Date post: | 27-May-2015 |
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The Facilitation of a Nurse Led Journal Club and it’s Impact on Research
David Cothran, MS, RN, CCRN
The History at AnMed
A Critical Care Journal Club was founded several years ago with corporate sponsorship
The club had good participation with “numbers”
Transitions in leadership within CCU– Demonstrated the need for consistency and focus– Mission or Purpose Statement for the Club
The History at AnMed
Participation dwindled Some seemed more interested in “lunch vs.
learn” Few were actually reading the provided
articles Occasionally it became a forum for vendors
to promote products
Lessons Learned
Journal Club should be a Journal Club– Not a forum to promote vendor products
Interest must be maintained– Lunch is OK (and encouraged) but keep the focus on
critique of the research
Leadership plays a critical role– Encourage, engage, and challenge presenters and
participants
The Decision to Facilitate A Meaningful Journal Club
Discussions between Manager and Director began within the context of increasing staff RN involvement in research
Several ideas were discussed and implemented
“Remember when we had the journal club…”
The Decision to Facilitate A Meaningful Journal Club
AnMed Leadership wanted to encourage nurses to be more involved in research
Intent to focus on quality care and to improve caliber of the bedside nurse
A mechanism to facilitate evidence based practice
Planning the Club
Journal Club idea revisited, rethought, and retooled
Must avoid the pitfalls of the past Make it relevant, current, entertaining,
engaging, and challenging Assess nurses response to the meetings
Journal Club at AnMed
Making it Relevant– Decision to ask for nurse input into the articles
reviewed– Articles should focus on Nursing Research when
available– Often utilized articles within the discipline or sub-
specialty of the audience (Cardiovascular Medicine and Surgery)
Journal Club at AnMed
Making it Current– Adhere to standard research guidelines– Articles written in current years– Scrutiny of the work
Journal Club at AnMed
Making it Entertaining– Avoided articles that did not interest the audience (tied into
keeping it relevant)– Food is always good (who can resist a free lunch!)– Selecting the facilitator/presenter– Questions asked prior to and during the meeting
Make it fun Humor helps No wrong questions or answers Maintain an open atmosphere (No stuffy types allowed)
Journal Club at AnMed
Making it “Engaging”– Questions asked but not forced– Make time for discussion and analysis– Have a sign up list – know the audience and send out
articles and questions for discussion and analysis– Pre-load questions
Questions or topics for discussion sent out to the participants Presenter prepares the discussion but encourages the
audience to discuss as well
Journal Club at AnMed
Making it Challenging– Articles selected for interest and relevance– Ask what is the “interest de jour” (evaluations and
follow-up)– Have a repertoire of articles available for “dry
periods”– Presenter should know the material and be
prepared to lead without dominating the discussion
Journal Club at AnMed
Evaluating– Evaluation tools are essential– Must be aware of dynamic interests and opinions– Be prepared to shift focus but maintain the
purpose of the journal club– Resist the urge to get slack
The Result
Evaluations proved to be overwhelmingly positive
Nurses began to discuss research relevance to quality patient care
A group of nurses in the CVICU decided that they were already conducting informal research – why not do it right?
The On-Q Pain Study
Please see the poster presentation CVICU Nurses asked the question, designed the
study, sought input from statisticians, clinical specialists, nursing leadership, and physicians
Resulted in an ongoing study which influenced surgeons use of pain management tools/orders.
Quality Patient Care assessed, researched, and proven reliable
Final Remarks
Make sure the audience is aware of research/statistical vocabulary (devote a meeting to this if necessary)
Assess continually Encourage the fruits of the labor Remember to make Quality Outcomes a part of the
mission statement. This is contagious – other service lines within AnMed
have started journal clubs