marti buffum, dnsc, rn, pmhcns-bc associate chief nurse for research deborah burgoon, ms, rn, aocn...
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Marti Buffum, DNSc, RN, PMHCNS-BCAssociate Chief Nurse for Research
Deborah Burgoon, MS, RN, AOCNClinical Nurse Specialist, Oncology
VA San Francisco
Kaiser Permanente Nursing Research CouncilMarch 8, 2011
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ObjectivesExplore purposes and types of nursing
journal clubsIdentify methods for beginning and
sustaining journal clubsDescribe evaluation methods
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Types of Journal ClubsTopic-based
UpdatingInformativeTeam building
Evidence-based problem solvingFinding solutions
Journal-basedSpecific specialty journal (AACN, JPN, GN)
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Reasons for Journal ClubsIntellectual stimulationAppreciating others’ expertiseLearning resources among each otherDeveloping professionalism
Remote: e-journal club, phoneNew projects can emergeDemystification of researchDeveloping skills
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How to Start: 6 steps!Post and distribute article
Include discussion questions
Plan time and location and ANNOUNCE! Identify facilitatorConduct the journal clubEvaluateSchedule next meetingKleinpell, R. (2002). Rediscovering the value of the journal club.
American Journal of Critical Care. 11(5), 412-13.
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Customize to Your AreaNurse manager guidance and support
Utilize experts as neededEngage staff, find enthusiastic championsTake turns presentingEncourage discussion Openness and flexibility required Use incentives (food?); provide CEUsCreate “take home message” and postKeep continuous schedule Include staff from other units when ready!
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Remote LocationsVirtual journal club
Email distribution of everything Time delay
Live meetingConference calls
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APN Journal Club: Learnings
Some of the things I have gained from participating in our journal club (not necessarily in order of importance):
An increased sense of collegiality with other facility NPs with different areas of expertise.
Expanding one’s knowledge base both from the review
article as well as from NPs with different areas of expertise.
Ensuring that our clinical practice is evidence based and
is up to date. Improving collegiality with physician colleagues by
being able to intelligently discuss recently published studies.
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APN Learnings (cont’d)Opportunity for collaboration and future consultation
Reading outside of my specialty that I would not normally do
Reading new materials that relate to all of us and our practice (e.g., effectiveness of different diets, patient education strategies)
Becoming less fearful about research critique imperfections!
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Unit Based Journal ClubHow do staff feel about their new Journal Club?All staff feel “good, great” about Journal Club.
What do staff like about Journal Club? Learning a lot Increased knowledgeBeing involved in discussionChange opinion/viewWiden understandingNew information Informative and educationalLeaning something in depth Increase interest about what we’re doingKeep up with current changes/education/new knowledge
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Why volunteer to do an article review?Increase self-confidence in public talking and discussionIncrease knowledge of the unit as a wholeAdvance career activities, help unit, want to contributeShare info with staffDo it for researchWay overdue, we should have done this before Nurse Manager’s encouragementI can learn somethingI’ll wait until I become more comfortable talking in front
of staff
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Should other units have Journal Clubs?All staff said “yes, other units should do it
too.”
What advice would you give? Time might be a problemTight work load might stress staffTry at lunch timeMaybe administrative time should be
given
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How to evaluateEveryone is at a different pace/levelConsider journal club as an innovationRogers’ model of diffusion
Appreciation to Keri Nelson (2006) for assisting with evaluation
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Who is Rogers and what is Diffusion of Innovation?Stages of Adoption:
KnowledgePersuasionDecisionImplementationConfirmation/Adoption
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Keys to Success
Understanding the stages of development can improve patience with adopting changes
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KnowledgeWhat is journal club?How do you get a journal club started on
your unit?What is evidence-based practice and how
can journal club be used as a vehicle to adopt changes?
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PersuasionHow do you get leaders and managers to
buy-in to the importance of starting journal clubs?
How do you promote journal club participation among staff on each unit?
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DecisionHow do you decide if journal club is worth
implementing?Is journal club relevant to the nursing
practice on each unit?How is the staff going to respond to the
implementation of journal club?
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ImplementationAfter journal club is initiated, how do you
motivate and encourage participation among staff?
How do you empower (provide resources, support and time) staff to participate?
What aspects of journal club impacts nursing practice?
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Adoption/ConfirmationJournal club has been successfully integrated
into the nursing culture on the unit.The staff values participating in journal club
and volunteer to present articles with meaningful discussion.
The articles/journals provide strong evidence for practice application.
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Decisions for Journal ClubWhat type of article?
Research? Are findings ready for practice?
What more is needed?What more would you like to know?
Usefulness of discussing in a group?How to evaluate (see handout, poster)