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 Clinical InQuERI Council Evidence-Based Practice Fellows Application 2020

Program Purpose

Evidence-based practice (EBP) at the point of care is defined as the use of best available evidence to guide practice.  Sources of evidence include data from research, expert consensus, and expert opinion.  Such evidence can be used to conduct a rapid cycle small test of change to help determine whether a change leads to sustainable improvement on a unit or with a selected group of patients/families.

The overall purposes of this program are to teach clinical nurses to:

1. Apply the five steps of EBP

       a. Identify the problem

       b. Access the literature

       c. Critically appraise the literature

       d. Create and implement an intervention based on the best available evidence

       e. Evaluate the change in practice

2. Disseminate project findings through podium presentations, poster presentations, and written abstracts

3. Master fundamental project management skills

Funding and Resource Allocation for Program

Funding for the EBP Fellows Program will be shared between the Institute for Nursing Excellence (INEx) and the fellow’s home unit.  Fellows will be entitled to recharge up to 12 hours/month to INEx during the program (January-June). January will be spent at the Clinical InQuERI conference the year the Fellow is accepted into the program, as well as five day-long didactic sessions to learn skills related to EBP to achieve practice change.  These sessions last 6 hours each (see Table 1 for schedule). The remaining INEx-funded time may be used for other training activities, meetings with your coach, literature review, project development and implementation, and project evaluation. 

It is anticipated that each fellow’s project may take up to 12 additional hours/month during the six-month program.  This time will be paid for by the fellow’s unit.  Actual schedules will be negotiated between Unit Director, Clinical Coach, and Fellow on a month-to-month basis based on the scope of work that needs to be accomplished.  Projects that extend beyond the six-month timeframe must be approved in advance by the Clinical Coach and the Clinical Nurse Researcher. Staff will be paid straight time only and will not use overtime for this Fellows Program.  Project time is considered time in lieu of — not in addition to — patient care.

Month of Fellowship Year

Home unit

INEx

January

 

InQuERI Conference (8 hours) - to attend1

February - June

Additional hours2

6 hours (Refer to Didactic Schedule Table 1)3

Project hours (up to 6 hours)

July-September

 

Additional hours4

September

 

2 hours - Practice Presentation

October/November

2 hours - Grand Rounds

 

February (of following year)

InQuERI Conference (8 hours) - to present

 

  1. If you did not complete the EBP fellowship program the year you were accepted, your home unit will pay for your time at the InQuERI Conference.

  2. It is anticipated that each fellow’s project may take up to 12 additional hours/month during the six-month program. This time will be paid for by the fellow’s unit. Actual schedules will be negotiated between Unit Director, Clinical Coach, and Fellow on a month-to-month basis based on the scope of work that needs to be accomplished. Projects that extend beyond the six-month time frame must be approved in advance by the Clinical Coach and the Clinical Nurse Researcher.

  3. Typically, didactics are six hours and six additional hours for these months will be INEx-funded time. These additional six hours may be used for other training activities, meetings with your coach, literature review, project development and implementation, and project evaluation.

  4. It is anticipated that each fellow’s project may take up to 6 additional hours/month after the six-month program. This time will be paid for by INEx. Note that projects that extend beyond the six-month time frame must be approved in advance by the Clinical Coach and the Clinical Nurse Researcher.

All time floated to INEx should be coded as “normal hours worked” or “straight time only.”

Fellow Eligibility Criteria 

  1. Two or more years of nursing experience

  2. At least 1 year full time employment at UCSF Health as a clinical nurse

  3. Currently employed in a full time career position  (≥ 90% or .9 FTE) as a clinical nurse at UCSF Health and for the duration of the fellowship

  4. Interest in learning about clinical inquiry and EBP

  5. Availability of a trained clinical coach (see Table 2)

  6. Identified by the Unit Director as a team player with strong written and verbal communication, strong interpersonal skills, and a current performance evaluation that meets or exceeds expectations

Eligibility Criteria for Clinical Coaches

A Clinical Coach functions as a sponsor for each fellow and will be selected by the fellow from among the clinical leaders who have completed the EBP coach training.  Clinical Coaches will provide the following to EBP Fellows:

  1. Guidance in reviewing and critiquing project-related literature

  2. Assistance with project scope and strategies to implement and evaluate the unit-based small test of change

  3. Front-line editing of the Fellow’s written output (poster and presentation)

  4. Support and advising throughout the project

  5. Attend all EBP Program activities (see Table 1 for schedule) and have regular contact with the Clinical Nurse Researcher and Evidence Implementation Coordinator to report on project progress.

Application Process

All components of the EBP Application must be received via the online application form (link below) on/by September 20, 2019 end of day to be considered for the 2020 EBP Fellows Program.

  1. Completed online application from EBP Fellow with signed EBP Service Agreement

  2. Completed online recommendation from identified Clinical Coach

  3. Completed online recommendation from Supervisor/Unit Director/Assistant Unit Director

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 Review Criteria

 EBP Fellows will be selected based on the strength of their EBP proposal per the EBP Fellow Proposal Criteria Rubric (Appendix C) which includes:    

  1. Clinically relevant and targeted at a unit issue or a Nurse Sensitive Indicator

  2. Alignment with UCSF Health, unit priorities, and/or True North Pillar

  3. Sustainability of proposed project (see Appendix A)

  4. Feasibility of completing the project within a six-month time frame

  5. Strength of recommendation from Supervisor/Unit Director/Assistant Unit Director

  6. Strength of recommendation from the Clinical Coach

  7. Patient Care Area Score (see Appendix B)

The number of EBP slots is based on available funding and will be determined on a yearly basis. 

The members of the Clinical InQuERI Council review and rank all completed applications and make the final selection of EBP Fellows per the EBP Fellow Proposal Criteria Rubric (Appendix C). Interested coaches and prospective fellows are encouraged to contact their respective managers for more information.


EBP Application Checklist:  Items to be received by 9/20/19 to be considered for the 2020 EBP Program

 

EBP Application Components

 

Completion and submission of EBP Proposal with signed EBP Service Agreement

 

Completed online recommendation from Supervisor/Unit Director/Assistant Unit Director

 

Completed online recommendation from Clinical Coach


— Click here to complete the EBP Fellowship Application. —

Note: Managers, Coaches, and prospective EBP fellows are required to fill out and submit separate parts of the online application. All parts of the application must be completed and received in order to be considered for the 2020 EBP Fellowship Program.

Please download this document and copy and paste your responses when completing the online EBP Fellowship Application.


Table 1: UCSF Health 2020 EBP Fellowship Schedule of Classes/Meetings for EBP Clinical Coaches and Fellows

Date

Times

Class

January 13th

0900-12 Noon

EBP Coach Class (for Coaches only)

February 6th

0800-1700

7th Annual Clinical InQuERI Nursing Research Conference

February 10th

0900-1700

Workshop Day 1 (Fellows & Coaches)

March 9th

0900-1700

Workshop Day 2 (Fellows & Coaches)

April 13th

0900-1700

Workshop Day 3 (Fellows & Coaches)

May 11th

0900-1700

Workshop Day 4 (Fellows & Coaches)

June 8th

0900-1700

Workshop Day 5 (Fellows & Coaches)

September (Exact Date TBD)

0900-12 Noon

Practice Presentations for Nursing Grand Rounds

October (Exact Date TBD)

1000-12 Noon

Fellows’ Presentations at Nursing Grand Rounds (Fellows & Coaches)

January/February 2021

(Exact Date TBD)

0800-1700

Fellows’ Presentations at 8th Annual Clinical InQuERI Nursing Research Conference (Fellows & Coaches)


Table 2: UCSF Health 2020 EBP Clinical Coaches Roster

The following clinical leaders have completed the EBP Clinical Coaches’ Course and may be available to serve as coaches in the EBP Fellows Program and JBI Clinical Fellows Program:

Name

Title

Susan Barbour

Palliative Care Clinical Nurse Specialist

Sarah Berger

Adult Critical Care Clinical Nurse Specialist

Robin Bisgaard

Intensive Care Nursery Clinical Nurse IV

Lindsay B. Bolt

Adult Acute & Transitional Clinical Nurse Educator

Jeannie Chan

Intensive Care Nursery Clinical Nurse Specialist

Mark Ciano

Stroke Coordinator

Brooke Clemons

Adult Acute & Transitional Clinical Nurse Educator

Shelley Diane 

Pediatric Critical Care Clinical Nurse Specialist

Lori Fineman

Pediatric Surgical Critical Care Clinical Nurse Specialist

Lauren Frahm

Student Coordinator Clinical Nurse Educator

Laura Griffith

Adult Malignant Hematology/Onc/BMT Clinical Nurse Specialist

Amy Larsen

Adult Critical Care Clinical Nurse Specialist

Melissa Lee

Adult Acute & Transitional Care Clinical Nurse Specialist

Michelle Macal

Adult Acute & Transitional Care Clinical Nurse Specialist

Sherrie Nameth

Pediatric Critical Care Clinical Nurse Educator

Mary Nottingham

Pediatric Medical/Surgical & Transitional Care Clinical Nurse Specialist

Elizabeth Papp

Intensive Care Nursery Clinical Nurse Specialist

Dawn Pizzini

Pediatric Acute & Transitional Care Clinical Nurse Educator

Anjal Pong

Pediatric Operating Room Clinical Nurse Educator

Mary-Ann Rich

Adult Operating Room Clinical Nurse Educator

Bobby Robertson

Lead Wound and Skin Care Nurse

Chrissie Smith

Pediatric Wound Care Clinical Nurse Specialist

Ben Tanner

Emergency Department Clinical Nurse Specialist

Lisa Tsang

Pediatric Hematology/Onc/BMT Clinical Nurse Specialist


Appendix A: UCSF Nursing Sustain Model

Mnemonic

Factors

S

Strong Evidence:  Benefits of the change are immediately obvious, supported by strong evidence, and believed by stakeholders

U

Usefulness:  The change(s) improves patient/family care, satisfaction, efficiency, nursing knowledge/perception

S

Staff Engagement:  Staff at all levels have been involved from the beginning of the change, adequately trained to sustain the improved process, feel empowered as part of the change process, and believe the improvement will be sustained

T

Tracking:  There is a system in place to identify evidence of progress, monitor progress, course correct if necessary, and communicate results

A

Alignment:  There is a history of successful sustainability and improvement when goals of the change are consistent with unit needs and organizational strategic aims 

I

Infrastructure:  Staff, facilities and equipment, forms and documentation, guidelines, policies & procedures, and communication systems are set up for sustaining the improved process

N

New but Improved:  There is a system in place for continually improving the process


Appendix B: Patient Care Area Score Criteria

Points

Unit EBP Fellows

5

Applicant from a unit that has never had an EBP Fellow

4

Applicant from a unit that has had 1 EBP Fellow

3

Applicant from a unit that has had 2 EBP Fellows

2

Applicant from a unit that has had 3 EBP Fellows

1

Applicant from a unit that has had 4 EBP Fellows

0

Applicant from a unit that has had 5 or more EBP Fellows


Appendix C: EBP Fellow Proposal Criteria Rubric

Proposal Components

 

Clinically relevant and targeted at a unit issue or a Nurse Sensitive Indicator

 20%

Alignment with UCSF Health, unit priorities, and/or True North Pillar

 20%

Sustainability of proposed project

 15%

Feasibility of completing the project within a six-month timeframe

 15%

Support letter from Supervisor/Unit Director/Assistant Unit Director

 15%

Support letter from Clinical Coach

 10%

Patient Care Area Score (refers to how many past EBP fellows are on a unit)

 5%