The ability to perform professional scrutiny is a required component of autonomous practice, and the ability to use science to guide care delivery is a hallmark of professional practice. The cardiovascular intensive care unit staff initiated a forum for peer review to encourage the use of the best available evidence to guide system and practice changes. A focus group was formed, resulting in development and implementation of a specific process for regular cycles of nursing mortality and morbidity (M & M) conferences, a journal club, and interdisciplinary educational sessions in staff meetings. After performing several cycles, the team observed interdisciplinary practice changes that improved patient care delivery. Thus, cycles of nursing M & M conferences, a journal club, and educational sessions can help support patient safety, enhance professional autonomy, and foster evidence-based interdisciplinary practice in the cardiovascular intensive care setting.
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1 April 2012
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April 01 2012
Nursing Mortality and Morbidity and Journal Club Cycles: Paving the Way for Nursing Autonomy, Patient Safety, and Evidence-Based Practice
Sandra Staveski, RN, MS, CPNP-AC, CNS, CCRN;
Sandra Staveski, RN, MS, CPNP-AC, CNS, CCRN
Sandra Staveski is Cardiovascular ICU Nurse Practitioner, Lucile Packard Children’s Hospital at Stanford, Palo Alto, California, and Assistant Clinical Professor, University of California at San Francisco ([email protected]). Kit Leong is Senior Quality Improvement Advisor, Lucile Packard Children’s Hospital at Stanford, Palo Alto, California. Katelyn Graham is Staff Nurse, Cardiovascular Intensive Care Unit, Lucile Packard Children’s Hospital at Stanford, Palo Alto, California. Linda Pu is Staff Nurse, Cardiovascular Intensive Care Unit, Lucile Packard Children’s Hospital at Stanford, Palo Alto, California. Stephen Roth is Professor of Pediatrics (Cardiology), Stanford University School of Medicine, Stanford, California.
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Kit Leong, RHIT, CPHQ;
Kit Leong, RHIT, CPHQ
Sandra Staveski is Cardiovascular ICU Nurse Practitioner, Lucile Packard Children’s Hospital at Stanford, Palo Alto, California, and Assistant Clinical Professor, University of California at San Francisco ([email protected]). Kit Leong is Senior Quality Improvement Advisor, Lucile Packard Children’s Hospital at Stanford, Palo Alto, California. Katelyn Graham is Staff Nurse, Cardiovascular Intensive Care Unit, Lucile Packard Children’s Hospital at Stanford, Palo Alto, California. Linda Pu is Staff Nurse, Cardiovascular Intensive Care Unit, Lucile Packard Children’s Hospital at Stanford, Palo Alto, California. Stephen Roth is Professor of Pediatrics (Cardiology), Stanford University School of Medicine, Stanford, California.
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Katelyn Graham, RN;
Katelyn Graham, RN
Sandra Staveski is Cardiovascular ICU Nurse Practitioner, Lucile Packard Children’s Hospital at Stanford, Palo Alto, California, and Assistant Clinical Professor, University of California at San Francisco ([email protected]). Kit Leong is Senior Quality Improvement Advisor, Lucile Packard Children’s Hospital at Stanford, Palo Alto, California. Katelyn Graham is Staff Nurse, Cardiovascular Intensive Care Unit, Lucile Packard Children’s Hospital at Stanford, Palo Alto, California. Linda Pu is Staff Nurse, Cardiovascular Intensive Care Unit, Lucile Packard Children’s Hospital at Stanford, Palo Alto, California. Stephen Roth is Professor of Pediatrics (Cardiology), Stanford University School of Medicine, Stanford, California.
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Linda Pu, RN, BSN;
Linda Pu, RN, BSN
Sandra Staveski is Cardiovascular ICU Nurse Practitioner, Lucile Packard Children’s Hospital at Stanford, Palo Alto, California, and Assistant Clinical Professor, University of California at San Francisco ([email protected]). Kit Leong is Senior Quality Improvement Advisor, Lucile Packard Children’s Hospital at Stanford, Palo Alto, California. Katelyn Graham is Staff Nurse, Cardiovascular Intensive Care Unit, Lucile Packard Children’s Hospital at Stanford, Palo Alto, California. Linda Pu is Staff Nurse, Cardiovascular Intensive Care Unit, Lucile Packard Children’s Hospital at Stanford, Palo Alto, California. Stephen Roth is Professor of Pediatrics (Cardiology), Stanford University School of Medicine, Stanford, California.
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Stephen Roth, MD, MPH
Stephen Roth, MD, MPH
Sandra Staveski is Cardiovascular ICU Nurse Practitioner, Lucile Packard Children’s Hospital at Stanford, Palo Alto, California, and Assistant Clinical Professor, University of California at San Francisco ([email protected]). Kit Leong is Senior Quality Improvement Advisor, Lucile Packard Children’s Hospital at Stanford, Palo Alto, California. Katelyn Graham is Staff Nurse, Cardiovascular Intensive Care Unit, Lucile Packard Children’s Hospital at Stanford, Palo Alto, California. Linda Pu is Staff Nurse, Cardiovascular Intensive Care Unit, Lucile Packard Children’s Hospital at Stanford, Palo Alto, California. Stephen Roth is Professor of Pediatrics (Cardiology), Stanford University School of Medicine, Stanford, California.
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AACN Adv Crit Care (2012) 23 (2): 133–141.
Citation
Sandra Staveski, Kit Leong, Katelyn Graham, Linda Pu, Stephen Roth; Nursing Mortality and Morbidity and Journal Club Cycles: Paving the Way for Nursing Autonomy, Patient Safety, and Evidence-Based Practice. AACN Adv Crit Care 1 April 2012; 23 (2): 133–141. doi: https://doi.org/10.4037/NCI.0b013e3182424ce7
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