Our critical care medicine journal clubs meet in an area somewhat remote from the critical care units. Led by the critical care medicine faculty, the sessions take place at a specified date and time during the day, and are not repeated. High acuity and an intense pace contributed to the challenges for staff in arranging to leave the bedside for an hour block of time. The review articles are available in an administrative area usually not frequented by the nursing staff.

Because the nature of the articles may be intimidating to some staff nurses, they may be reluctant to contribute to the discussion. Results of studies conducted by physicians are shared with nurses in an inconsistent manner, which means the nurses may not appreciate the relevance to their daily practice. On a few occasions, advanced practice nurses ( APNs)...

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