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Implementing and Sustaining Evidence Based Practice Through a Nursing Journal Club.

Kevin Gardner1, Mary Louise Kanaskie1, Amy C Knehans2

  • 1Penn State Hershey Medical Center, Department of Nursing, Hershey, PA. USA, 17033.

Applied Nursing Research : ANR
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PubMed
Summary

A nursing journal club (NJC) successfully integrated evidence-based practice into clinical nursing by providing dedicated time and resources. This initiative helps nurses find, critique, and implement best evidence for improved patient care.

Keywords:
Evidence-based practiceJournal clubNursing

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Area of Science:

  • Nursing Science
  • Healthcare Delivery
  • Evidence-Based Practice

Background:

  • Healthcare's focus on outcomes necessitates using the best available evidence for quality patient care.
  • Clinical nurses face challenges in finding, critiquing, and implementing evidence-based practice.
  • A nursing journal club (NJC) was developed to assist nurses in applying evidence to practice.

Purpose of the Study:

  • To describe the development and implementation of a nursing journal club.
  • To demonstrate how a NJC can facilitate the use of evidence-based practice among clinical nurses.
  • To highlight the successful integration of a NJC within an organizational structure.

Main Methods:

  • The NJC evolved from an informal activity to a formal part of the Nursing Research and Evidence Based Practice (NR&EBP) Council.
  • The organizational structure utilized a Nursing Professional Practice Model and resources from an academic medical center.
  • The NJC was embedded within the NR&EBP Council's shared governance structure.

Main Results:

  • The NJC operates on a quarterly schedule with pre-selected topics aligned with organizational goals.
  • Implementation addressed common barriers to evidence-based practice, including time constraints and lack of knowledge.
  • Nurses reported improved understanding and application of evidence in their practice.

Conclusions:

  • Integrating the NJC into the NR&EBP Council provides protected time for nursing scholarship.
  • Dedicated leadership and resource utilization were critical for the NJC's success.
  • The NJC model supports clinical nurses in enhancing evidence-based practice and patient care.