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

2019

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.

2020

Projects >

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.

2021

Projects >

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.

Nursing