nursing journal club
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Nursing Journal Club. Connecting Research, Evidence-Based Practice & Education with Daily Nursing Care. By: Trisha Ryan, RN, MSN, MHA Acting Nurse Educator, PeriAnesthesia Nursing Services, Johns Hopkins Hospital September, 2013 . Objectives. Background Data on Nursing Journal Clubs. - PowerPoint PPT PresentationTRANSCRIPT
Nursing Journal ClubConnecting Research, Evidence-Based Practice & Education with Daily Nursing Care
By: Trisha Ryan, RN, MSN, MHAActing Nurse Educator, PeriAnesthesia Nursing Services, Johns Hopkins HospitalSeptember, 2013
Background Data on Nursing Journal Clubs. Evidence Based Practice & Journal Clubs. Research & Journal Clubs. Journal Clubs & Magnet. Journal Clubs influence on Nursing
Education. How to start a Journal Club. Journal Club Criteria. How to maintain interest & keep process
growing.
Objectives
Journal Club Background Data First Journal club – 1875 – Sir William Osler
( medical only). Two main functions of Journal Clubs:
Keep nurses & students up to date on clinical research.
Improve clinical nurses ability to evaluate published research critically.
Journal Clubs play key roles in EBP, Research, Nursing Education & Patient Care.
First nursing late 20th century.(Pierre, 2005)
(Patel, & et all, 2011)
Encourages clinicians to apply their updated data to relevant cases.
Encourages RNs to use current, up to date knowledge to facilitate EBP practices.
Help RNs to understand & incorporate new knowledge into daily practice.
Enhances RN appraisal skills & the learning process.
Influence of Journal Clubs on Evidence Based Practice (EBP)
(Patel, & et all, 2011)
Magnet facilities are top 6% for nursing care.
Skills in quality care & quality improvement.
Nursing Journal Clubs: great first step in demonstrating Magnet level status.
Improves stakeholder buy-in to improving care.
Meets many facilities designs for strategic goal planning regarding Magnet.
Journal Clubs & Magnet Status
(Patel, & et all, 2011)
Barriers to Nursing Research RNs’ inability to understand, critique,&
interpret data found in research journals RNs’ perceived inability to affect change RN leadership not supportive of nursing
research Ways Nursing Journal Clubs can help
Improves RN’s ability to interpret & critique data
Improves RN’s confidence in research role Encourages RN leadership to support
research efforts.
Journal Clubs Influenceson Nursing Research
(O’Nan, 2011)
Assists students to develop critical thinking skills while still in a classroom setting.
Fostered collaborative learning activities for RNs & nursing students.
Pertinent topics, sufficient time, comfortable setting, & interactive/ motivated facilitators promote learning.
Journal clubs thought to be great “teaching & learning methods that promote understanding, attitudes, motivation & competencies essential for producing evidence based care.”
Increased dishonesty with nursing students that participated in journal clubs (plagiarism).
Journal Clubs & Nursing Education Positives & Negatives
(Woith, Jenkins, & Kerber, 2012)
(Laaksonen, & et al, 2013, p 286)
(Laaksonen, & et al, 2013)
Determine whether unit based or hospital based. Work with Department Lead person to back process. Determine locations to search for Journal Club level
articles. Determine meeting locations. Determine proper times & dates that RNs can attend. Be prepared to devote time each month to the process. Become credentialed in applying for CEUs through
ANCC.
How to start a Journal Club
(AJCC, 2002)
Peer Reviewed article at least 7 pages = 1 hr CEU.
Article no more than 5 years old. Needs assessment performed relating
to topic. CEUs File forms 1 month prior. Pay for any ANCC CEU dues. Must have evaluations from RNs. Must keep attendance record 5 yrs.
Journal Club Criteria for CEUs
Peer Reviewed - # 1 test. Current research (< 5 yrs old). Demographic group. Noted Bias’. Missing groups. Type of research – Quantitative/
Qualitative: Quantitative – Looking for # of common
factors. Qualitative - Looking for factors that
affect outcomes.
How to check the validity of the Journal or Research article
(AJCC, 2002)
Look at 3 major categories in the article: Demographics, population, mix of pts or criteria. Treatment or action specifics. Strength of research – look for possible bias.
Formulate key items for each category to focus on. Formulate questions relating to points that get
staff looking for material within the article. Formulate two ways to look at each category
(ask what if and what if not?).
Formulate Journal club objectives
Review article for thought provoking questions.
“Relate to practice” questions – Who has had this experience?
Ask for group experiences with issues. Look for specific topic questions. Objective covering questions. Open ended questions to spark
discussion.
Formulate Journal club questions
Gather & include key stakeholders: RN staff Directors & Assistant Directors Nursing Coordinators Nurse Managers
Create communication network. Send out article & club questions at
least one week in advance. Provide copies the day to stakeholder
units.
How to Market the Journal Club to the Organization
Comfortable circle style. All participants in seated positions. Facilitator acts as a guide, not a
lecturer. Quiet, away from distraction. Not on unit, away from patient care if
possible.
Journal Club Meeting Environment
Read provided article. Be ready to talk about following questions.
1. What barriers are there to implementing EBP?2. What are some ways to overcome these
barriers?3. What types of experiences have you had with
EBP projects?4. What benefits have been associated with
journal clubs?5. What are the steps to starting a journal club?
Article Scenario
(Lippincott’s Evidence Based Practice Network, 2013)
Always need to evaluate the quality of the process. Should include questions on:(via Likert scale)
• Environment suitability.• Instructor preparedness.• Appropriateness of material .• Interest of topic.• Suggestions for improvement or future topics.
Should be obtained before giving out certificates. Should be reviewed & feedback reported per ANCC
CEU requirements to improve future meetings.
Evaluation
Keep material relevant to stakeholders. Keep material up-to-date with unit
issues. Keep creative in ways of presenting
material (insert brief puzzles, games or quizzes to change things up).
Explore multi user online systems or webcasts to increase long distance audiences.
Keeping Journal Club growing
(Billingsley, Rice, Bennett, & Thibeau, 2013)
Questions
American Journal of Critical Care Journal Club. (2002). What is a journal club? From the AJCC website located at http://ajcc.aacnjournals.org/site/misc/journalclubwebpage.pdf
Billingsley, L., Rice, K., Bennett, M., Thibeau, S., ( 2013). Using a Multiuser Virtual Environment to Facilitate Nursing Journal Clubs. From Clinical Nurse Specialists, V 27, I 3 (pp 146 -154)
Laaksonen, & et al. ( 2013). Journal club as a method for nurses and nursing students’ collaborative learning: A descriptive study. From Health Science Journal, V 7, I 3 (pp 285 – 292)
References
Lippincott’s Evidence-Based Practice Network (2013). Evidence-Based Practice Network. From Lippincott’s Nursing Center. Com located at http://www.nursingcenter.com/evidencebasedpracticenetwork/EBP-Blog-Landing-page/ShowMeTheEvidence/November-2012/Using-a-journal-club-to-increase-EBP-knowledge-and
O’Nan, C. L. ( 2011). The effect of a journal club on perceived barriers to the utilization of nursing research in a practice setting. From Journal of Nursing in Staff Development, V27, N 4 (PP 160- 164)
Patel, & et al. ( 2011). Evidence-based practice and a nursing journal club; An equation for positive patient outcomes and nursing empowerment. From Journal for Staff Development, V 27, N 5 (pp 227 – 230)
References Cont
Pierre, J. S. (2005) Changing nursing practice through a nursing journal club. From The Journal of Med-Surg Nursing, V 14, N6 (PP 390 – 392)
Woith, W. M., Jenkins, S. H., Kerber, C. H. ( 2012). The impact of a journal club intervention on student perceptions and behaviours regarding academic dishonesty. From Journal of Nursing Education and Practice, V3, N3 (pp 27 – 34)
References Continued