Linder Lauri
University of Utah, Salt Lake City, UT 84112 , USA.
J Pediatr Oncol Nurs. 2010 Jan-Feb;27(1):48-53. doi: 10.1177/1043454209348717.
As the scope of pediatric hematology and oncology nursing expands, nurses are challenged with staying current in the evidence guiding their practice. Nurse-reported barriers to accessing and utilizing research include lack of time as well as difficulty in accessing, understanding, and synthesizing findings. Journal clubs provide a process to guide nurses in the review of current literature related to their practice and promote utilization of research and evidence-based practice among nurses. This article describes the transition of an in-person journal club to an electronically delivered "Article of the Month." The "Article of the Month" is offered six times each year and is posted on the service line's password-protected intranet website. Oversight of the "Article of the Month" is provided by the service line clinical nurse specialist who selects articles based on an annual learning needs assessment and develops a quiz to assess learning and promote critical thinking among nursing staff. Outcomes include anecdotal reports of increased staff confidence in managing emergent patient care needs and greater appreciation of nursing care issues for children with cancer. Areas for future development include exploring options for increasing in-person discussion of issues addressed in the "Article of the Month" among staff members, extending the "Article of the Month" to nurses in other service areas who care for children with cancer, and increasing staff participation in article selection and quiz item development. An ultimate goal is to develop formal evaluation strategies to link this educational strategy to clinical outcomes.
随着儿科血液学与肿瘤学护理范围的扩大，护士面临着紧跟指导其实践的证据的挑战。护士报告的获取和利用研究的障碍包括时间不足以及获取、理解和综合研究结果存在困难。期刊俱乐部提供了一个流程，指导护士回顾与其实践相关的当前文献，并促进护士之间研究和循证实践的应用。本文描述了一个面对面期刊俱乐部向电子交付的“月度文章”的转变。“月度文章”每年提供六次，并发布在服务线受密码保护的内联网网站上。“月度文章”由服务线临床护士专家监督，该专家根据年度学习需求评估选择文章，并编制一份测验以评估学习情况并促进护理人员的批判性思维。结果包括轶事报告称，工作人员在处理紧急患者护理需求方面的信心增强，并且对癌症患儿的护理问题有了更深刻的认识。未来发展的领域包括探索增加工作人员之间就“月度文章”中涉及的问题进行面对面讨论的选项，将“月度文章”扩展到其他照顾癌症患儿的服务领域的护士，并增加工作人员参与文章选择和测验项目开发。一个最终目标是制定正式的评估策略，将这种教育策略与临床结果联系起来。
