Sample Answer for EVIDENCE-BASED PRACTICE AND THE QUADRUPLE AIM NURS 6052 Included After Question
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.
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
Module 1: Evidence-Based Practice and the Quadruple Aim (Week 1)
Laureate Education (Producer). (2018). Evidence-based Practice and the Quadruple Aim [Video file]. Baltimore, MD: Author.
| Due By | Assignment |
| Week 1, Days 1-2 | Read the Learning Resources. Compose your initial Discussion post. |
| Week 1, Day 3 | Post your initial Discussion post. Begin to compose your Assignment. |
| Week 1, Days 4-5 | Review peer Discussion posts. Compose your peer Discussion responses. Continue to compose your Assignment. |
| Week 1, Day 6 | Post two peer Discussion responses. |
| Week 1, Day 7 | Wrap up Discussion. Deadline to submit your Assignment. |
Learning Objectives
Students will:
- Evaluate healthcare organizations for evidence-based practices
- Analyze the relationship between evidence-based practice and the Quadruple Aim in healthcare organizations
Learning Resources
Required Readings
Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer.
- Chapter 1, “Making the Case for Evidence-Based Practice and Cultivating a Spirit of Inquiry” (pp. 7–32)
Required Media
Laureate Education (Producer). (2018). Introduction to Evidence-Based Practice and Research [Video file]. Baltimore, MD: Author.
A Sample Answer For the Assignment: EVIDENCE-BASED PRACTICE AND THE QUADRUPLE AIM NURS 6052
Title: EVIDENCE-BASED PRACTICE AND THE QUADRUPLE AIM NURS 6052
With increasing healthcare demand, the healthcare system has been advancing drastically over the years, with the introduction of Evidence-based Practice (EBP) for the provision of safe and quality care. Several models such as the triple aim which has evolved to quadruple aim have also been established to promote population health with enhanced patients experience at a reduced cost (Bowles et al., 2018). Healthcare experts believe that the incorporation of EBP into current clinical practice will help reach the Quadruple Aim. As such, the purpose of the present paper is to discuss the quadruple aim and its role in evidence-based practice.
EBP and the Quadruple Aim on Patient Experience
The quadruple aim is focused on the creation of better care output among patients, at a reduced cost, with an improved experience for both the patient and the healthcare provider. With EBP, all the four measures of the quadruple aim can be achieved. For instance, utilization of EBP in the delivery of care and decision-making process on the most appropriate intervention promotes the experience of the patient, with improved care outcome (Haverfield et al., 2020). Patients tend to feel safe when clinicians utilize evidence-based treatment approaches when taking care of them.
EBP and the Quadruple Aim on Population Health
Concerning population health, EBP promotes the utilization of research in better understanding the characteristics, values, needs, and preferences of a certain population, which are key elements in care delivery. For instance, common chronic illnesses such as diabetes and cardiovascular conditions have posed great challenges over the years, with increasing morbidity and mortality rates (Wagner et al., 2018). However, EBP, through research has led to the introduction of novel approaches which are time efficient and easily accessible helping populations with the highest prevalence of these comorbidities hence promoting the achievement of the quadruple aim.
EBP and the Quadruple Aim on Healthcare Cost
Additionally, with the introduction of EBP, clinicians have reported improved prognosis of several health complications with has reduced hospitalization rate hence reduced healthcare costs. Consequently, the use of proven diagnostic tools and treatment approaches has led to a reduced treatment period, hence reducing the costs associated with diagnostic tests and medication (Haverfield et al., 2020). Clinicians have also been trained to utilize cost-effective care approaches and avoid unnecessary procedures to help reach the quadruple aim.
EBP and the Quadruple Aim on Work-Life of Healthcare Providers
Lastly, despite EBP promoting patient-centered care, the experience of the healthcare workforce has also been considered for optimal care benefits. As the fourth element of the quadruple aim, EBP has ensured that clinicians are adequately trained to utilize time-saving and effective medical tools, to improve the efficiency of the care process (Haverfield et al., 2020). The current healthcare system has introduced several interventions through EBP to decrease provider burnouts, stress, and depression which would otherwise lead to poor health outcomes and decreased patient satisfaction.
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Conclusion
The healthcare system has evolved over the years towards the provision of safe and quality services. Currently, clinicians are encouraged to utilize EBP in care provision to improve the quality and efficiency of care provided at a reduced cost (Wagner et al., 2018). In the same line, the quadruple aim which evolved recently from the triple aim focuses on four main elements which can be achieved with the incorporation of EBP into current clinical practice.
References
Bowles, J. R., Adams, J. M., Batcheller, J., Zimmermann, D., & Pappas, S. (2018). The role of the nurse leader in advancing the Quadruple Aim. Nurse Leader, 16(4), 244-248. https://doi.org/10.1016/j.mnl.2018.05.011
Haverfield, M. C., Tierney, A., Schwartz, R., Bass, M. B., Brown-Johnson, C., Zionts, D. L., … & 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. https://doi.org/10.1007/s11606-019-05525-2
Wagner, E. H., LeRoy, L., Schaefer, J., Bailit, M., Coleman, K., Zhan, C., & Meyers, D. (2018). How do innovative primary care practices achieve the quadruple aim?. The Journal of ambulatory care management, 41(4), 288-297. DOI: 10.1097/JAC.0000000000000249
A Sample Answer 2 For the Assignment: EVIDENCE-BASED PRACTICE AND THE QUADRUPLE AIM NURS 6052
Title: EVIDENCE-BASED PRACTICE AND THE QUADRUPLE AIM NURS 6052
Evidence-based practice (EBP) has an extreme reliance on the available scientific proof in making decisions within the clinical facility. This system of practice has gained approval since its introduction in the 1990s and is currently being relied upon in the formulation of public policies, management, nursing practice, and education. Evidence-based practice adopts the available proof from the excellent scientific researches, the choices and values of clients, and the knowledge of the clinicians in making decisions concerning their patients’ care (Crabtree, Brennan, Davis, & Coyle, 2016). The evidence-based practice aims to make sure that the services availed to clients are safe and of high quality. In addition, the model of evidence-based practice emulates an inter-professional system where sharing on decision making is greatly practiced. The majority of nurses have shown a positive attitude towards the evidence-based practice model. Crabtree et al., (2016), the majority of them (nurses) are ready and willing to equip themselves with the required knowledge and skills for its implementation in the clinical practice.
There are four main goals in the quadruple aim. They include population health, reducing healthcare-associated costs, and the work-life of healthcare providers (Kim et al., 2016). To achieve the four goals, quadruple aim intends to redesign the healthcare facilities. Nevertheless, improving population health whereas reducing healthcare costs, that demand high standards of effectiveness and efficiency remains to be a great challenge.
The establishment and implementation of evidence-based practice primarily aim to improve and promote the quality of the health service provided and upholds a great value on the care of clients within the hospital facility. The work life of healthcare practitioners are affected by this model as the employees must stand out productively in order to provide a high quality healthcare services that are safe. Every healthcare facility exists to better the lives of patients as well as those of healthcare workers (Sikka, Morath, & Leape, 2015).
Patient experience
The entire evidence-based practice methodologies enable healthcare practitioners to employ research evidence in clinical practice. Healthcare workers and nurses can effectively integrate existing scientific information into clinical practice based on specific patient requirements by employing effective literature searching abilities and explicitly following the criteria that guide evidence to assess study findings (Kim et al., 2016). As a result, the quality of healthcare services provided to patients improves. Most healthcare facilities have recently adopted evidence-based practice to address clinical challenges that directly affect patient care, which has resulted in better patient care.
Population health
The aim of evidence based practice is to educate people on, cultural practices, advantages of specific therapies and health determinants. An equal allocation of resources to achieve certain goals is ensured when evidence based approaches are integrated in a variety of demographic contexts. People can be grouped based on their needs, which are determined by family support, individual health, and socioeconomic status which promote equity and effectiveness in resource distribution for the purpose of health promotion (Kim et al., 2016).
Costs
The assessment of per capita healthcare costs, which requires all healthcare costs to be recorded, indexing costs to the healthcare market and measurement of real costs is a serious obstacle for most healthcare institutions. Pricing and discounts are the frequently used methods to determine actual costs. Its really challenging for majority of the healthcare facilities strike equilibrium in providing safe quality care at a lower cost as most healthcare facilities are investing fortune in getting 21st century technologies in order to improve quality of care and all those comes with a high price tag (Sikka, Morath, & Leape, 2015).
Work-life of healthcare workers
The important elements of a favorable healthcare working environment should promote inter-professional collaboration. This system (Inter-professional collaboration has been noted to the prognosis of patients’ health and satisfaction the healthcare workers. Additionally, it minimizes the turnover and burnout rates of practitioners, which enhances staff output. The three main components in such an environment comprise active engagement of the staff members in decision making, structural, and policy features (Kim et al., 2016).
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. doi:10.1111/wvn.12126
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. doi:10.1111/wvn.12171
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
A Sample Answer 3 For the Assignment: EVIDENCE-BASED PRACTICE AND THE QUADRUPLE AIM NURS 6052
Title: EVIDENCE-BASED PRACTICE AND THE QUADRUPLE AIM NURS 6052
Grading Rubric
| Performance Category | 100% or highest level of performance
100% 16 points |
Very good or high level of performance
88% 14 points |
Acceptable level of performance
81% 13 points |
Inadequate demonstration of expectations
68% 11 points |
Deficient level of performance
56% 9 points
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Failing level
of performance 55% or less 0 points |
| Total Points Possible= 50 | 16 Points | 14 Points | 13 Points | 11 Points | 9 Points | 0 Points |
| Scholarliness
Demonstrates achievement of scholarly inquiry for professional and academic topics. |
Presentation of information was exceptional and included all of the following elements:
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Presentation of information was good, but was superficial in places and included all of the following elements:
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Presentation of information was minimally demonstrated in all of the following elements:
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Presentation of information is unsatisfactory in one of the following elements:
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Presentation of information is unsatisfactory in two of the following elements:
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Presentation of information is unsatisfactory in three or more of the following elements
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| 16 Points | 14 Points | 13 Points | 11 Points | 9 Points | 0 Points | |
| Application of Course Knowledge
Demonstrate the ability to analyze and apply principles, knowledge and information learned in the outside readings and relate them to real-life professional situations |
Presentation of information was exceptional and included all of the following elements:
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Presentation of information was good, but was superficial in places and included all of the following elements:
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Presentation of information was minimally demonstrated in the all of the following elements:
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Presentation of information is unsatisfactory in one of the following elements:
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Presentation of information is unsatisfactory in two of the following elements:
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Presentation of information is unsatisfactory in three of the following elements
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| 10 Points | 9 Points | 6 Points | 0 Points | |||
| Interactive Dialogue
Initial post should be a minimum of 300 words (references do not count toward word count) The peer and instructor responses must be a minimum of 150 words each (references do not count toward word count) Responses are substantive and relate to the topic. |
Demonstrated all of the following:
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Demonstrated 3 of the following:
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Demonstrated 2 of the following:
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Demonstrated 1 or less of the following:
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| 8 Points | 7 Points | 6 Points | 5 Points | 4 Points | 0 Points | |
| Grammar, Syntax, APA
Points deducted for improper grammar, syntax and APA style of writing. The source of information is the APA Manual 6th Edition Error is defined to be a unique APA error. Same type of error is only counted as one error. |
The following was present:
AND
AND
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The following was present:
AND/OR
AND/OR
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The following was present:
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The following was present:
AND/OR
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The following was present:
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The following was present:
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| 0 Points Deducted | 5 Points Lost | |||||
| Participation
Requirements |
Demonstrated the following:
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Failed to demonstrate the following:
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| 0 Points Lost | 5 Points Lost | |||||
| Due Date Requirements | Demonstrated all of the following:
A minimum of one peer and one instructor responses are to be posted within the course no later than Sunday, 11:59 pm MT. |
Demonstrates one or less of the following.
A minimum of one peer and one instructor responses are to be posted within the course no later than Sunday, 11:59 pm MT. |