Throughout the RN-to-BSN program, students are required to participate in schola
ID: 241831 • Letter: T
Question
Throughout the RN-to-BSN program, students are required to participate in scholarly activities outside of clinical practice or professional practice. Examples of scholarly activities include attending conferences, seminars, journal club, grand rounds, morbidity and mortality meetings, interdisciplinary committees, quality improvement committees, and any other opportunities available at your site, within your community, or nationally. You are required to post one scholarly activity while you are in the BSN program, which should be documented by the end of this course. In addition to this submission, you are required to be involved and contribute to interdisciplinary initiatives on a regular basis. Submit, as the assignment, a summary report of the scholarly activity, including who, what, where, when and any relevant take-home points. Include the appropriate program competencies associated with the scholarly activity as well as future professional goals related to this activity. You may use the "Scholarly Activity Summary" resource to help guide this assignment. While APA format is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center. You are not required to submit this assignment to Turnitin.
Explanation / Answer
One of the scholarly activities included in the BSN academic program is journal club. A Nursing Journal Club is the best method for keeping up with advancements in the medical field. Medical technology has made rapid and extreme changes throughout the years, and it is vital that medical staff keep up with hospitals evidence-based care in an effort to provide up-to-date competent treatment. Many facilities are now creating a nursing journal club for its students and staff members, and the benefits are numerous.
A nursing journal club is used to incite discussion about the latest research and strides being made in the medical field. This keeps nursing students and nursing staff members knowledgeable about new treatments, medications, alternative therapies, and technology, that is helpful for providing advanced care for clients. This club is beneficial to all medical staff, but it is especially beneficial for critical care nurses such as emergency room or ICU nursing staff members. The best way to establish a club is to:
•Appoint a nurse educator to lead the group
•Pass out journal articles amongst members
•Set up a meeting time
•Meet and discuss the research topic
•Discuss the best way to implement the changes discussed
•Evaluate the effectiveness of the club
The best way to hold these discussions is within the medical facility during the college hours. The sessions can last anywhere from thirty-minutes to an hour. Another alternative is to create an online discussion group, as this will give all students the opportunity to participate and learn about the latest research.
Types of Journal Clubs:
They vary by location and method: in-person meetings on or off site, virtual meetings or blogs, videotaped conferences or telephone conferences, and traveling Journal Clubs. Some include repeated sessions in any of these formats to ensure more staff are able to attend. Game format, debate format, or Journal Club fair/poster presentations may be incorporated. A Journal Club might also be combined with patient rounds. Journal Clubs also vary by objectives: evaluation of research, change in nursing practice, learning medical statistics, improving clinical decision making, piquing interest in conducting staff-driven research, learning research design, discovering new evidence in a specific specialty, developing critical appraisal skills, teambuilding, and professional development.
Benefits:
* Keep nurses up-to-date with current research and clinical knowledge
* Promote professional reading
* Skill development in reading and critically appraising research
* Shorten the knowledge-to-practice gap
* Incorporate evidence into professional practices and patient care
* Promote interaction and dialogue among nurses, creating a community of practice
* Provide a structured social venue to learn from each other, stay current, and debate the evidence
* Promote team building and interdisciplinary collaboration (interdisciplinary Journal Clubs)
* Improve patient care organization-wide though policy and procedure changes
* Improve presentation, writing, and communication skills
Challenges:
* Staffing, time, and attendance issues
* Lack of expertise in research and interpreting medical statistics
* Lack of interest; we are doing fine as we are
* Lack of motivation, lack of perceived benefit
* Selecting articles that will interest the staff and be relevant to the content of the class
* Too much material
* Unfamiliarity
* Nurses may feel vulnerable if they share their views
* Lack of administrative support for the Journal Club and practice changes
* Staff ill prepared for the meeting; can be perceived as demanding
* NPD practitioner's or facilitator's lack of skill and/or confidence
Steps for incorporating journal club:
1. Select the NPD practitioner(s) who will add this strategy into appropriate classes.
2. Prepare the NPD practitioner through providing information on this technique.
3. Identify course objectives and the goals of including this format in the curriculum.
4. Select an article(s) based on the course content. You might use an article on wound care, medication administration, central venous access, enteral feeding, SBAR (situation, background, assessment, recommendation) communication, or tracheostomy care-topics you might include in orientation or continuing education classes.
5. Develop or select forms and format-a guided form to complete, small group discussion, general group discussion, poster display.
6. Get the word out-let the staff know that they are expected to read a specific article before attending the class. (Some will and some won't, but you can deal with that.)
7. Hold the session and create an action plan to incorporate evidence into practice if appropriate or discuss how the information has been incorporated into current policies and procedures. The NPD practitioner can present the article, lead the discussion with predetermined questions, and guide the staff through analyzing the article.
8. Evaluate the session.
9. Adopt, alter, or abandon changes for future sessions.
The general format to be included in the discussion are as follows:
* Study description: the problem or question
* Evaluation of literature
* Conceptual framework
* Sample: Who were the subjects and are they representative?
* Methods and study design: how was data collected, reliability and validity of instruments
* Data analysis and results
* Clinical significance: How would you apply the findings, and is the evidence strong enough to warrant a practice change?
Evidence-based practice leads to improved patient outcomes, continuity of care, increased engagement among professionals, and is a key component to achieving Magnet designation. EBP also leads to decreased medical errors and mortality rates, and decreased healthcare costs for both the patient and the institution.
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