The Center for Nursing Research & Innovation

List of Evidence Based Fellows Projects

2008 Fellows Project Presentation & Celebration Agenda

Evidence Based Practice Fellows Education Program Overview

Evidence-based Practice Fellows Spring 2006

Why the Evidenced-Based Fellows Role Development Education Program?

The tradition of evidence-based practice (EBP) in nursing was clearly advocated by Nightingale, who urged the collection and use of clinical data to guide patient care delivery. As participants in this program will confirm, quality patient care demands that the content and processes of professional practice and patient care be based on available scientific knowledge. For nearly 3 decades, with the body of research knowledge exploding, the nursing profession has advanced its efforts to expedite the translation and use research-based knowledge in practice. As references cited herein reveal, using research to guide the content and actions of clinical practice, or practice that is based on evidence is a key component of the larger construct of evidence-based practice (EPB). In EBP, best evidence, clinician expertise and judgment, and patient preferences are integrated and aligned in making therapeutic plans and treatment decisions.

Participants in this program have a chance to consider barriers to research use in nursing and health care that have been well documented, and compare those findings with their own experiences and challenges. While some barriers emphasize gaps between practice and research related to how research is published and disseminated, the evidence itself and the common experiences of clinicians highlight the importance of building organizational capacity to empower and support clinicians in developing their evidence-based practice roles. By encouraging staff clinicians to use practice problems and search for evidence-based solutions aimed at improving patient care quality, safety and outcomes, this program aims to strengthen the capacity of clinicians to pursue evidence-based practice improvement projects in their setting, advancing clinical excellence.

UCSF Fellows meet with Susan Shapiro

Target Program Participants

The series of workshops that comprise the Evidenced-Based Fellows Role Development Education Program are planned to guide clinicians who are developing their evidence-based practice role by planning, implementing and evaluating clinically focused evidence-based practice projects. The sequence of the workshops systematically guides the Learner through the process of developing and completing an EBP practice project and assists clinician participants to move through the process with a high degree of individualized assistance and the synergies of peer group expertise and support.

Overall Program Objectives

• Identify problems in his or her practice setting that may be resolvable through EBP performance improvement approach.
• Analyze an identified practice problem to verify whether it is a suitable for an EBP project solution.
• Apply the PICO framework for phrasing an appropriate research question for the selected practice problem
• Conduct a clinically focused literature search for evidence to guide performance improvement related to an identified practice problem.
• Systematically analyze and critically appraise literature relevant to the identified practice problem and prospective practice improvements using evidence tables.
• Plan a pilot change project that addresses an identified clinical practice problem, based on evidence gathered in the scientific literature that “fills gaps” in practice in a selected clinical microsystem.
• Implement the pilot EBP clinical change project, and monitor its progress through the trial period.
• Evaluate the impact of the pilot EBP clinical change project.
• Disseminate the findings of the evaluation, and based on the results, determine the next steps in refining and diffusing the selected EBP innovation beyond the tested microsystem.

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