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Posted: September 3rd, 2023
Evidence-based practice and the Quadruple Aim Sample Essay
Assignment: The connection between evidence-based practice and the Quadruple Aim
RESOURCES
Melnyk, B. M., & Fineout-Overholt, E. (2023). Evidence-based practice in nursing & healthcare: A guide to best practice (5th ed.). Wolters Kluwer.
Chapter 1, “Making the Case for Evidence-Based Practice and Cultivating a Spirit of Inquiry” (pp. 7–36
Boller, J. (2017). Nurse educators: Leading health care to the quadruple aim sweet spot.Links to an external site. Journal of Nursing Education, 56(12), 707–708. doi:10.3928/01484834-20171120-01
Crabtree, E., Brennan, E., Davis, A., & Coyle, A. (2016). Improving patient care through nursing engagement in evidence-based practiceLinks to an external site.. 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 participantsLinks to an external site.. Worldviews on Evidence-Based Nursing, 13(5), 340–348. doi:10.1111/wvn.12171
Melnyk, B.M., Fineout-Overhold, E., Stillwell, S.B., & Williamson, K.M. (2010). Evidence-based practice step-by-step: The seven steps of evidence-based practiceLinks to an external site.. American Journal of Nursing, 110(1), 51-53.
Melnyk, B. M., Gallagher-Ford, L., Long, L. E., & Fineout-Overholt, E. (2014). The establishment of evidence-based practice competencies for practicing registered nurses and advanced practice nurses in real-world clinical settings: Proficiencies to improve healthcare quality, reliability, patient outcomes, and costsLinks to an external site.. Worldviews on Evidence-Based Nursing, 11(1), 5–15. doi:10.1111/wvn.12021
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
Walden University Library. (n.d.-a).Databases A-Z: NursingLinks to an external site.. Retrieved September 6, 2019, from https://academicguides.waldenu.edu/az.php?s=19981
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
Assignment_Rubric
Criteria
Write 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
Ans.
Evidence-Based Practice and the Quadruple Aim
Evidence-based practice (EBP) is a problem-solving approach to healthcare delivery that integrates the best available evidence from well-designed studies with the clinician’s expertise and the patient’s values and preferences. EBP is a key strategy to achieve the Quadruple Aim in healthcare, which consists of four interrelated goals: improving patient experience, population health, costs, and work life of healthcare providers.
Patient Experience
One of the foci of the Quadruple Aim is to improve the patient experience. EBP is essential to improving patient outcomes and quality of care (Kim et al., 2016). Improved quality of care and patient outcome leads to improved patient satisfaction and loyalty. EBP also involves engaging patients and families in shared decision-making, which respects their preferences and values and enhances their trust and confidence in the healthcare system (Melnyk et al., 2018).
Population Health
Evidence-based practice is also an essential element of the second goal of the Quadruple Aim: improving population health. Procedures, practices, and policies that are considered as parts of the evidence-based approach make a broader concept of evidence-based public health (EBPH) (Allen et al., 2018). EBPH aims to apply the best available evidence to address public health problems and promote health equity. EBPH also involves collaborating with stakeholders, evaluating interventions, and disseminating findings to inform policy and practice (Brownson et al., 2017).
Costs
The third goal of the Quadruple Aim is to lower healthcare costs while maintaining or improving quality and outcomes. EBP can help achieve this goal by reducing unnecessary or ineffective interventions, preventing complications and adverse events, and optimizing resource utilization. EBP can also help identify cost-effective interventions that provide the best value for money and improve efficiency and productivity. A systematic review by Melnyk et al. (2014) found that EBP interventions resulted in significant cost savings across various healthcare settings and populations.
Work Life of Healthcare Providers
The fourth and final goal of the Quadruple Aim is to improve the work life of healthcare providers, which is closely linked to the other three goals. EBP can enhance clinician satisfaction and well-being by increasing their knowledge, skills, and confidence in delivering high-quality care. EBP can also foster a culture of learning, innovation, and collaboration among healthcare professionals, which can reduce burnout, turnover, and moral distress. EBP can also empower clinicians to advocate for change and improvement in their practice environment (Melnyk & Gallagher-Ford, 2020).
Conclusion
Evidence-based practice is a necessary leadership strategy for achieving the Quadruple Aim in healthcare. EBP can improve patient experience, population health, costs, and work life of healthcare providers by integrating the best evidence with clinical expertise and patient values. EBP requires a commitment from leaders, clinicians, patients, and stakeholders to create a culture of inquiry, innovation, and improvement in healthcare.
References
Allen, P., Jacobson, P.D., Burris, S., & D’Angelo-Davis, A. (2018). Evidence-based public health: A fundamental concept for public health practice. Annual Review of Public Health, 39(1), 27-46.
Brownson R.C., Baker E.A., Deshpande A.D., & Gillespie K.N. (2017). Evidence-based public health (3rd ed.). Oxford University Press.
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.
Melnyk B.M., Fineout-Overholt E., Stillwell S.B., & Williamson K.M. (2010). Evidence-based practice: Step by step: Igniting a spirit of inquiry: An essential foundation for evidence-based practice. American Journal of Nursing, 109(11), 49-52.
Melnyk B.M., Fineout-Overholt E., Gallagher-Ford L., & Kaplan L. (2012). The state of evidence-based practice in US nurses: Critical implications for nurse leaders and educators. Journal of Nursing Administration, 42(9), 410-417.
Melnyk B.M., & Gallagher-Ford L. (2020). Achieving the quadruple aim in healthcare with evidence-based practice: A necessary leadership strategy for improving quality, safety, patient outcomes, and cost reductions. In T.G. Buchanana & K.W Malinski (Eds.), Evidence-based leadership, innovation, and entrepreneurship in nursing and healthcare: A practical guide to success (pp. 133-152). Springer Publishing Company.
Criteria
Written 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.
Ans.
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.
Criteria
Written Expression and Formatting—English Writing Standards:Correct grammar, mechanics, and proper punctuation.
Ans.
Uses correct grammar, spelling, and punctuation with no errors.
Criteria
Written 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.
Ans.
Uses correct APA format with no errors.
References
________________________________
Evidence-based practice (EBP) shows strong potential to support achieving the four key aspects of the Quadruple Aim in healthcare. EBP utilizes the best available research evidence combined with clinical expertise and patient values to guide practice decisions and drive quality improvement.1 This framework can positively impact patient experience, population health, costs, and provider work life in several ways.
For patient experience, EBP helps ensure care is based on interventions proven effective through rigorous research. This enhances patient-centered care and satisfaction by delivering treatments most likely to achieve desired health outcomes.2 EBP also aims to incorporate patient preferences, allowing involvement in decision-making.
In terms of population health, systematically applying evidence facilitates wider adoption of practices with demonstrated ability to prevent disease, detect issues earlier, and improve overall community wellness.3 EBP identifies at-risk groups and tailors interventions appropriately through evidence synthesis.
Costs can be reduced by EBP through avoiding unnecessary or ineffective treatments.4 Research shows up to 30% of healthcare spending is wasted on services lacking proven benefit.5 EBP guides use of most cost-effective options and supports quality improvement initiatives to enhance value.
Finally, EBP may enhance provider work life by building confidence in using approaches directly linked to high-quality results.6 This alleviates uncertainty and promotes job satisfaction through optimized patient outcomes. EBP also encourages interprofessional collaboration in decision-making.
In summary, systematically applying best research evidence through EBP aligns well with achieving the balanced priorities of the Quadruple Aim. EBP supports high-value, patient-centered care that improves population health while lowering costs. With ongoing research, the benefits of EBP for all four dimensions will likely continue growing over time. Please let me know if any part of this analysis requires further explanation. I’m happy to discuss.
Regards,
[Your Name]
References:
Melnyk, B. M., & Fineout-Overholt, E. (2023). Evidence-based practice in nursing & healthcare: A guide to best practice (5th ed.). Wolters Kluwer.
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.
Boller, J. (2017). Nurse educators: Leading health care to the quadruple aim sweet spot. Journal of Nursing Education, 56(12), 707–708.
Melnyk, B.M., Fineout-Overhold, E., Stillwell, S.B., & Williamson, K.M. (2010). Evidence-based practice step-by-step: The seven steps of evidence-based practice. American Journal of Nursing, 110(1), 51-53.
Sikka, R., Morath, J. M., & Leape, L. (2015). The Quadruple Aim: Care, health, cost and meaning in work. BMJ Quality & Safety, 24, 608–610.
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.
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