Triggering issues (what is the problem, need for improvement, issue of concern, etc.)
Organization: where will this change take place (hospital, clinic, community, school, etc.) Do not use real names, use made names such as Molloy Hospital.
Purpose: What is the purpose, significance, why is a change needed?
Priority: Is this a priority?
Team members; Who will you invite to join your team (disciplines represented, expertise)? Use made up names)
EXAMPLE OF ANOTHER STUDENTS:
Title of your EBP Change Proposal: Increasing the Rate of Advance Directive Completion Among Older Chinese Americans
Triggering issues: Data shows Chinese adults have a higher level of intensive care and lower level of hospice care than the general population (Jia et al., 2021, p 650). The rate of end-of-life care discussions among Chinese patients compared to other ethnicities is low (Chi et al, 2018, p 1265). Research studies showed nursing home residents and day care centers showed anywhere from 31.5% to 88% of older Chinese patients prefer making an advance directive, with the strongest predictor being they have previously heard of one. ( Cheng, H.W.B, 2018, p. 244). Healthcare providers find end-of-life discussions challenging due to cultural taboos around death and dying in this population. (Chi et al, 2018, p 1265). Research studies showed nursing home residents and day care centers showed anywhere from 31.5% to 88% of older Chinese patients prefer making an advance directive, with the strongest predictor being they have previously heard of one. ( Cheng, H.W.B, 2018, p. 244).
Organization: Molloy Hospital near a large Chinese speaking neighborhood.
Purpose: The purpose will be to increase the rate of end-of-life care discussions and advance directive completion among older Chinese Americans to hopefully honor the wishes of the patients, increase the use of hospice, and decrease the rate of unwanted and unnecessary intensive care for this population.
Priority: This is a high priority from an ethical standpoint to know the wishes of the patient for care at end of life. This is a high priority from a financial standpoint as it may decrease the rate and cost of care at end of life.
Team members: My team would consist of the members of the palliative care department (usually one or more doctors, nurse practitioners, and social workers), the Chinese speaking patient care representatives, the head(s) of the local Chinese American Associations, and the nurses, case managers, social workers and volunteers who work on the geriatrics unit of the hospital. The staff of the unit will be screening for readiness for end-of-life care discussions. If they are, then a palliative care consult will be triggered. The heads of the local Chinese American Associations will be to verify appropriateness of material and training according to the local Chinese American culture.
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James Raphael
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Idalia Michael
