We have very recently 'Sackettised' our Neonatal Intensive Care nurses and
midwives journal club as well. We made the change as it just made a lot of
good sense and it is a way for us to learn more about critical appraisal,
literature searching etc. We focus on a clinical issue that the nurses and
midwives are interested in, and the aim is to base our standards and
procedures on this. We develop a CAT (critically appraised topic) which
becomes a tangible outcome of our endeavours and something to put forward in
support of current practice or practice change.
It has its difficulties as at each journal club there may be a different
group of nurses and midwives due to rostering. So far we have only held one
'cycle', the first session was spent nutting out the clinical question, two
people were 'volunteered' to undertake a literature search and post
abstracts of their findings in the Unit. The next session we discussed the
most rigorous article. At the moment it is fairly labor intensive as most
have little or no experience in literature searching or critical appraisal,
but most are keen and we are all learning along the way. We are taking it
very gently and started off with a topic that had a systematic review.
We have a consultant neonatologist as part of the group; there is an
existing Nursery journal club but most of the nurses and midwives don't feel
comfortable attending, and the timing doesn't suit their workloads and
shifts. Hopefully as skills and confidence increase we will just have the
one journal club. The labor ward midwives are also about to start a
journal club along the same lines.
Carmel Collins
Research Nurse/Midwife
Women's and Children's Hospital
Adelaide
South Australia
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