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 p) 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
REQUIRED READINGS:
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
Healthcare organizations continually seek to optimize healthcare performance
The Quadruple Aim in healthcare, an extension of the Triple Aim, includes improving patient experience, enhancing population health, reducing healthcare costs, and focusing on the work life of healthcare providers. Evidence-based practice (EBP) has the potential to significantly impact each of these four measures.
**Patient Experience**: EBP ensures that healthcare decisions are based on the best available evidence, leading to more effective treatments and improved outcomes for patients. By implementing evidence-based interventions, healthcare organizations can enhance patient satisfaction and overall experience. For example, using EBP to implement patient-centered care models or evidence-based communication strategies can lead to better patient-provider interactions and increased satisfaction with care.
**Population Health**: EBP informs healthcare practices that are aimed at improving population health outcomes. By identifying and implementing evidence-based preventive measures and interventions, such as vaccinations, screenings, and health promotion programs, healthcare organizations can address population health needs more effectively. EBP also facilitates the dissemination of best practices across communities, leading to more consistent and standardized care delivery and better health outcomes for populations.
**Costs**: EBP can help reduce healthcare costs by promoting the use of interventions and treatments that have been shown to be both clinically effective and cost-effective. By avoiding unnecessary or ineffective treatments and procedures, healthcare organizations can optimize resource allocation and reduce waste. Additionally, EBP supports the implementation of value-based care models, which prioritize high-quality, cost-effective care delivery and emphasize the importance of outcomes measurement and performance improvement.
**Work Life of Healthcare Providers**: EBP empowers healthcare providers to deliver high-quality care based on the best available evidence, which can lead to greater job satisfaction and professional fulfillment. By engaging in evidence-based decision-making and practice, healthcare providers feel more confident in their clinical judgment and ability to deliver effective care. EBP also fosters a culture of continuous learning and improvement within healthcare organizations, which can contribute to a supportive and fulfilling work environment for providers.
In summary, EBP has the potential to positively impact each component of the Quadruple Aim in healthcare by promoting evidence-based decision-making, improving patient outcomes, enhancing population health, reducing costs, and supporting the well-being of healthcare providers. By integrating EBP into organizational practices and processes, healthcare organizations can work towards achieving the Quadruple Aim and ultimately improving the overall quality and efficiency of healthcare delivery.
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