Posted: December 3rd, 2022

Example Essay: Evidence-Based Practice and the Quadruple Aim

Sample Answer 1
Write a brief analysis of the connection between EBP and the Quadruple Aim
Evidence-Based Practice (EBP) is an approach to healthcare delivery that integrates clinical expertise, patient’s values and preferences with the best evidence from reliable studies. The primary goal of any given healthcare organization is to optimize healthcare performance and impact patients outcome. And for many years, the three-pronged approach known as the “Triple Aim” proposed by Donald Berwick and colleagues in 2008, has been used. The three overarching goals of approach are to improve population health, enhance the patient experience, and lower healthcare costs.
However, over the years, the framework evolved to include a fourth goal of improving the work life and experience of healthcare providers. Sikka, Morath and Leape (2015) propose the extension of the 2008 Triple Aim approach to acknowledge and appreciate the role played by health care providers in finding meaning in their work. Besides enhancing the three main goals of the Triple Aim model, EBP also impacts the newly introduced fourth goal of improving group cohesion and promoting job satisfaction among healthcare providers.
EBP and patient experience
Evidence-based practice allows clinicians to access and integrate findings of research into clinical practice. Through this, nurses and physicians are able to use their knowledge, skills and experience to effectively apply the existing scientific knowledge into clinical practice based on every patient’s health needs. This has played a significant role in improving the quality of services delivered to patients.
EBP and populations health
Another fundamental role of EBP in healthcare is educating people regarding various health determinants, benefits and limitations of different treatment options, and the cultural and health practices. EBP also allows researchers to classify populations based on their specific needs, economic status, distribution, which allows for the appropriate health promotion and allocation of resources.
EBP and healthcare costs
Among the major challenges experienced by healthcare organizations is measuring per capita costs of healthcare. The process involves capturing all the expenditures, establishing the actual costs, and indexing them to the healthcare system. Most facilities employ the discount and pricing approach to measure the actual cost of healthcare which makes it very crucial for them to provide quality healthcare services and lower costs. In the process of improving efficiency and delivery through EBP, quality of care increases, reducing the costs of operations.
EBP and job satisfaction of healthcare providers
The productivity of health providers is dependent on the conduciveness of the work environment. In healthcare, a conducive working environment should, among many things, support interprofessional collaboration. According to existing evidence, interprofessional al collaboration fosters satisfaction among healthcare providers which in turn improves patient’s health outcomes. It also eliminates worker burnout and turnover rate, increasing the performance of each provider.
Melnyk, B. M. (2017). Igniting and Sustaining Evidence-based Practice to Meet the Quadruple Aim in Healthcare.
Melnyk, B. M., & Gallagher-Ford, L. (2019). Achieving the Quadruple Aim in Healthcare With Evidence-Based Practice: A Necessary Leadership Strategy for Improving Quality, Safety, Patient Outcomes, and Cost Reductions. Evidence-Based Leadership, Innovation and Entrepreneurship in Nursing and Healthcare: A Practical Guide to Success.
Gallagher‐Ford, L., Koshy Thomas, B., Connor, L., Sinnott, L. T., & Melnyk, B. M. (2020). The Effects of an Intensive Evidence‐Based Practice Educational and Skills Building Program on EBP Competency and Attributes. Worldviews on Evidence‐Based Nursing, 17(1), 71-81.

Sample 2

Evidence-Based Practice and the Quadruple Aim
Introduction
Evidence-based practice (EBP) improves the achievement of quality patient experience, reducing the cost of care, improving population health, and promoting work-life balance. Studies show that when clinicians use EBP, patient outcomes improve (Sikka et al., 2015). EBP acts as a compass to guide the decision-making process of healthcare workers in addressing the diverse needs of the patients and improve the wellbeing of practitioners. EBP is a systematic method to achieve the quadruple aim that promotes the interests of both patients and healthcare workers.
EBP and Quadruple Aim
Patient Experience
EBP is essential in achieving a quality patient experience. Healthcare workers use EBP to apply the findings in clinical practice. Healthcare workers rely on EBP to improve patient outcomes and prevent adverse patient outcomes (Jeffs, 2018). EBP acts as a compass to guide the decision-making process of healthcare workers in addressing the diverse needs of the patients. The scientific findings help nurses to evaluate the risks and effectiveness of diagnostic tests, treatment plans, and drugs (Sikka et al., 2015). EBP helps healthcare workers to improve the efficiency of delivering quality care including timely appointments and enhancing access to information that promotes positive outcomes.
Population Health
EBP educates the public and healthcare workers on the measures they can take to improve public health. Scientific findings demonstrate the measures that can prevent conditions such as asthma (Lavenberg et al., 2019). For example, renovating houses can prevent the risk of asthma and other respiratory conditions. Another example is using a pro-bono system to take care of the uninsured (Lavenberg et al., 2019). EBP shows the importance of the efficient and equitable distribution of resources to address the prevailing health issues in society. Classification of people at risk of diseases helps healthcare workers to respond effectively.
Costs
Provision of quality, safe, and timely care to patients at a low cost is one of the challenges in the healthcare cost. EBP helps healthcare facilities to capture, index, and measure actual costs. Sikka et al. (2015), show that reducing the cost of care increases access to quality care. Scientific findings show the need to use the latest technology to improve patient outcomes and reduce cost (Lavenberg et al., 2019). For example, studies show that improving efficiency, using the latest technology, and treatment methods reduce the cost of treatment.
Work-Life of Healthcare Providers
EBP demonstrates that work-life balance is crucial in promoting the welfare of healthcare workers and improves patient outcomes. Scientific findings show that poor work-life balance can lead to turnover, burnout, and low staff productivity. Sikka et al. (2015), demonstrate that 60 percent of the physicians are considering leaving the workforce while another 70 percent know someone who left due to low morale (Jeffs, 2018). EBP acts as a compass to show the direction that healthcare workers and facilities should take to improve the wellbeing of practitioners.
Conclusion
EBP acts as a compass to show the direction that healthcare workers and facilities should take to improve the wellbeing of practitioners and promote quality patient outcomes. Healthcare workers rely on EBP to improve patient outcomes, reduce the cost of care, and prevent adverse patient outcomes. EBP helps healthcare workers to improve the efficiency of delivering quality care to reduce cost and improve accessibility to achieve positive population health outcomes. Scientific findings show the role of work-life balance in achieving quality outcomes in healthcare.

References
Jeffs, L. (2018). Achieving the Quadruple Aim in Healthcare: The Essential Role of Authentic, Complex and Resilient Nurse Leaders. Nursing Leadership (Toronto, Ont.), 31(2), 8-19. DOI: 10.12927/cjnl.2018.25607
Lavenberg, J. G., Cacchione, P. Z., Jayakumar, K. L., Leas, B. F., Mitchell, M. D., Mull, N. K., & Umscheid, C. A. (2019). Impact of a Hospital Evidence‐Based Practice Center (EPC) on Nursing Policy and Practice. Worldviews on Evidence‐Based Nursing, 16(1), 4-11. https://doi.org/10.1111/wvn.12346
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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