NURS 6052 Assignment Evidence-Based Practice and the Quadruple Aim
Sample Answer for NURS 6052 Assignment Evidence-Based Practice and the Quadruple Aim 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
Title: NURS 6052 Assignment Evidence-Based Practice and the Quadruple Aim
Introduction:
In this week’s assignment I will briefly describe and analyze the similarities and connection between Evidence-based practice (EBP) and the Quadruple Aim (QA). This paper is primarily focused on how EBP might (or might not) help reach the Quadruple Aim. It will each of the four measures of patient experience, population health, costs, and work-life of healthcare providers. Finally, the impact that EBP may have on factors affecting these quadruple aim elements, such as preventable errors in a clinical setting or nursing practice will also be considered.
Evidence-based practice is a method that helps clinical practitioners to select the best course of action according to patients’ values, useful external research, and the clinician’s own experience. The EBP is a good choice when it comes to the best principle the facilitates the patient’s experience with the capability of the clinician’s experience, and up-to-date knowledge (Petra Dannapfel, 2015). It is applying a problem-solving strategy to the delivery of healthcare which included the most appropriate conclusions based off research that have been tested clinician expertise, medical practitioners and patient preferences and outcomes (Melnyk, Fineout-Overholt, Stillwell, & Williamson, 2010).
The Quadruple aim combines the clinician’s experience, the patient’s experience, optimal outcomes, and the costs of the whole practice involved altogether. The quadruple aim focuses not only on the patients, health practitioners but also on the cost of the method. It enhances healthcare quality and patient outcomes, eliminates unnecessary costs, reduced costs, and empowered clinicians by the utilization of EBP (Melnyk & Fineout-Overholt, 2018).
Click here to ORDER an A++ paper from our MASTERS and DOCTORATE WRITERS: NURS 6052 Assignment Evidence-Based Practice and the Quadruple Aim
Patient experience
The main objective goal of the quadruple aim is foster and develop improved quality care experience for the patient (Sikka, Morath, & Leape, 2015). Medical Practitioners and clinicians are able to incorporate EBP strategies into their research studies and eventually interpret the conclusions deduced into practical clinical roles. By making use of knowledgeable skills and strategies, literature-searching methods, and the implementation of EBP’s concepts in the evaluation of research findings. As nurses in a clinical setting we are constantly using existing scientific knowledge as we render care to our patients (Melnyk, 2018). By so doing we are able to address the various needs and problems each and every individual present for treatment. Eventually with EBP, nurses maintain improved patient care in their various practices respectively (Crabtree, Brennan, Davis, & Coyle, 2016). More importantly, with the concept of EBP, the patient’s preference and values are greatly considered which allows for ultimate patient care satisfaction (Melnyk & Fineout-Overholt, 2018).
Population health
The Centers for Disease Control (CDC) as well as other major federal agencies require approaches that have been tested by EBP, especially during the funding phase of population-based chronic disease prevention and control (Allen et al., 2018). This can foster overall improved health on the populace while eradicating disease burden in populations (Allen et al., 2018). Some other components of the Quadruple Aim include developing better and more effective patient outcomes and fostering improved quality healthcare (Melnyk & Fineout-Overholt, 2018).
Costs
Evidence-based practices on the nurse retention have helped to create guidelines and strategies for nursing leaders to foster increased job satisfaction which in turn leads to an increase in the retention of newly hired nurses’ overtime (Tang & Hudson, 2019). Experiencing a high turnover in nursing staff can be quite expensive and costly, which negatively impacts the safety and quality of care provided to patients (Tang & Hudson, 2019). EBP can be used to enhance job satisfaction amongst clinicians, it decreases unnecessary costs, establishes improved patient care and outcomes, which are all components of the quadruple aim (Tang & Hudson, 2019).
Work-life of healthcare providers
Extensive research studies reveal that nurses that have training and knowledge d in EBP have more efficient educational backgrounds and attitudes (Kim et al., 2016). Clinicals that have a sense of confidence and empowerment in their practices factor into a quadruple aim in healthcare, which is the foundation and core of a well-structured healthcare system (Kim et al., 2016).
In summary, the implementation of EBP in in patient care, overall health and well-being of a population, costs and clinical practices of a medical practitioner collectively factor into the quadruple aim. The principle of EBP helps to develop and create optimum patient care, without unnecessary cost, fwhile fostering quality patient outcomes, and empowering medical practitioners and clinicians.
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 2 For the Assignment: NURS 6052 Assignment Evidence-Based Practice and the Quadruple Aim
Title: NURS 6052 Assignment Evidence-Based Practice and the Quadruple Aim
Hello class and welcome to the class and I will be your instructor for this course. This is a -week course and requires a lot of time commitment, organization, and a high level of dedication. Please use the class syllabus to guide you through all the assignments required for the course. I have also attached the classroom policies to this announcement to know your expectations for this course. Please review this document carefully and ask me any questions if you do. You could email me at any time or send me a message via the “message” icon in halo if you need to contact me. I check my email regularly, so you should get a response within 24 hours. If you have not heard from me within 24 hours and need to contact me urgently, please send a follow up text to
I strongly encourage that you do not wait until the very last minute to complete your assignments. Your assignments in weeks 4 and 5 require early planning as you would need to present a teaching plan and interview a community health provider. I advise you look at the requirements for these assignments at the beginning of the course and plan accordingly. I have posted the YouTube link that explains all the class assignments in detail. It is required that you watch this 32-minute video as the assignments from week 3 through 5 require that you follow the instructions to the letter to succeed. Failure to complete these assignments according to instructions might lead to a zero. After watching the video, please schedule a one-on-one with me to discuss your topic for your project by the second week of class. Use this link to schedule a 15-minute session. Please, call me at the time of your appointment on my number. Please note that I will NOT call you.
Please, be advised I do NOT accept any assignments by email. If you are having technical issues with uploading an assignment, contact the technical department and inform me of the issue. If you have any issues that would prevent you from getting your assignments to me by the deadline, please inform me to request a possible extension. Note that working fulltime or overtime is no excuse for late assignments. There is a 5%-point deduction for every day your assignment is late. This only applies to approved extensions. Late assignments will not be accepted.
If you think you would be needing accommodations due to any reasons, please contact the appropriate department to request accommodations.
Plagiarism is highly prohibited. Please ensure you are citing your sources correctly using APA 7th edition. All assignments including discussion posts should be formatted in APA with the appropriate spacing, font, margin, and indents. Any papers not well formatted would be returned back to you, hence, I advise you review APA formatting style. I have attached a sample paper in APA format and will also post sample discussion responses in subsequent announcements.
Your initial discussion post should be a minimum of 200 words and response posts should be a minimum of 150 words. Be advised that I grade based on quality and not necessarily the number of words you post. A minimum of TWO references should be used for your initial post. For your response post, you do not need references as personal experiences would count as response posts. If you however cite anything from the literature for your response post, it is required that you cite your reference. You should include a minimum of THREE references for papers in this course. Please note that references should be no more than 5 years old except recommended as a resource for the class. Furthermore, for each discussion board question, you need ONE initial substantive response and TWO substantive responses to either your classmates or your instructor for a total of THREE responses. There are TWO discussion questions each week, hence, you need a total minimum of SIX discussion posts for each week. I usually post a discussion question each week. You could also respond to these as it would count towards your required SIX discussion posts for the week.
I understand this is a lot of information to cover in 5 weeks, however, the Bible says in Philippians 4:13 that we can do all things through Christ that strengthens us. Even in times like this, we are encouraged by God’s word that we have that ability in us to succeed with His strength. I pray that each and every one of you receives strength for this course and life generally as we navigate through this pandemic that is shaking our world today. Relax and enjoy the course!
I enjoyed reading your post about the Mayo Clinic! Although I knew how large the group was, I never took the time to grasp just how many students were learning throughout the facilities programs. During my research, I found that the Mayo Clinic is apart of a limited number of groups that have their evidence based program funded through the agency for Healthcare Research and Quality (AHRQ) (Mayo Clinic, 2022). This is an amazing accomplishment and allows students to learn and appreciate the importance of EBP and how it changes the way we practice.
One example of how evidence based practice has changed our patient care and nursing practice is our care to ventilated patients to reduce pneumonia related to the ventilator.Through research we found that having a “ventilator bundle” that consists of elevating the head of the bed to prevent aspiration of gastric contents, having a sedation vacation to reduce over-sedation of patients, and avoiding circuit changes unless mandatory all work together to reduce the amount of ventilator acquired pneumonia (Marymount University, 2020). Although this is just one of many ways EBP has helped to better patient care and overall outcomes, there are endless opportunities to continue to better the healthcare profession.
Marymount University. (2020, December 21). 5 Examples of Evidence-Informed
Nursing Practice Protocols. Retrieved from
https://online.marymount.edu/blog/evidence-based-
Links to an external site.practice-in-nursing
Mayo Clinic. (2022). Evidence-Based Practice Research Program. Retrieved from
https://www.mayo.edu/research/centers-programs/evidence-based-practice-
A Sample Answer 3 For the Assignment: NURS 6052 Assignment Evidence-Based Practice and the Quadruple Aim
Title: NURS 6052 Assignment Evidence-Based Practice and the Quadruple Aim
The catholic health initiative is part of the common spirit health which is an organization that was formed with dignity health and dignity community care. The organization champions the wellbeing of the population and it has a mission of putting the safety of the patients and the caregivers first (Zanotto et al., 2021). In addition, I have also learned that Common Sprit health performs most care operations in collaboration with CHI and dignity community care. The organizations work towards improving healthcare by leveraging the expertise and data in a single organized healthcare arrangement. Catholic health and healing mission has been unique and that different health challenges such as the occurrence of COVID-19 have been a pillar in reinforcing the commitment to caring for all people (Arogundade et al., 2021). The Catholic healthcare initiatives provide expertise, convenience, and resources hence forming a foundation of togetherness. The organization work with the community and facilities to bring people the care that they need.
References
Arogundade, K., Sampson, J., Boath, E., Akpan, U., Olatoregun, O., Femi-Pius, O., Orjih, J., Afirima, B., & Umar, N. (2021). Predictors and Utilization of Health Institution Services for Childbirth among Mothers in a Southern Nigerian City. Obstetrics and gynecology international, 2021, 6618676. https://doi.org/10.1155/2021/6618676
Zanotto, B. S., Etges, A. P. B. D. S., Marcolino, M. A. Z., & Polanczyk, C. A. (2021). Value-Based Healthcare Initiatives in Practice: A Systematic Review. Journal of healthcare management / American College of Healthcare Executives, 66(5), 340–365. https://doi.org/10.1097/JHM-D-20-00283