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Assessing RN-to-RN peer review on clinical units
Judith A Pfeiffer1, Mary A Wickline, Jill Deetz
1Development & Research and Psychiatric Services, UC San Diego Health System, San Diego, CA 92103-8929, USA. jpfeiffer@ucsd.edu
Aim:
The primary purpose of this study was to measure informal registered nurse (RN)-to-RN peer review (defined as collegial communication about the quality of nursing care) at the work-unit level.
Methods:
Survey design with cluster sampling of 28 hospital or ambulatory care units (n = 541 respondents). Results were compared with existing patient safety and satisfaction data. A chi-squared test was used to compare responses against nurse characteristics.
Results:
Nurses agreed that RN-to-RN peer review takes place on their units, but no correlation with patient safety and satisfaction data was found. Misunderstandings about the meaning of peer review were evident. Open-ended comments revealed barriers to peer review: fear of retribution, language barriers and lack of professionalism.
Conclusions:
Nurses need clarification of peer review. Issues with common language in a professional environment need to be addressed and nurses can learn collaboration from each other's cultures.
Implications For Nursing Management:
Managers should support RN-to-RN peer review on clinical units. Methods used here may be useful to assess current departmental nurse peer review.
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