NRSE6052 Assignment EBP and Quadruple Aim
NRSE6052 Assignment EBP and Quadruple Aim
NURS 6052/NURS5052/NRSE6052 Essent of Evidence
Week 1 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.
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.
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:
Work life of healthcare providers
You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.
Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.
Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.
The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.
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.
I encourage you to incorporate the readings from the week (as applicable) into your responses.
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.
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).
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.
It is best to paraphrase content and cite your source.
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?
Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.
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.
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
With the current healthcare system striving towards achieving patient safety and improving the quality of care provided, evidence-based practice has provided a leeway for this to be possible (Gallagher‐Ford et al., 2020). Consequently, with the utilization of numerous models like the triple aim which has advanced to the quadruple aim in promoting population health, hospitals have been trying to advance patient experience while still reducing the associated care costs. Healthcare experts speculate that with the application of EBP, the future healthcare system will be able to achieve the Quadruple Aim. The purpose of this discussion is to illustrate how EBP can help achieve the Quadruple Aim.
The main focus of the quadruple aim is to promote a better patient care output, at an affordable cost, with improved patient experience and that of the healthcare provider. With the appropriate implementation of EBP, all the four quadruple aim measures can be attained. For starters, EBP promotes the use of interventions that have already been proven to be effective in meeting the healthcare needs of the patient (Bowles et al., 2018). As such, the healthcare provider will ensure that only the most effective evidence-based interventions are utilized, promoting care output. Consequently, patients normally build confidence in choosing a given treatment plan, when there is proof of success, hence EBP will help in promoting their experience.
Through EBP, clinicians have been able to conduct research that promotes an in-depth understanding of a population’s characteristics, needs, preferences, and values which are crucial in promoting patient-centered care. It thus becomes easier to prioritize their needs or healthcare issues and come up with the most effective intervention to promote their health. For instance, diabetes type 1 is more prevalent among white children in the United States as compared to any other race/ethnicity (Wagner et al., 2018). Through EBP, the use of insulin pump therapy has helped in promoting glycemic control and preventing comorbidities among this population.
EBP has been reported to promote the safety and quality of care provided, hence reducing the recovery time and improving the prognosis of several chronic conditions. With an improved prognosis, patients tend to spend less time in the hospital as they are used to reducing the associated costs of prolonged hospitalization (Gallagher‐Ford et al., 2020). Healthcare professionals have also been trained to utilize cost-effective care approaches and try as much as possible to avoid unnecessary procedures to help reduce the cost of care and reach the quadruple aim.
Work-Life of Healthcare Providers
Healthcare professionals play a significant role in promoting the safety and quality of care provided. As such, investing in their welfare to improve their work-life experience is very crucial. With EBP, healthcare organizations have been able to find the most effective strategy to promote a good work-life balance for the healthcare providers such as improving their professionalism through training and use of current technology like EHR which is time-saving among others (Haverfield et al., 2020). Additionally, several EBP interventions have been implemented in the current healthcare system to help decrease provider burnout, stress, and depression promoting their work experience.
The current healthcare system has been revolutionized with EBP promoting patient care outcomes. Healthcare organizations have been able to achieve the quadruple aim by implementing EBP in improving the patient experience at a reduced care cost as demonstrated in the discussion above.
Bowles, J. R., Adams, J. M., Batcheller, J., Zimmermann, D., & Pappas, S. (2018). The role of the nurse leader in advancing the Quadruple Aim. Nurse Leader, 16(4), 244-248.
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.
Haverfield, M. C., Tierney, A., Schwartz, R., Bass, M. B., Brown-Johnson, C., Zionts, D. L., … & Zulman, D. M. (2020). Can Patient-Provider Interpersonal Interventions Achieve the Quadruple Aim of Healthcare? A Systematic Review. Journal of general internal medicine, 1-11. https://doi.org/10.1007/s11606-019-05525-2
Wagner, E. H., LeRoy, L., Schaefer, J., Bailit, M., Coleman, K., Zhan, C., & Meyers, D. (2018). How do innovative primary care practices achieve the quadruple aim?. The Journal of ambulatory care management, 41(4), 288-297. DOI: 10.1097/JAC.0000000000000249