2021 EBP Fellows Application

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

 


 

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

UCSF True North Pillars with mission, vision, values, and the UCSF Health way

 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 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


— 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.


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

October 12th

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)


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


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 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%