title: Nursing mortality and morbidity and journal club cycles: paving the way for nursing autonomy, patient safety, and evidence-based practice.
abstract: 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.
authors.affiliation: Lucile Packard Children's Hospital at Stanford, Palo Alto, California, USA. sstaveski@lpch.org
authors.forename: Sandra
authors.initials: S
authors.lastname: Staveski
authors.forename: Kit
authors.initials: K
authors.lastname: Leong
authors.forename: Katelyn
authors.initials: K
authors.lastname: Graham
authors.forename: Linda
authors.initials: L
authors.lastname: Pu
authors.forename: Stephen
authors.initials: S
authors.lastname: Roth
mesh_terms: D002318:Cardiovascular Diseases / Q000451:nursing; D002983:Clinical Competence; D004496:Education, Continuing; D055318:Evidence-Based Nursing; D006801:Humans; D007362:Intensive Care Units; D009017:Morbidity; D009026:Mortality; D010361:Patients; D018024:Peer Review, Health Care; D017009:Professional Autonomy; D016730:Program Development; D012449:Safety