Evidence-Based Practice and the Quadruple Aim

Evidence-Based Practice and the Quadruple Aim

Evidence-Based Practice

Evidence-based practice is a diligent, problem-solving approach to clinical practice that integrates the current best evidence from well-designed studies, patient values and preferences, and healthcare provider’s expertise in making clinical decisions.  EBP is a multifunctional tool in medical and nursing care since it enables the research and application of the best findings from the studies that are aimed in improving quality of care. According to Beckett & Melnyk (2018), EBP has a significant impact on the health quality outcome, suchas improving safety, minimizes cost, and increases Health care providers’ job satisfaction.

EBP provides nurses with scientific research to make significant clinical decisions. Therefore through EBP, the nurse is updated about new medicalprotocols for patient care. They can also search for readily published best nursing interventions that fit their patient’s care needs and increases patient recovery.  Besides, through EBP, nurses can include patients in their care plan. For instance, evidence shows how  EBP about telehealth has been effective in engaging patients to manage their blood sugar by themselves hence promote self-care and let them acquire more form the caregivers about safe care (Lee, Greenfield&Pappas, 2018).   It also enhances communication by allowing the patient to voice their concerns, share their values, and preferenceabout their health needs.  All these practices facilitate patient satisfaction since they feel their need are cared for.

EBP can be significant in promoting Population health in various ways that include researching best practices to control communicable and non-communicable diseases.  For example,   clinicians can research the best screening methods for diagnosing cancers, cardiovascular diseases, among others.   Besides, EBP can help effective research vaccines for communicable and non-communicable disorders hence promote people’s health. Moreover, EBP, such as educative strategies about handhygiene, has been significant in controlling bacterial infections..

EBP can help reduce higher healthcare costs.   For instance, hygienic handling of catheters has been effective in preventing CAUTIS   hence minimize medication costs due to unnecessary infections. Applying IT in healthcare through EHR and other  Clinical Information systems has been effective in reducing medical errors since  Nurse electrically chart assessmentdocumentation that is safely stored in the organization’s website database (Campanella, Lovato, Marone, Fallacara, Mancuso, Ricciardi & Specchia, 2016).   This EBP eliminates the traditional expensive filing system.  Besides Vaccinations help control the chronic diseases that would have been costly to manage. For example, hepatitis Vaccine lowers the hepatitis infections cases that can lead to liver cirrhosis and liver cancer that are costly to treat.

Achieving the three triple Aims:the patient experience of care, improving the population health, and minimizing the cost requires motivated HCPs with positivity towards their work.  It is a fact that the backbone of the effective healthcare system is an engaged and productive HCPs (Sikka, Morath & Leape, 2015). This calls for the need for the fourth aim:  improving the workforce experience.   A good psychological and physical health of the nurses is significant in achieving quality care. A healthy work environment for nurse eliminates depression, nurses burnout,  facilitate communication, and teamwork among the nurses.   EBP, such as nurses, training, and education, can improve health workers’ morale to deliver quality healthcare. Through research, organizations can research best practices to boost nurses’ confidence, such as rewarding, physical exercise programs, cultural competency,  applying the modern tool in care,  and recruiting enough writers to minimize workloads.   Nurses can also research on best practices about how  to avoid burn out and  depression due to work demands, and improve quality of their health

Reference

Beckett, C., & Melnyk, B. (2018). Evidence‐Based Practice Competencies and the New EBP ‐C    Credential: Keys to Achieving the Quadruple Aim in Health Care. Worldviews On Evidence-Based       Nursing, 15(6), 412-413. doi: 10.1111/wvn.12335

Campanella, P., Lovato, E., Marone, C., Fallacara, L., Mancuso, A., Ricciardi, W., & Specchia, M. L.        (2016). The impact of electronic health records on healthcare quality: a systematic review and           meta-analysis. The European Journal of Public Health, 26(1), 60-64.

Lee, P.A., Greenfield, G. & Pappas, Y. The impact of telehealth remote patient monitoring on   glycemic control in type 2 diabetes: a systematic review and meta-analysis of systematic reviews of randomised controlled trials. BMC Health Serv Res 18, 495 (2018).   https://doi.org/10.1186/s12913-018-3274-8

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-2015-0