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NURS 6052 Assignment Evidence-Based Practice and the Quadruple Aim
NURS 6052 Assignment Evidence-Based Practice and the Quadruple Aim
Healthcare organizations continually seek to optimize healthcare performance. For years, this approach was a three-pronged one known as the Triple Aim, with efforts focused on improved population health, enhanced patient experience, and lower healthcare costs.
More recently, this approach has evolved to a Quadruple Aim by including a focus on improving the work life of healthcare providers. Each of these measures are impacted by decisions made at the organizational level, and organizations have increasingly turned to EBP to inform and justify these decisions.
Assignment: Evidence-Based Practice and the Quadruple Aim SAMPLE
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).
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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).
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).
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).
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.
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).
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).
NURS 6052 Assignment Evidence-Based Practice and the Quadruple Aim 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
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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!
Please read through the following information on writing a Discussion question response and participation posts.
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Important information on Writing a Discussion Question
- Your response needs to be a minimum of 150 words (not including your list of references)
- There needs to be at least TWO references with ONE being a peer reviewed professional journal article.
- Include in-text citations in your response
- Do not include quotes—instead summarize and paraphrase the information
- Follow APA-7th edition
- Points will be deducted if the above is not followed
Participation –replies to your classmates or instructor
- A minimum of 6 responses per week, on at least 3 days of the week.
- Each response needs at least ONE reference with citations—best if it is a peer reviewed journal article
- Each response needs to be at least 75 words in length (does not include your list of references)
- Responses need to be substantive by bringing information to the discussion or further enhance the discussion. Responses of “I agree” or “great post” does not count for the word count.
- Follow APA 7th edition
- Points will be deducted if the above is not followed
- Remember to use and follow APA-7th edition for all weekly assignments, discussion questions, and participation points.
- Here are some helpful links
- Student paper example
- Citing Sources
- The Writing Center is a great resource
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
Links to an external site.practice-in-nursing
Mayo Clinic. (2022). Evidence-Based Practice Research Program. Retrieved from
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.
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