Peer Review Outcomes Supporting Professional Nursing Excellence and Readiness: A Multisite Study
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Updated: Sep 10, 2025

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Published on: June 21, 2010
Beverly Procope1, Ifeoma Nnaji, Peggy Kalowes
1Author Affiliations: Former Nursing Professional Development Specialist (Dr Procope), Kaiser Permanente, Santa Clara; and Program Director (Dr Nnaji), Research & Innovation Academy, Kaiser Permanente, Oakland, California; Nursing Scientist and Healthcare Consultant (Dr Kalowes), Nursing Consulting Partners, Franklin, Wisconsin.
Objective:
To explore RNs' perceptions of peer-to-peer feedback (PF), their comfort with giving/receiving PF, and its impact on autonomy/patient safety.
Background:
PF promotes professional governance, self-regulation, empowerment, safety, and quality. Robust empirical evidence of effective PF processes is lacking.
Methods:
A descriptive, correlational study with an online PF survey was used to measure RNs' perceptions of PF, and potential correlates with nursing autonomy, satisfaction, and patient safety/quality.
Results:
Of 983 RNs, 588 (59.8%) reported that PF was a comfortable/positive experience and was viewed as valuable for identifying care issues and fostering growth. A strong correlation to work satisfaction was found among nurses who felt autonomous and engaged in PF concerning care quality.
Conclusions:
Study outcomes confirm the predictive value of nurses' perceived comfort in giving/receiving PF to enhance autonomy, quality/safety, and satisfaction. Data support the need for organizational leaders to strengthen the structures and processes to support a robust peer feedback program.
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