NURS 6052 Assignment: Evidence-Based Practice and the Quadruple Aim Sample
Sample Answer for NURS 6052 Assignment: Evidence-Based Practice and the Quadruple Aim Sample 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: NURS 6052 Assignment: Evidence-Based Practice and the Quadruple Aim Sample
Title: NURS 6052 Assignment: Evidence-Based Practice and the Quadruple Aim Sample
EBP is highly dependent on the availability of empirical data in the healthcare community for decision-making. Since its formal introduction in the 1990s, EBP has continued to evolve in the fields of management, public policy formation, education, and nursing practice (Lavenberg, Cacchione, & Jayakumar, 2019). EBP is the most effective technique for resolving problems in a medical setting because it incorporates the best available evidence from well-designed systematic studies, values, and patient preferences, as well as clinicians’ discretion regarding patient care. EBP is a cross-professional model that promotes high probabilities of success and relies heavily on collaborative decision-making. Similarly, acceptance and application of EVP are contingent upon disparate actors at the federal, national, and indigenous levels. The four-fold objective is primarily focused on improving the patient experience, population health, the working lives of healthcare providers, and healthcare costs (Bodenheimer & Sinsky, 2014). The fourfold objective is to redesign healthcare facilities in order to accomplish the aforementioned goals. However, a significant impediment to achieving these goals in the broader health sector is maintaining or reducing health care costs.
All of the techniques used in EBP enable healthcare professionals to turn scientific outcomes into clinical practice. By the effective usage of writings searching abilities and the formal application of guidelines that guide evidence to evaluate investigation results, nurses and other healthcare providers can efficiently apply scientific information to clinical practice based on individual patient needs. It improves the efficiency of the clinical care provided by patients (Sikka, Morath, & Leape, 2015). In recent years, several healthcare organizations have been adopting evidence-based approaches to address clinical problems, which have a significant effect on patient care.
Population health
EBP aims to inform populations about the determinants of wellbeing, the advantages, and disadvantages of particular therapies, cultural and environmental behaviors. In order to maintain an equal allocation of capital in order to accomplish particular objectives, which incorporate evidence-based approaches across the various communities (Bodenheimer & Sinsky, 2014). The populations may be categorized by socio-economic background, the family, and person health condition help, and therefore, the allocation and delivery of health promotion services are balanced and effective. All evidence-based processes have specifically been designed to meet individual patient needs as opposed to sub-group shaping of health care patterns.
Costs
A significant test for most healthcare offices is straightforwardly identified with the proportion of per capita costs of healthcare
as it needs all healthcare uses to be caught, estimation of real costs, and ordering the costs to the healthcare market. The most widely recognized strategy used to gauge actual costs is limited and evaluating. In this way, for most healthcare foundations, it is a colossal test to give sheltered and quality healthcare administrations at lower healthcare costs (Lavenberg, Cacchione, & Jayakumar, 2019). When a foundation grasps the utilization of the most recent innovation to improve proficiency and latest treatment strategies as uncovered through evidence-based practice, the nature of care, just as the costs, naturally increments. NURS 6052 Assignment: Evidence-Based Practice and the Quadruple Aim Sample
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Work-life of healthcare providers
The key parts of a favorable healthcare condition should bolster the interprofessional collaboration effort. Interprofessional
collaboration has been confirming to improve persistent wellbeing results and the fulfillment of healthcare suppliers (Sikka, Morath, & Leape, 2015). It additionally diminishes supplier burnout and turnover rates, which advances staff efficiency. The three significant segments of such a domain incorporate the auxiliary and strategy components and effectively captivating the workforce in a shared dynamic.
References
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.
Lavenberg, J. G., Cacchione, P. Z., & Jayakumar, K. L. (2019). Impact of a Hospital Evidence‐Based Practice Center (EPC ) on Nursing Policy and Practice. Worldviews on Evidence Based Nursing.
Sikka, R., Morath, J. M., & Leape, L. (2015). The Quadruple Aim: care, health, cost, and meaning in work. BMJ Qual Sa, 608–610. NURS 6052 Assignment: Evidence-Based Practice and the Quadruple Aim Sample
A Sample Answer 2 For the Assignment: NURS 6052 Assignment: Evidence-Based Practice and the Quadruple Aim Sample
Title: NURS 6052 Assignment: Evidence-Based Practice and the Quadruple Aim Sample
Johns Hopkins is a world renowned influential hospital in patient care; located in my hometown, Baltimore, Maryland. The Johns Hopkins Hospital is ranked #5 out of more than 4,500 hospitals in the nation. Johns Hopkins provides patient support through a variety of specialties from primary care to emergency medicine. (Johns Hopkins Medicine, 2022b). On the hospitals main website, it discusses COVID-19 vaccine updates and resources. The website also provides quick links for research, education, and training. Evidence-Based Practice information appears under a Center for Nursing Inquiry link from the main page. The website discusses how Johns Hopkins Health System uses the Johns Hopkins Evidence-Based Practice (JHEBP) model, which is a three-phase approach: practice question, evidence, and translation. Johns Hopkins nurses have free access to an online course to learn more about the JHEBP Model. (Johns Hopkins Medicine, 2022a).
Johns Hopkins Hospital’s work is clearly grounded in EBP as they have created their own Evidence-Based Practice Model as discussed above. This model is a powerful problem-solving approach for clinical decision-making that includes user-friendly tools to guide use. This model was driven by feedback from both academic and clinical users to aid in the development and improvement of the JHEBP Model. The goal is to build capacity among front-line workers to determine best practices and incorporate them into everyday patient care. (Johns Hopkins Medicine, 2017).
My perception of Johns Hopkins Medicine is unchanged as I currently work for the University and have a great understanding of the work that Hopkins does with including EBP. I did learn that Johns Hopkins has an EBP Model and Guidelines book that is one of the most foundational books on EBP in healthcare. The JHEBP Model is discussed in this book. (Sigma Marketplace, 2022). Researching Johns Hopkins and learning more about their EBP has given me an even better understanding and appreciation for their diligence in the incorporation of EBP in patient care.
References
Johns Hopkins Medicine. (2017). Johns Hopkins Evidence-Based Practice Model. Retrieved November 29, 2022, from,
https://www.hopkinsmedicine.org/evidence-based-practice/ijhn_2017_ebp.html
Johns Hopkins Medicine. (2022a). Evidence-Based Practice. Retrieved November 29, 2022, from
Hopkins Medicine. (2022b). The Johns Hopkins Hospital. Retrieved November 29, 2022, from
Sigma Marketplace. (2022). Johns Hopkins Evidence-Based Practice for Nurses and Healthcare Professionals, Fourth Edition. Retrieved November 29, 2022, from
A Sample Answer 3 For the Assignment: NURS 6052 Assignment: Evidence-Based Practice and the Quadruple Aim Sample
Title: NURS 6052 Assignment: Evidence-Based Practice and the Quadruple Aim Sample
I reviewed the CHI home health organization. I reviewed the home page that had descriptions of their mission and goals of providing the highest quality of care, lower cost with better outcomes for patients, and empowering their clinicians (2015). They utilize ACHC or Accreditation Commission for Health Care to help develop and maintain standards and guidelines to deliver the best evidence-based patient care (2015). To obtain this accreditation, the home health company must withstand a thorough survey process to ensure that their policies, processes, and care delivery recognizes standards for quality and safety, and the survey takes place every three years to ensure current practices (2022).
Evidenced- Based Practice Utilization
I feel that the mission and vision stated on the home page do not prove that the healthcare organization is grounded in evidence-based practice, but I do however feel that the accreditation can support the statement. Since I work for this healthcare organization, I would say that having the opportunity to see other forms of data that are linked to evidence-based practice, such as patient outcomes, and patient satisfaction can also paint a better picture. When nurses are implementing evidence-based practice daily, it seems there is a correlation between better patient outcomes. If I was not an employee and looked at this information from an unbiased perspective, then my expectations of the delivery of health care would be very high, and I would expect them to utilize evidence-based practice based on the claims made on the web page. Overall, this information has not changed my perception of this healthcare organization. The proof of evidence-based practice will become evident in the techniques used to evaluate effectiveness which can include coworker or patient experience surveys or qualitative studies (2021). In general, maintaining evidence-based practice is the best practice to achieve positive outcomes for the patient and clinician.
References:
Accreditation Commission for Health Care. (2022, November 30). FAQs. ACHC. Retrieved November 30, 2022, from https://www.achc.org/faqs/#hh
Catholic Health Initiatives. (2015). Find a health at home care provider near you. CHI Health at Home. Retrieved November 30, 2022, from https://www.chihealthathome.com/
East Carolina University . (2021, July 30). Evidence-based practice for nursing: Evaluating the evidence. Research Guides. Retrieved November 30, 2022, from https://libguides.ecu.edu/c.php?g=17486&p=97640
A Sample Answer 4 For the Assignment: NURS 6052 Assignment: Evidence-Based Practice and the Quadruple Aim Sample
Title: NURS 6052 Assignment: Evidence-Based Practice and the Quadruple Aim Sample
As the demand for quality, accessible, and patient-centered care increases, healthcare providers must develop inventive interventions to address patients’ needs. They must also broaden their focus to ensure that disease-causing elements are avoided and populations play an active role in illness prevention. Accordingly, evidence-based practice (EBP) application is inevitable since it integrates the best scientific evidence, patient preferences and clinical proficiency to enhance patient care (Melnyk & Fineout-Overholt, 2018). An EBP’s approach to healthcare delivery helps to reach the Quadruple Aim since it positively impacts the Aim’s measures primarily patient experience and population health. It is also instrumental in reducing costs and promoting the work-life of healthcare professionals.
EBP and Patient Experience
From a practice viewpoint, EBP prompts healthcare professionals to translate scientific findings into practice. As a key component of the Quadruple Aim, patient experience includes general satisfaction with healthcare services and improving outcomes as situations necessitate (Valaitis et al., 2020). Translating research findings into practice improves patient experience since healthcare providers learn and implement innovative ways of addressing patient needs. It enables healthcare professionals to apply relevant and up-to-date strategies in healthcare delivery as they focus on patient-centeredness and holism among other practices that impact care positively to enhance the patient experience.
EBP and Population Health
An EBP approach to care and health promotion is integral to improving population health. Giving the example of the response towards COVID-19 pandemic, Van Bavel et al. (2020) observed that evidence-based public health practices are characterized by implementing effective programs and policies based on scientific reasoning. In public health, scientific reasoning includes an in-depth evaluation of population needs, systematic data use, and applying appropriate theories. Health promotion programs and policies, awareness programs, and strategies to promote equitable access to care respond directly to people’s needs (Van Bavel et al., 2020). They apply scientific reasoning since they evaluate data to determine the extent of populations’ needs depending on locations, cultures, and social class, among other determinants.
Costs
In today’s practice, healthcare providers face a significant challenge to provide optimal patient while utilizing the least resources possible. To address this challenge, EBP enables healthcare providers to apply cost-effective approaches in healthcare delivery including recent healthcare technologies and treatment methods. For instance, telehealth reduces distance and cost of care by eliminating avoidable physical visits to providers (Snoswell et al., 2020). Increased focus on preventive care reduces the treatment costs, which reduces the overall healthcare costs.
EBP and the Work-Life of Healthcare Providers
An EBP approach to care recommends practices that help to create a favorable work environment for healthcare providers. Evidence shows that conducive work environments characterized by the support of healthcare providers and interprofessional collaboration improve the health of healthcare providers (Hlongwa & Rispel, 2021). Scientific evidence further shows healthcare managers how to enhance staff productivity and ensure that they stay physically and mentally healthy. A healthy workforce is integral for quality healthcare hence the need to ensure that healthcare providers are satisfied and with a positive mindset.
Conclusion
EBP is a practical problem-solving approach pivotal in achieving the Quadruple AIM in health practice. By utilizing EBP’s central components, healthcare providers can improve overall patient experience, public health, and the work-life of healthcare professionals. An EBP approach also enables healthcare providers to apply cost-effective interventions in healthcare delivery. Achieving these goals aligns with the general purpose of the Quadruple Aim which looks forward to promoting health among patients and across populations.
References
Hlongwa, P., & Rispel, L. C. (2021).Interprofessional collaboration among health professionals in cleft lip and palate treatment and care in the public health sector of South Africa. Human resources for health, 19(1), 1-9.
Melnyk, B. M., &Fineout-Overholt, E. (2018).Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Wolters Kluwer.
Snoswell, C. L., Taylor, M. L., Comans, T. A., Smith, A. C., Gray, L. C., &Caffery, L. J. (2020). Determining if telehealth can reduce health system costs: Scoping review. Journal of Medical Internet Research, 22(10), e17298.doi: https://doi.org/10.2196/17298
Valaitis, R. K., Wong, S. T., MacDonald, M., Martin-Misener, R., O’Mara, L., Meagher-Stewart, D., …& Savage, R. (2020). Addressing quadruple aims through primary care and public health collaboration: ten Canadian case studies. BMC Public Health, 20(1), 1-16. https://doi.org/10.1186/s12889-020-08610-y
Van Bavel, J. J., Baicker, K., Boggio, P. S., Capraro, V., Cichocka, A., Cikara, M., … &Willer, R. (2020). Using social and behavioural science to support COVID-19 pandemic response. Nature Human Behaviour, 4(5), 460-471. https://doi.org/10.1038/s41562-020-0884-z