NURS 6052 Quadruple Aim and Evidence Based Practice Example

NURS 6052 Quadruple Aim and Evidence Based Practice Example

Assignment Brief: NURS 6052 – Quadruple Aim and Evidence-Based Practice

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.

Detailed Assessment Description of the NURS 6052 Quadruple Aim and Evidence-Based Practice 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.

RESOURCES

 Be sure to review the Learning Resources before completing this activity.

Click the weekly resources link to access the resources.

WEEKLY RESOURCES

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.

    Evidence Based Practice and the Quadruple Aim

To Complete:

Write a brief analysis (no longer than 2 pages) of the connection between EBP and the Quadruple Aim.

Your analysis should address how EBP might (or might not) help reach the Quadruple Aim, including each of the four measures of:

• Patient experience
• Population health
• Costs
• Work-life of healthcare providers
• Evidence-Based Practice and the Quadruple Aim

NURS 6052 Quadruple Aim and Evidence-Based Practice 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 Quadruple Aim and Evidence-Based Practice 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 Quadruple Aim and Evidence-Based Practice 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 Quadruple Aim and Evidence-Based Practice 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 Quadruple Aim and Evidence-Based Practice 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 Quadruple Aim and Evidence-Based Practice 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 Quadruple Aim and Evidence-Based Practice 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.

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