination of unnecessary medical procedures, enhancing the efficiency and quality of care. The adoption of evidence-based recommendations has been associated with decreased adverse events, lower healthcare costs, and improved patient satisfaction (Crabtree et al., 2016; Walewska-Zielecka et al., 2021).

Work-Life of Healthcare Providers

A positive work environment is vital for healthcare providers, and EBP practices contribute significantly to fostering such an environment. Interprofessional collaboration, patient-provider engagement, and shared decision-making promoted by EBP reduce burnout, increase job satisfaction, and enhance staff productivity (William Jackson Epperson Md et al., 2016). The integration of evidence-based processes, such as electronic health records, streamlines administrative tasks, creating a conducive atmosphere for healthcare providers.

Conclusion

In the symbiotic relationship between EBP and the Quadruple Aim, healthcare organizations find a transformative path toward excellence. The influence of EBP on patient experience, population health, costs, and the work-life of healthcare providers underscores its pivotal role in achieving the Quadruple Aim. As healthcare continues to evolve, the strategic integration of EBP emerges as a linchpin for organizations aspiring to enhance quality, efficiency, and overall healthcare outcomes.

References

Bodenheimer, T., & Sinsky, C. (2014). From triple to quadruple aim: care of the patient requires care of the provider. The Annals of Family Medicine, 12(6), 573-576.

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.

Jacobs, B., McGovern, J., Heinmiller, J., & Drenkard, K. (2018). Engaging employees in well-being: moving from the triple aim to the quadruple aim. Nursing Administration Quarterly, 42(3), 231-245.

Sakallaris, B. R., Miller, W. L., Saper, R., Jo Kreitzer, M., & Jonas, W. (2016). Meeting the challenge of a more person-centered future for US healthcare. Global Advances in Health and Medicine, 5(1), 51-60.

William Jackson Epperson Md, M. B. A., Facmpe, S. F. C., & Wilhoit, G. (2016). Provider burnout and patient engagement: the quadruple and quintuple aims. The Journal of Medical Practice Management: MPM, 31(6), 359.

Walewska-Zielecka, B., Religioni, U., Soszyński, P., & Wojtkowski, K. (2021). Evidence-Based Care Reduces Unnecessary Medical Procedures and Healthcare Costs in the Outpatient Setting. Value in Health Regional Issues, 25, 23–28. https://doi.org/10.1016/j.vhri.2020.07.577.

NURS 6052/5052 EB001 Quadruple Aim and Evidence-Based Practice Assignment Example Three

Introduction

The evolution of healthcare has witnessed the integration of Evidence-Based Practice (EBP) as a cornerstone for informed decision-making and improved patient care. As healthcare strives to achieve the Quadruple Aim—enhancing patient experience, improving population health, reducing costs, and nurturing the work life of healthcare providers—the connection between EBP and these aims becomes increasingly apparent. This analysis explores how EBP serves as a catalyst in reaching the Quadruple Aim, addressing each of the four measures.

Patient Experience

Patient experience flourishes when informed decisions and patient-centered care converge. EBP, exemplified by practices like bedside shift reports, not only promotes transparency in communication but actively involves patients in their care (Dorvil, 2018). This patient engagement enhances the overall experience, fostering a sense of empowerment and satisfaction. The implementation of EBP strategies, rooted in research evidence, elevates the quality of care, aligning seamlessly with the Quadruple Aim’s patient-centric focus.

Population Health

In the pursuit of improving population health, EBP emerges as a guiding light. Evidence-Based Public Health (EBPH) practices, grounded in data-driven decision-making and intervention evidence, empower healthcare systems to address population risk factors and disease burden (Allen et al., 2018). The systematic use of evidence in public health planning and interventions becomes instrumental in achieving the Quadruple Aim’s goal of enhancing overall community health.

Costs

The financial landscape of healthcare is intricately tied to the effectiveness and efficiency of care. EBP interventions, notably those targeting healthcare-associated infections and inappropriate care, directly contribute to cost reduction (Lavenberg et al., 2019). The integration of best available evidence into decision-making not only strengthens the safety and quality of care but optimizes the value of care delivered. EBP, thus, becomes a strategic tool in aligning with the Quadruple Aim’s imperative of cost-effectiveness.

Work-Life of Healthcare Providers

A satisfied and engaged healthcare workforce is pivotal to achieving the Quadruple Aim. EBP interventions, such as communication skills training, psychiatric interventions, and mindfulness practices, emerge as evidence-based strategies to combat burnout and enhance the well-being of healthcare providers (Aryankhesal et al., 2019). By recognizing and addressing burnout, organizations create an environment conducive to productivity and job satisfaction, contributing to the Quadruple Aim’s fourth element.

Conclusion

The connection between Evidence-Based Practice and the Quadruple Aim is symbiotic, each reinforcing the other in the pursuit of healthcare excellence. EBP, with its emphasis on informed decision-making, quality care, and workforce well-being, acts as a linchpin in realizing the Quadruple Aim. As healthcare organizations embrace this synergy, the trajectory towards patient-centered, cost-effective, and provider-supportive care is illuminated, heralding a new era of healthcare excellence.

References

Allen, P., Jacob, R. R., Lakshman, M., Best, L. A., Bass, K., & Brownson, R. C. (2018). Lessons Learned in Promoting Evidence-Based Public Health: Perspectives from Managers in State Public Health Departments. Journal of Community Health, 43(4), 856-863.

Aryankhesal, A., Mohammadibakhsh, R., Hamidi, Y., Alidoost, S., Bahzadifar, M., Sohrabi, R., … & Farhadi, Z. (2019). Interventions on reducing burnout in physicians and nurses: A systematic review. Medical Journal of the Islamic Republic of Iran, 33, 77.

Dorvil, B. (2018). The secrets to successful nurse bedside shift report implementation and sustainability. Nursing Management, 49(6), 20-25.

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 (EPC) on Nursing policy and Practice. Worldviews on Evidence Based Nursing, 16(1), 4-11.

NURS 6052/5052 EB001 Quadruple Aim and Evidence-Based Practice Assignment Example Four

The Quadruple Aim has recently gained prominence, underscoring the significance of the healthcare system and its workforce. The primary objective is to enhance job satisfaction among healthcare employees. Despite the widespread acceptance of evidence-based practice (EBP), its implementation has been inconsistent. This essay looaks at the connection between EBP and the Quadruple Aim, scrutinizing whether the link is direct or indirect.

The Quadruple Aim prioritizes acknowledging the healthcare system’s efforts in population health, enhancing patient experience, and lowering healthcare service costs. It addresses the dissatisfaction among healthcare workers due to workplace challenges like incivility, work overload, neglect, and disrespect (Sikka et al., 2015). While EBP may not directly address these issues, some connections emerge, primarily because the Quadruple Aim closely ties the healthcare system to all aspects of the Triple Aim.

Addressing the first Quadruple Aim point, patient experience, EBP significantly contributes. Although EBP’s goal is to enhance healthcare service quality and patient outcomes, Kim et al. (2016) find no direct correlation between EBP implementation and improved patient outcomes. However, Crabtree et al. (2016) argue that EBP implementation increases nurses’ confidence, enhancing their ability to search literature and evaluate evidence. While these skills may not directly impact patient experience, they signify professional development, ultimately elevating healthcare service quality.

In terms of the second key point, population health, EBP positively influences healthcare service quality by mitigating excessive workforce turnover. Sikka et al. (2015) highlight alarming statistics – 60% of physicians contemplate leaving practice, and at least 70% know a colleague who left due to poor morale. EBP’s widespread implementation could address turnover, alleviating the incivility issue. Enhanced communication and relationships in working groups fostered by EBP would prevent workplace incivility, potentially retaining more employees and attracting more people to healthcare services.

These arguments extend to healthcare service costs. Resolving turnover problems through EBP could decrease healthcare service costs (Kim et al., 2016). Although evidence for a direct correlation between job satisfaction and EBP use is lacking, a connection exists between job satisfaction and the confidence gained from EBP implementation.

In conclusion, EBP’s use in the Triple Aim approach may be described as indirect. However, in the Quadruple Aim approach, it is directly linked to the healthcare system, significantly influencing other aspects. While EBP primarily targets patient safety and healthcare system improvement, its widespread implementation could address workforce turnover issues. This, in turn, would benefit the overall healthcare system and population health.

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, 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.

Sikka, R., Morath, J. M., & Leape, L. (2015). The Quadruple Aim: Care, health, cost and meaning in work. BMJ Quality & Safety, 24, 608–610.

NURS 6052/5052 EB001 Quadruple Aim and Evidence-Based Practice Assignment Example Five

The Triple Aim aimed to enhance healthcare organizations by improving patient care quality, population health, and reducing costs, but it overlooked the well-being of healthcare workers. The Quadruple Aim added the improvement of the work-life of healthcare workers to address this gap. Evidence-based practices (EBP) play a significant role in the Quadruple Aim, enhancing efficiency and effectiveness by incorporating scientifically tested methodologies (Lavenberg et al., 2019).

EBP impacts patient experience by emphasizing practices like proper hand hygiene and equipment changes to prevent hospital-acquired infections. Updated treatment protocols through EBP contribute to positive patient outcomes and reduce medical errors, especially with interprofessional collaboration (IPC), which involves patients in their management, enhancing their experiences (Reeves et al., 2017).

In population health, EBP allows public health workers to promote best practices, such as targeted vaccinations, efficiently using scarce resources to prevent diseases. Adequate resources and time are crucial for optimal EBP utilization in population health (Lhachimi et al., 2016).

EBP influences the cost of care by providing estimations and analyses that guide crucial actions, eliminating redundant laboratory tests, and promoting cost-effective use. Practices like interprofessional collaboration empower clinicians, boosting morale and job satisfaction. However, successful implementation requires training healthcare professionals in EBP, and there is a need to expedite the development of evidence-based practices to reduce the time between research and implementation (Eaton et al., 2017).

In conclusion, evidence-based practices contribute to achieving the Quadruple Aim by improving patient care, healthcare worker satisfaction, reducing costs, and promoting population health. However, barriers need addressing to facilitate the effective implementation of evidence-based practices.

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 (EPC) on Nursing policy and Practice. Worldviews on Evidence-Based Nursing, 16(1), 4-11.

Reeves, S., Pelone, F., Harrison, R., Goldman, J., & Zwarenstein, M. (2017). Interprofessional collaboration to improve professional practice and healthcare outcomes. Cochrane Database of Systematic Reviews, 2017(6), CD000072.

Lhachimi, S. K., Nusselder, W. J., Smit, H. A., Baili, P., Bennett, K., Fernandez, E., … & Mackenbach, J. P. (2016). Potential health gains and health losses in eleven EU countries attainable through feasible prevalences of the life-style related risk factors alcohol, BMI, and smoking: a quantitative health impact assessment. BMC Public Health, 16(1), 734.

Eaton, S. L., Day, L. E., & Hutchinson, M. (2017). Evidence-based practice in nursing education: Assisting future nurses to facilitate evidence-based practice among students. Nurse Education in Practice, 22, 39-44.

NURS 6052/5052 EB001 Quadruple Aim and Evidence-Based Practice Assignment Example Six

Evidence-Based Practice (EBP) and the Quadruple Aim play crucial roles in enhancing healthcare equality, improving patient outcomes, reducing hospital costs, and enhancing the work life of clinicians (Malnyk, Gallagher-Ford, & Fineout-Overholt, 2016). EBP is an approach that utilizes the best evidence to inform nursing practice, aiming to achieve optimal patient outcomes (Melnyk & Fine-Overhold, 2018). The Quadruple Aim focuses on improving patient care experience, population health, reducing healthcare costs, and enhancing the well-being of healthcare workers (Sikka, Morath, & Leape, 2015). Both EBP and the Quadruple Aim are interdependent, with the successful implementation of one requiring the support of the other.

EBP significantly contributes to the achievement of the Quadruple Aim across its four measures: patient experience, population health, cost, and the work life of healthcare providers. Patient experience is positively impacted by incorporating EBP into care delivery, such as implementing evidence-based practices like hourly rounding, which is proven to enhance patient satisfaction (Lavenberg et al., 2019).

Population health benefits from EBP by addressing population characteristics, needs, values, and preferences. EBP supports the development of accessible tools and interventions to improve population health, particularly in managing prevalent comorbidities like heart failure, diabetes, and obesity (Jacobs et al., 2012). Efficient utilization of EBP in population health promotes cost-effective practices by reducing hospitalizations, tests, and doctor visits, thus aligning with the cost measure of the Quadruple Aim (Lhachimi et al., 2016).

EBP contributes to cost reduction by providing estimations and analyses guiding cost-effective care. It eliminates redundant laboratory tests, allowing for optimal resource utilization. Additionally, EBP, including interprofessional collaboration, empowers clinicians, leading to higher job satisfaction and morale, ultimately impacting healthcare costs positively (Eaton et al., 2017).

The fourth goal of the Quadruple Aim, the work life of healthcare providers, is foundational for achieving the other three aims. Burnout and stress among healthcare providers can negatively impact patient outcomes. EBP interventions, such as workload reduction and stress management, enhance the work life of healthcare providers, resulting in improved patient care (Bodenheimer & Sinsky, 2014).

In conclusion, the successful implementation of the Quadruple Aim requires prioritizing EBP in healthcare organizations. Achieving the fourth aim is integral to realizing the other three goals, emphasizing the importance of a healthy and engaged healthcare workforce (Sikka et al., 2015).

References

Bodenheimer, T., & Sinsky, C., (2014). From triple to quadruple aim: Care of the patient requires care of the provider. Annual Family Medicine, 12(6), 573-576. https://doi.org/10.1370/afm.1713

Eaton, S. L., Day, L. E., & Hutchinson, M. (2017). Evidence-based practice in nursing education: Assisting future nurses to facilitate evidence-based practice among students. Nurse Education in Practice, 22, 39-44. https://doi.org/10.1016/j.nepr.2016.11.001

Jacobs, J. A., Jones, E., Gabella, B. A., Springs, B., & Brownson, R. C. (2012). Tools for implementing an evidence-based approach in public health practice. Preventing Chronic Disease, 9(1). https://doi.org/10.5888/pcd9.110324

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 center on nursing policy and practice. Worldviews on Evidence-Based Nursing, 16(1). https://doi.org/10.1111/wvn.12346

Malnyk, B. M., Gallagher-Ford, L., & Fineout-Overholt, E. (2016). Improving healthcare quality, patient outcomes, and costs with evidence-based practice. Reflections on Nursing Leadership, 43(3), 1-8. Retrieved from

Melnyk, B. M., & Fine-Overhold, E. (2018). Making the case for evidence-based practice and cultivating a spirit of inquiry. In B. M. Melnyk & E. Fine-Overhold (Eds.), Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed., p. 7-32). Philadelphia, PA: Wolters Kluwer.

Sikka, R., Morath, J. M., & Leape, L. (2015). The quadruple aim: Care, health, cost, and meaning in work. BMJ Quality & Safety, 24(), 608-610. https://doi.org/10.1136/bmjqs-2015-004160

NURS 6052/5052 EB001 Quadruple Aim and Evidence-Based Practice Assignment Example Seven

The Quadruple Aim, an extension of the Triple Aim, was developed by the Institute for Healthcare Improvement to enhance healthcare delivery efficiency. Comprising reducing costs, improving population health and patient experience, and healthcare team well-being, it is closely intertwined with evidence-based practice (EBP) as a strategy for achieving its goals (Arnetz et al., 2020).

EBP significantly influences the first goal of the Quadruple Aim, improving patient experience. It serves as the foundation for quality patient care, incorporating validated research evidence, clinical expertise, and patient preferences. EBP ensures nurses are updated on the latest research and medical protocols, allowing for informed decision-making and increased patient involvement in care plans, ultimately enhancing the patient experience (Kim et al., 2019).

The second goal, improving population health, is directly impacted by EBP. EBP aligns with evidence-based public health, facilitating informed decisions based on researched methods and data collection tools. This approach improves the quality of services provided to the population, optimizes the use of public health resources, and enhances prevention programs and policies (Brownson et al., 2018).

Addressing the third goal, EBP influences cost in healthcare by analyzing its Return on Investment (ROI). Although initial implementation may incur expenses, the long-term benefits, such as optimized drug use leading to cost reduction and improved patient outcomes, outweigh the initial costs. EBP’s focus on cost-effective care and reducing hospital visits contributes to achieving the Quadruple Aim’s cost-related goal (Walewska-Zielecka et al., 2021).

The fourth goal, healthcare team well-being, is an area where EBP plays a crucial role. EBP empowers healthcare professionals, mitigating stress, burnout, and depression. Empowered professionals lead to increased job satisfaction, better performance, and improved patient outcomes. EBP includes strategies like flexible schedules and participation in health and wellness programs, fostering a positive work environment (Chen et al., 2021; Armstrong, 2019).

In conclusion, EBP is integral to achieving the Quadruple Aim. It enhances patient experience, improves population health, optimizes healthcare costs, and positively impacts the well-being of healthcare providers. Prioritizing EBP is essential for a holistic and successful approach to healthcare delivery.

References

Arnetz, B. B., Goetz, C. M., Arnetz, J. E., Sudan, S., VanSchagen, J., Piersma, K., & Reyelts, F. (2020). Enhancing healthcare efficiency to achieve the quadruple aim: An exploratory study. BMC Research Notes, 13(1), 362.

Brownson, R. C., Fielding, J. E., & Green, L. W. (2018). Building capacity for evidence-based public health: Reconciling the pulls of practice and the push of research. Annual Review of Public Health, 39(1), 27-53.

Chen, M., Ran, B., Gao, X., Yu, G., Wang, J., & Jagannathan, J. (2021). Evaluation of occupational stress management for improving performance and productivity at workplaces by monitoring the health, well-being of workers. Aggression and Violent Behavior, 12(2), 101713.

Kim, J. S., Gu, M. O., & Chang, H. (2019). Effects of an evidence-based practice education program using multifaceted interventions: A quasi-experimental study with undergraduate nursing students. BMC Medical Education, 19(1), 71.

Walewska-Zielecka, B., Religioni, U., Soszyński, P., & Wojtkowski, K. (2021). Evidence-based care reduces unnecessary medical procedures and healthcare costs in the outpatient setting. Value in Health Regional Issues, 25(2), 23-28.

Cullen, L., & Hanrahan, K. (2018). Evidence-based practice and the bottom line: An issue of cost. Healthcare Financial Management Association.

Armstrong, G. (2019). Quality and Safety Education for Nurses teamwork and collaboration competency: Empowering nurses. The Journal of Continuing Education in Nursing, 50(6), 252-255.

Detailed Assessment Description of the NURS 6052/5052 EB001 Quadruple Aim and Evidence-Based Practice Assignment

Evidence-Based Practice and the Quadruple Aim

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.

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 NURS 5052/NURS 6052/NURS 6052N/NRSE 6052C/NURS 6052C/NURS 5052C/NURS 6052A/NRSE 6052A: Essentials of Evidence-Based Practice.

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.
• Click the Week 1 Assignment Rubric to review the Grading Criteria for the Assignment.
• Click the Week 1 Assignment link. You will also be able to “View Rubric” for grading criteria from this area.
• Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK1Assgn+last name+first initial.(extension)” and click Open.
• If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database.
• Click on the Submit button to complete your submission.

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