. NURS 5052/NURS 6052/NURS 6052N/NRSE 6052C/NURS 6052C/NURS 5052C/NURS 6052A/NRSE 6052A: Essentials of Evidence-Based Practice
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Quadruple Aim
Edelis Morales
Professor: Christine Frazer
NURS 5052/NURS 6052: Essentials of Evidences -Based Practice
12/07/2020
Introduction
Evidence-based practice is one of the best strategies that are applied by healthcare organization to enhance their quality and safety of healthcare, their health results and reduce cost and geographic variation in care. The EBP achieves the Triple Aim in healthcare which are improving patient care experience, improving health popu- lation and lowering the per capita cost of healthcare. But currently, the triple Aim has been expanded to the Quadruple Aim with the inclusion of the fourth objective of enhancing the work-life to reduce burnout in healthcare providers. Since EBP is found to encourage healthcare providers, thus resulting in better job satisfac-
tion, it can also assist the healthcare system in achieving the Quadruple Aim. This article is going to focus on how the EBP might affect or not affect the Quadruple Aim, impact EBP may have on factors impacting Quadruple Aim elements, and connection between EBP and Quadruple Aim. How EBP might affect or not affect
the Quadruple Aim
In 2008 Donald Berwick and his colleagues defined four broad objectives of Quadruple Aim which are enhancing people’s experience, lowering the per capita cost of healthcare, enhancing population’s health, and enhancing the work-life of healthcare providers in there triple aim framework did not recognize the benefaction of em- ployees in the healthcare system. This 2008 model has been extended by Kim et al., (2016) to consider the benefits of nurses, physicians and other employees in the healthcare system in uncovering satisfaction and joy in their jobs. Other than improving patients experience, reducing healthcare cost, and clarifying populations health, the Quadruple Aims offers a fourth objective of enhancing the work-life of healthcare employees. Applying the Evidence-based practices (EBP) in the health- care system has also led to the improvement of the work-life of healthcare employees in the healthcare system. Kim et al., (2016) suggest that evidence-based practice
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y p p y y , ( ) gg p may have an effect on the Quadruple Aim in healthcare which enhances job satisfaction among healthcare employees and group cohesion. Evidence-based practice is one of the most effective problems solving approach in the healthcare system since it combines the best current evidence from the best scientific studies, values and preference of clinicians to offer decisions that involve patient care. Due to this, the evidence-based practice may not affect the Quadruple Aim since it makes sure that patients receive safe and high-quality healthcare services and the healthcare workers are satisfied with their jobs. Sikka, Morath & Leape, (2015) suggest that job satis- faction is fortified through EBP implementation and beliefs. However, other studies suggest that there no crucial correlation among EBP implementation and the co- hesion and attractiveness of a group. One major problem experienced when achieving the objectives of the Quadruple Aim in the health sector is enhancing popula- tion health while reducing the costs related to healthcare, which needs a high level of effectiveness and efficiency. A productive healthcare workforce brings about the effective healthcare system, and this encouraged the transition of the triple aim and quadruple aim through adding the fourth objective of enhancing the health provider’s work-life. Due to this objective which is also provided by the evidence-based practice nurses have greatly supported the positive attitude regarding evi- dence-based practice and most of them are ready to acquire the required skills and knowledge to adapt the clinical practices. Developing and adapting the evidence- based practice is to improve the quality of healthcare services that patients get as well as the positive impact it has brought about on the work-life of healthcare providers.
Impact EBP may have on factors impacting Quadruple Aim elements. The evidence-based practise involves seven-step problem-solving strategies which can as-
sist the healthcare system in achieving the Quadruple Aim in healthcare through increasing healthcare quality and safety, reducing healthcare cost and encourage clinicians to be engaged and be more satisfied as they carry out their daily jobs (Anandarajah, Quill & Privitera, 2018). With the current situation, healthcare profes- sionals are facing high levels of burnouts and being dissatisfied in their jobs, but the EBP assist them in meeting the Quadruple Aim. Nurses undergo Evidence-based practice training to acquire the required knowledge components that enable the nurses as well as other healthcare providers to change research findings to clinical practices (Crabtree, Brennan, Davis & Coyle, 2016). With the current situation, EBP is essential for achieving the Quadruple Aim in the healthcare system, and manage- ment has to understand that that EBP will directly lead their organization to achieve the quadruple aim thus improving healthcare quality and safety of the workforce, improve health outcomes, reduce healthcare cost and create job satisfaction for all the employees.
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The connection between EBP and Quadruple Aim
The introduction and adoption of evidence-based practice are mostly to enhance the quality of healthcare services that clients receive and provide high-value inpa- tient healthcare in healthcare facilities. Evidence-based practice directly affects the work-life of healthcare providers since to be high quality and safe healthcare ser- vices that the employees require to be very productive. The evidence-based practice might not or may help reach the four measures, which are patient experi-
ence, population health, costs, and work-life of healthcare providers. Patient experience
All measured applied in evidence-based practice allows healthcare providers to change the findings of the research to clinical practice through making use of efficient searching skills of literature and properly to apply the rules that regulate evidence to analyze the results of the research, physicians and nurses can effectively use available scientific knowledge in clinical practise depending on patients requirements. Due to this, the patient is able to experience improved qualities of healthcare services since most current healthcare facilities have started to adopt the evidence-based practice to deal with their clinical problems that affect patient care. Popula- tion health
The main purpose of evidence-based practice is to make the population have an understanding of their own health determinants, the advantages and complications of some particular treatments, culture and healthcare practices. The integration of evidence-based practices in different population setting is to make sure that there is an equal distribution of resources to achieve a particular objective (Galiano, Simonetti, Quiroga & Larrain, 2020). Difference populations can be identified depending on their requirements as recognized by socioeconomic status, family support, and individual health status, which motivates equity and efficiency during allocation as well as the distribution of resources for health promotion. The processes involved in evidence-based practice have been particularly designed to cater to patient's re- quirements rather than shaping healthcare patterns depending on subgroups. Cost
One of the main complications that healthcare facilities face is having a relation to the measure of per capita cost of healthcare as it requires all healthcare expendi- ture to be record measurements of actual costs and indexing the cost to the healthcare market. Crabtree, Brennan, Davis & Coyle, (2016) suggest that the most usual method applied to measure verified costs is ricing and discount which makes most of the healthcare facilities it is challenging to offer safe and quality healthcare ser- vices that are at an affordable cost. Due to this when most healthcare facilities advance to the use of the latest technology to enhance efficiency and have the current treatment methods that are considered by the evidence-based practice, the quality of care and the cost will increase. The work-life of healthcare providers
The main features of a conducive healthcare environment should support inter-professional collaboration which has been evidenced to enhance patient health out- come and how satisfied the healthcare providers are. This also leads to reduced healthcare providers' burnout and turnover rates, which encourages staff productivi- ty. The 3 main features of an environment that encourages staff productivity include actively engaging the employees in shared decision making and the structural and policy. Conclusion
This article has covered how the EBP might affect or not affect the Quadruple Aim, impact EBP may have on factors impacting Quadruple Aim elements, and connec- tion between EBP and Quadruple Aim. On how the EBP might affect or not affect the Quadruple Aim the EBP enhances healthcare quality, reduces cost and improves patients’ outcome which makes the operation of healthcare providers easy through introducing culture and environment that reduced burnout and creates job satis- faction. The Quadruple Aim has elements such as eliminating healthcare workforce burnout, and this is affected by EBP since it introduces a new culture and work- place environment that reduces workforce burnout and improves jo satisfaction.
Reference
Anandarajah, A. P., Quill, T. E., & Privitera, M. R. (2018). Adopting the quadruple aim: the University of Rochester Medical Center experience: moving from physi-
cian burnout to physician resilience. The American journal of medicine, 131(8), 979-986. Crabtree, E., Brennan, E., Davis, A., & Coyle, A. (2016). Improving Pa-
tient Care Through Nursing Engagement in Evidence Based Practice. Worldviews on Evidence Based Nursing, 13(2), 172-175. Galiano, A., Simonetti, M., Quiroga, N., & Larrain, A. (2020). Development, implementation and evaluation of an evidence based practice model in a new hospital in Chile. Journal of Nursing Management, 28(7), 1748-1757. Sikka, R., Morath, J. M., & Leape, L. (2015). The quadruple aim: care, health, cost and meaning in work. Kim, S. C., Stichler, J.
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F Ecoff L Brown C E Gallo A M & Davidson J E (2016) Predictors of Evidence Based Practice Implementation Job Satisfaction and Group Cohe8 9 8
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F., Ecoff, L., Brown, C. E., Gallo, A. M., & Davidson, J. E. (2016). Predictors of Evidence Based Practice Implementation, Job Satisfaction, and Group Cohe-
sion Among Regional Fellowship Program Participants. Worldviews on Evidence Based Nursing, 13(5), 340-348.
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Essentials of Evidences -Based Practice
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Essentials of Evidence-Based Practice
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12/07/2020
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Since EBP is found to encourage health- care providers, thus resulting in better job satisfaction, it can also assist the healthcare system in achieving the Quadruple Aim.
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Because EBP has been found to empow- er clinicians and result in higher levels of job satisfaction, it also can assist health- care systems in achieving the Quadruple Aim
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How EBP might affect or not affect the Quadruple Aim
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Reflect on how EBP might impact (or not impact) the Quadruple Aim in healthcare
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Impact EBP may have on factors impact- ing Quadruple Aim elements.
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Consider the impact that EBP may have on factors impacting these quadruple aim elements, such as preventable med- ical errors or healthcare delivery
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The connection between EBP and Quadruple Aim
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The Connection Between EBP and the Quadruple Aim
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The evidence-based practice might not or may help reach the four measures, which are patient experience, population health, costs, and work-life of healthcare providers.
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How the four measures of patient experi- ence, population health, costs, and work- life of healthcare providers either sup- port the Quadruple Aim
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The work-life of healthcare providers
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12/6/2020 Originality Report
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Improving Patient Care Through Nursing Engagement in Evidence Based Practice. Worldviews on Evidence Based Nursing, 13(2), 172-175.
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Sikka, R., Morath, J M., & Leape, L
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The quadruple aim: care, health, cost and meaning in work.
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The Quadruple Aim Care, health, cost and meaning in work
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C., Stichler, J. F., Ecoff, L., Brown, C.
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C., Stichler, J F., Ecoff, L., Brown, C
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E., Gallo, A. M., & Davidson, J.
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E., Gallo, A M., & Davidson, J
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Predictors of Evidence Based Practice Implementation, Job Satisfaction, and Group Cohesion Among Regional Fellow- ship Program Participants. Worldviews on Evidence Based Nursing, 13(5), 340- 348.
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Predictors of evidence-based practice im- plementation, job satisfaction, and group cohesion among regional fellowship pro- gram participants Worldviews on Evi- dence-Based Nursing, 13(5), 340–348
