Evidence Based Practice and the Quadruple Aim

This article covers NURS 6052 Week 1 Assignment: Evidence Based Practice and the Quadruple Aim.

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NURS 6052/NURS5052/NRSE6052 Essent of Evidence

Evidence Based Practice and the Quadruple Aim

NRSE 6052 Week 1 Assignment: EBP and the Quadruple Aim

In this week’s assignment I will briefly describe and analyze the similarities and connection between Evidence-based practice (EBP) and the Quadruple Aim (QA). This paper is primarily focused on how EBP might (or might not) help reach the Quadruple Aim. It will each of the four measures of patient experience, population health, costs, and work-life of healthcare providers. Finally, the impact that EBP may have on factors affecting these quadruple aim elements, such as preventable errors in a clinical setting or nursing practice will also be considered.

Evidence-based practice is a method that helps clinical practitioners to select the best course of action according to patients’ values, useful external research, and the clinician’s own experience. The EBP is a good choice when it comes to the best principle the facilitates the patient’s experience with the capability of the clinician’s experience, and up-to-date knowledge (Petra Dannapfel, 2015). It is applying a problem-solving strategy to the delivery of healthcare which included the most appropriate conclusions based off research that have been tested clinician expertise, medical practitioners and patient preferences and outcomes (Melnyk, Fineout-Overholt, Stillwell, & Williamson, 2010).(Evidence Based Practice and the Quadruple Aim)

The Quadruple aim combines the clinician’s experience, the patient’s experience, optimal outcomes, and the costs of the whole practice involved altogether. The quadruple aim focuses not only on the patients, health practitioners but also on the cost of the method. It enhances healthcare quality and patient outcomes, eliminates unnecessary costs, reduced costs, and empowered clinicians by the utilization of EBP (Melnyk & Fineout-Overholt, 2018).(Evidence Based Practice and the Quadruple Aim)

Patient experience

The main objective goal of the quadruple aim is foster and develop improved quality care experience for the patient (Sikka, Morath, & Leape, 2015). Medical Practitioners and clinicians are able to incorporate EBP strategies into their research studies and eventually interpret the conclusions deduced into practical clinical roles. By making use of knowledgeable skills and strategies, literature-searching methods, and the implementation of EBP’s concepts in the evaluation of research findings. As nurses in a clinical setting we are constantly using existing scientific knowledge as we render care to our patients (Melnyk, 2018). By so doing we are able to address the various needs and problems each and every individual present for treatment. Eventually with EBP, nurses maintain improved patient care in their various practices respectively (Crabtree, Brennan, Davis, & Coyle, 2016). More importantly, with the concept of EBP, the patient’s preference and values are greatly considered which allows for ultimate patient care satisfaction (Melnyk & Fineout-Overholt, 2018).(Evidence Based Practice and the Quadruple Aim)

Population health

The Centers for Disease Control (CDC) as well as other major federal agencies require approaches that have been tested by EBP, especially during the funding phase of population-based chronic disease prevention and control (Allen et al., 2018). This can foster overall improved health on the populace while eradicating disease burden in populations (Allen et al., 2018). Some other components of the Quadruple Aim include developing better and more effective patient outcomes and fostering improved quality healthcare (Melnyk & Fineout-Overholt, 2018).(Evidence Based Practice and the Quadruple Aim)

Costs

Evidence-based practices on the nurse retention have helped to create guidelines and strategies for nursing leaders to foster increased job satisfaction which in turn leads to an increase in the retention of newly hired nurses’ overtime (Tang & Hudson, 2019). Experiencing a high turnover in nursing staff can be quite expensive and costly, which negatively impacts the safety and quality of care provided to patients (Tang & Hudson, 2019). EBP can be used to enhance job satisfaction amongst clinicians, it decreases unnecessary costs, establishes improved patient care and outcomes, which are all components of the quadruple aim (Tang & Hudson, 2019).(Evidence Based Practice and the Quadruple Aim)

Work-life of healthcare providers

Extensive research studies reveal that nurses that have training and knowledge d in EBP have more efficient educational backgrounds and attitudes (Kim et al., 2016). Clinicals that have a sense of confidence and empowerment in their practices factor into a quadruple aim in healthcare, which is the foundation and core of a well-structured healthcare system (Kim et al., 2016).(Evidence Based Practice and the Quadruple Aim)

In summary, the implementation of EBP in in patient care, overall health and well-being of a population, costs and clinical practices of a medical practitioner collectively factor into the quadruple aim. The principle of EBP helps to develop and create optimum patient care, without unnecessary cost, fwhile fostering quality patient outcomes, and empowering medical practitioners and clinicians.(Evidence Based Practice and the Quadruple Aim)

References

Allen, P., Jacob, R., Lakshman, M., Best, L. A., Bass, K., & Brownson, R. C. (2018, Oct). Lessons learned in promoting evidence-based public health: Perspectives from managers in state public health departments. Journal of Community Health, 43(5), 856-863. http://dx.doi.org/10.1007/s10900-018-0494-0(Evidence Based Practice and the Quadruple Aim)

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. http://dx.doi.org/10.1111/wvn.12126

Kim, S. C., Stichler, J. F., Ecoff, L., Brown, C. E., Gallo, A., & Davidson, J. E. (2016, Oct). 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. http://dx.doi.org/10.1111/wvn.12171

Melnyk, B. M., & Fineout-Overholt, E. (2018). Making the Case for Evidence-Based Practice and Cultivating a Spirit of Inquiry. In B. M. Melnyk, Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed. (pp. 7-32). Philadelphia, PA: (Evidence Based Practice and the Quadruple Aim)Wolters Kluwer.

^{Pannunzio, Valeria, Kleinsmann, Maaike. (2019). Design research, eHealth, and the convergence revolution. Retrieved from https://arxiv.org/ftp/arxiv/papers/1909/1909.08398.pdf}

^{Petra Dannapfel. (2015). Evidence-Based Practice in Practice: Exploring Conditions forUsing Research in Physiotherapy. Retrieved from diva-portal.org/smash/get/diva2:862658/FULLTEXT01.pdf}

1. ^{Mauricio Barría P. (2014). Implementing Evidence-Based Practice: A challenge for the nursing practice. Retrieved from scielo.org.co/pdf/iee/v32n2/v32n2a01.pdf}

Sikka, R., Morath, J. M., & Leape, L. (2015). The Quadruple Aim: Care, health, cost and meaning in work. BMJ Quality & Safety, 24(10), 608-610. http://dx.doi.org/10.1136/bmjqs-2015-004160

Tang, J. H., & Hudson, P. (2019, Nov). Evidence-based practice guideline: Nurse retention for nurse managers. Journal of Gerontological Nursing, 45(11), 11-19. http://dx.doi.org/10.3928/00989134-20191011-03(Evidence Based Practice and the Quadruple Aim)

NRSE 6052 Week 1 Assignment: EBP and the Quadruple Aim

Healthcare organizations are always looking for ways to improve their performance.
For many years, this strategy was a three-pronged one known as the Triple Aim, with efforts focusing on population health improvement, patient experience enhancement, and cost containment.(Evidence Based Practice and the Quadruple Aim)

This method has recently evolved into a Quadruple Aim, with an emphasis on improving healthcare providers’ work lives.
Organizational decisions influence each of these indicators, and businesses have increasingly relied on EBP to inform and justify these decisions.(Evidence Based Practice and the Quadruple Aim)

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(Evidence Based Practice and the Quadruple Aim)

NRSE 6052 Week 1 Assignment EBP and the Quadruple Aim

each of the four measures of:

Patient experience

Population health

Costs

Work life of healthcare providers

NURS 6052/NURS5052/NRSE6052 Essent of Evidence

Week 2 Quiz

Question 1 What type of study is described in the following excerpt?

An interprofessional team wants to test a new intervention to see whether it will improve central-line associated bloodstream infection (CLABSI) rates. Subjects were randomized into either the intervention or the control group by pulling a slip of paper with either a one or a two written on it from a manila envelope (those pulling ones were randomized to the intervention group; those pulling twos were randomized to the control group). When the study began, the intervention group received the intervention and the control group received equal attention. Data was collected and analyzed using the Statistical Package for the Social Sciences (SPSS). Descriptive statistics were used to report the data. NRSE 6052 Week 1 Assignment: EBP and the Quadruple Aim(Evidence Based Practice and the Quadruple Aim)

What type of research article is this?

Question 2What type of information would help you identify a research study as qualitative? (Select all that apply.)

Question 3The methods used in conducting a systematic review are specific and rigorous.

Question 4Mixed-methods studies are a combination of which two methodologies?

Question 5In qualitative studies, results are reported using words or themes.

Question 6You are forming a team to do a systematic review of the literature about interventions to treat post-traumatic stress disorder (PTSD). Which of the following would be your first step?

Question 7Which of the following is a type of quantitative research study?

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Question 8 What type of study is described in the following excerpt?

Surveys to evaluate nurse satisfaction, medical errors, depression and anxiety, and demographics were given to 5,432 nurses from hospitals of various sizes and geographic locations; some had nurses working 8-hour shifts and 12-hour shifts. Nurses were asked to complete the survey. Upon completion of the survey, nurses were invited to participate in video conference focus groups and one-on-one interviews with a research assistant by video conferencing. Survey results were reported using descriptive statistics, and themes were identified and reported from the data collected in the focus groups and one-on-one interviews.(Evidence Based Practice and the Quadruple Aim)

Question 9Which of the following statements is true of narrative reviews? (Select all that apply.)

Question 10In a systematic review with a meta-analysis, researchers combine the results of each of the individual studies to create a larger sample size (and therefore greater power), then re-run the statistics to capture the true magnitude of the effect. The single-effect measure calculated and reported when the results from all the studies are combined is called what?(Evidence Based Practice and the Quadruple Aim)

Question 11In quantitative studies, results are reported using words or themes.

Question 12What types of information would help you identify a research study as quantitative? (Select all that apply.)

Question 13What kind of study is described in the following excerpt?

Question 14What type of literature may a systematic review include to be considered Level 1 evidence on the Melnyk & Fineout-Overholt levels of evidence hierarchy?(Evidence Based Practice and the Quadruple Aim)

Question 15Randomized controlled trials are which type of research?

Question 16Order the following types of research evidence reviews in order of rigor from most rigorous to least rigorous:

Question 17When trying to determine what type of research study is described in an article, which two sections of the article will give you the best information to make that determination?(Evidence Based Practice and the Quadruple Aim)

Question 18Both literature reviews and systematic reviews are types of research evidence reviews.

Question 19A key characteristic of a systematic review is that it contains a meta-analysis.

Question 20Which of the following types of research can be categorized as primary research? Select all that apply. NRSE 6052 Week 1 Assignment: EBP and the Quadruple Aim(Evidence Based Practice and the Quadruple Aim)

ADDITIONAL INSTRUCTIONS FOR THE CLASS

Discussion Questions (DQ)

• Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words.
• Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source.
• One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words.(Evidence Based Practice and the Quadruple Aim)
• I encourage you to incorporate the readings from the week (as applicable) into your responses.

Weekly Participation

• Your initial responses to the mandatory DQ do not count toward participation and are graded separately.
• In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies.(Evidence Based Practice and the Quadruple Aim)
• Participation posts do not require a scholarly source/citation (unless you cite someone else’s work).
• Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.

APA Format and Writing Quality

• Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required).(Evidence Based Practice and the Quadruple Aim)
• Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation.
• I highly recommend using the APA Publication Manual, 6th edition.

Use of Direct Quotes

• I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly.
• As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content.(Evidence Based Practice and the Quadruple Aim)
• It is best to paraphrase content and cite your source.

LopesWrite Policy

• For assignments that need to be submitted to LopesWrite, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.
• Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.
• Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?(Evidence Based Practice and the Quadruple Aim)
• Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.

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Late Policy

• The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.
• Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.
• If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.
• I do not accept assignments that are two or more weeks late unless we have worked out an extension.
• As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.(Evidence Based Practice and the Quadruple Aim)

Communication

• Communication is so very important. There are multiple ways to communicate with me:
  • Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.
  • Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.(Evidence Based Practice and the Quadruple Aim)

Name: NURS_6052_Module01_Week01_Assignment_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	Points Range: 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.(Evidence Based Practice and the Quadruple Aim)	Points Range: 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.	Points Range: 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.	Points Range: 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.(Evidence Based Practice and the Quadruple Aim)
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.	Points Range: 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.(Evidence Based Practice and the Quadruple Aim)	Points Range: 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.	Points Range: 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.(Evidence Based Practice and the Quadruple Aim)	Points Range: 0 (0%) – 3 (3%)Paragraphs and sentences follow writing standards for flow, continuity, and clarity less than 60% of the time.No purpose statement, introduction, or conclusion was provided.
Written Expression and Formatting—English Writing Standards: Correct grammar, mechanics, and proper punctuation.	Points Range: 5 (5%) – 5 (5%)Uses correct grammar, spelling, and punctuation with no errors.	Points Range: 4 (4%) – 4 (4%)Contains a few (one or two) grammar, spelling, and punctuation errors.(Evidence Based Practice and the Quadruple Aim)	Points Range: 3.5 (3.5%) – 3.5 (3.5%)Contains several (three or four) grammar, spelling, and punctuation errors.	Points Range: 0 (0%) – 3 (3%)Contains many (five or more) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.
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.	Points Range: 5 (5%) – 5 (5%)Uses correct APA format with no errors.(Evidence Based Practice and the Quadruple Aim)	Points Range: 4 (4%) – 4 (4%)Contains a few (one or two) APA format errors.	Points Range: 3.5 (3.5%) – 3.5 (3.5%)Contains several (three or four) APA format errors.	Points Range: 0 (0%) – 3 (3%)Contains many (five or more) APA format errors.

Total Points: 100

Name: NURS_6052_Module01_Week01_Assignment_Rubric

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