May 30, | nursing, med, NURS, Paper
Assignment: Evidence-Based Practice and the Quadruple Aim sample essay
Assignment: Evidence-Based Practice and the Quadruple Aim sample essay
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.
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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. Assignment: Evidence-Based Practice and the Quadruple Aim sample essay
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
By Day 7 of Week 1
Submit your anaylsis.
Resources
https://qualitysafety-bmj-com.ezp.waldenulibrary.org/content/24/10/608
https://qualitysafety-bmj-com.ezp.waldenulibrary.org/content/24/10/608
https://insights-ovid-com.ezp.waldenulibrary.org/crossref?an=00006216-201807000-00009
https://www-sciencedirect-com.ezp.waldenulibrary.org/science/article/pii/S1541461219300941?via%3Dihub
http://acc.aacnjournals.org/content/30/2/185
https://journals.stfm.org/familymedicine/2019/february/marker-2018-0276/ Assignment: Evidence-Based Practice and the Quadruple Aim sample essay
https://qualitysafety-bmj-com.ezp.waldenulibrary.org/content/24/10/608
https://insights-ovid-com.ezp.waldenulibrary.org/crossref?an=00006216-201904000-00008
Relation between EBP and the Quadruple Aim
Evidence-based practice heavily relies on the use of available scientific evidence for decision making in the clinical setting. Ever since its formal introduction in the 1990s, evidence-based practices have continued to gain ground in management, the formation of public policies, education and nursing practice. As one of the most effective problem-solving approach in clinical settings, evidence-based practice integrates the best available evidence from well-designed scientific studies, the preferences, and values of patients and the expertise of clinicians to make decisions regarding patient care (Crabtree et al., 2016). Assignment: Evidence-Based Practice and the Quadruple Aim sample essay As a result, the main aim of evidence-based providers is to ensure that patients are provided with high quality and safe healthcare services. For high chances of success, EBP embraces an interprofessional model where shared decision making is greatly emphasized. Similarly, different actors at the state, federal and local levels are essential for the adoption and implementation of evidence-based practice. According to Crabtree et al., (2016), nurses have widely embraced a positive attitude towards evidence-based practice and its providers and the majority are ready to acquire the necessary skills and knowledge for its adoption into clinical practice.
The quadruple aim has four major goals mainly: improving patient experience, population health, the work-life of healthcare providers and reducing healthcare-associated costs (Sakallaris et al., 2016). The quadruple aim purposes to achieve the aforementioned goals through the redesigning of healthcare facilities. However, a major setback in achieving these goals in the wider health sector is improving population health while at the same time containing/reducing healthcare-related costs, which requires a high level of efficiency and effectiveness (Bodenheimer & Sinsky, 2014). A highly productive health workforce is mandatory for an effective healthcare system. This is what promoted the translation of the triple aim to the quadruple aim through the addition of a fourth goal which is improving healthcare providers’ work-life. Assignment: Evidence-Based Practice and the Quadruple Aim sample essay
The Impact That EBP May Have On Factors Influencing These Quadruple Aim Elements.
The development and adoption of evidence-based practice is mainly to improve the quality of healthcare services that patients receive and places a lot of value inpatient care in clinical settings. Similarly, evidence-based practice has a direct impact on the work-life of healthcare providers since, to receive high quality and safe healthcare services, staff needs to be very productive. The purpose of every healthcare institution is to ensure that the life of patients, as well as that of healthcare staff providing healthcare services, is improved.
Patient experience
All strategies used in evidence-based practice permit healthcare providers to translate the findings of research into clinical practice. By utilizing efficient searching skills of literature and formally applying the rules that guide evidence to evaluate the findings of research, nurses and other healthcare providers can efficiently apply existent scientific knowledge to clinical practice based on individual patient needs (Jacobs et al., 2018). As a result, this improves the quality of healthcare services that patients receive. In recent times, most healthcare institutions are embracing evidence-based practice to solve clinical issues that directly impact patient care and this is what has led to improved patient experiences Assignment: Evidence-Based Practice and the Quadruple Aim sample essay.
Population health
Evidence-based practices purpose to educate populations on the individual health determinants, the benefits, and limitations of specific treatments, cultural and healthcare practices. Those integrating evidence-based practices in various population settings also purpose to ensure the equitable distribution of resources to achieve specific aims (Sakallaris et al., 2016). Populations can be classified based on its needs as identified by socioeconomic status, the support received from family and individual health status, and this promotes equity and efficiency in the allocation and distribution of resources for health promotion. All evidence-based processes involved in care have been specifically designed to address individual patient needs as opposed to shaping healthcare patterns based on subgroups.
Costs
A major challenge for most healthcare facilities is directly related to the measure of per capita costs of healthcare as it needs all healthcare expenditures to be captured, measurement of actual costs and indexing the costs to the healthcare market. According to Sakallaris et al., (2016), the most common method used to measure actual costs is discounts and pricing. Therefore, for most healthcare institutions, it is a huge challenge to provide safe and quality healthcare services at lower healthcare costs. When an institution embraces the use of the latest technology to improve efficiency and most recent treatment methods as revealed through evidence-based practice, the quality of care, as well as the costs, automatically increases.
The work-life of healthcare providers
The key components of a conducive healthcare environment should support interprofessional collaboration. Interprofessional collaboration has been evidenced to improve patient health outcomes and the satisfaction of healthcare providers. It also reduces provider burnout and turnover rates, which promotes staff productivity (William et al., 2016). The three major components of such an environment include the structural and policy elements and actively engaging the workforce in shared decision making. Assignment: Evidence-Based Practice and the Quadruple Aim sample essay.
References
Bodenheimer, T., & Sinsky, C. (2014). From triple to quadruple aim: care of the patient requires care of the provider. The Annals of Family Medicine, 12(6), 573-576.
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.
Jacobs, B., McGovern, J., Heinmiller, J., & Drenkard, K. (2018). Engaging employees in well-being: moving from the triple aim to the quadruple aim. Nursing administration quarterly, 42(3), 231-245 Assignment: Evidence-Based Practice and the Quadruple Aim sample essay.
Sakallaris, B. R., Miller, W. L., Saper, R., Jo Kreitzer, M., & Jonas, W. (2016). Meeting the challenge of a more person-centered future for US healthcare. Global advances in health and medicine, 5(1), 51-60.
William Jackson Epperson Md, M. B. A., Facmpe, S. F. C., & Wilhoit, G. (2016). Provider burnout and patient engagement: the quadruple and quintuple aims. The Journal of medical practice management: MPM, 31(6), 359. Assignment: Evidence-Based Practice and the Quadruple Aim sample essay
May 30, | nursing, med, NURS, Paper
Biostatistics Questions
Biostatistics Questions
Question description
Bio-statistics Questions Exercise 10
1.What demographic variables were measured at the nominal level of measurement in the OH et al. (2014) study? Provide a rationale for your answer.
2. What statistics were calculated to describe body mass index (BMI) in this study? Were these appropriate? Provide a rationale for your answer.
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3. Were the distributions of scores for BMI similar for the intervention and control groups? Provide a rationale for your answer.
4. Was there a significant difference in BMI between the intervention and control groups? Provide a rationale for your answer Biostatistics Questions.
5. Based on the sample size of N=41, what frequency and percentage of the sample smoked? What frequency and percentage of the sample were non-drinkers (alcohol)? Show your calculations and round to the nearest whole percent.
6. What measurement method was used to measure the bone mineral density (BMD) for the study participants? Discuss the quality of this measurement method and document your response.
7. What statistic was calculated to determine differences between the intervention and control groups for the lumbar and femur neck BMDs? Were the groups significantly different for BMDs?
8. The researchers stated that there were no significant differences in the baseline characteristics of the intervention and control groups (see Table 2) Are these groups heterogeneous or homogeneous at the beginning of the study? Why is this important in testing the effectiveness of the therapeutic lifestyle modification (TLM) program? Biostatistics Questions.
9. Oh et al. (2014, p.296) stated that “the adherence rate to the TLM program was 99.6%.” Discuss the importance of intervention adherence, and document your response.
10. Was the sample for this study adequately described? Provide a rationale for your answer.
Bio-statistics Questions Exercise 16
1.What do degrees of freedom (df) mean? Canbulat et al. (2015) did not provide the dfs in their study. Why is it important to know the df for a t ratio? Using the df formula, calculate the df for this study. Biostatistics Questions.
2. What are the means and standard deviations (SD) for age for the Buzzy intervention and control groups? What statistical analysis is conducted to determine the difference in means for age for the two groups? Was this an appropriate analysis technique? Provide a rationale for your answer.
3. What are the t value and p value for age? What do these results mean?
4. What are the assumptions for conducting the independent samples t-test?
5. Are the groups in this study independent or dependent? Provide a rationale for your answer.
6. What is the null hypothesis for procedural self-reported pain measured with the Wong Baker Faces Scale (WBFS) for the two groups? Was this null hypothesis accepted or rejected in this study? Provide a rationale for your answer Biostatistics Questions.
7. Should a Bonferroni procedure be conducted in this study? Provide a rationale for your answer.
8. What variable has a result of t=-6.135, p=0.000? What does the result mean?
9. In your opinions, is it an expected or unexpected finding that both t values on Table 2 were found to be statistically significant. Provide a rationale for your answer.
10. Describe one potential clinical benefit for pediatric patients to receive the Buzzy intervention that combined cold and vibration during IV insertion.
Bio-statistics Questions Exercise 17
1.What are the assumptions for conducting a paired or dependent samples t-test in a study? Which of these assumptions do you think were met by the Lindseth et al. (2014) study?
2. In the introduction, Lindesth et al. (2014) described a “2-week washout between diets.” What does this mean? Why is this important?
3. What is the paired t-test value for mood (irritability) between the participants’ consumption of high- versus low-aspartame diets? Is this result statistically significant? Provide a rationale for your answer.
4. State the null hypothesis for mood (irritability) that was tested in this study. Was this hypothesis accepted or rejected? Provide a rational for your answer.
5. Which t value in Table 2 represents the greatest relative or standardized difference between the high- and low-aspartame diets? Is this t value statistically significant? Provide a rationale for your answer.
6. Discuss why the larger t values are more likely to be statistically significant.
7. Discuss the meaning of the results regarding depression for this study. What is the clinical importance of this result?
8. What is the smallest, paired t-test value in Table 2? Why do you think the smaller t value are not statistically significant?
9. Discuss the clinical importance of these study results about the consumption of aspartame. Document your answer with a relevant source.
10. Are these study findings related to the consumption of high- and low-aspartame diets ready for implementation in practice? Provide a rational for your answer.
Bio-statistics Questions Exercise 10
1.What demographic variables were measured at the nominal level of measurement in the OH et al. (2014) study? Provide a rationale for your answer.
2. What statistics were calculated to describe body mass index (BMI) in this study? Were these appropriate? Provide a rationale for your answer.
3. Were the distributions of scores for BMI similar for the intervention and control groups? Provide a rationale for your answer.
4. Was there a significant difference in BMI between the intervention and control groups? Provide a rationale for your answer.
5. Based on the sample size of N=41, what frequency and percentage of the sample smoked? What frequency and percentage of the sample were non-drinkers (alcohol)? Show your calculations and round to the nearest whole percent.
6. What measurement method was used to measure the bone mineral density (BMD) for the study participants? Discuss the quality of this measurement method and document your response.
7. What statistic was calculated to determine differences between the intervention and control groups for the lumbar and femur neck BMDs? Were the groups significantly different for BMDs?
8. The researchers stated that there were no significant differences in the baseline characteristics of the intervention and control groups (see Table 2) Are these groups heterogeneous or homogeneous at the beginning of the study? Why is this important in testing the effectiveness of the therapeutic lifestyle modification (TLM) program?
9. Oh et al. (2014, p.296) stated that “the adherence rate to the TLM program was 99.6%.” Discuss the importance of intervention adherence, and document your response.
10. Was the sample for this study adequately described? Provide a rationale for your answer.
Bio-statistics Questions Exercise 16
1.What do degrees of freedom (df) mean? Canbulat et al. (2015) did not provide the dfs in their study. Why is it important to know the df for a t ratio? Using the df formula, calculate the df for this study.
2. What are the means and standard deviations (SD) for age for the Buzzy intervention and control groups? What statistical analysis is conducted to determine the difference in means for age for the two groups? Was this an appropriate analysis technique? Provide a rationale for your answer.
3. What are the t value and p value for age? What do these results mean?
4. What are the assumptions for conducting the independent samples t-test?
5. Are the groups in this study independent or dependent? Provide a rationale for your answer.
6. What is the null hypothesis for procedural self-reported pain measured with the Wong Baker Faces Scale (WBFS) for the two groups? Was this null hypothesis accepted or rejected in this study? Provide a rationale for your answer. Biostatistics Questions.
7. Should a Bonferroni procedure be conducted in this study? Provide a rationale for your answer.
8. What variable has a result of t=-6.135, p=0.000? What does the result mean?
9. In your opinions, is it an expected or unexpected finding that both t values on Table 2 were found to be statistically significant. Provide a rationale for your answer.
10. Describe one potential clinical benefit for pediatric patients to receive the Buzzy intervention that combined cold and vibration during IV insertion. Biostatistics Questions.
Bio-statistics Questions Exercise 10
1.What demographic variables were measured at the nominal level of measurement in the OH et al. (2014) study? Provide a rationale for your answer.
2. What statistics were calculated to describe body mass index (BMI) in this study? Were these appropriate? Provide a rationale for your answer.
3. Were the distributions of scores for BMI similar for the intervention and control groups? Provide a rationale for your answer.
4. Was there a significant difference in BMI between the intervention and control groups? Provide a rationale for your answer. Biostatistics Questions.
5. Based on the sample size of N=41, what frequency and percentage of the sample smoked? What frequency and percentage of the sample were non-drinkers (alcohol)? Show your calculations and round to the nearest whole percent.
6. What measurement method did the study use to measure the bone mineral density (BMD) for the study participants? Discuss the quality of this measurement method and document your response.
7. What statistic was calculated to determine differences between the intervention and control groups for the lumbar and femur neck BMDs? Were the groups significantly different for BMDs?
8. The researchers stated that there were no significant differences in the baseline characteristics of the intervention and control groups (see Table 2) Are these groups heterogeneous or homogeneous at the beginning of the study? Why is this important in testing the effectiveness of the therapeutic lifestyle modification (TLM) program?
9. Oh et al. (2014, p.296) stated that “the adherence rate to the TLM program was 99.6%.” Discuss the importance of intervention adherence, and document your response.
10. Was the sample for this study adequately described? Provide a rationale for your answer.
Bio-statistics Questions Exercise 16
1.What do degrees of freedom (df) mean? Canbulat et al. (2015) did not provide the dfs in their study. Why is it important to know the df for a t ratio? Using the df formula, calculate the df for this study. Biostatistics Questions.
2. What are the means and standard deviations (SD) for age for the Buzzy intervention and control groups? What statistical analysis is conducted to determine the difference in means for age for the two groups? Was this an appropriate analysis technique? Provide a rationale for your answer.
3. What are the t value and p value for age? What do these results mean?
4. What are the assumptions for conducting the independent samples t-test?
5. Are the groups in this study independent or dependent? Provide a rationale for your answer.
6. Identify the null hypothesis for procedural self-reported pain measured with the Wong Baker Faces Scale (WBFS) for the two groups. Was this null hypothesis accepted or rejected in this study? Provide a rationale for your answer.
7. Should a Bonferroni procedure be conducted in this study? Provide a rationale for your answer.
8. What variable has a result of t=-6.135, p=0.000? What does the result mean?
9. In your opinions, is it an expected or unexpected finding that both t values on Table 2 were found to be statistically significant. Provide a rationale for your answer Biostatistics Questions.
10. Describe one potential clinical benefit for pediatric patients to receive the Buzzy intervention that combined cold and vibration during IV insertion.
Bio-statistics Questions Exercise 17
1.What are the assumptions for conducting a paired or dependent samples t-test in a study? Which of these assumptions do you the Lindseth et al. (2014) study met?
2. In the introduction, Lindesth et al. (2014) described a “2-week washout between diets.” What does this mean? Why is this important?
3. What is the paired t-test value for mood (irritability) between the participants’ consumption of high- versus low-aspartame diets? Is this result statistically significant? Provide a rationale for your answer.
4. State the null hypothesis for mood (irritability) that was tested in this study. Did the hypothesis get accepted or rejected? Provide a rational for your answer.
5. Which t value in Table 2 represents the greatest relative or standardized difference between the high- and low-aspartame diets? Is this t value statistically significant? Provide a rationale for your answer Biostatistics Questions.
6. Discuss why the larger t values are more likely to be statistically significant.
7. Discuss the meaning of the results regarding depression for this study. What is the clinical importance of this result?
8. What is the smallest, paired t-test value in Table 2? Why do you think the smaller t value are not statistically significant?
9. Discuss the clinical importance of these study results about the consumption of aspartame. Document your answer with a relevant source.
10. Are these study findings related to the consumption of high- and low-aspartame diets ready for implementation in practice? Provide a rational for your answer.
Bio-statistics Questions Exercise 17
1.What are the assumptions for conducting a paired or dependent samples t-test in a study? Which of these assumptions do you think Lindseth et al. (2014) study met? Biostatistics Questions.
2. In the introduction, Lindesth et al. (2014) described a “2-week washout between diets.” What does this mean? Why is this important?
3. What is the paired t-test value for mood (irritability) between the participants’ consumption of high- versus low-aspartame diets? Is this result statistically significant? Provide a rationale for your answer.
4. State the null hypothesis for mood (irritability) that was tested in this study. Was this hypothesis accepted or rejected? Provide a rational for your answer.
5. Which t value in Table 2 represents the greatest relative or standardized difference between the high- and low-aspartame diets? Is this t value statistically significant? Provide a rationale for your answer. Biostatistics Questions.
6. Discuss why the larger t values are more likely to be statistically significant.
7. Discuss the meaning of the results regarding depression for this study. What is the clinical importance of this result?
8. What is the smallest, paired t-test value in Table 2? Why do you think the smaller t value are not statistically significant?
9. Discuss the clinical importance of these study results about the consumption of aspartame. Document your answer with a relevant source.
10. Are these study findings related to the consumption of high- and low-aspartame diets ready for implementation in practice? Provide a rational for your answer. Biostatistics Questions.
