NURS 6052 EVIDENCE-BASED PRACTICE AND THE QUADRUPLE AIM

Sample Answer for NURS 6052 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. 

RESOURCES 

NURS 6052 EVIDENCE-BASED PRACTICE AND THE QUADRUPLE AIM
NURS 6052 EVIDENCE-BASED PRACTICE AND THE QUADRUPLE AIM

Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources.  

WEEKLY RESOURCES 

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 

BY DAY 7 OF WEEK 1 

Submit your anaylsis. 

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A Sample Answer For the Assignment: NURS 6052 EVIDENCE-BASED PRACTICE AND THE QUADRUPLE AIM

Title: NURS 6052 EVIDENCE-BASED PRACTICE AND THE QUADRUPLE AIM

Introduction 

Evidence-based practice (EBP) plays a crucial role in healthcare organizations’ pursuit of the Quadruple Aim, which includes improving patient experience, enhancing population health, reducing costs, and improving the work life of healthcare providers. Here’s an analysis of how EBP can impact each of these four measures: 

Patient Experience 

How EBP Helps: EBP can significantly improve patient experience by ensuring that healthcare providers deliver care based on the best available evidence (Lavenburg et al., 2019). When clinical decisions are grounded in high-quality research and clinical guidelines, patients are more likely to receive effective, safe, and patient-centered care (Kim et al., 2016). This can lead to higher levels of patient satisfaction and a more positive healthcare experience. 

Example: EBP can guide the implementation of evidence-based communication techniques, leading to better patient-provider interactions, improved patient education, and shared decision-making, all of which contribute to a more positive patient experience. 

Population Health 

How EBP Helps: EBP is instrumental in promoting better population health outcomes. By identifying and implementing evidence-based interventions and preventive measures, healthcare organizations can target specific health issues within their populations more effectively (Crabtree et al., 2016). EBP enables the development of population health strategies that are grounded in scientific evidence, leading to better health outcomes and disease prevention (Whelihan et al., 2022). 

Example: EBP can guide population health initiatives such as vaccination programs, chronic disease management protocols, and health promotion campaigns, resulting in improved overall health within the community served by the healthcare organization. 

Costs 

How EBP Helps: EBP has the potential to control healthcare costs by reducing the use of ineffective or unnecessary interventions and treatments. When healthcare providers rely on evidence to make clinical decisions, they are less likely to order costly tests, treatments, or medications that may provide little to no benefit (Sikka et al. 2015). This can contribute to cost containment and more efficient resource allocation. 

Example: EBP can help identify cost-effective interventions, such as preventive care measures, that yield better health outcomes while reducing the overall financial burden on the healthcare system. 

Work-Life of Healthcare Providers 

How EBP Helps: EBP can enhance the work life of healthcare providers by promoting a culture of learning, collaboration, and professional growth (Tang et al., 2019). When providers are encouraged to engage in evidence-based practice, they are more likely to feel that their clinical decisions are supported by research and best practices (de Belvis et al., 2019). This can lead to increased job satisfaction, reduced burnout, and a more positive work environment. 

Example: Offering EBP training and resources to healthcare providers allows them to stay updated on the latest research findings and clinical guidelines. This continuous learning can empower providers to make more informed decisions and feel more confident in their roles. 

Conclusion 

In summary, EBP is a powerful tool for healthcare organizations striving to achieve the Quadruple Aim. It contributes to improved patient experiences, better population health outcomes, cost control, and enhanced work life for healthcare providers. By integrating EBP into their daily practices and decision-making processes, healthcare organizations can make meaningful progress toward achieving these critical goals (Gallagher et al., 2020). 

 

References 

Crabtree, E., Brennan, E., Davis, A., & Coyle, A. (2016). . Worldviews on Evidence-Based Nursing, 13(2), 172–175. doi:10.1111/wvn.12126 

de Belvis, A. G., Fratini, A., Angioletti, C., Morsella, A., Ruggeri, R., Pepe, G., Ianiro, G., Settanni, C., Gasbarrini, A., & Cammarota, G. (2021). How to define a quadruple aim framework to assess value in critical pathway of the patients with Clostridioides difficile infection. European Review for Medical and Pharmacological Sciences, 25(13), 4597–4610. https://doi.org/10.26355/eurrev_202107_26252 

Gallagher, F. L., Koshy Thomas, B., Connor, L., Sinnott, L. T., & Melnyk, B. M. (2020). The effects of an intensive evidence‐based practice educational and skills building program on EBP competency and attributes. Worldviews on Evidence-Based Nursing, 17(1), 71–81. https://doi.org/10.1111/wvn.12397 

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 participantsLinks to an external site.. Worldviews on Evidence-Based Nursing, 13(5), 340–348. doi:10.1111/wvn.12171 

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. https://doi.org/10.1111/wvn.12346 

Sikka, R., Morath, J. M., & Leape, L. (2015). The Quadruple Aim: Care, health, cost and meaning in workLinks to an external site.. BMJ Quality & Safety, 24, 608–610. doi:10.1136/bmjqs-2015-004160 

Tang, J. H.-C., Hudson, P., Smith, M., & Maas, R. (2019). Evidence-Based Practice Guideline: Nurse Retention for Nurse Managers. Journal of Gerontological Nursing, 45(11), 11–19. https://doi.org/10.3928/00989134-20191011-03 

Whelihan K, Modica C, Bay RC, & Lewis JH. (2022). Patient and Staff Satisfaction and Experience While Transforming Health Center Systems. Risk Management and Healthcare Policy, ume 15, 2115–2124. 

A Sample Answer 2 For the Assignment: NURS 6052 EVIDENCE-BASED PRACTICE AND THE QUADRUPLE AIM

Title: NURS 6052 EVIDENCE-BASED PRACTICE AND THE QUADRUPLE AIM

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 health19(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 Research22(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 Health20(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 Behaviour4(5), 460-471. https://doi.org/10.1038/s41562-020-0884-z

Rubric 

NURS_6052_Module01_Week01_Assignment_Rubric 
Criteria  Ratings  Pts 
This criterion is linked to a Learning OutcomeWrite a brief analysis of the connection between evidence-based practice and the Quadruple Aim. Your analysis should address how evidence-based practice 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 
85 to >76.0 pts 

Excellent 

The analysis clearly and accurately addresses in detail how evidence-based practice either supports or does not support the Quadruple Aim. … The analysis accurately and thoroughly explains in detail how the four measures of patient experience, population health, costs, and work-life of healthcare providers either supports or does not support the Quadruple Aim. … The analysis provides a complete, detailed, and specific synthesis of two outside resources reviewed on the four measures supporting or not supporting the Quadruple Aim. The response fully integrates at least two outside resources and two or three course-specific resources that fully support the analysis provided with credible and detailed examples. 

76 to >67.0 pts 

Good 

The analysis accurately addresses how evidence-based practice either supports or does not support the Quadruple Aim. … The analysis accurately explains how the four measures of patient experience, population health, and work life of healthcare providers either supports or does not support the Quadruple Aim. … The analysis provides an accurate synthesis of at least one outside resource reviewed on the four measures supporting or not supporting the Quadruple Aim. The response integrates at least 1 outside resource and two or three course-specific resources that may support the analysis provided and may include some detailed examples. 

67 to >59.0 pts 

Fair 

The analysis inaccurately or vaguely addresses how evidence-based practice either supports or does not support the Quadruple Aim. … The analysis inaccurately or vaguely explains how the four measures of patient experience, population health, and work life of healthcare providers either supports or does not support the Quadruple Aim. … The analysis provides an inaccurate or vague analysis of the four measures supporting or not supporting the Quadruple Aim with a vague or inaccurate analysis of outside resources. The response minimally integrates resources that may support the analysis provided and may include vague or inaccurate examples. 

59 to >0 pts 

Poor 

The analysis inaccurately and vaguely addresses how evidence-based practice either supports or does not support the Quadruple Aim or is missing. … The analysis inaccurately and vaguely explains how the four measures of patient experience, population health, and work life of healthcare providers either supports or does not support the Quadruple Aim or is missing. … The analysis provides a vague and inaccurate analysis of the four measures supporting or not supporting the Quadruple Aim with a vague and inaccurate analysis of outside resources. The response fails to integrate any resources to support the analysis provided or is missing. 

 

85 pts 
This criterion is linked to a Learning OutcomeWritten Expression and Formatting—Paragraph Development and Organization:Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused—neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction is provided which delineates all required criteria. 
5 to >4.0 pts 

Excellent 

Paragraphs and sentences follow writing standards for flow, continuity, and clarity. … A clear and comprehensive purpose statement, introduction, and conclusion is provided which delineates all required criteria. 

4 to >3.5 pts 

Good 

Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time. … Purpose, introduction, and conclusion of the assignment is stated yet is brief and not descriptive. 

3.5 to >3.0 pts 

Fair 

Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60–79% of the time. … Purpose, introduction, and conclusion of the assignment is vague or off topic. 

3 to >0 pts 

Poor 

Paragraphs and sentences follow writing standards for flow, continuity, and clarity less than 60% of the time. … No purpose statement, introduction, or conclusion was provided. 

 

5 pts 
This criterion is linked to a Learning OutcomeWritten Expression and Formatting—English Writing Standards:Correct grammar, mechanics, and proper punctuation. 
5 to >4.0 pts 

Excellent 

Uses correct grammar, spelling, and punctuation with no errors. 

4 to >3.5 pts 

Good 

Contains a few (one or two) grammar, spelling, and punctuation errors. 

3.5 to >3.0 pts 

Fair 

Contains several (three or four) grammar, spelling, and punctuation errors. 

3 to >0 pts 

Poor 

Contains many (five or more) grammar, spelling, and punctuation errors that interfere with the reader’s understanding. 

 

5 pts 
This criterion is linked to a Learning OutcomeWritten Expression and Formatting—The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, running head, parenthetical/in-text citations, and reference list. 
5 to >4.0 pts 

Excellent 

Uses correct APA format with no errors. 

4 to >3.5 pts 

Good 

Contains a few (one or two) APA format errors. 

3.5 to >3.0 pts 

Fair 

Contains several (three or four) APA format errors. 

3 to >0 pts 

Poor 

Contains many (five or more) APA format errors. 

 

5 pts 
Total Points: 100