Clinical InQuERI Council Evidence-Based Practice Fellows Application 2021

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 seven steps of EBP

      a. A culture of inquiry

      b. Identify the problem

      c. Access the literature

      d. Critically appraise the literature

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

      f. Evaluate the change in practice

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

2. Master fundamental project management skills

Funding and Resource Allocation for Program

Funding for the 2021 EBP Fellowship Program is shared between the Center for Nursing Excellence and Innovation and your home unit.  As a fellow, you will be entitled to recharge to the Center for Nursing Excellence and Innovation 8 hours in May 2021 to attend the annual Inquiry Conference, up to 12 hours/month to the Center for Nursing Excellence and Innovation from February through June, and up to six hours in July. Three to six hours will be spent during each five day-long didactic session (once a month, February - June) to learn skills related to EBP as a means to implement practice change. The remaining 6 hours/month of the Center for Nursing Excellence and Innovation-funded time may be used for other training activities, literature review, project development and implementation, and project evaluation. 

It is anticipated that as a fellow, your project may take up to 12 additional hours/month during the six-month program.  This time that will be paid for by the fellow’s unit. Actual schedules must be negotiated and agreed upon between Unit Director, Clinical Coach, and Fellow on a month-to-month basis based on the scope of work that needs to be accomplished.

EBP Class and Project time is considered time in lieu of—not in addition to—patient care.

Staff will be paid straight time only; overtime is not approved for EBP class time or project work. All time floated to the Center for Nursing Excellence and Innovation should be coded in HBS as “normal hours worked” and “straight time only”. The Enterprise Code “EBP Fellows” should be used on HBS Timesheets.

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 Inquiry 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 Nurse Scientist.

3. Typically, didactics are six hours and six additional hours for these months will be Center for Nursing Excellence and Innovation-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 the Center for Nursing Excellence and Innovation. Note that projects that extend beyond the six-month time frame must be approved in advance by the Clinical Coach and the Nurse Scientist.

Please review the Funding Document once you are accepted into the program. All time floated to the Center for Nursing Excellence and Innovation should be coded as “normal hours worked” or “straight time only.”

Month of Fellowship Year	Activity / Hours	Home Unit Cost Center	The Center for Nursing Excellence and Innovation Cost Center
May	Inquiry Conference1		8 hours
April-August	EBP Classes 1-5		1 class per month; 6 hours per class (Refer to Didactic Schedule Table 1)3
	Project Hours		Up to 6 hours per month
	Additional Project Hours	Up to 12 hours per month2
July	Project Hours		Up to 6 hours per month
	Additional Project Hours	Up to 12 hours per month2
August	Additional Hours4		Up to 6 hours
September	Nursing Grand Rounds Practice Session		2 hours to attend and present
November	Nursing Grand Rounds Podium Presentation	2 hours to attend and present
January/February (of following year)	Inquiry Conference & Podium Presentation	8 hours to attend and present	Conference Registration paid for by the Center for Nursing Excellence and Innovation

 

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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  (≥ 70% or .7 FTE) as a clinical nurse at UCSF Health and for the duration of the fellowship

4. Proficient in Microsoft Word and Microsoft PowerPoint

5. Has completed or plans to complete the Finding Evidence Class 1 by the start of the program

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

7. Identified by the Unit Director as a team player with good written and verbal communication, good interpersonal skills, and who demonstrates a 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. Editing support of the Fellow’s written output

4. Support and advising throughout the project

In addition, Clinical Coaches must be willing to attend EBP program activities (see Table 1 for schedule) and have regular contact with the Clinical Evidence team to report on project progress.

Application Process 

All components of the EBP Application must be received via Jira (link below) on/by September 21, 2020 end of day to be considered for the 2021 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

 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.

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EBP Application Checklist: Items to be submitted to Jira by September 21, 2020 to be considered for the 2021 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

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— 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 2021 EBP FELLOWSHIP PROGRAM.

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TABLE 1: UCSF HEALTH 2021 EBP Fellowship Schedule of Classes/Meetings for EBP Clinical Coaches and Fellows (TBD)

Date	Times	Class
May 27th	0800-1700	8th Annual Clinical Inquiry Nursing Research Conference
March 23rd	0900-1100	EBP Coach Class (for Coaches only)
March 31st	0900-1100	Professional Development Workshop 1
April 6th	0900-1300	Workshop Day 1 (Fellows & Coaches)
May 4th	0900-1100	Professional Development Workshop 2
May 25th	0900-1300	Workshop Day 2 (Fellows & Coaches)
June 10	0900-1100	Professional Development Workshop 3
June 15th	0900-1300	Workshop Day 3 (Fellows & Coaches)
July 27th	0900-1300	Workshop Day 4 (Fellows & Coaches)
August 24th	0900-1300	Workshop Day 5 (Fellows & Coaches)
September 28th	0900-12 Noon	Practice Presentations for Nursing Grand Rounds
November 10th	1000-12 Noon	Fellows’ Presentations at Nursing Grand Rounds (Fellows & Coaches)
January/February 2022 (Exact Date TBD)	0800-1700	Fellows’ Presentations at 9th Annual Clinical Inquiry Nursing Research Conference (Fellows & Coaches)

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Table 2: UCSF Health 2021 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
Emely Alfaro	Adult Infusion Center Clinical Nurse Specialist
Marilyn Bazinski	Pain Clinical Nurse Specialist
Susan Barbour	Palliative Care Clinical Nurse Specialist
Sarah Berger	Adult Critical Care Clinical Nurse Specialist
Sasha Binford	Geriatric Clinical Nurse Specialist
Robin Bisgaard	Intensive Care Nursery Clinical Nurse IV
Skyler Bivens	Adult Wound and Ostomy Advanced Practice Specialist
Lindsay B. Bolt	Adult Acute & Transitional Nursing Professional Development Specialist
Elizabeth Borczynski	Interim Nursing Unit Educator-ML Perianesthesia Unit
Jeannie Chan	Intensive Care Nursery Clinical Nurse Specialist
Shelley Diane	Pediatric Critical Care Clinical Nurse Specialist
Lori Fineman	Pediatric Surgical Critical Care Clinical Nurse Specialist
Lauren Frahm	Student Coordinator Nursing Professional Development Generalist
Kate Finch	Clinical Nurse Informaticist, Pediatrics Lead
Laura Griffith	Adult Malignant Heme/Onc/BMT Clinical Nurse Specialist
Sarah Hartrick	Adult Wound and Ostomy Advanced Practice Specialist
Craig M. Johnson	Clinical Nurse Informaticist, Adult Lead
Amy K. Kuwata	Clinical Nurse Informaticist, Adult & Behavioral Health Lead
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 Nursing Professional Development Specialist
Mary Nottingham	Pediatric Medical/Surgical & Transitional Care Clinical Nurse Specialist
Elizabeth Papp	Intensive Care Nursery Clinical Nurse Specialist
Dawn Pizzini	Pediatric Acute & Transitional Care Nursing Professional Development Specialist
Anjal Pong	Pediatric Operating Room Nursing Professional Development Specialist
Mary-Ann Rich	Adult Operating Room Nursing Professional Development Specialist
Diane Sandman	Wound Care Clinical Nurse Specialist
Anthony Scott	Procedural Nursing Professional Development Specialist
Michelle Sison	Ancillary Nursing Professional Development Generalist
Chrissie Smith	Pediatric Wound Care Clinical Nurse Specialist
Ben Tanner	Emergency Department Clinical Nurse Specialist
Lisa Tsang	Pediatric Heme/Onc/BMT Clinical Nurse Specialist

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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

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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

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Appendix C: EBP Fellow Proposal Criteria Rubric

Proposal Components
Clinically relevant and targeted at one of our hospital/unit issues or a Nurse Sensitive Indicator (e.g., Falls, HAPI, CAUTI, CLABSI)	20%
Alignment with UCSF Health, unit priorities, and/or True North Pillar	20%
Potential sustainability and continued growth	15%
Feasibility of completing the project within a six-month timeframe	15%
Online recommendation from Supervisor/Unit Director/Assistant Unit Director	15%
Online recommendation from Clinical Coach	10%
Patient Care Area Score (refers to how many past EBP fellows are on a unit)	5%