The Relationship between EBP and the Quadruple Aim in Healthcare

This report examines the critical relationship between Evidence-Based Practice (EBP) and the Quadruple Aim in healthcare, which includes improving population health, enhancing patient experience, lowering healthcare costs, and improving the work life of healthcare providers. The report synthesizes research from various sources, including Sikka, Morath, and Leape (2015), Kim et al. (2016), and Melnyk et al. (2014), to demonstrate how EBP can positively influence each component of the Quadruple Aim. It highlights how EBP can improve patient care quality, reduce costs through evidence-based decision-making, and enhance healthcare worker satisfaction and efficiency. By analyzing the impact of EBP on healthcare operations and outcomes, the report underscores the importance of implementing EBP to achieve the Quadruple Aim and improve the overall healthcare system.

Running head: EVIDENCE-BASED PRACTICE AND THE QUADRUPLE AIM
Connection between EBP and the Quadruple Aim in Healthcare Service
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1EVIDENCE-BASED PRACTICE AND THE QUADRUPLE AIM
According to Sikka, Morath, and Leape (2015), in healthcare service sector the
conventional approach developed by Institute for Healthcare Improvement is based on triple
aims including improving population health, enhancing patient experience and lowering
healthcare cost. Recently an additional aspect has been added with these three aims namely
improving work life of healthcare providers while making it the Quadruple Aims. Evidence
Based Practice or EBP is the conscientious and judicious use of current best clinical evidence
to guide healthcare decision. According to Crabtree et al. (2016), EBP can enhance the
quality of care in every aspects. Hence, the connection between EBP and Quadruple Aim in
healthcare has been explored in following section.
As discussed in to Sikka, Morath, and Leape (2015), the healthcare service sector can
add high value to their service through taking care of the workforce satisfaction and
engagement. Kim et al. (2016), examined the effectives of EBP on the work experience of the
healthcare workers along with their work efficiency and the paper found that EBP can have a
significant association with those factors. Hence, it can be interpreted that EBP can enhance
the efficiency of healthcare workers which can help to ensure the second major component
that is patient experience. Batcheller et al (2017), supported the fact that evidence practice
can help the leaders to compare the evidences and national benchmark of healthcare
workforce operations and coordination that will eventually help to develop an optimum work
environment by the leader. Sikka, Morath, and Leape (2015) also described the cost of the
healthcare system as a major component that defines how cost effective the healthcare
intervention procedures are and how minimum is the contribution of healthcare service
revivers and providers while having maximum benefit. It has been suggested that the
structure should be optimum to ensure the balance between quality and cost of the service.
According to the argument presented by Melnyk et al., (2014), through evidence based
decision making the healthcare service providers can compare the outcomes of different

2EVIDENCE-BASED PRACTICE AND THE QUADRUPLE AIM
healthcare intervention options for a particular health condition in order to choose the most
cost effective interventions for them. The paper clearly states that evidence based practice
and the evidence based decision making regarding healthcare intervention selection can
significantly reduce the cost of the healthcare system without compromising the quality of the
healthcare service and outcomes.
From the above discussion and critical comparison among the perspectives and
evidences from different previous research papers that through direct influence evidence
based practice can enhance the patient experience and lower the healthcare cost which can
indirectly enhance the health of the population. At the same time, as per the argument and
supportive statement from different internal and external resources it has been found that
evidence based practice can increase the job satisfaction and workplace engagement of the
healthcare service providers. Hence, in all aspects EBP can significantly help to achieve
Quadruple Aims.

3EVIDENCE-BASED PRACTICE AND THE QUADRUPLE AIM
References:
Batcheller, J., Zimmermann, D., Pappas, S., & Adams, J. M. (2017). Nursing's leadership role
in addressing the quadruple aim. Nurse Leader, 15(3), 203-206.
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.
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.
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.
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.