John Muir Health Evidence-Based Practice Fellows Program Anna Alvarado, MSN, RN-BC Jamie Vincent, MSN, RNC-OB, C-EFM Co-Chairs of JMH EBP & Innovation Council
Evidence-based Practice a problem-solving approach to clinical decision-making within a health care organization that integrates the best available scientific evidence with the best available experiential (patient and practitioner) evidence, considers internal and external influences on practice, and encourages critical thinking in the judicious application of such evidence to care of the individual patient, patient population, or system. Newhouse R, Dearholt S, Poe S, Pugh LC, White K. (2005). The Johns Hopkins Nursing Evidence-based Practice Model. Baltimore, MD: The Johns Hopkins Hospital & Johns Hopkins University School of Nursing
JMH Evidence-based Practice & Innovation Council Cross-campus Shared-Governance Council Foster a culture that encourages and supports nurse-led studies and the application of research and EBP findings. Promote and support an EBP fellows program and Research Symposium Use the annual Research Symposium to provide a forum for the translation of research and EBP findings to clinical practice. Promote research and EBP opportunities through clinical inquiry aimed at improving practice performance and/or patient outcomes. Foster collaboration and mentorship for nursing research utilization and/or EBP project implementation. Increase capacity for nursing research. Encourage Council membership.
JMH Evidence-based Practice & Innovation Council
EBP Fellow program disbanded 2015 EBP Fellows had no options for training UCSF EBP Fellows Program Disbanded JMH EBP & Innovation Council is committed to supporting EBP projects and fostering Nursing Research 2016 JMH EBP & Innovation council committed to building a JMH program
JMH EBP Program: Overview Instruction provided by JMH & Industry subject matter experts Monthly classes and/or independent project work Sequence guides the Fellow through the process of developing and completing an EBP project Participants benefit from individualized assistance as well as group expertise and support Requires some self-directed learning Achieve milestones for your project each month Coach assigned for support and guidance
Coaches training Define roles and responsibilities Outline the John s Hopkins EBP Model Explain the G-R-O-W Coaching Model Address coaching challenges and problem-solving Fellows training Back to back training days Didactic & Workshop Facilitate team learning and problem-solving Streamline EBP projects Prepares Fellow for independent project work Independent work JMH EBP Program: Overview
2017 Timeline
JMH EBP Program: Curriculum
JMH EBP Fellow Program: 2017 5 Fellows 2 from Walnut Creek Campus 3 from Concord Campus 5 Coaches Mindful Medication Foley Catheter discontinuation in the OR Team-based hourly rounding Optimizing RAS & CAM-ICU through educational model Aromatherapy as alternative to post-operative pain management (Research)
JMH EBP Symposium Striving for Excellence: Unlocking the Power of Innovation September 8, 2017 Key note speakers: Industry experts Dr. Joseph Morris, PhD, MSN, RN Executive Officer, California Board of Registered Nursing B.J. Bartleson, MS, RN, NEA-BC Vice President, Nursing & Clinical Services California Hospital Association Forum for final EBP Fellow Podium and Poster Presentations
JMH EBP Fellow Program: Next Steps Evaluating Pilot program Fellow and Coaches provide their feedback on the program EBP & Innovation Council utilizes feedback to enhance and build the program Expanding to offer program to Fellows outside of John Muir Health System Partnering with other facilities
Q&A