ASSIGNMENT HELP | Evidence-Based Practice and the Quadruple Aim

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)
Boller, J. (2017). Nurse educators: Leading health care to the quadruple aim sweet spot. Journal of Nursing Education, 56(12), 707–708. doi:10.3928/01484834-20171120-01

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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

Melnyk, B. M., Fineout-Overholt, 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. doi:10.1097/01.NAJ.0000366056.06605.d2

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 costs. Worldviews on Evidence-Based Nursing, 11(1), 5–15. doi:10.1111/wvn.12021

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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

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.

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.

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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

_Rubric


Excellent Good Fair Poor
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 77 (77%) – 85 (85%)
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. 68 (68%) – 76 (76%)
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. 60 (60%) – 67 (67%)
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. 0 (0%) – 59 (59%)
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.
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. 5 (5%) – 5 (5%)
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 (4%) – 4 (4%)
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 (3.5%) – 3.5 (3.5%)
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. 0 (0%) – 3 (3%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity less than 60% of the time.

MODEL ANSWER

The quadruple aim refers to the goals and objectives that healthcare organizations and professionals hope to achieve as they deliver | PLACE YOUR ORDER NOW AT writtask.com | that form the foundation of the quadruple aim concept are patient experience, population health, costs, and the work-life of healthcare | PLACE YOUR ORDER NOW AT writtask.com | to be effective in achieving the quadruple aim elements they need to ensure that their clinical…

Incorporating EBP into the quadruple aim objectives is a strategy that enables healthcare providers and their organizations to learn all they can about meeting the needs of their patients as | PLACE YOUR ORDER NOW AT writtask.com | four measures and the more it is used the higher the success rate in the principal measures of the Quadruple | PLACE YOUR ORDER NOW AT writtask.com | quadruple aim measures that are significantly affected by EBP is patient | PLACE YOUR ORDER NOW AT writtask.com | rate among their patients. Some of the strategies used that help in increasing satisfaction ratings includes Hourly rounding, Bedside shift report, and the use of | PLACE YOUR ORDER NOW AT writtask.com | encourage the nurse and other personnel in contact with the patients to be proactive in meeting patient needs and hence enhancing their experience in the organization.

The second quadruple aim measure affected by EBP is | PLACE YOUR ORDER NOW AT writtask.com | is a measure that brings major health concerns into focus and looks for ways to address these concerns with the limited resources | PLACE YOUR ORDER NOW AT writtask.com | into this measure ensures that healthcare providers and organizations develop strategies and techniques to allocate the resources they have efficiently, and achieve the desired positive patient outcomes. EBP encourages healthcare professionals to assess the resources they have before they begin their service | PLACE YOUR ORDER NOW AT writtask.com | a clear picture of what they have to work with, they are better able to ensure that they use the resources efficiently based on the needs of each patient.

EBP also affects the third measure of the quadruple aim, which is the cost of | PLACE YOUR ORDER NOW AT writtask.com | healthcare providers to learn new strategies and skills that can help in meeting the needs of the patient (Boller, 2017). Learning better and more effective patient care strategies helps to eliminate the need for trial and error methods applied in most healthcare | PLACE YOUR ORDER NOW AT writtask.com | research medical professionals are in a better position to diagnose the patient’s illness with minimal tests and provide effective treatment based on studies conducted on patients with similar | PLACE YOUR ORDER NOW AT writtask.com | treating the patient eliminates the need for the patient to spend money on getting unnecessary tests and treatments, hence lowering the cost of healthcare.

Lastly, the use of EBP affects the work-life of healthcare providers. as healthcare providers commit to learning and implementing the new skills they discover in their research, the more skilled they become at | PLACE YOUR ORDER NOW AT writtask.com | level enables them to provide better services to their patients, and therefore achieve positive patient outcomes. Since taking care of patients is the primary objective of healthcare providers, the more they can perform their duties effectively and achieve their desired goal, the higher their job satisfaction, which in…

EBP and quadruple aim can be effective strategies | PLACE YOUR ORDER NOW AT writtask.com | organizations and providers want to achieve their objectives faster, it is paramount that they combine the two | PLACE YOUR ORDER NOW AT writtask.com | the two together ensures that medical professionals continue to develop new and improved healthcare strategies as they continue to give their…

References

Boller, J. (2017). Nurse educators: Leading health care to the quadruple aim sweet spot. 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 practice. Worldviews on Evidence-Based Nursing, 13(2), 172–175. doi:10.1111/wvn.12126

Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer

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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