Evidence-Based Practice Fellows Program

Bringing Best Practices in Care to Our Patients

Each year, a select number of nurses participate in the Evidence-Based Fellowship program, which supports them in implementing evidence-based projects in their departments. At the end of the program, the Fellows present their projects to nursing colleagues at the Evidence-Based Practice and Innovation Symposium.

John Muir Health supports a culture of innovation and professional growth.  Our nurses are dedicated to implementing best practices and current research to improve clinical outcomes for patients and families.  One way this is achieved is through the Evidence-Based Practice (EBP) Fellowship program.

Throughout the course of the nine month program, clinical nurses, from a variety of specialty areas, learn how to apply the skills of research utilization, problem identification, and solution testing to promote the adoption of EBP. Each fellow is supported by an experienced coach and trained faculty. This program has led to successful changes that improved outcomes and experiences.

Evidence-Based Practice Fellows Projects

Fellow

Department

Project

Coach

Aaryn D. MSICU Implementation of EtCO2 monitoring in patients high risk for Respiratory Failure to decrease the number of ABG’s and respiratory failure Pam D.
Aleah D. CVPCU Reducing Patient Falls with Fall Prevention Agreement Lorena T.
Cynthia O. MSICU In mechanically-ventilated adult patients admitted to MSICU who are receiving enteral nutrition, will Volume- Based Feeding (VBF) deliver a higher volume of prescribed calories and protein (at least 80%) versus our current practice of Rate-Based Feeding (RBF) Nell B.
Jason W. MSICU Implementation of a validated tool to improve RN and RT communication when coordinating sedation and ventilator weaning trials to reduce days of intubation for mechanically ventilated patients in the ICU Amy H.
Marnie A. Mother/Baby Unit Implementation of an OB  Enhanced Recovery After Surgery (ERAS) protocol for  pain management to decrease the amount of opioids used  during length of stay Anne L.
Jennifer R. MSICU Reducing device related pressure injury with standardized skin bundle Merlinda B.
Tammy M.  A-3 Medical-Surgical Use of Aromatherapy as an Adjunct Treatment for Pain Relief in the Post-Operative Anterior Total Hip Arthroplasty Patients to decrease Opiate Use Brittany K.
Cindy W.
Leisha F. Wound Care Center During sharp debridement of chronic wounds, is patient’s pain level reduced and/or patient’s experience improved with patient self-administration of a 50% nitrous oxide/ 50% oxygen gas mask inhalation  mixture*, in addition to standard topical lidocaine? Leah D.
Cindy W.

Fellow

Department

Project

Coach

Anita A.

Home Health

Incorporating a comprehensive pediatrics self harm and/or suicide screening in home health setting to achieve early interventions

Jessica C.

Danielle N. MSICU Use of music therapy to decrease RASS and use of chemical/physical restraints in MSICU patients Genny C.
Giselle K. 4W MS Trauma Implementation of violence prevention program in MS trauma patient population Sara B.
Kerianne B. CVICU Implementation of Code Lavender to establish timely, holistic response to RN’s after critical event Ashley Y.
Simone P. Wound Care Center Nutrition screening to optimize wound healing in wound care patients Chris H.
Vivalyn W. B4 Telemetry Implementation of falls bundle to decrease falls in M/S Telemetry patients  Caitlin F.

Fellow

Department

Project

Coach

Allison O. Wound Care Center Integrating a vascular clinical pathway for adult patients with lower extremity vascular or neuropathic wounds seen in the outpatient Advanced Wound Care Clinic Sharon J.
Cristina Y. Cancer Center Implementing a of written and video education to patient PRIOR to placement OR within 24 hours of placement, to decrease incidence of skin complications for patients undergoing radiation oncology head and neck treatments Dani N.
Jill R. Cancer Center Implementing a WHO pain ladder to effectively manage pain for patients undergoing radiation oncology head and neck treatments Jessica C.
Heather S. MSICU  Implementing end of life mementos as part of compassionate family-centered end of life care Kerianne B.
Pavandeep D. MSICU  Early mobilization of patients in the MSICU utilizing an patient-specific early mobility bundle Lorena T.
Sarah G. Physician Network Implementation of a standardized procedure for nurse visits to increase patient access to care for patients with eating disorders 12 years and up seen at the John Muir Health Family Residency Clinic. Lauren W.