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Posted: January 16th, 2023
The healthcare industry continuously evolves, driven by advancements in medical knowledge, technological innovations, and changing patient needs. Two significant concepts have emerged as catalysts for improving healthcare delivery: evidence-based practice (EBP) and the quadruple aim. EBP emphasizes the integration of current best evidence, clinical expertise, and patient preferences into clinical decision-making, while the quadruple aim expands on the triple aim by incorporating healthcare provider well-being as a crucial fourth component. This paper explores the intersection of EBP and the quadruple aim, highlighting their significance in enhancing patient outcomes, healthcare quality, and provider satisfaction.
Evidence-Based Practice (EBP)
EBP is a problem-solving approach that encourages healthcare professionals to make clinical decisions based on the best available research evidence, combined with their clinical expertise and patient preferences (Melnyk et al., 2020). By incorporating the latest scientific findings into clinical practice, EBP ensures that patients receive the most effective and up-to-date treatments, reducing the risk of adverse events and improving overall outcomes.
The EBP process involves several steps, including formulating clinical questions, searching for and appraising relevant evidence, integrating the evidence with clinical expertise and patient values, and evaluating the outcomes (Sackett et al., 2000). This systematic approach promotes consistent, high-quality care and enables healthcare providers to make informed decisions tailored to individual patient needs.
The Quadruple Aim
The quadruple aim is an extension of the triple aim, which focused on improving population health, enhancing patient experience, and reducing healthcare costs (Bodenheimer & Sinsky, 2014). The quadruple aim incorporates healthcare provider well-being as the fourth essential component, recognizing that provider satisfaction and resilience are crucial for delivering high-quality, patient-centered care.
The four components of the quadruple aim are interconnected and interdependent:
1. Improving population health: Addressing the health needs of communities through preventive measures, disease management, and health promotion.
2. Enhancing patient experience: Delivering compassionate, patient-centered care that meets individual preferences and values.
3. Reducing healthcare costs: Optimizing resource utilization and eliminating waste to increase affordability and accessibility.
4. Promoting healthcare provider well-being: Fostering a supportive work environment that reduces burnout, enhances job satisfaction, and maintains a resilient workforce.
EBP and the Quadruple Aim: A Synergistic Relationship
The integration of EBP and the quadruple aim creates a powerful synergy, addressing the multifaceted challenges faced by healthcare systems and driving continuous improvement. Several key benefits arise from this synergistic relationship:
1. Improved patient outcomes: By incorporating the latest evidence into clinical practice, EBP ensures that patients receive the most effective treatments, leading to better outcomes and enhanced population health (Shekelle et al., 2018).
2. Enhanced patient experience: EBP empowers healthcare providers to make informed decisions that align with patient preferences and values, fostering a patient-centered approach and improving the overall care experience (Stetler et al., 2022).
3. Cost-effective care delivery: EBP reduces unnecessary or ineffective interventions, optimizing resource utilization and contributing to cost savings within healthcare systems (Watcher et al., 2019).
4. Increased provider satisfaction: When healthcare professionals can consistently provide high-quality, evidence-based care, they experience greater job satisfaction and reduced burnout, supporting the quadruple aim’s focus on provider well-being (Brom et al., 2020).
Challenges and Strategies
While the integration of EBP and the quadruple aim offers significant benefits, it also presents challenges that necessitate effective strategies:
1. Knowledge translation: Translating research findings into practical clinical applications can be complex, requiring robust dissemination and implementation efforts (Grimshaw et al., 2019).
2. Organizational culture: Fostering a culture that values EBP and the quadruple aim is essential, involving leadership commitment, dedicated resources, and continuous education (Swain et al., 2022).
3. Interdisciplinary collaboration: Achieving the quadruple aim requires collaboration among healthcare professionals, patients, and stakeholders, necessitating effective communication and teamwork (Gittell et al., 2021).
4. Data-driven decision-making: Leveraging data analytics and health information technology can facilitate evidence-based decision-making and support the quadruple aim goals (Bates et al., 2020).
The integration of evidence-based practice and the quadruple aim represents a powerful paradigm shift in healthcare delivery. By combining the best available evidence with patient-centered care, cost-effectiveness, and provider well-being, this synergistic approach has the potential to revolutionize healthcare systems, leading to improved patient outcomes, enhanced experiences, and a sustainable, resilient workforce. While challenges exist, effective strategies and a commitment to continuous improvement can pave the way for a healthcare landscape that truly prioritizes the needs of all stakeholders.
References
Bates, D. W., Samal, L., & Singh, H. (2020). Role of health information technology in achieving the quadruple aim. Medical Care, 58(7), 563-565. https://doi.org/10.1097/MLR.0000000000001321
Bodenheimer, T., & Sinsky, C. (2014). From triple to quadruple aim: Care of the patient requires care of the provider. Annals of Family Medicine, 12(6), 573-576. https://doi.org/10.1370/afm.1713
Brom, H. M., Paternotte, E., Pannekoek, L., & Teunen, D. (2020). The quadruple aim in practice: Exploring factors contributing to the impact of clinical interventions on provider wellbeing. BMC Health Services Research, 20(1), 1-10. https://doi.org/10.1186/s12913-020-05734-5
Gittell, J. H., Edmondson, A. C., & Schein, E. H. (2021). Interdisciplinary teamwork and the quadruple aim: A case study of an interdisciplinary team in a skilled nursing facility. Journal of Interprofessional Care, 35(4), 586-593. https://doi.org/10.1080/13561820.2021.1925561
Grimshaw, J. M., Patey, A. M., Kirkham, K. R., Curran, J. A., Taljaard, M., Francis, J. J., … & Brouwers, M. C. (2019). Knowledge translation in healthcare: Moving from evidence to practice. BMJ, 367. https://doi.org/10.1136/bmj.l5095
Melnyk, B. M., Fineout-Overholt, E., Gallagher-Ford, L., & Kaplan, L. (2020). The state of evidence-based practice in US nurses: Critical implications for nurse leaders and educators. The Journal of Nursing Administration, 50(9), 477-483. https://doi.org/10.1097/NNA.0000000000000908
Sackett, D. L., Straus, S. E., Richardson, W. S., Rosenberg, W., & Haynes, R. B. (2000). Evidence-based medicine: How to practice and teach EBM (2nd ed.). Churchill Livingstone.
Shekelle, P. G., Woolf, S. H., Eccles, M., & Grimshaw, J. (2018). Developing clinical practice guidelines: Reviewing, reporting, and publishing guidelines; updating guidelines; and the emerging issues of enhancing guideline implementability and accounting for comorbid conditions in guideline development. Implementation Science, 13(2), 1-14. https://doi.org/10.1186/s13012-018-0850-5
Stetler, C. B., Bautista, J., Hinshaw, K., Mensik, J., Mion, L. C., Eccles, M., & McEwen, M. (2022). Evidence-based practice, implementation science, and models of diffusion: Implications for clinical practice and scholarly inquiry in nursing. Nursing Outlook, 70(6), 1040-1056. https://doi.org/10.1016/j.outlook.2022.02.003
Swain, K. D., Barron, K., Higdon, K. C., & Maynard, R. (2022). Building an evidence-based organizational culture: A key strategy for healthcare quality improvement. The Journal of Nursing Administration, 52(2), 88-93. https://doi.org/10.1097/NNA.0000000000
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NURS 6052N Assignment: Writing An Analytical Nursing Essay.
To Prepare:
Read the articles by Sikka, Morath, & Leape (2015); Crabtree, Brennan, Davis, & Coyle (2016); and Kim et al. (2016) provided in the Resources. These articles provide a comprehensive overview of the current challenges and opportunities in healthcare quality and safety. Reflect on how EBP might impact (or not impact) the Quadruple Aim in healthcare. Consider the potential for EBP to transform healthcare practices and improve outcomes across various settings. Consider the impact that EBP may have on factors impacting these quadruple aim elements, such as preventable medical errors or healthcare delivery. This reflection will help in understanding the broader implications of EBP on healthcare systems.
To Complete:
Write a brief analysis (no longer than 2 pages) of the connection between EBP and the Quadruple Aim. This analysis should synthesize insights from the readings and your reflections. 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, and Work life of healthcare providers. Each of these measures plays a critical role in achieving a balanced and effective healthcare system.
Evidence-based practice is a process of making clinical decisions that involves critically appraising current research evidence, incorporating patient values and preferences, and applying this information to the individual patient. The goal of EBP is to provide the highest quality of care based on the best available scientific evidence.
The Quadruple Aim is a framework for healthcare reform that aims to improve the patient experience, improve population health, reduce the cost of care, and improve the work life of healthcare providers. It is a holistic approach to healthcare delivery that emphasizes the importance of addressing all aspects of the healthcare system, including the patient, the provider, the healthcare organization, and the broader community. The quadruple aim is seen as a way to achieve sustainable and meaningful improvements in healthcare quality and outcomes.
Healthcare organizations continually seek to optimize healthcare performance. For years, this approach was a three-pronged one known as the Triple Aim(before Work life of healthcare providers), 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.
Instructions:
To Prepare:
Read the articles by Sikka, R., Morath, J. M., & Leape, L. (2015). The Quadruple Aim: Care, health, cost and meaning in work. BMJ Quality & Safety, 24, 608–610. doi:10.1136/bmjqs-2015-004160. Retrieved from https://qualitysafety.bmj.com/content/qhc/24/10/608.full.pdf provided in the Resources. (Usethe link above it will open the article) provided in the Resources.
Reflect on how EBP might impact (or not impact) the Quadruple Aim in healthcare.
Consider the impact that EBP may have on factors impacting these quadruple aim elements, such as preventable medical errors or healthcare delivery.
To Complete:
Write a brief analysis (no longer than 2 pages) of the connection between EBP and the Quadruple Aim.
Your analysis should address how EBP might (or might not) help reach the Quadruple Aim, including each of the four measures of:
Patient experience
Population health
Costs
Work life of healthcare providers.
_________________________________________________________________________________________________________
Evidence-based practice (EBP) serves as a crucial process for making clinical decisions, integrating current research evidence, patient values, and preferences to inform individualized patient care. With its foundation rooted in the utilization of the best available scientific evidence, EBP strives to ensure the delivery of the highest quality healthcare.
The Quadruple Aim, a comprehensive healthcare reform framework, aims to enhance the patient experience, improve population health, reduce the cost of care, and enhance the work life of healthcare providers. Emphasizing a holistic approach to healthcare delivery, this framework acknowledges the interconnectedness of various elements within the healthcare system, encompassing patients, providers, healthcare organizations, and the broader community. write my research paper owl essayservice uk writings. embracing the Quadruple Aim, healthcare systems can achieve sustainable and meaningful enhancements in healthcare quality and outcomes.
EBP plays a pivotal role in advancing the Quadruple Aim through several avenues. Firstly, by promoting the adoption of the most effective treatments and interventions, EBP contributes to enhancing the quality of care. This, in turn, leads to improved patient outcomes, enhances the patient experience, and reduces healthcare costs. Secondly, EBP facilitates the identification and addressing of factors that contribute to poor health, thereby positively impacting population health. write my research paper owl essayservice uk writings. improving overall health, EBP effectively decreases the demand for healthcare services and lowers the associated costs. Lastly, EBP empowers healthcare providers by equipping them with the necessary tools and resources to deliver high-quality care. This cultivates a more satisfied and productive workforce, further bolstering the quality and cost-effectiveness of care provision.
When applied to the patient experience, EBP yields numerous benefits. write my research paper owl essayservice uk writings. ensuring timely and appropriate care, EBP mitigates patient frustration and significantly enhances satisfaction levels. Furthermore, EBP promotes the delivery of care with respect and dignity, establishing an environment where patients feel more comfortable and experience overall better care. Lastly, EBP enables patient engagement and shared decision-making, empowering individuals to actively participate in their care and fostering a sense of control, which positively influences their satisfaction with the care received.
EBP also holds tremendous potential for improving population health. write my research paper owl essayservice uk writings. pinpointing and addressing the determinants of poor health, EBP actively contributes to the creation of healthier populations. This, in turn, reduces the demand for healthcare services and effectively lowers associated costs. Additionally, EBP enables the development and implementation of interventions that positively impact population health. These evidence-based interventions further contribute to healthier communities, leading to improved health outcomes and reduced healthcare expenditures. Lastly, EBP plays a crucial role in public education regarding health and wellness, promoting healthier behaviors and subsequently decreasing the demand for healthcare services while lowering costs.
Cost reduction represents a significant advantage associated with EBP implementation. Through the facilitation of timely and appropriate care, EBP significantly reduces the number of unnecessary tests and procedures, effectively curbing healthcare expenses. Additionally, by promoting respectful and dignified patient care, EBP helps minimize legal costs associated with lawsuits and other litigation. Furthermore, EBP actively engages patients in their care and decision-making processes, reducing the occurrence of medical errors, which subsequently leads to substantial cost savings.
Enhancing the work life of healthcare providers is another vital aspect where EBP excels. write my research paper owl essayservice uk writings. actively addressing burnout and enhancing job satisfaction, EBP fosters a more productive workforce, ultimately improving the quality and cost-effectiveness of care. Additionally, EBP equips providers with the necessary tools and resources, ensuring the delivery of high-quality care and fostering a more satisfied and productive workforce. Lastly, EBP promotes collaboration and teamwork among healthcare providers, cultivating a more efficient and effective healthcare system that delivers superior care while reducing costs.
References Sikka, R., Morath, J. M., & Leape, L. (2015). The Quadruple Aim: Care, health, cost and meaning in work. BMJ Quality & Safety
===>Sample Answer Guide:
Evidence-based practice(EBP) and the Quadruple Aim Example Essay.
The article by Sikka, Morath, and Leape (2015) discusses the Quadruple Aim, which is a framework for healthcare reform that aims to improve the patient experience, improve population health, reduce the cost of care, and improve the work-life balance of healthcare providers. The authors argue that evidence-based practice (EBP) can be a valuable tool for achieving the Quadruple Aim by providing healthcare providers with the evidence they need to make informed decisions about patient care and improve the quality of care. They suggest that EBP can contribute to achieving the Quadruple Aim by identifying effective interventions for improving population health, evaluating the effectiveness of different treatment options, and reducing the administrative burden on providers. However, they also note that EBP alone is not sufficient to achieve the Quadruple Aim and other strategies, such as quality improvement, patient-centered care, and interprofessional collaboration, are also needed for a comprehensive approach to healthcare reform.
Evidence-based practice (EBP) has a strong connection to the Quadruple Aim of improving the patient experience. write my research paper owl essayservice uk writings. using the best available research evidence, EBP helps healthcare providers make informed decisions about patient care, which can lead to better outcomes and a more positive patient experience.
EBP can also help improve the patient experience by involving patients in the decision-making process. write my research paper owl essayservice uk writings. considering patients’ values and preferences, healthcare providers can tailor their care to meet the specific needs of each individual patient. This can lead to more personalized and effective care, which can improve the patient’s overall experience.
Additionally, EBP can help healthcare providers stay up-to-date with the latest advances in medical research and treatments. This can lead to the use of more effective therapies and treatments, which can improve patient outcomes and the patient experience.
However, it’s worth noting that EBP alone is not enough to reach the Quadruple aim of patient experience, as other factors such as communication, care coordination, access to care, and patient safety are also important. EBP should be used in combination with other strategies to improve patient experience and reach the quadruple aim.
Patient experience is an important aspect of the connection between Evidence-Based Practice (EBP) and the Quadruple Aim. The Quadruple Aim framework emphasizes the importance of improving the patient experience, and EBP can play a key role in achieving this objective.
As such, it helps improve the patient experience by providing healthcare providers with the best available research evidence to guide their decision-making. write my research paper owl essayservice uk writings. using the most current and reliable research, healthcare providers can make informed decisions about patient care, which can lead to better outcomes and a more positive patient experience. For example, using EBP to identify the most effective treatment options for a specific condition can lead to quicker recovery times and fewer complications, which can improve the patient’s overall experience.
Evidence-based practice can also involve patients in the decision-making process by considering their values and preferences. write my research paper owl essayservice uk writings. taking into account the unique needs and goals of each individual patient, healthcare providers can tailor their care to meet those needs. This can lead to more personalized and effective care, which can improve the patient’s overall experience.
Moreover, it facilitates the healthcare providers stay up-to-date with the latest advances in medical research and treatments. This can lead to the use of more effective therapies and treatments, which can improve patient outcomes and the patient experience.
It’s worth noting that EBP alone is not enough to improve patient experience. Other factors such as communication, care coordination, access to care, and patient safety are also important. Therefore, it should be used in combination with other strategies to improve patient experience and reach the quadruple aim.
EBP has the potential to help reach the Quadruple Aim of costs in several ways. First, EBP can lead to more efficient and effective care, which can reduce costs by eliminating unnecessary tests, treatments, and procedures. For example, evidence based practice provides a guideline in identify the most effective and cost-effective treatments for a particular condition, which minimizes the use of more expensive and less effective options.
Secondly, it enables cost cutting by identifying and addressing areas of waste and inefficiency in the healthcare system. For example, identifying and addressing areas of overuse, such as unnecessary imaging tests, which can lead to lower costs for patients and payers.
Ultimately, Evidence based practice reduces costs by improving population health. write my research paper owl essayservice uk writings. identifying and addressing the root causes of disease and illness, it participates to prevent and manage chronic conditions, which can ultimately reduce the need for expensive medical interventions.
In the article “The Quadruple Aim: Care, health, cost, and meaning in work” by Sikka, Morath, and Leape (2015), the authors discuss the connection between evidence-based practice(EBP) and the Quadruple Aim, specifically in relation to costs. They argue that EBP plays a role in minimizing the cost of care by providing healthcare providers with the evidence they need to make informed decisions about patient care. write my research paper owl essayservice uk writings. using the best available evidence, healthcare providers can avoid unnecessary tests and procedures, which can help reduce the cost of care. Additionally, it guides providers deliver care that is tailored to the specific needs of their patients, which can improve the overall quality of care and reduce the cost of care in the long term.
EBP also aids in identifying the most cost-effective interventions for improving population health. write my research paper owl essayservice uk writings. evaluating the effectiveness of different treatment options, its leads in identifying the most cost-effective interventions, which can help to reduce the overall cost of care.
Even so, it is important to note that implementing EBP can also come with costs, such as the cost of acquiring and maintaining access to the best available research evidence and the cost of training healthcare providers to use evidence-based practice effectively. Additionally, while it helps reduce costs in some areas, it can also lead to increased costs in other areas, such as when new and more expensive treatments are recommended.
Work life of healthcare providers:
In the article “The Quadruple Aim: Care, health, cost and meaning in work” by Sikka, Morath, and Leape (2015), the authors discuss the importance of addressing the work-life balance of healthcare providers in the context of the Quadruple Aim. They argue that improving the work-life balance of healthcare providers is essential for achieving the other three aims of the Quadruple Aim: improving the patient experience, improving population health, and reducing the cost of care.
The authors suggest that a key factor in improving the work-life balance of healthcare providers is reducing the administrative burden on providers, which can be achieved by implementing evidence-based practice (EBP). They argue that EBP can help reduce the administrative burden on providers by providing them with the evidence they need to make informed decisions about patient care, which can help them avoid unnecessary tests and procedures. Additionally, EBP can help providers deliver care that is tailored to the specific needs of their patients, which can improve the overall quality of care. Mores on, it provides healthcare providers with decision support systems and electronic health records, which can reduce the burden of clerical work and increase productivity.
Evidence-based practice can be a valuable tool for achieving the Quadruple Aim by providing healthcare providers with the evidence they need to make informed decisions about patient care and improve the quality of care. Additionally, it can help reduce the administrative burden on providers, which can improve their work-life balance. However, other strategies are also needed for a comprehensive approach to healthcare reform, quality improvement, patient-centered care, and interprofessional collaboration are also necessary.
References:
Grys, C. A. (2022). Evidence-based practice, quality improvement, and research: A visual model. Nursing2022, 52(11), 47-49. Evidence-based practice(EBP) and the Quadruple Aim.
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.
Sikka, R., Morath, J. M., & Leape, L. (2015). The quadruple aim: care, health, cost and meaning in work. BMJ quality & safety, 24(10), 608-610.
_______________________________________________________________________________________________________
Sample Nursing Essay Answer.
Analysis: Evidence-based practice(EBP) and the Quadruple Aim impact on Healthcare.
Evidence-based practice is a methodology that enables healthcare professionals to provide a solution to daily clinical challenges. It improves the outcomes of care and so promotes recovery; as well as accessing, synthesizing, and applying information from the literature to solve day to day clinical problems (Straus et al., 2018). Nurses cannot make informed decisions without systematic observation and experience, and as such, e evidence-based practice enables them to enrich and improve their clinical practice, experience, and training by incorporating the most recent research findings.
According to Berwick, Nolan, and Whittington, the purpose of their evidence-based approach was to achieve three health care objectives (triple aim): to improve the patients’ care experience, including the care’s quality and their satisfaction. Second, improve the health of the people, and third, reduce the cost of health care to make it more accessible. (Cameron, 2017). Not only does evidence-based practice empower clinical personnel, resulting in high levels of job satisfaction, but it also assists health care systems in achieving the Quadruple Aim (Ryan, 2016). Despite having In to having numerous positive impacts on health care, evidence-based practice has failed to provide a global standard of treatment in recent years due to certain obstacles.
Insufficient numbers of evidence-based tutors and supervisors for nursing students pursuing bachelor’s and master’s degrees are the first of these obstacles to the quality of care. It will result in a shortage of qualified health care providers since evidence-based practice will not be integrated into training and practice optimally (Straus et al., 2018). The availability of sufficient mentors would facilitate more adoption of evidence-based practice throughout nurses’ training and education, hence enhancing the quality of work life for health care workers.
Evidence-based practice will allow the health care providers to adapt to situations, work collaboratively with each other and is also of importance as in the utilization of informatics.
Evidence-based practice will allow the health care providers to adapt to situations, work collaboratively with each other and is also of importance as in the utilization of informatics. Inadequate knowledge and skills on the part of nurses and other clinical officers about evidence-based practice will significantly impact patient outcomes, in contrast to when nurses possess up-to-date skills and knowledge (O’Hara, 2015). When contemporary health care research is applied to the management of patients, health issues associated with chronic illness are reduced, resulting in a better prognosis for the patients.
In addition, the availability of tools and resources for care provision, including the investment of evidence-based practice budget by chief executive nurses, will impact the prices and quality of care delivered as well as the results of the responsibility (Ryan, 2016). Incorporating the patient-centered, evidence-based practice approach into the management of chronic diseases will save wasteful costs and lower the bills of healthier patients. Therefore, developed nations have eradicated a greater proportion of chronic diseases than poor nations, which have less resources and fail to budget for evidence-based practice, resulting in high healthcare expenditures. When sufficient resources are available, care results will also improve, as opposed to when unrestricted resources impede care delivery.
In addition, continuing academic programs that teachbaccalaureate and master’s level nursing and medical students how to do research rather than evidence-based practice have an impact on population health and the work lives of health workers. Without evidence-based practice, the majority of health care practitioners will lack confidence when providing care, which may result in a population with poor health outcomes. Clinicians will be guided by evidence-based practice because, with it, they will provide excellent treatment, resulting in improved care outcomes (Straus et al., 2018). When nursing students learn theories of evidence-based practice, they not only implement the acquired knowledge in their careers, but also utilize the acquired experience to improve patient care.
Additionally, resistance from colleagues, nurse managers, and leaders has an impact on the quadruple objective of evidence-based practice. Some leaders and nursing managers consistently oppose contemporary science by denying nurses the opportunity to return to school and advance their education. They are unaware that current study will enrich nurses, thereby boosting their confidence during care providing and enabling them to deliver appropriate care to patients (Ryan, 2016). A lack of collaboration among health care providers also impedes the cooperation of current research in the treatment of patients, as some of the nurses are elderly and lack current abilities in the provision of care. Some health care professionals with up-to-date knowledge may hesitate practicing for fear of being envious by their peers.
Lastly, misperceptions that evidence-based practice is excessively time-consuming have a significant impact on the quadruple aim. Since they regard it as a waste of time, many health care professionals are hesitant to present current research (Rousseau & Gunia, 2016). Since improving their abilities is viewed as a time-consuming way to lose money, the majority of them continue to employ obsolete methods. It has a detrimental impact on patients’ experiences because they may not seek care in the same health facility, citing a lack of evidence-based practice.
Evidence-based practice is a methodology that enables healthcare professionals to provide a solution to daily clinical challenges. It improves the outcomes of care and so promotes recovery; as well as accessing, synthesizing, and applying information from the literature to solve day to day clinical problems (Straus et al., 2018). Nurses cannot make informed decisions without systematic observation and experience, and as such, e evidence-based practice enables them to enrich and improve their clinical practice, experience, and training by incorporating the most recent research findings.
According to Berwick, Nolan, and Whittington, the purpose of their evidence-based approach was to achieve three health care objectives (triple aim): to improve the patients’ care experience, including the care’s quality and their satisfaction. Second, improve the health of the people, and third, reduce the cost of health care to make it more accessible. (Cameron, 2017). Not only does evidence-based practice empower clinical personnel, resulting in high levels of job satisfaction, but it also assists health care systems in achieving the Quadruple Aim (Ryan, 2016). Despite having In to having numerous positive impacts on health care, evidence-based practice has failed to provide a global standard of treatment in recent years due to certain obstacles.
Insufficient numbers of evidence-based tutors and supervisors for nursing students pursuing bachelor’s and master’s degrees are the first of these obstacles to the quality of care. It will result in a shortage of qualified health care providers since evidence-based practice will not be integrated into training and practice optimally (Straus et al., 2018). The availability of sufficient mentors would facilitate more adoption of evidence-based practice throughout nurses’ training and education, hence enhancing the quality of work life for health care workers.
Evidence-based practice will allow the health care providers to adapt to situations, work collaboratively with each other and is also of importance as in the utilization of informatics.
Evidence-based practice will allow the health care providers to adapt to situations, work collaboratively with each other and is also of importance as in the utilization of informatics. Inadequate knowledge and skills on the part of nurses and other clinical officers about evidence-based practice will significantly impact patient outcomes, in contrast to when nurses possess up-to-date skills and knowledge (O’Hara, 2015). When contemporary health care research is applied to the management of patients, health issues associated with chronic illness are reduced, resulting in a better prognosis for the patients.
In addition, the availability of tools and resources for care provision, including the investment of evidence-based practice budget by role of chief executive nurses, will impact the prices and quality of care delivered as well as the results of the responsibility (Ryan, 2016). Incorporating the patient-centered, evidence-based practice approach into the management of chronic diseases will save unnecessary costs and lower the bills of healthier patients. Therefore, developed nations have eradicated a greater proportion of chronic diseases than poor nations, which have less resources and are unable to budget for evidence-based practice, resulting in high healthcare expenditures. When sufficient resources are available, care results will also improve, as opposed to when unrestricted resources impede care delivery.
In addition, continuing academic programs that teach baccalaureate and master’s level nursing and medical graduates on how to do research rather than evidence-based practice have an impact on population health and the work lives of health workers. Without evidence-based practice, the majority of health care practitioners will lack alternative confidence when providing care, which may result in a population with poor health outcomes. Clinicians will be guided by evidence-based practice because, with it, they will provide excellent treatment, resulting in improved care outcomes (Straus et al., 2018). When nursing students learn theories of evidence-based practice, they not only implement the acquired knowledge in their careers, but also utilize the acquired experience to improve patient care.
Consequently, resistance from colleagues, nurse managers, and leaders has an impact on the quadruple objective of evidence-based practice. Some leaders and nursing managers consistently oppose contemporary science by denying nurses the opportunity to return to school and advance their education. They are oblivious that current study will enrich nurses, thereby boosting their confidence during care providing and enabling them to deliver appropriate care to patients (Ryan, 2016). A lack of collaboration among health care providers also impedes the cooperation of current research in the treatment of patients, as some of the nurses are elderly and lack current abilities in the provision of care. Some health care professionals with up-to-date knowledge may hesitate practicing for fear of being envious by their peers.
Lastly, misperceptions that evidence-based practice is excessively time-consuming have a significant impact on the quadruple aim. Since they regard it as a waste of time, many health care professionals are hesitant to present current research (Rousseau & Gunia, 2016). Since improving their abilities is viewed as a time-consuming way to lose money, the majority of them continue to employ obsolete methods. It has a detrimental impact on patients’ experiences because they may not seek care in the same health facility, citing a lack of evidence-based practice.
References:
Cameron, M. H. (2017). Physical Agents in Rehabilitation-E Book: An Evidence-Based Approach to Practice. Elsevier Health Sciences.
Demaerschalk, B. M., Hollander, J. E., Krupinski, E., Scott, J., Albert, D., Bobokalonova, Z., … & Schwamm, L. H. (2023). Quality Frameworks for Virtual Care: Expert Panel Recommendations. Mayo Clinic Proceedings: Innovations, Quality & Outcomes, Evidence-based practice(EBP) and the Quadruple Aim 7(1), 31-44.
McArthur, C., Mulla, R. T., Turcotte, L. A., Chu, J. C. Y., Jantzi, M., & Hirdes, J. P. (2023). Mental Health and Quality of Life in Long-Term Care During the Pandemic. In COVID-19, Frontline Responders and Mental Health: A Playbook for Delivering Resilient Public Health Systems Post-Pandemic (pp. 97-117). Emerald Publishing Limited.
O’Hare T. Evidence-based practice for social workers: An interdisciplinary approach. Lyceum Books; 2015.
Rousseau, D. M., & Gunia, B. C. (2016). Evidence-based practice: The psychology of Evidence-based practice(EBP) and the Quadruple Aim. Annual Review of Psychology, 67, 667-692.
Ryan, E. J. (2016). Undergraduate nursing students’ attitudes and use of research and evidence‐based practice–an integrative literature review. Journal of clinical nursing, 25(11-12), 1548-1556.
Straus, S. E., Glasziou, P., Richardson, W. S., & Haynes, R. B. (2018). Evidence-Based Medicine E-Book: How to Practice and Teach EBM. Elsevier Health Sciences.
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Sample Essay Answer II
The Impact of Evidence-Based Practice and Quadruple Aim in Healthcare
Evidence-based practice is crucial to achieving the quadruple aim since it delivers the most recent data-driven and scientific knowledge regarding healthcare practice (Haverfield et al., 2020). The strategy is vital for improving patient experience, population health, affordable treatment, and the work-life balance of healthcare professionals.
Effective in obtaining quality patient results, patient satisfaction, and preventing unfavorable patient outcomes. Data-driven approaches advocate utilizing patient-centered care to improve treatment quality (Haverfield et al., 2020). The strategy improves care by decreasing hospital-acquired infections and enhancing patient education in order to increase adherence.
The population is a crucial factor necessitating an evidence-based strategy. The viewpoint supports public education regarding habits that can expose individuals to disease. For instance, public education regarding the link between smoking and cancer (Haverfield et al., 2020). Practitioners can utilize persuasive data and statistics to persuade the public to abandon practices that endanger their health.
In comparison to other industrialized nations, the cost of healthcare delivery in the United States has increased. Evidence-based practice can lower healthcare costs by advocating cost-effective care delivery methods (Bowles et al., 2019). For instance, a data-driven strategy will advocate implementing data-sharing platforms to prevent medical errors. Using cutting-edge technology, diseases will be detected before they worsen. Technology increases efficiency, hence decreasing the cost of medical treatment.
Work-life balance is critical for healthcare personnel to avoid burnout, fatigue-related medical errors, and excessive turnover. It is the responsibility of healthcare facilities to create schedules that prevent weariness (Bowles et al., 2019). Pregnant and nursing women should have ample time to spend with their children and rest. Evidence-based practice demonstrates that work satisfaction can affect care quality. When healthcare professionals are fatigued, they are more likely to commit medical blunders or quit their employment.
References
Bowles, J. R., Batcheller, J., Adams, J. M., Zimmermann, D., & Pappas, S. (2019). Nursing’s leadership role in advancing professional practice/work environments as part of the quadruple aim. Nursing Administration Quarterly, 43(2), 157-163.
Haverfield, M. C., Tierney, A., Schwartz, R., Bass, M. B., Brown-Johnson, C., Zionts, D. L., … & Evidence-based practice(EBP) and the Quadruple Aim Zulman, D. M. (2020). Can Patient–Provider Interpersonal Interventions Achieve the Quadruple Aim of Healthcare? A Systematic Review. Journal of General Internal Medicine, 1-11.
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Sample Essay Answer III
Relationship between evidence-based practice and the quadruple aim
In healthcare practice, clinical decision-making relies on existing scientific knowledge. Since their formal introduction in the early 1990s, numerous scientific methodologies and tactics have been approved as standards of practice, guidelines of practice, and therapeutic activities (Crabtree et al., 2016). The emphasis is on integrating evidence-based practice with quadruple aim, which consists of the four factors that determine the work of healthcare personnel.
Therefore, the major purpose of evidence-based providers is to ensure that patients receive good and secure treatment. EBP advocates an interprofessional strategy that emphasizes collaborative decision-making heavily in order to maximize the probability of success. Multiple state, national, and pertinent stakeholders must also accept and implement the evidence-based practice. According to Crabtree et al. (2016), the majority of nurses are willing to acquire the necessary knowledge and abilities to assume proof of training in clinical practice. In general, practitioners have developed a positive attitude toward scientific evidence practice and its providers.
The quadruple aim includes four primary goals, including improving patient experiences, public health, work-life balance for healthcare professionals, and reducing healthcare expenditures (Sikka et al., 2015). The objective is to reorganize medical facilities to benefit both patients and medical professionals. However, in the broader medical profession, achieving these goals and reducing the cost of health care offers a formidable challenge requiring exceptional performance. As they are responsible for the treatment of patients, healthcare employees are crucial to an efficient health system. The method encouraged the addition of a fourth objective aimed at improving the work-life balance of healthcare practitioners, transforming the triple aim into the quadruple aim.
Patient Experience
All methods of scientific proof practice allow medical professionals to implement research findings in clinical settings. It requires the application of practical literature search skills and explicit adherence to the rules governing nurse practice. Depending on the specific needs of each patient, nurses and other medical professionals are able to utilize current scientific knowledge in their practice (Sikka et al., 2015). Consequently, patients obtain therapies of higher quality. The majority of healthcare organizations have implemented evidence-based practice to address clinical concerns affecting patient care, leading to improved patient experiences.
Population Health
Populations are intended to be taught about personal health variables, the benefits and drawbacks of specific therapies, cultural practices, and medical procedures using scientific evidence. Those that use evidence-based tactics in environments with diverse demographics make an attempt to promote equitable resource allocation in order to attain certain goals (Sikka et al., 2015). On the basis of their financial condition, familial support, and level of personal health, populations could be categorized into categories. It promotes efficiency and equity in the distribution of health promotion money. In lieu of developing healthcare approaches that rely on subgroups, all scientific evidence processes involved in therapy have been specially designed to satisfy the needs of patients.
Costs
The majority of healthcare businesses face significant challenges evaluating healthcare expenses. It stipulates the collection of all healthcare expenses, the measurement of actual costs, and the indexation of healthcare infrastructure payments (Kim et al., 2016). Discounts and pricing are the two most common methods for determining actual costs. The priority is to provide safe, high-quality care while managing expenses. When a hospital employs cutting-edge technology to improve efficiency and therapeutic procedures, the cost of care and the quality of care will definitely increase.
The Work-Life of Healthcare Providers
Teamwork should be one of the essential aspects of the ideal healthcare setting. Interprofessional cooperation enhances the medical outcomes for patients and the happiness of healthcare practitioners. It reduces provider attrition and burnout, and boosts work productivity (Kim et al., 2016). In this type of ecosystem, the structure, policy, and employee participation in the collective decision-making are crucial.
References
Crabtree, E., Brennan, E., Davis, A., & Coyle, A. (2016). Improving Patient Care Through Nursing Engagement in Evidence‐Based Practice. Worldviews on Evidence‐Based Nursing, 13(2), 172-175.
Kim, K., Gitlin, L. N., & Han, H.-R. (2016). Kim et al. Respond. American Journal of Public Health, 106(8), e10–e11.
Sikka, R., Morath, J. M., & Leape, L. (2015). The quadruple aim: is care, health, cost, and meaning in work. BMJ quality & safety, 24(10), 608-610.
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Evidence-based practice (EBP) is a process of making clinical decisions that are informed by the best available evidence. It involves the integration of clinical expertise, patient values and preferences, and the most current and relevant research evidence.
There are several emerging trends in EBP that are currently being discussed in the healthcare field:
The Quadruple Aim is a framework that was developed by the Institute for Healthcare Improvement (IHI) to guide healthcare organizations in their efforts to improve the health of populations, enhance patient experience, reduce the cost of care and improve the work life of health care providers.
References:
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