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

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

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

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

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

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

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

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?”

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

Thank -You

REFERENCES Baker, J. (2013). Journal club as a resource for practice. AORN Journal, 98(2), 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), doi: /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), Retrieved from Kean, E. B. (2013). Creating an online journal club using Wordpress.com. American Journal of Nursing, 113(3), Retrieved from: dx.doi.org /01.NAJ b0

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), 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 / / art00015token=005216ba1a1b 32383a4b3b b b762c3a414c2a726e2d5b426c 6f642f466fab9545fe80 Marshall, E. S. (2011). Transformational leadership in nursing. Springer Publishing Company, LLC: Springer Publishing Company.

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), Nora, L. (2010). The 21st century faculty member in the education process: What should be on the horizon? Academic Medicine, 85(9), White, M. K., & Dudley-Brown, S. (2012). Translation of evidence into nursing and health care practice. New York, NY: Springer Publishing Company, LLC