Nand the Quadruple Aim
NURS 6052: Essentials of Evidence-Based Practice
| Due By | Assignment |
|---|---|
| Week 1, Days 1-2 | Read the Learning Resources. Compose your initial Discussion post. |
| Week 1, Day 3 | Post your initial Discussion post. Begin to compose your Assignment. |
| Week 1, Days 4-5 | Review peer Discussion posts. Compose your peer Discussion responses. Continue to compose your Assignment. |
| Week 1, Day 6 | Post two peer Discussion responses. |
| Week 1, Day 7 | Wrap up Discussion. Deadline to submit your Assignment. |
Learning Objectives – NURS 6052: Essentials of Evidence-Based Practice
Students will:
- Evaluate healthcare organizations for evidence-based practices
- Analyze the relationship between evidence-based practice and the Quadruple Aim in healthcare organizations
Learning Resources – N
Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.
Required Readings
Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer.
- Chapter 1, “Making the Case for Evidence-Based Practice and Cultivating a Spirit of Inquiry” (pp. 7–32)
Boller, J. (2017). Nurse educators: Leading health care to the quadruple aim sweet spot. Journal of Nursing Education, 56(12), 707–708. doi:10.3928/01484834-20171120-01
Note: You will access this article from the Walden Library databases.
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. doi:10.1111/wvn.12126
Note: You will access this article from the Walden Library databases.
Kim, S. C., Stichler, J. F., Ecoff, L., Brown, C. E., Gallo, A.-M., & Davidson, J. E. (2016). 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. doi:10.1111/wvn.12171
Note: You will access this article from the Walden Library databases.
Melnyk, B. M., Fineout-Overholt, E., Stillwell, S. B., & Williamson, K. M. (2010). Evidence-based practice: Step by step. The seven steps of evidence-based practice. American Journal of Nursing, 110(1), 51–53. doi:10.1097/01.NAJ.0000366056.06605.d2. Retrieved from http://download.lww.com/wolterskluwer_vitalstream_com/PermaLink/NCNJ/A/NCNJ_165_516_2010_08_23_DGSODKGNM_1651_SDC516.pdf
Note: You will access this article from the Walden Library databases.
Melnyk, B. M., Gallagher-Ford, L., Long, L. E., & Fineout-Overholt, E. (2014). The establishment of evidence-based practice competencies for practicing registered nurses and advanced practice nurses in real-world clinical settings: Proficiencies to improve healthcare quality, reliability, patient outcomes, and costs. Worldviews on Evidence-Based Nursing, 11(1), 5–15. doi:10.1111/wvn.12021. Retrieved from https://sigmapubs.onlinelibrary.wiley.com/doi/full/10.1111/wvn.12021
Note: You will access this article from the Walden Library databases.
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. Retrieved from https://qualitysafety.bmj.com/content/qhc/24/10/608.full.pdf
Note: You will access this article from the Walden Library databases.
Walden University Library. (n.d.-a). Databases A-Z: Find the best library databases for your research. Retrieved September 19, 2018, from https://academicguides.waldenu.edu/az.php
Required Media
Laureate Education (Producer). (2018). Introduction to Evidence-Based Practice and Research [Video file]. Baltimore, MD: Author.
Discussion: Where in the World Is Evidence-Based Practice?
March 21, 2010, was not EBP’s date of birth, but it may be the date the approach “grew up” and left home to take on the world.
When the Affordable Care Act was passed, it came with a requirement of empirical evidence. Research on EBP increased significantly. Application of EBP spread to allied health professions, education, healthcare technology, and more. Health organizations began to adopt and promote EBP.
In this Discussion, you will consider this adoption. You will examine healthcare organization websites and analyze to what extent these organizations use EBP.
To Prepare:
- Review the Resources and reflect on the definition and goal of EBP.
- Choose a professional healthcare organization’s website (e.g., a reimbursing body, an accredited body, or a national initiative).
- Explore the website to determine where and to what extent EBP is evident.
By Day 3 of Week 1
Post a description of the healthcare organization website you reviewed. Describe where, if at all, EBP appears (e.g., the mission, vision, philosophy, and/or goals of the healthcare organization, or in other locations on the website). Then, explain whether this healthcare organization’s work is grounded in EBP and why or why not. Finally, explain whether the information you discovered on the healthcare organization’s website has changed your perception of the healthcare organization. Be specific and provide examples.
By Day 6 of Week 1
Respond to at least two of your colleagues on two different days by visiting the websites they shared and offering additional examples of EBP or alternative views/interpretations to those shared in your colleagues’ posts.
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ADDITIONAL INFORMATION;
Analyze the relationship between evidence-based practice and the Quadruple Aim in healthcare organizations
Introduction
The Quintuple Aim is a significant undertaking for healthcare organizations. It requires an organization to focus on four key areas: care, health, cost, and experience. The Institute for Healthcare Improvement defined the Quadruple Aim as focusing on care, health, cost, and experience. More complete definitions add in additional elements of the Quintuple Aim such as quality improvement efforts that involve patient-centeredness. There are lots of ways to meet the Quintuple Aim at any given time:
The Quadruple Aim is a significant undertaking for healthcare organizations.
The Quadruple Aim is a significant undertaking for healthcare organizations. It is a major challenge for healthcare organizations, and it’s a major goal for them to achieve.
The Quadruple Aim is a significant undertaking for healthcare organizations. It’s a major challenge for them to achieve, and they need to make some changes in order to accomplish it.
The Quadruple Aim is a significant undertaking for healthcare organizations. They need to make some changes in order to accomplish it, and it’s a major challenge for them.
The Quadruple Aim has been around in some form since the 1990s.
The Quadruple Aim has been around in some form since the 1990s. It was developed by Don Berwick, MD, and later refined by the Institute for Healthcare Improvement (IHI). The goal is to improve care, health, experience and cost.
The term “evidence-based” was not coined until 1997 when it appeared in a report from the British Royal College of Physicians on quality improvement strategies (see: [1]). In 2003 Dr. Berwick published his book entitled Evidence-Based Medicine: A Guide for Practitioners which then became an influential text on evidence-based practice within healthcare organizations worldwide due to its focus on integrating research with clinical decision making [2].
The Institute for Healthcare Improvement defined the Quadruple Aim as focusing on care, health, cost, and experience.
The Institute for Healthcare Improvement (IHI) is a nonprofit organization founded in 1991 by a group of healthcare leaders. Its mission is to help healthcare organizations improve their performance and deliver better care to patients.
The IHI defines the Quadruple Aim as focusing on care, health, cost, and experience.
More complete definitions add in additional elements of the Quadruple Aim.
The Institute for Healthcare Improvement defined the Quadruple Aim as focusing on care, health, cost, and experience.
More complete definitions add in additional elements of the Quadruple Aim.
One of the most complete definitions of the Quadruple Aim is this: “The goal of healthcare is to improve the experience of care, improve health outcomes and eliminate variability in care, while reducing per capita costs.”
There are lots of ways to meet the Quadruple Aim.
You can meet the Quadruple Aim in many ways. There is no one right way to do it, but there are lots of wrong ways. For example:
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The first is by doing nothing at all. This means that you don’t take any action or change anything about how you practice medicine or deliver healthcare services; rather, you just wait for people who have more knowledge than yours about what needs changing before making any changes themselves (and usually those changes will only come when someone else forces them upon them).
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A second option would be using evidence-based practice as a way of measuring whether or not something has been implemented correctly but this doesn’t mean that something has been implemented correctly unless it’s actually working! If people aren’t getting better outcomes because they didn’t know what they were doing wrong before trying out new treatments (or if there wasn’t enough evidence available on which treatments worked best), then we’re going backwards instead of forwards when looking at improving quality care delivery within an organization such as yours.*
Evidence-based practice can help in many different ways.
Evidence-based practice can help in many different ways. It can improve the care, health and cost of patients; it can help with the patient experience; it can also be used to increase productivity within healthcare organizations.
And there are many other benefits of location-based care, too. But the question remains: what is it? And how can it help you?
Efforts to improve healthcare are very complicated achievements, but there are several tools that can help achieve them.
The Quadruple Aim is a huge undertaking. It’s been around for decades, and its definition has been adapted and modified by many organizations. However, there are several tools that can help achieve these goals:
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Evidence-based practice (EBP) – This method of decision making involves using evidence as the basis for making decisions. EBP should be used whenever possible because it helps ensure that healthcare is provided in line with best practices and scientific research.
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Systems thinking – This approach encourages employees at all levels of an organization to work together toward common goals by identifying problems before they arise so they can be addressed before they become larger issues affecting the whole organization or its customers/patients/clients
Conclusion
The Quadruple Aim is a challenging framework, but it’s also a great motivator. It gives healthcare organizations a way to focus on what they’re trying to achieve and make progress toward that end. We hope this article has given you some insight into how the Quadruple Aim works and how it can help your organization succeed in meeting these goals.
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