8.00
Hdl Handle:
http://hdl.handle.net/10755/603312
Category:
Full-text
Format:
Text-based Document
Type:
Presentation
Title:
Case-Based Nursing Peer Review Using Just Culture Principles
Other Titles:
How Theory Can Guide Education and Practice [Session]
Author(s):
Jochem, Kathleen; Scott, Connie Ann; Stuckman, Cheryl Lynn; Scott, Connie Ann; Stuckman, Cheryl Lynn
Lead Author STTI Affiliation:
Pi Pi
Author Details:
Kathleen Jochem, MS, RN, ACNS-BC, kathy.jochem@blessinghealthsystem.org; Connie Ann Scott, RN, NEA-BC; Cheryl Lynn Stuckman, RN
Abstract:
Session presented on Monday, November 9, 2015: Although more than twenty five years have passed since the American Nurses Association published the 1988 Peer Review Guidelines and defined nursing peer review as “the process by which practicing registered nurses systematically access, monitor, and make judgments about the quality of nursing care provided by peers as measured against professional standards of practice” nurses have not fully integrated this into practice. Our Professional Practice Council recognized the need to develop a formal nursing case review process to supplement peer review feedback occurring informally and annually as part of performance review. A core group was formed to search relevant literature, seek hospital risk management and legal counsel input and develop a policy to guide a nursing case review process. Just Culture principles were explored and used as the basis for the development of our non-punitive process. Informational sessions educated staff about the process and expectations of nursing case review committee participants. The Chief Nursing Officer appointed the committee taking into account staff interest and director recommendations.  The majority of the committee members are clinical nurses representing the various units of the hospital. Ad hoc members from specific nursing units and other disciplines are invited to the case review as needed. The importance of confidentiality is emphasized, with all staff participating in a case review signing a confidentiality agreement.  Case referrals are made by clinical nurses, nursing leadership. medical peer review, performance improvement and risk management. Cases determined to be appropriate are presented to the nursing case review committee by a Clinical Nurse Specialist or the Professional Practice Manager. Nurses involved in a case are invited to voluntarily participate in the process, if possible or may be individually interviewed prior to the case discussion. A case review template is used and action plans are determined at the conclusion of the review. As a result of participating in this process, nurses’ experience increased professional accountability by identifying the need to make practice changes. Since implementation two years ago cases reviewed have supported need for  the following process changes: method of  implementing of venous thromboembolism prevention measures, medical surgical sepsis screening, screening of surgical patients for opioid tolerance, Magnetic Resonance Imaging prescreen process and direct admission process. Some of the educational needs identified and addressed included the medication reconciliation process, deep tissue injury identification and bowel management regimens.
Keywords:
peer review; Just Culture; professional development
Repository Posting Date:
21-Mar-2016
Date of Publication:
21-Mar-2016
Other Identifiers:
CONV15F10
Conference Date:
2015
Conference Name:
43rd Biennial Convention
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Las Vegas, Nevada, USA
Description:
43rd Biennial Convention 2015 Theme: Serve Locally, Transform Regionally, Lead Globally.`

Full metadata record

DC FieldValue Language
dc.language.isoen_USen
dc.type.categoryFull-texten
dc.formatText-based Documenten
dc.typePresentationen
dc.titleCase-Based Nursing Peer Review Using Just Culture Principlesen
dc.title.alternativeHow Theory Can Guide Education and Practice [Session]en
dc.contributor.authorJochem, Kathleenen
dc.contributor.authorScott, Connie Annen
dc.contributor.authorStuckman, Cheryl Lynnen
dc.contributor.authorScott, Connie Annen
dc.contributor.authorStuckman, Cheryl Lynnen
dc.contributor.departmentPi Pien
dc.author.detailsKathleen Jochem, MS, RN, ACNS-BC, kathy.jochem@blessinghealthsystem.org; Connie Ann Scott, RN, NEA-BC; Cheryl Lynn Stuckman, RNen
dc.identifier.urihttp://hdl.handle.net/10755/603312en
dc.description.abstractSession presented on Monday, November 9, 2015: Although more than twenty five years have passed since the American Nurses Association published the 1988 Peer Review Guidelines and defined nursing peer review as “the process by which practicing registered nurses systematically access, monitor, and make judgments about the quality of nursing care provided by peers as measured against professional standards of practice” nurses have not fully integrated this into practice. Our Professional Practice Council recognized the need to develop a formal nursing case review process to supplement peer review feedback occurring informally and annually as part of performance review. A core group was formed to search relevant literature, seek hospital risk management and legal counsel input and develop a policy to guide a nursing case review process. Just Culture principles were explored and used as the basis for the development of our non-punitive process. Informational sessions educated staff about the process and expectations of nursing case review committee participants. The Chief Nursing Officer appointed the committee taking into account staff interest and director recommendations.  The majority of the committee members are clinical nurses representing the various units of the hospital. Ad hoc members from specific nursing units and other disciplines are invited to the case review as needed. The importance of confidentiality is emphasized, with all staff participating in a case review signing a confidentiality agreement.  Case referrals are made by clinical nurses, nursing leadership. medical peer review, performance improvement and risk management. Cases determined to be appropriate are presented to the nursing case review committee by a Clinical Nurse Specialist or the Professional Practice Manager. Nurses involved in a case are invited to voluntarily participate in the process, if possible or may be individually interviewed prior to the case discussion. A case review template is used and action plans are determined at the conclusion of the review. As a result of participating in this process, nurses’ experience increased professional accountability by identifying the need to make practice changes. Since implementation two years ago cases reviewed have supported need for  the following process changes: method of  implementing of venous thromboembolism prevention measures, medical surgical sepsis screening, screening of surgical patients for opioid tolerance, Magnetic Resonance Imaging prescreen process and direct admission process. Some of the educational needs identified and addressed included the medication reconciliation process, deep tissue injury identification and bowel management regimens.en
dc.subjectpeer reviewen
dc.subjectJust Cultureen
dc.subjectprofessional developmenten
dc.date.available2016-03-21T16:47:52Zen
dc.date.issued2016-03-21en
dc.date.accessioned2016-03-21T16:47:52Zen
dc.conference.date2015en
dc.conference.name43rd Biennial Conventionen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationLas Vegas, Nevada, USAen
dc.description43rd Biennial Convention 2015 Theme: Serve Locally, Transform Regionally, Lead Globally.`en
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