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EPB & Quadruple Aim

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45 views4 pages

EPB & Quadruple Aim

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mumbi88maish
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We take content rights seriously. If you suspect this is your content, claim it here.
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Evidence-Based Practice in Nursing

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Most healthcare organizations seek to optimize healthcare delivery. Findings from

various studies reveal that Evidence-Based Practice (EPB) impacts patient care quality and

safety, improves patient outcomes, and reduces care costs (Melnyk &Fineout-Overholt, 2018;

Jacobs et al., 2018). EPB emphasizes optimizing scientific evidence, clinical expertise, and

patient experience to support decision-making and guide healthcare providers in practice. It

integrates available evidence into problem-solving and facilitates high-quality and safe patient

care (Crabtree et al., 2016). EBP has been widely identified as a key factor in supporting the

Quadruple Aim, which was introduced to optimize healthcare performance. Quadruple Aim is an

expansion of the Triple Aim health care approach. It has four objectives: improving population

health, enhancing patient experience, lowering healthcare costs, and improving healthcare

professionals (Boller, 2017).

The connection between EBP and the quadruple aim is centered on their primary goal of

promoting high quality and safe patient care (Melnyk &Fineout-Overholt, 2018). Both

approaches seek to improve decision making and patient outcomes in healthcare practice.

Components of the EBP process within the adopted healthcare environment can support and

facilitate the best clinical decisions, thus improving patient outcome quality. Studies such as

systematic reviews, randomized and non-randomized clinical trials, and case-control and cohort

studies can be conducted to generate strong evidence related to the four goals of the Quadruple

aim (Sakallaris et al., 2016). Healthcare workers can benefit from the generated evidence by

evaluating and synthesizing the studies’ findings to acquire new knowledge relating to the

quadruple aim. Incorporating their clinical judgment, the workers rely on the acquired

knowledge to guide in making decisions and developing treatment plans that effectively address
patient needs (Boller, 2017). Overall, EBP could contribute to improved patient experience and

satisfaction.

EBP can facilitate equipping the population with health-related information, including

health determinants, benefits, practices, and challenges of certain treatment plans. (Sakallaris et

al., 2016). Based on evidence from studies, healthcare providers and policymakers can determine

the population's specific needs and tailor the healthcare services provided based on the identified

needs. Measuring the per capital cost of healthcare is very important in managing and structuring

healthcare costs. Many healthcare settings measure healthcare costs through market pricing and

discounting. EBP can be used to generate evidence on the potential cost of treatment solutions

and evaluation done to determine the most cost-effective but highly effective treatment plan.

According to Crabretee et al. (2016), the broad health sector, however, makes it challenging to

improve population health at reduced costs while maintaining a high quality and efficiency level.

Jacobs et al. (2018) assert that a highly satisfied healthcare workforce is key in achieving

the quadruple aim's other three goals. Healthcare settings should strive to provide a healthy work

environment that supports inter-professional collaboration. Melnyk and Fineout-Overholt (2018)

posit that EBP can empower healthcare providers, impact their job satisfaction, and assist the

providers and healthcare settings in achieving the quadruple aim. EBP can provide knowledge

and understanding of the drivers of and factors limiting the high level of satisfaction among

healthcare workers (Jacobs et al., 2018). Besides, it could contribute to the improvement of the

work-life of healthcare workers. Sakallaris et al. (2016) emphasize that structural and policy

improvements are necessary to enhance workers’ engagement and decision-making.


References

Boller, J. (2017). Nurse educators: Leading health care to the quadruple aim sweet spot. Journal

of Nursing Education, 56(12), 707–708

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

a Case for Evidence-Based Practice and Cultivating a Spirit of Inquiry” (pp. 7–32)

Sakallaris, B. R., Miller, W. L., Saper, R., Jo Kreitzer, M., & Jonas, W. (2016). Meeting the

challenge of a more person-centered future for US healthcare. Global advances in health

and medicine, 5(1), 51-60.

Jacobs, B., McGovern, J., Heinmiller, J., & Drenkard, K. (2018). Engaging employees in well-

being: moving from the triple aim to the quadruple aim. Nursing administration quarterly,

42(3), 231-245

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.

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