The Facilitation of a Nurse Led Journal Club and its Impact on Research

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The Facilitation of a Nurse Led Journal Club and
its Impact on Research

• David Cothran, MS, RN, CCRN

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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

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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

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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

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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

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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

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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

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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)

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Journal Club at AnMed

• Making it Current
• Adhere to standard research guidelines
• Articles written in current years
• Scrutiny of the work

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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)

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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

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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

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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

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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?

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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

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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

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• David.cothran_at_anmedhealth.org

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