Evidence-Based Practice 1 And The Quadruple Aim
Table of Contents
The Quadruple Aim

Evidence Based Practice and the Quadruple Aim
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.
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.
- 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
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
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
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
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
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
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
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Evidence-Based Practice and the Quadruple Aim
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Evidence-Based Practice and the Quadruple Aim

In conclusion, it is essential that healthcare organizations start making EBP a priority in order to achieve the Quadruple Aim. Reaching the fourth aim is a foundational element for all other goals to be achieved as the healthcare workforce is the backbone of an effective healthcare system (Sikka et al., 2015).
References

Bodenheimer, T., & Sinsky, C., (2014). From triple to quadruple aim: Care of the patient requires care of the provider. Annual Family Medicine, 12(6), 573-576. https://doi.org/10.1370/afm.1713
Hrabe, D. P., (2017). Committing to a culture of interprofessional evidence-based practice. Worldviews on Evidence-Based Nursing, 14(5), 341-342. https://doi.org/10.1111/wvn.12251
Jacobs, J. A., Jones, E., Gabella, B. A., Springs, B., & Brownson, R. C. (2012). Tools for implementing an evidence-based approach in public health practice. Preventing Chronic Disease, 9(1). https://doi.org/10.5888/pcd9.110324
Lavenberg, J. G., Cacchione, P. Z., Jayakumar, K. L., Leas, B. F., Mitchell, M. D., Mull, N. K., & Umscheid, C. A. (2019). Impact of a hospital evidence-based center on nursing policy and practice. Worldviews on Evidence-Based Nursing, 16(1). https://doi.org/10.1111/wvn.12346
Malnyk, B. M., Gallagher-Ford, L., & Fineout-Overholt, E. (2016). Improving healthcare quality, patient outcomes, and costs with evidence-based practice. Reflections on Nursing Leadership, 43(3), 1-8. Retrieved from https://search-ebscohost-com.ezp.waldenulibrary.org/login.aspx?direct=true&db=rzh&AN=119422530&site=eds-live&scope=site
Melnyk, B. M., & Fine-Overhold, E. (2018). Making the case for evidence-based practice and cultivating a spirit of inquiry. In B. M. Melnyk & E. Fine-Overhold (Eds.), Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed., p. 7-32). Philadelphia, PA: Wolters Kluwer.
Sikka, R., Morath, J. M., & Leape, L. (2015). The quadruple aim: Care, health, cost, and meaning in work. BMJ Quality & Safety, 24(), 608-610. https://doi.org/10.1136/bmjqs-2015-004160