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