Evidence-Based Practice and the Quadruple Aim Paper

Evidence-Based Practice and the Quadruple Aim
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The failure of Triple Aim to acknowledge the role the workforce in healthcare transformation, led to a proposal for its modification to quadruple aim. This modification was by adding the fourth aim which was: improving the experience of providing care. Health providers meet the quadruple aim through the Evidence Based Practice strategy. The main basis of quadruple aim is creating a better end results for patients, lowering costs, improving patient experience and improving overall clinical experience(; Sikka, Morath, & Leape, 2015).Evidence based practice (EBP)is a problem solving approach whereby the best evidence( external evidence) is integrated from studies, patients view and clinician’s point of view.
Evidence based practice has impacted the quadruple aim in health care through support, delivery, high quality safe and high value health services.it is also concluded that by performing high quality EBP is time intensive and limits use of best evidence by nurses.it empowers clinicians and resulted to high job satisfaction levels.
Applying evidence was argued to be the most effective and reliable way to handle health inevitability of healthcare. EBP has helped increase commitments and performance development. EBP has supported one of the best decision making since it is made from patients outcomes and preferences (Melnyk &Fineout‐Overholt, 2011)
Workforce engagement and workforce safety constitutes the work life of healthcare providers therefore EBP help the health officers to relate and understand each other’s point of view. EBP on the other hand is not the perfect option in healthcare because of some of its barriers such as, inadequate knowledge and skills by nurses and healthcare providers, environments that support EBP are lacking, there’s perception that EBP takes a lot of time outdated policies, limited resources for care providers, resistance from colleagues and even leaders and EBP members do not meet the required numbers.( Melnyk & Fineout-Overholt, 2015; Melnyk et al., 2012a; Melnyk et al., 2012b; Melnyk et al., 2016; Pravikoff, Pierce, & Tanner, 2005; Titler, 2009)

References
Melnyk, B. M., & Gallagher-Ford, L. (2019). Achieving the Quadruple Aim in Healthcare With Evidence-Based Practice: A Necessary Leadership Strategy for Improving Quality, Safety, Patient Outcomes, and Cost Reductions. Evidence-Based Leadership, Innovation and Entrepreneurship in Nursing and Healthcare: A Practical Guide to Success.
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.nce()
Melnyk, B. M., & Fineout-Overholt, E. (2015). Box 1.3: Rating system for the hierarchy of evidence for intervention/treatment questions. Evidence-based practice in nursing & healthcare: A guide to best practice, 11.
Sikka, R., Morath, J. M., & Leape, L. (2015). The Quadruple Aim: care, health, cost and meaning in work.

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