EB001 Evidence-Based Practice and the Quadruple Aim

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NURS 6052 Essentials of Evidence-Based Practice

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Evidence-Based Practice and the Quadruple Aim

Evidence-based practice (EBP) involves utilizing current best evidence to inform clinical decision-making, serving as a lifelong problem-solving method (Melnyk, 2018). It is integral to achieving the Quadruple Aim of Healthcare, which aims to enhance healthcare quality, improve patient outcomes, reduce per capita healthcare costs, and empower clinicians to achieve a work-life balance (Melnyk, 2018). Initially, the Triple Aim, introduced by The Institute for Healthcare Improvement in 2007, focused on optimizing healthcare system performance through various metrics. However, in 2014, the Quadruple Aim expanded this framework to include either empowering clinicians to attain a work-life balance or securing health equity (Melnyk, 2018). Thus, EBP and the Quadruple Aim are inherently interconnected, with healthcare professionals relying on EBP to fulfill the goals of healthcare optimization.

Patient Outcomes and EBP

When healthcare professionals adopt an EBP approach, they utilize the best available evidence to inform clinical decisions, thereby ensuring the delivery of optimal and innovative patient care. Failure to integrate EBP can result in outdated practices that may compromise patient outcomes. Thus, the implementation of EBP is crucial for maintaining high standards of care and promoting positive patient outcomes.

Healthcare Cost and EBP

Numerous studies have demonstrated that the implementation of EBP leads to higher quality and more reliable care, improved population health outcomes, and reduced per capita healthcare costs. Despite the United States’ substantial healthcare spending, it lags behind in global health outcomes rankings. This disparity highlights the importance of transitioning from tradition-based practices to evidence-based approaches. By embracing the latest EBP recommendations, healthcare systems can optimize treatment costs while enhancing patient care quality and outcomes.

Work-life of Healthcare Providers

The healthcare industry exhibits higher rates of workforce burnout compared to other professions, impacting over 50% of healthcare providers and contributing to a significant number of unintended deaths annually in the United States (Melnyk et al., 2021). Recognizing this issue, Bodenheimer and Sinsky advocated for adding a fourth aim to the Triple Aim in 2014, focusing on improving clinician well-being. Research indicates that clinicians who engage in EBP experience greater empowerment and job satisfaction, potentially mitigating burnout and enhancing overall well-being (Melnyk et al., 2010).

References

Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Wolters Kluwer.

Melnyk, B. M., & Raderstorf, T. (2021). Evidence-based leadership, innovation, and entrepreneurship in nursing and Healthcare: A practical guide to success. Springer Publishing Company.

NURS 6052 Assessment 1 EB001 Evidence-Based Practice and the Quadruple Aim

Melnyk, B. M., Fineout-Overholt, E., Giggleman, M., & Cruz, R. (2010, November 11). Correlates among cognitive beliefs, EBP implementation, organizational culture, cohesion and job satisfaction in evidence-based practice mentors from a community hospital system. Nursing Outlook. Retrieved September 11, 2022, from https://www.sciencedirect.com/science/article/pii/S0029655410002642

Stahmer, A. C., Dababnah, S., & Rieth, S. R. (2019). Considerations in implementing evidence-based early autism spectrum disorder interventions in community settings. Pediatric Medicine (Hong Kong, China), 2. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6764452/

NURS 6052 Assessment 1 EB001 Evidence-Based Practice and the Quadruple Aim