VIRTUAL (ONLINE) PICOT JOURNAL CLUB By: Mary Hefferan, Michelle
Klochack, Catherine Ostrowski, Eleanor Parker, Tennille Parsons,
Anita Riddle, Tammy Selleck, and Stephanie Wank By: Mary Hefferan,
Michelle Klochack, Catherine Ostrowski, Eleanor Parker, Tennille
Parsons, Anita Riddle, Tammy Selleck, and Stephanie Wank
Slide 3
EVIDENCE-BASED PRACTICE (EBP) Responsibility to continue
education through research and modify practices and policies based
on the best available evidence As new practices are developed,
safety is improved and patients are provided quality EB care that
is consistent, accurate, and current JCs allow a group to examine
present, pertinent topics affecting healthcare practices Nurses can
ensure they continue to be informed and knowledgeable, while
providing contemporary care to their patients
Slide 4
IOWA MODEL OF EB PRACTICE- MODEL FOR CHANGE Provides direction
and offers an underlying framework on how to direct research and
implement evidence-based changes into practice Identify issues that
need to be addressed within the hospital setting Stakeholders from
multiple disciplines will be invited in order to allow for
consideration of all perspectives and allow for better- coordinated
change implementation
Slide 5
CLIMATE AND CULTURE Culture-basic pattern of attitudes,
beliefs, and values that model the operation help determine the
proper path for new ideas and growth, such as a JC (White &
Dudley-Brown, 2012, p. 175). Emphasize the importance of a culture
where collective altruism is established and members are driven
towards constant practice improvement JC champions will embody
values that promote team collaboration, open communication, and
responsibility to their practice
Slide 6
FORMING A JOURNAL CLUB (JC) 1) Form realistic goals 2) Consider
the adult learner and address the needs of individuals who will be
participating in the club 3) Set logistics for the club: the time,
place, and frequency of meetings 4) Locate and adopt nursing
journal club champions 5) Choose participants 6) Create a structure
so participants present information to the group in a similar
comprehensive format 7) Create an environment that is
collaborative, reflective, and open
Slide 7
VIRTUAL (ONLINE) JOURNAL CLUB The quality of a journal club is
based on the value and the effectiveness that the participants find
in the process and outcomes, and interaction is dependent on the
members (Baker, 2013, p.105). BENEFITS Provides opportunity for
asynchronous discussion Participation occurs at convenient times so
not to take away from patient care Includes clinicians from
different shifts or those who cannot attend face-to-face club
meetings Allows for members from different geographical locations
creating rich dialogue Higher participation will lead to a greater
transfer of knowledge and retention of evidence-based practice Easy
to use No cost to implement
Slide 8
ONLINE (VIRTUAL) JOURNAL CLUB STEPS Establish goals of the club
Create the server site Need to be accessible both on- site and
off-site computers Access by invitation only Site should be able to
archive and view older posts Develop content and population Send
invite to members Welcome Page: describe goals of the club Tutorial
page: resources on general information; tutorials for members about
online forums, respectful presence, researching evidence-based
practice, and rules & etiquette for postings Once everyone has
completed tutorial then develop the first PICOT question Discussion
will occur with a predefined start and end date Use the hunting
method
Slide 9
PARTICIPATION To promote discussion and participation we will
be using the acronym RADICAL (Read, Ask, Discuss, Inquire,
Collaborate, Act and Learn) What is the study question(s), purpose,
or issue(s) covered? Is the literature review comprehensive and
current, and does it lead to the rationale for the study? Are the
study designs and methods appropriate to the study question(s)?
What are the main findings? What are the options for
generalizability and the key limitations of the study? What are the
nursing implications? What future considerations regarding clinical
practice, education, and research were addressed? Overall analysis:
What did you like about this article? What would you change about
this study if you were to do it yourself? What do you wish the
author(s) would have done differently? After analyzing this
article, would you change your practice?
Slide 10
PILOT STUDIES Decide upon the details for performing a pilot
study Most supported methods to achieve the desired outcomes and
for solving the identified problem Determine whether the methods
needs to be altered or modified in order to work in the clinical
setting and/or meet the needs of the hospital, based on the
outcomes of the initial application Meet with other committees and
management to implement a current, more appropriate protocol,
reflecting all changes to the practice Monitor, analyze, and
possibly adjust the practice change, while sharing the results with
all those affected by it
Slide 11
Thank -You
Slide 12
REFERENCES Baker, J. (2013). Journal club as a resource for
practice. AORN Journal, 98(2), 102-106. Berger, J., Hardin, K. H.,
& Topp, R. (2011). Implementing a virtual journal club in a
clinical nurse setting. Journal for Nurses in Staff Development,
27(3), 116-120. doi:10.1097/NND.0b013e318217b3bc. Bostrom, A.,
Rudman, A., Ehrenberg, A., Gustavsson, P. J., & Wallin, L.
(2013). Factors associated with evidence-based practice among
registered nurses in Sweden: A national cross sectional study.
Biomedical Central Health Services Research, 13(165), 1-12.
Retrieved from http://www.biomedcentral.com/1472-6963/13/165 Kean,
E. B. (2013). Creating an online journal club using Wordpress.com.
American Journal of Nursing, 113(3), 61-65. Retrieved from: http://
dx.doi.org10.1097/01.NAJ.0000427884.18171.b0
Slide 13
REFERENCES (CONT.) Kerber C, Jenkins S, Woith W, & Kim M.
(2012). Journal clubs: a strategy to teach civility to nursing
students. Journal of Nursing Education, 51(5), 277-281. Lizarondo,
L., Kumar, S., & Grimmer-Somers, K. (2010). Online journal
clubs: An innovative approach to achieving evidence-based practice.
Journal of Allied Health, 39(1), 17E-22E. Retrieved from http://0-
www.ingentaconnect.com.libcat.ferris.edu/content/asahp/jah/
2010/00000039/00000001art00015token=005216ba1a1b
32383a4b3b2570747b4524247b762c3a414c2a726e2d5b426c
6f642f466fab9545fe80 Marshall, E. S. (2011). Transformational
leadership in nursing. Springer Publishing Company, LLC: Springer
Publishing Company.
Slide 14
REFERENCES (CONT.) Melnyk, B. & Fineout-Overholt, E.
(2010). Evidence-based practice in nursing and healthcare: A guide
to best practice (2nd ed.). Philadelphia, PA: Lippincott Williams
& Wilkins. Nesbitt, J. & Barton, G. (2014). Nursing journal
clubs: A strategy for improving knowledge translation and
evidenced- informed clinical practice invited manuscript. Journal
of Radiology Nursing, 33(1), 3- 8. Nora, L. (2010). The 21st
century faculty member in the education process: What should be on
the horizon? Academic Medicine, 85(9), 545-555. White, M. K., &
Dudley-Brown, S. (2012). Translation of evidence into nursing and
health care practice. New York, NY: Springer Publishing Company,
LLC
