NURS 6052 Assignment Evidence-Based Practice and the Quadruple Aim

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NURS 6052 Assignment Evidence-Based Practice and the Quadruple Aim – Step-by-Step Guide

The first step before starting to write the NURS 6052 Assignment Evidence-Based Practice and the Quadruple Aim, it is essential to understand the requirements of the assignment. The first step is to read the assignment prompt carefully to identify the topic, the length and format requirements. You should go through the rubric provided so that you can understand what is needed to score the maximum points for each part of the assignment. 

It is also important to identify the audience of the paper and its purpose so that it can help you determine the tone and style to use throughout. You can then create a timeline to help you complete each stage of the paper, such as conducting research, writing the paper, and revising it to avoid last-minute stress before the deadline. After identifying the formatting style to be applied to the paper, such as APA, you should review its use, such as writing citations and referencing the resources used. You should also review how to format the title page and the headings in the paper.

How to Research and Prepare for NURS 6052 Assignment Evidence-Based Practice and the Quadruple Aim

The next step in preparing for your paper is to conduct research and identify the best sources to use to support your arguments. Identify the list of keywords from your topic using different combinations. The first step is to visit the university library and search through its database using the important keywords related to your topic. You can also find books, peer-reviewed articles, and credible sources for your topic from PubMed, JSTOR, ScienceDirect, SpringerLink, and Google Scholar. Ensure that you select the references that have been published in the last words and go through each to check for credibility. Ensure that you obtain the references in the required format, for example, in APA, so that you can save time when creating the final reference list. 

You can also group the references according to their themes that align with the outline of the paper. Go through each reference for its content and summarize the key concepts, arguments and findings for each source. You can write down your reflections on how each reference connects to the topic you are researching about. After the above steps, you can develop a strong thesis that is clear, concise and arguable. Next you should create a detailed outline of the paper so that it can help you to create headings and subheadings to be used in the paper. Ensure that you plan what point will go into each paragraph.

How to Write the Introduction for NURS 6052 Assignment Evidence-Based Practice and the Quadruple Aim

The introduction of the paper is the most crucial part as it helps to provide the context of your work, and will determine if the reader will be interested to read through to the end. You should start with a hook, which will help capture the reader’s attention. You should contextualize the topic by offering the reader a concise overview of the topic you are writing about so that they may understand its importance. You should state what you aim to achieve with the paper. The last part of the introduction should be your thesis statement, which provides the main argument of the paper.

How to Write the Body for NURS 6052 Assignment Evidence-Based Practice and the Quadruple Aim

The body of the paper helps you to present your arguments and evidence to support your claims. You can use headings and subheadings developed in the paper’s outline to guide you on how to organize the body. Start each paragraph with a topic sentence to help the reader know what point you will be discussing in that paragraph. Support your claims using the evidence conducted from the research, ensure that you cite each source properly using in-text citations. You should analyze the evidence presented and explain its significance and how it connects to the thesis statement. You should maintain a logical flow between each paragraph by using transition words and a flow of ideas.

How to Write the In-text Citations for NURS 6052 Assignment Evidence-Based Practice and the Quadruple Aim

In-text citations help the reader to give credit to the authors of the references they have used in their works. All ideas that have been borrowed from references, any statistics and direct quotes must be referenced properly. The name and date of publication of the paper should be included when writing an in-text citation. For example, in APA, after stating the information, you can put an in-text citation after the end of the sentence, such as (Smith, 2021). If you are quoting directly from a source, include the page number in the citation, for example (Smith, 2021, p. 15). Remember to also include a corresponding reference list at the end of your paper that provides full details of each source cited in your text. An example paragraph highlighting the use of in-text citations is as below:

The integration of technology in nursing practice has significantly transformed patient care and improved health outcomes. According to Smith (2021), the use of electronic health records (EHRs) has streamlined communication among healthcare providers, allowing for more coordinated and efficient care delivery. Furthermore, Johnson and Brown (2020) highlight that telehealth services have expanded access to care, particularly for patients in rural areas, thereby reducing barriers to treatment.

How to Write the Conclusion for NURS 6052 Assignment Evidence-Based Practice and the Quadruple Aim

When writing the conclusion of the paper, start by restarting your thesis, which helps remind the reader what your paper is about. Summarize the key points of the paper, by restating them. Discuss the implications of your findings and your arguments. End with a call to action that leaves a lasting impact on the reader or recommendations.

How to Format the Reference List for NURS 6052 Assignment Evidence-Based Practice and the Quadruple Aim

The reference helps provide the reader with the complete details of the sources you cited in the paper. The reference list should start with the title “References” on a new page. It should be aligned center and bolded. The references should be organized in an ascending order alphabetically and each should have a hanging indent. If a source has no author, it should be alphabetized by the title of the work, ignoring any initial articles such as “A,” “An,” or “The.” If you have multiple works by the same author, list them in chronological order, starting with the earliest publication. 

Each reference entry should include specific elements depending on the type of source. For books, include the author’s last name, first initial, publication year in parentheses, the title of the book in italics, the edition (if applicable), and the publisher’s name. For journal articles, include the author’s last name, first initial, publication year in parentheses, the title of the article (not italicized), the title of the journal in italics, the volume number in italics, the issue number in parentheses (if applicable), and the page range of the article. For online sources, include the DOI (Digital Object Identifier) or the URL at the end of the reference. An example reference list is as follows:

References

Johnson, L. M., & Brown, R. T. (2020). The role of telehealth in improving patient outcomes. Journal of Nursing Care Quality, 35(2), 123-130. https://doi.org/10.1097/NCQ.0000000000000456

Smith, J. A. (2021). The impact of technology on nursing practice. Health Press.

NURS 6052 Assignment Evidence-Based Practice and the Quadruple Aim Instructions

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. Have a look at NURS 6052 Discussion: Searching Databases. 

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.

To Prepare:

  • Read the articles by Sikka, Morath, & Leape (2015); Crabtree, Brennan, Davis, & Coyle (2016); and Kim et al. (2016) provided in the Resources.
  • 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
  • Note: You will access this article from the Walden Library databases.
  • 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.

To Complete:

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:

  • Patient experience
  • Population health
  • Costs
  • Work life of healthcare providers

NURS 6052 Assignment Evidence-Based Practice and the Quadruple Aim Example 1

The Quadruple Aim is a framework for augmenting or improving healthcare performance with efforts centered on enhanced population health, advanced experiences for healthcare providers, reduced healthcare costs, and better-quality patient experience. The achievement of the quadruple aim necessitates highly productive healthcare organizations with engaged and productive employees. EBP promotes quality care, improves patient outcomes, reduces healthcare costs, and increases employee morale, impacting the Quadruple Aim.

How EBP Might Impact the Quadruple Aim in Healthcare

There is a close connection between the Quadruple Aim and EBP: EBP influences the Quadruple Aim in healthcare. EBP results in advanced quality care, reduced costs, enhanced patient results, and increased nurse satisfaction (Mazurek et al., 2010). EBP impacts the Quadruple Aim measures: improving healthcare givers’ experiences, reducing costs, advancing population health, and improving the patient experience. EBP is a problem-solving method for healthcare provision. EBP incorporates superlative evidence from well-planned studies and patient care information, integrating it with nurse proficiency, patient values, and partialities (Mazurek et al., 2010). EBP promotes the Quadruple Aim measures by enhancing healthcare dependability and quality, reducing costs, and improving patient outcomes.

How EBP Might Help Reach the Quadruple Aim Measures

Patient Experience

EBP improves patient experiences by incorporating scientific evidence with patient values and partialities and a physician’s expertise. The scientific evidence encompasses internal evidence collected from patient information. EBP’s seven stages begin with cultivating an inquiry spirit where healthcare providers regularly ask clinical queries and search for scientific evidence (Melnyk et al., 2014). EBP leads to optimum clinical decisions that improve patient results and satisfaction, promoting a better-quality patient experience.

Population Health

The evidence-based practice seeks to offer the most operative and available care to enhance patient results. The EBP approach to population health has many direct and indirect advantages. The approach promotes entree to more and better-quality statistics and an increased propensity for operative prevention guidelines and programs (Mazurek et al., 2010). EBP also leads to improved employee performance and better use of private and public resources, impacting population health.

Healthcare Costs

Evidence-based practice alleviates healthcare costs by streamlining and standardizing care. Standardized treatment plans ensure that caregivers do not recommend inessential therapies or medications that might not help patients. EBP reduces the likelihood of unnecessary processes and medical errors that might incur extra costs. EBP provides the groundwork for obtaining necessary resources in clinical practice (Walewska-Zielecka et al., 2021). EBP decreases pointless medical processes, reducing healthcare costs.

Work-Life of Healthcare Providers

EBP improves healthcare providers’ experiences as it allows them to assess the research to comprehend the efficiency and risks of diagnostic treatments and tests. Work injuries are more common in healthcare than in other occupations (Sikka et al., 2015). Hours are wasted on occupational injury and disease in healthcare than in construction, mining, or machinery manufacturing (Sikka et al., 2015).

Implementing the EBP competencies as a device to develop and uphold the attainment of EBP familiarity, adopt a positive outlook towards EBP, and progress EBP skills to sponsor best practices improves healthcare providers’ experiences (Melnyk et al., 2014). EBP mentorship and culture are crucial variables that positively influence job gratification and will to stay among nurses (Melnyk et al., 2021). EBP simplifies clinical judgments and advanced quality care, improving the work life of healthcare providers.

Conclusion

Evidence-based practice impacts the Quadruple Aim (facilitating physician experiences, reducing costs, progressing population health, and improving the patient experience). EBP integrates scientific evidence with patient values, partialities, and a physician’s expertise, enhancing patient experiences. EBP also improves employee performance and population health and alleviates healthcare costs. Evidence-based practice provides the most effective, available care, boosts patient outcomes, decreases healthcare costs, and increases employee optimism, impacting the Quadruple Aim.

NURS 6052 Assignment Evidence-Based Practice and the Quadruple Aim References

Mazurek Melnyk, B., Fineout-Overholt, E., Stillwell, S. B., & Williamson, K. M. (2010). The Seven Steps of Evidence-Based Practice: Following this progressive, the sequential approach will lead to improved health care and patient outcomes. The American Journal Of Nursing, 110(1), 51-53.

Melnyk, B. M., Gallagher‐Ford, L., Long, L. E., & Fineout‐Overholt, E. (2014). Establishing evidence‐based practice competencies for 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. 

Melnyk, B. M., Tan, A., Hsieh, A. P., & Gallagher‐Ford, L. (2021). Evidence‐based practice culture and mentorship predict EBP implementation, nurse job satisfaction, and intent to stay: support for the ARCC© Model. Worldviews on Evidence‐Based Nursing, 18(4), 272-281. https://doi.org/10.1111/wvn.12524

Sikka, R., Morath, J. M., & Leape, L. (2015). The quadruple aim: care, health, cost, and meaning in work. BMJ Quality & Safety, 24(10), 608–610. 

Walewska-Zielecka, B., Religioni, U., Soszyński, P., & Wojtkowski, K. (2021). Evidence-Based Care Reduces Unnecessary Medical Procedures and Healthcare Costs in the Outpatient Setting. Value in Health Regional Issues, 25, 23-28. 

Connection between EBP and Triple/Quadruple Aim Sample Paper 2

Patient outcomes have become a critical component in the transformation of healthcare. Triple/quadruple Aim is an excellent example of how healthcare organizations improve their services by turning to evidence-based practice-EBP. In the past, healthcare organizations concentrated their efforts on improving the health of populations, enhancing patient experience, and lowering the cost of healthcare. In recent years, the approach has added a critical component of improving the work-life of the staff of healthcare organizations.

The Triple Aim approach introduced in 2008 by Donald Berwick and his colleagues was a critical step in enhancing patient outcomes. However, the overarching goals by Berwick and the team ignored a critical component in providing enhanced and quality care to the patients, namely the work-life of healthcare workers (Fitzpatrick et al., 2019). The quadruple Aim has since enjoined this critical factor to the other three in the Triple Aim. The work-life of healthcare staff directly impacts the quality of care given to patients. Positive job satisfaction and cohesion lead to positive outcomes in patient care while job dissatisfaction by healthcare workers results in poor quality of service offered to patients/customers.

Sikka, Leape, and Morath (2015) identified job satisfaction as the fourth most critical goal in implementing evidence-based practice. The study by Sikka et al. (2015) revealed that EBP among healthcare practitioners is a primary predictor of job satisfaction. Transforming the healthcare sector and the provision of quality care to patients cannot happen until issues surrounding the work-life of healthcare workers are adequately addressed (p. 608).

Among the critical factors concerning the work-life of healthcare providers is job satisfaction. Indeed, a national survey done in the United States in 2017 revealed that over 1 million registered nurses nationwide quit their jobs because of stress and burnout (Kapu et al., 2019). The level of job satisfaction and motivation of the healthcare workers affect patient outcomes and the implementation of EBP.

Additionally, EBP enhances patient experience by focusing on such critical aspects as cost, quality of service delivered and ease of access to care. Patient experience is a critical parameter in the healthcare industry because it measures the level of satisfaction by patients with the services of healthcare providers. Patient experience is critical because it affects not just the health of patience, but also the profitability of healthcare organizations (Sikka, 2015).

Cost has been identified by health experts as one of the impediments to access to health. Many people in the country suffer silently because they cannot afford to pay for their healthcare. The Quadruple Aim introduces several measures that can be used by patients to afford healthcare. Excellent examples of methods of affordable care advocated for by this approach is a system of universal healthcare coverage for everyone through the affordable health insurance schemes.

Evidently, the Quadruple Aim seeks to enhance the quality of care given to patients by prioritizing the work-life of healthcare practitioners. The transformation of the healthcare sector cannot be implemented without taking care of the welfare and the work-life of healthcare workers. Attempts to implement the triple Aim have previously failed due to the omission of the improvement of the work-life of nursing practitioners. Quadruple Aim supports EBP because it addresses all critical factors necessary for the provision of quality healthcare, which includes taking care of the welfare of healthcare workers

NURS 6052 Assignment Evidence-Based Practice and the Quadruple Aim References

Fitzpatrick, B., Bloore, K., & Blake, N. (2019). Joy in Work and Reducing Nurse Burnout: From Triple Aim to Quadruple Aim. AACN Advanced Critical Care, 30(2), 185-188.

Kapu, A., Borg Card, E., Jackson, H., Kleinpell, R., Kendall, J., & Lupear, B. K., LeBar, K., Dietrich, M. S., Araya, W. A., Delle, J., Payne, K., Ford, J., & Dubree, M. (2019). Assessing and addressing practitioner burnout. Journal of the American Association of Nurse Practitioners, 33(1), 38-48.

Sikka, R., Morath, J., & Leape, L. (2015). The Quadruple Aim: care, health, cost and meaning in work. BMJ Quality & Safety, 24(10), 608-610.