Magnet Conf PP on Journal Club dec Cothran.ppt

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Magnet Conf PP on Journal Club dec Cothran.ppt

  1. 1. The Facilitation of a Nurse Led Journal Club and it’s Impact on Research David Cothran, MS, RN, CCRN
  2. 2. 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
  3. 3. 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
  4. 4. 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
  5. 5. 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…”
  6. 6. 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
  7. 7. 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
  8. 8. 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)
  9. 9. Journal Club at AnMed  Making it Current – Adhere to standard research guidelines – Articles written in current years – Scrutiny of the work
  10. 10. 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)
  11. 11. 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
  12. 12. 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
  13. 13. 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
  14. 14. 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?
  15. 15. 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
  16. 16. 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
  17. 17.  David.cothran@anmedhealth.org

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