Week
1
|
Module
1:
Evidenced-Based
Practice
and
the
Quadruple
Aim
Analysis
of
a
Pertinent
Healthcare
Issue
This
writing
aims
to
address
the
unquenchable
national
healthcare
issue
of
caregiver
burnout
(CB)
that
had
been
bombarding
the
industry
for
many
years
impacting
varied
healthcare
workers
causing optimal
exhaustion.
This
issue
propelled
efforts
that
triggered
a
change
from
triple
aim
(TA)
to
the
initiation
of
the
quadruple
aim
(QA),
which
optimize
health
system
performances.
A
description
of
the
conundrum
in
the
health
industry
particularly
Alberta
Health
Services
(AHS)
located
in
Canada,
where
I
practice
will
be
explored
and
reviewed
along
with
the
use
of
statistical
evidence
to
quantify
the
impacts
accordingly.
Aside
from
courses
content,
two
articles
were
selected
and
reviewed
to
expose
and
explain
how
CB
is
addressed
in
different
entities.
The
paper
will
summarize
strategies
used
to
combat
or
addressed
resulting
impacts
in
the
scholarly
resources
and
explain
positive
and
negative
influences
with
associated
examples.
Caregiver
Burnout
(CB)
Over-unyielding
CB
of
nurses,
physicians
or
any
other
health
care
team
members
have
had
its
many
implications
on
the
healthcare
system
(Melnyk
&
Fineout-Overholt,
2023).
The
authors
remind
that
burnout
includes
three
components,
“emotional
exhaustion,
depersonalization
and
low
personal
accomplishment”
(p.
717),
which
singly
or
together
will
negatively
impact
a
patient's
outcome
and
can
inflict
trauma
on
the
caregiver.
It
has
been
conspicuous
that
healthcare
workers
in
particular
nurses
face
prolonged
exposure
to
stresses
from
principally
working
short
staffed,
increased
patient
workload
and
health
demands
to
name
a
few.
These
sadly
boost
duress
by
taking
a
“tool
on
their
health
overtime,
affects
their
quality
of
life,
and
in
turn
impacts
the
quality
of
care
provided
to
the
patients”
(Bangani
et
al.,
2021,
p.
2992).
CB
weary
workers
and
also
expanded
TA’s
from
“improve
population’s
health,
patient
experience
and
reduce
cost
to
include
QA’s
goal
of
improving
the
work
life
of
clinicians”
(Bodenheimer
&
Sinsky,
p.
573).
Articles
Reviewed
Amid
innumerable
challenges
the
Canadian
healthcare
especially
AHS
have
also
been
faced
with
increased
burnout
and
elevated
physical
and
emotional
fatigue.
Bean
et
al.,
(2023)
have
cited
the
major
culprits
of
physician’s
burnout
as
“too
many
bureaucratic
tasks
at
58%
while
long
hours
and
lack
of
respects
valued
at
37%
equally”
(Figure
1,
p.
29).
“Without
joy
and
meaning
in
work,
the
workforce
cannot
perform
at
its
potential”
as
well
workers
need
to
do
a
daily
internal
gut
check
by
asking
themselves
questions
(p.
609)
that
needs
to
be
answered
affirmatively
(Sikka
et
al.,
2015).
Other
impacts
noted
are
higher
levels
of
insomnia,
depression,
anxiety,
somatization,
and
obsessive-compulsive
symptoms
(Cabarkapa
et
al.,
2020,
p.
6).
Menzin
et
al,
(2023)
review
have
also
confirmed
the
aforementioned
on
CB,
along
with
consideration
of
job
change
which
“constitutes
a
public
health
crisis”
(p.
499),
which
is
believed
to
be
solved
using
an
organizational
approach
to
lessen
burnout
and
foster
engagement
of
vigor,
dedication
and
absorption
which
they
see
as
the
“positive
antithesis
of
burnout”
(p.
499).
The
authors
confirmed
that
burnout
led
to
QA,
a
paradigm
reflecting
transformational
changes
to
implement
and
sustain
programs
that
foster
the
development
of
humanistic
skills.
CB
is
rising
across
medical
specialties
globally,
and
the
Canadian
system
undoubtedly
follows
this
trend,
facing
increased
demands
and
pressure:
with
prevalence
reaching
an
high
of
80.5%,
being
worst
among
Canadian
radiologists
and
bombarded
by
the
COVID-19
pandemic
(Cao
et
al.,
2023);
also,
the
aging
population
have
increased
diagnostic
and
imaging
demands.
The
strains
have even
decreased
interests
in
the
profession’s
prospects,
compounding
the
ability
to
staff
units.
The
review
aimed
to
assess the
well-being
of
Canadian
radiologists
and
strategies
for
improvement
by
comparing
the
US
with
Canada
and
found
that
the
“In
the
US,
the
number
of
diagnostic
radiology
positions
offered
to
applicants
has
remained
relatively
stable,
growing
by
about
2.1%
in
the
10-years
between
2010
and
2020,
while,
in
Canada,
the
number
of
available
radiology
residency
positions
decreased
significantly
in that
same
10-year
period.22”
(p.2).
The
issue
was
corroborated
by
the
finding
that
68%
of
Canadian
medical
students
believe
artificial
intelligence
(AI)
may
reduce
the
need
for
radiologists
in
the
future
job
market
hence
they
opt
out
of
the
specialty
base
on
this
notion.
Other
Strategies
Used and
Impacts.
Cao
et
al.,
(2023)
literature
highlights
that
radiology
in
Canada
face
severe
lack
of
huma
resources
such
as
such
as
technologists,
sonographers,
and
nurses
which
contributes
to
backlog
of
imaging,
wherein
clear
communication,
frequent
collaboration
and
commitment
to
mentorship
have
a
burnout-alleviating
effect
and
build
resiliency
and
trust.
They
alerted
that
using
evidence
based
analysis
of
queueing
and
scheduling
would
identify
best
practices.
As
an
example,
there
is
evidence
that
if
a
centralized
intake
system
is
implemented
correctly,
scan
results
will
be
faster,
duplicate
scans
will
be
reduced
as
well
as
wait
times
(p.
36).
Modernizing
equipment
is
another
tactic,
as
outdated
tools
contributes
to
potentially
inferior
results
and
increase
workload,
also
the
importance
of
wellness
resources
should
be
re-emphasized.
These
strategies
in
addition
to
ones
previously
mentioned
above
reflect
a
change
in
paradigm
to
the
QA,
a
plan
to
restore
joy
and
meaning
in
workforce
by
ensuring
physical
and
psychological
freedom
disrespect
and
harms.
Influences
Professional
burnout
displays
a
loss
of
enthusiasm
for
work,
feelings
of
contempt,
and
a
low
sense
of
accomplishment
which
may
trigger
early
retirement,
alcohol
use,
and
a
sense
of
thorough
hopelessness.
These
unfortunate
negative
influences
and
long
term
exposure
to
stress
will
have
adverse
effects
on
health
such
as
fatigue,
high
blood
pressure,
diabetes,
stress-related
heart
conditions,
obesity,
mental
disorders
as
anxiety
and
depression
(Bangani
et
al.,
2021).
Conversely,
if
Cao’s
et
al.,
suggestions
are
implemented
we
can
assert
positive
impacts
in
time
management,
more
definitive
diagnostics,
less
caregiver
stress
from
less
workloads.
Irrefutably,
implementing
QA
is
basic
in
that
the
caregiver
needs
to
be
in
health
in
order
to
care
for
the
vulnerable
and
ailing.
We
need
to
be
stress
free!
And
incorporate
the
use
of
AI
stress
prediction
system
that
can
analyze
workers
and
enable
interventions
before
disease
or
disorder
ingrains.
Although,
the
use
of
AI
and
other
new
technology
and
techniques
can
improve
care,
they
can
also
lead
to
new
adverse
events;
“what
was
acceptable
five
years
ago
may
be
an
adverse
event
today”
(Amalberti
et
al.,
2019).
References
Amalberti,
B..
Vincent,
C.,
Nicklin,
W.,
&
Braithwaite,
F,
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Some?
the
Quadruple
Aim.
Mayo
Clinic
Proceedings:
Innovations,
Quality
Outcomes,
4(5),
c
is
Melnyk,
B.
M.,
&
Fineout-Overholt,
E.
(2023).
Evidence-based
practice
in
nursing
&
healthcare:
A
guide
to
best
practice (Sth
ed.).
Wolters
Kluwer.
Menzin,
A.
W.,
Kline,
M.,
George,
C.,
Schindler,
J.,
Yacht,
A.
C.,
&
Fornari,
A.
(2020).
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BMJ
Quality
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24,
608-610.
End
10.1136/bmjqs-2015-004160
doi
