Definition of Evidence-based Practice and Quadruple Aim
Evidence-based Practice (EBP) refers to providing effective and efficient care founded on the best accessible evidence to improve treatment outcomes. The Quadruple Aim is a structure created to assist health institutions in advancing population health, reducing healthcare per capita expenditure, and improving patient and health provider experience (Valaitis et al., 2020). The quadruple aim is designed to apply EBP to attain its goals. Melnyk and Fineout-Overholt (2022) show that EBP enhances healthcare safety and quality, reduces expenditure, and enables healthcare professionals to work freely and feel engaged.
The initial objective of the quadruple aim is to improve the patient experience. EBP approaches positively impacts patients’ perception concerning their treatment leading to improved satisfaction levels. When clinicians identify best treatment practices, they incorporate patients’ experiences and values into decision-making processes (Connor et al., 2023). By empowering providers to evaluate and find optimal solutions, EBP cuts treatment costs and facilitates a transparent and collaborative environment, which promotes accountability, and alleviates patient stress. For example, the EBP requires providers to change their protective equipment and clean contact surfaces and hands when handling new patients. Such measures minimize the transmission of opportunistic infections and medical errors, improving patient outcomes.
The second objective of the quadruple aim is to advance population health. EBP introduces elaborate procedures for reducing disease burden and improving population health. The processes include the application of intervention evidence, biodata on disease burden, community assessments, and population risk elements for healthcare managers and caregivers to set priorities and design practical strategies (Escoffery et al., 2019). It also increases access to high-quality knowledge on best practices, successful prevention policies and programs, appropriate resources, and a workforce. It guides in selecting programs that meet the needs, preferences, and expectations of the community through regular meetings and surveys. EBP enables the economical use of scarce resources by availing evidence on the exact resource level required for successful program implementation. For instance, EBP supports public health initiatives, including vaccination, to prevent infectious diseases.
High healthcare expenditure forms a notable barrier to providing high-quality healthcare. EBP is critical in improving the quality of treatment services while reducing costs. Providers engaging in interventions centered on EBP minimize nonessential treatment procedures while maintaining patient satisfaction in their facilities and reducing readmissions. For instance, it leads to efficient laboratory use by eliminating repetitive laboratory tests, resulting in lower overall costs (Portney, 2020). EBP can help practitioners evaluate available alternative drugs that are equally effective but differ in cost. The evaluation is instrumental in managing diseases such as cancer, where patients need efficacious but low-cost medications. Applying evidence in treatment is likely to reduce cases of medical errors that can result in expensive lawsuits and financial loss from health institutions.
Healthcare Providers Work life
EBP improves provider satisfaction in different ways. For instance, it fosters interprofessional collaboration that empowers health workers, improves their decision-making skills, and contributes to patient treatment. EBP enables clinicians to create single practical treatment plans and schedules, which help reduce workload and fatigue. Evidence-based interventions will likely improve treatment outcomes (Li et al., 2019). Improved patient satisfaction boosts the confidence and morale of healthcare workers. Medical professionals apply EBP to reduce risks of infection to the patients and themselves, thus maintaining optimum physical and mental health. The practice also reduces medical errors that can lead to lawsuits against health workers. Lawsuits are detrimental to the professional’s status, financial well-being, and overall experience.
Connor, L., Dean, J., McNett, M., Tydings, D. M., Shrout, A., Gorsuch, P. F., … & Gallagher‐Ford, L. (2023). Evidence‐based practice improves patient outcomes and healthcare system return on investment: Findings from a scoping review. Worldviews on Evidence‐Based Nursing, 20(1), 6–15. https://doi.org/10.1111/wvn.12621
Escoffery, C., Lebow-Skelley, E., Udelson, H., Böing, E. A., Wood, R., Fernandez, M. E., & Mullen, P. D. (2019). A scoping study of frameworks for adapting public health evidence-based interventions. Translational behavioral medicine, 9(1), 1–10. https://doi.org/10.1093/tbm/ibx067
Li, S., Cao, M., & Zhu, X. (2019). Evidence-based practice: Knowledge, attitudes, implementation, facilitators, and barriers among community nurses—a systematic review. Medicine, 98(39). https://doi.org/10.1097MD.0000000000017209
Melnyk, B. M., & Fineout-Overholt, E. (2022). Evidence-based practice in nursing & healthcare: A guide to best practice. Lippincott Williams & Wilkins.
Portney, L. G. (2020). Foundations of clinical research: applications to evidence-based practice. FA Davis.
Valaitis, R. K., Wong, S. T., MacDonald, M., Martin-Misener, R., O’Mara, L., Meagher-Stewart, D., … & Savage, R. (2020). Addressing quadruple aims through primary care and public health collaboration: ten Canadian case studies. BMC Public Health, 20(1), 1–16. https://doi.org/10.1186/s12889-020-08610-y
Introductions For An Edition Of Henrik Ibsen’s Ghosts And The Master Builder Essay Sample For College
Background & Thesis Development
The author Henrik Ibsen is an internationally acclaimed playwright whose literal works, i.e., plays, have dominated the theatrical spheres. His plays are of heightened dramatic feel as he is considered the founder of realism as his literature is adaptable to real-life experiences as poetic stylings are minimized. The theatrical performances embody actual human behavior. More so, the historical and literary positions of the works by Henrik Ibsen are both controversial and progressive, especially because he highlights the historical position of women during his era. The literary orientation is dominantly based on colloquial conversations between or among characters to expose the plots of the respective plays and give a realistic feel to the audience. Therefore, the central preoccupation in the plays; Ghosts and The Master Builder is that the literal aspect of realism has been examined in a manner that the concept of human morality and the conditions of life affect human interaction significantly.
Thesis Statement- The narratives are based on behavioral and psychological aspects that affect individuals’ daily lives and are indeed normal, as examined through the play, A Doll’s House. Hence, the texts have current humanistic relevance and can be adapted to the contemporary world. Adaptation is realized essentially because human behavior is consistent with the external influences of the conditions of life, which affect psychology, subsequently influencing human behavior, which is judged through the moral scale.
Introduction Edition for Ghosts & the Master Builder
First, the atmosphere is realized when one is in a Henrik Ibsen play due to the thematic characterization, which is dominant in both Ghosts and The Master Builder. Ideally, the audience feels as if the play is surreal and adaptable to the daily experiences that are dominant in an individual’s life. For instance, through characterization, it is realized that in the play The Master Builder, there is Halvard, who has a Wife, Mrs. Aline. There is Dr. Herdal, the family doctor, and Ragnar, who is Halvard, and Mrs. Aline Solness’s son. Other women and people on the streets are included in the characterization. It gives the feel of a relatable environment reflected within the social sphere of typical individuals, whether rich or poor.
Similarly, the atmosphere is actualized through Henrik Ibsen’s play, Ghosts; three acts are solely based on a domestic setting, with Mrs. Helene being the widow of Captain Alcing and Oswald Alving being her son. Hence, it is realized that the respective plays came about through Henrik Ibsen’s understanding of the realistic occurrences which are dominant within the social structure of the nucleic family and the immediate surrounding society. Therefore, human morality and conditions of life are evident elements.
The texture of the plays is integrated with the play’s concerns, as the plot and the language used in both plays have thematic content based on realism. For instance, in the play Ghosts, the quotation, “Regine: You didn’t think of giving me any of it? Engstrand: No, I’m damned if I did. Regine: Don’t even think of sending me a bit of stuff for a dress? Engstrand: Come back to town with me, and you can have plenty of dresses.” (GHOSTS. Ibsen., pg 95). It is examinable that the colloquial dialogue ensures that the domestic plot as a thematic content is progressive through the use of language with an informal orientation as the setting is casual. The characterization is similarly examined through the quotation, “Kaja [fearfully]: Oh no, Uncle! Please let that wait! Ragnar: Yes, better wait, Father! Brovik [struggling for breath]: Ah. Ah! I doubt if I’ve got much time for waiting.” (THE MASTER BUILDER. Ibsen., pg. 268). The texture of the plays is heightened as the settings are primarily domestic, with the props and the costumes utilized to make the respective come alive primarily realized to be that which emphasize a realistic and homely setting to heighten the feel of the storyline with tensions and spectacle to maintain the orientation of the stories and have a dramatic feel.
The artistic literature employed by Henrik Ibsen is primarily based on the concepts of realism and specifically being surreal to enhance dramatism. Through the daily life experiences of the characters, there is the realization of objectivity in all of his storylines with the integrated humane comprehension that highlights the moral decisions which are important to all humans. Additionally, the artistic means employed ensure that the audience’s observations are accurate, humanistic, and completely detached from fictional drama. As fictional drama is not adaptable, he had interconnected his imagination with reality through the concept of surrealism because there are dream-like acts and scenes which must be humanized (Peterson., pg 12 & 13) in a manner that the literature puns are not nullified. In doing so, it is realized that the artistic means employed do not contradict the aspect of realism, which appeals to all readers’ conscious and unconscious perspectives.
Four Major Plays; A Doll’s House, Ghosts, Hedda Gabler, and The Master Builder by Henrik Ibsen. Primary Sources Used: The Plays, Ghosts, and The Master Builder.
Peterson, Amanda Astrid. Henrik Ibsen’s When We Dead Awaken and Surrealism. MS thesis. 2021.
To What Extent Are Genetically Modified Crops A Necessary Tool In The Battle Against Global Hunger Essay Example
Despite significant improvements in farming technology over the past several centuries, hunger is still one of society’s most significant issues. More specifically, world hunger, which affects close to 10% of people across the globe, is on the increase after consistently dropping for a decade (Gbashi et al., 2021). Hunger is more complicated than having an empty stomach. It is a complex problem with various underlying causes and extensive repercussions. The first step in ending the global hunger crisis in a world of plenty is understanding its causes and solutions. One of the suggested solutions is using genetically modified (GM) crops, but is this an effective tool in the fight against hunger? As such, this paper argues that while GM crops alone cannot solve world hunger, they can be an effective strategy to end malnutrition in developing nations.
Genetically Modified Crops’ Positive Effects on the World Hunger Crisis
Genetically modified (GM) food are those whose DNA sequences have been altered to include a desired characteristic. Genetic engineering can enhance the amount of the target crop produced by enhancing the production of crops (National Geographic Society, 2020). Plants can be genetically altered to be more nutritious, providing communities that lack particular nutrients with essential vitamins. (Kavhiza et al., 2022, p. 439) Because genetically engineered crops can be modified to have enhanced crop output and perhaps even resist unfavourable environmental circumstances, they are a viable answer to the world food shortage predicament. According to economic theory, prices of items decrease if their supply grows, which is precisely what genetically engineered crops accomplish (Gbashi et al., 2021, p. 30). The rise in production has resulted in a favourable impact on making foods less expensive for consumers. Beyond increasing supply, crops also lower farmers’ fuel and pesticide costs, reducing the percentage of these expenses that farmers pass on to customers. Furthermore, crops can also be genetically altered to have extra vitamins and minerals. “Golden rice,” a type of rice genetically altered to have more vitamin A than conventional rice, is one example of this (Gbashi et al., 2021,p. 30). This is significant because millions of people in Africa do not consume sufficient vitamin A, which can cause throat and chest infections and impaired development among children.
Limitations to Combating the Global Food Shortage Problem with Genetically Modified Crops
However, many of the world’s population without food lives in the developing world, where severe poverty, a lack of access to nourishing food, and a lack of GM crop use are all critical contributors to malnutrition. Farmers in developing nations might be reluctant to accept GM crops since views toward GM crops are sometimes inversely related to education and access to biotechnology information (National Geographic Society, 2020). Furthermore, a few powerful corporations that possess the intellectual property for genetic variations are the leading producers of GM seeds (Tyczewska et al., 2023). Thus, if that business failed, those dependent on that crop would no longer have access to it. Additionally, since data indicate that political unrest is the primary cause of hunger, using genetically engineered crops to combat the global food shortage crisis faces another challenge because it is unsure whether these farmers would be able to make a profit selling their goods or use their income on nourishing food sources within a nation racked by conflict.
Although GM crops may be better able to weather some natural calamities, including drought, they are not the complete solution to the world’s hunger problem. Enough grains and other foods are produced worldwide to feed everyone at least 4.3 pounds daily. Hunger is caused mainly by poverty and political upheaval around the world. Therefore, finding political solutions to the hunger problem is necessary, not only for agro-technical measures. A multifaceted strategy involving political action, agricultural and technological advancements, and educational efforts would play an integral role in combatting world hunger.
Gbashi, S., Adebo, O., Adebiyi, J. A., Targuma, S., Tebele, S., Areo, O. M., … & Njobeh, P. (2021). Food safety, food security and genetically modified organisms in Africa: a current perspective. Biotechnology and Genetic Engineering Reviews, 37(1), 30-63. https://doi.org/10.1080/02648725.2021.1940735
Kavhiza, N.J., Zargar, M., Prikhodko, S.I., Pakina, E.N., Murtazova, K.M.S. and Nakhaev, M.R., 2022. Improving crop productivity and ensuring food security through adopting genetically modified crops in sub-Saharan Africa. Agronomy, 12(2), p.439-460. https://doi.org/10.3390/agronomy12020439
National Geographic Society, (2020). Are Genetically Modified Crops the Answer to World Hunger? [Online] Available at: https://education.nationalgeographic.org/resource/are-genetically-modified-crops-answer-world-hunger/ [Accessed 29 May 2023].
Tyczewska, A., Twardowski, T. and Woźniak-Gientka, E., 2023. Agricultural biotechnology for sustainable food security. Trends in Biotechnology. DOI: https://doi.org/10.1016/j.tibtech.2022.12.013