Sample Answer for NURS 6052 Week 1 Assignment: EBP 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 Week 1 Assignment: EBP and the Quadruple Aim
Title: NURS 6052 Week 1 Assignment: EBP and the Quadruple Aim
Health institutions continue to seek alternative approaches of care in order to improve quality service to patients. One of these methods encompass the adoption of evidence-based practice and Triple Aim to develop goals and aims of health service delivery. The Triple Aim is a three-pronged method used to address health issues in contemporary society. The approach is premised on improving the overall health of populations, better patient experience, and reduced costs of care (Haverfield et al., 2020). Improvement in the work-life of health staff has recently been incorporated in the Triple Aim to enhance a holistic approach in service delivery. The inclusion of work-life factors in the Triple Aim to form the Quadruple Aim has rallied several conversations regarding how the approach optimizes care to patients (Winter et al., 2019). Besides, it remains uncertain on the need for Quadruple Aim and yet health staff relies on evidence-based practice (EBP) to provide care to patients. In this regard, the present article examines how evidence-based practice supports the attainment of Quadruple Aim to support the delivery of care to patients.
Patient Experience
Nurses use EBP to research the best care approaches that optimize health outcomes for patients. Studies are examined and translated into research findings to assess their effectiveness before implementation in clinical practice (Bowles et al. 2019). In this approach, the development of an EBP relies on knowledge obtained from peer-reviewed literature and evaluation of findings to ascertain the relevance of scientific knowledge in a given clinical practice. The approach ensures that patients receive individualized care specific to their health needs.
Population Health
Evidence-based practice helps in the attainment of Quadruple Aim as it lays a framework for the delivery of safe and quality care to patients. In other words, EBP serves as the pathway for the achievement of health goals as it guides in making clinical decisions that have been tested throughout a given time (Haverfield et al., 2020). Implementation of EBP in a health facility improves the judgment of health staff and guides in the selection of alternative clinical practices that can enhance the achievement of best health outcomes to patients thereby improving health of the given population.
Reducing Costs
Health interventions aim to provide care to patients at an affordable cost. At the family and government levels, there is a need to make strategic decisions that improve efficiency in health service delivery. Implementation of EBP guides decision-making in efficient, safe, and effective delivery of health services (Bowles et al. 2019). To address cost-effectiveness in care delivery EBP is defined by six components of health which include equitability, patient-centeredness, efficiency, effectiveness, timeliness, and safety. Health providers need to acknowledge these components to guarantee safe and quality care at a relatively low cost (Haverfield et al., 2020). In this context, implementation of EBP will enhance the reduction in hospital falls, rates of transfusion, and length of hospital stay which are often associated with high cost.
Work-Life of Healthcare Providers
Evidence-based practice is integral in the achievement of Quadruple Aim in a health facility. An informative piece by Bowles et al. (2019) affirms that EBP creates an environment that fosters collaboration among health staff. The approach also establishes a culture of support through knowledge sharing. Collaboration and support not only improve efficiency in the delivery of health services but also enhance work-life balance among staff (Winter et al., 2019). Besides, nurses and other care providers are likely to feel empowered through the adoption of EBP in clinical practice.
Conclusion
EBP is a vital component in the implementation of clinical practice. It ensures the delivery of health services that conforms to the Quadruple Aim and goals. Based on this premise, health service delivery will be optimized at affordable prices to patients. In a nutshell, nurses and other health staff have the mandate to champion and guide in the implementation of EBP to optimize health service delivery to patients.
References
Bowles, J. R., Batcheller, J., Adams, J. M., Zimmermann, D., & Pappas, S. (2019). Nursing’s leadership role in advancing professional practice/work environments as part of the quadruple aim. Nursing administration quarterly, 43(2), 157-163. doi: 10.1097/NAQ.0000000000000342
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://link.springer.com/article/10.1007/s11606-019-05525-2
Winter, V., Kjærgaard Thomsen, M., Schreyögg, J., Blankart, K., Duminy, L., Schoenenberger, L., … & Jensen, U. T. (2019). Improving service provision–the health care services’ perspective. Journal of service management research, 3(4), 163-183. 10.15358/2511-8676-2019-4-163
A Sample Answer 2 For the Assignment: NURS 6052 Week 1 Assignment: EBP and the Quadruple Aim
Title: NURS 6052 Week 1 Assignment: EBP 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.
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:
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The following was present:
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The following was present:
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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. |