Marianjoy Library

Online Nursing Journal Club

April, 2015

Welcome to the online Nursing Journal Club! The articles for this month will count for 2.0 continuing education credits. Attached are the articles in PDF format. These articles will be available through April 30. Discussion Via Google Docs/Drive

Reading Assignment:

Article # 1

Patient participation in patient safety and nursing input - a systematic review.
Vaismoradi M, Jordan S, Kangasniemi M.

J Clin Nurs. 2015 Mar;24(5-6):627-39.

Available Full-Text only from the Marianjoy network.


This systematic review aims to synthesise the existing research on how patients participate in patient safety initiatives.
Ambiguities remain about how patients participate in routine measures designed to promote patient safety.
Systematic review using integrative methods.
Electronic databases were searched using keywords describing patient involvement, nursing input and patient safety initiatives to retrieve empirical research published between 2007 and 2013. Findings were synthesized using the theoretical domains of Vincent's framework for analysing risk and safety in clinical practice: "patient", "healthcare provider", "task", "work environment", "organisation & management".
We identified 17 empirical research papers: four qualitative, one mixed-method and 12 quantitative designs. All 17 papers indicated that patients can participate in safety initiatives.
Improving patient participation in patient safety necessitates considering the patient as a person, the nurse as healthcare provider, the task of participation and the clinical environment. Patients' knowledge, health conditions, beliefs and experiences influence their decisions to engage in patient safety initiatives. An important component of the management of long-term conditions is to ensure that patients have sufficient knowledge to participate. Healthcare providers may need further professional development in patient education and patient care management to promote patient involvement in patient safety, and ensure that patients understand that they are 'allowed' to inform nurses of adverse events or errors. A healthcare system characterised by patient-centredness and mutual acknowledgement will support patient participation in safety practices. Further research is required to improve international knowledge of patient participation in patient safety in different disciplines, contexts and cultures.
Patients have a significant role to play in enhancing their own safety while receiving hospital care. This review offers a framework for clinicians to develop comprehensive practical guidelines to support patient involvement in patient safety.

Article # 2

Patient Involvement in Patient Safety: A Qualitative Study of Nursing Staff and Patient Perceptions.

Bishop AC1, Macdonald M.

J Patient Saf. 2014 Jul 9.

Available Full-Text only from the Marianjoy network



The risk associated with receiving health care has called for an increased focus on the role of patients in helping to improve safety. Recent research has highlighted that patient involvement in patient safety practices may be influenced by patient perceptions of patient safety practices and the perceptions of their health care providers. The objective of this research was to describe patient involvement in patient safety practices by exploring patient and nursing staff perceptions of safety.
Qualitative focus groups were conducted with a convenience sample of nursing staff and patients who had previously completed a patient safety survey in 2 tertiary hospital sites in Eastern Canada. Six focus groups (June 2011 to January 2012) were conducted and analyzed using inductive thematic analysis.
Four themes were identified: (1) wanting control, (2) feeling connected, (3) encountering roadblocks, and (4) sharing responsibility for safety. Both patient and nursing staff participants highlighted the importance of building a personal connection as a precursor to ensuring that patients are involved in their care and safety. However, perceptions of provider stress and nursing staff workload often reduced the ability of the nursing staff and patient participants to connect with one another and promote involvement.
Current strategies aimed at increasing patient awareness of patient safety may not be enough. The findings suggest that providing the context for interaction to occur between nursing staff and patients as well as targeted interventions aimed at increasing patient control may be needed to ensure patient involvement in patient safety.

The purpose of the online Nursing Journal Club is to facilitate the use of evidence-based practice in providing excellent nursing care.


  • Identify at least two ways patients can participate in patient safety initiatives
  • Identify at least two reasons why patients may be hesitant to participate in patient safety initiatives

Contact Person: Cindy Bright, E-mail   Phone: 630.909.8027                 
Provide your e-mail address

  • you may use either your personal or Marianjoy e-mail address
  • Article will be e-mailed to you
  • Google Docs/Drive will be used for discussion

For further information or any questions, please contact Cindy Bright

Sign Up: SIGN-UP by March 31 to receive articles on April 1.

Available Credits: 2.0 Contact Hours

Instructions for receiving the credits:

There are 3 parts to earning CE credit for these articles. All components must be completed between April 1 and April 30, 2015:

  1. After reading the articles, there is a short post-test on the Learning Link. To find the Learning Link module, open and login to Learning Link, click View course catalog, enter PRCH4031 in the Search For box, leave the default category as All courses and then click the Search button to find the April 2015 journal club module. You must complete the post-test on or before April 30 and score at least 80% correct to earn CE credit.
  2. An evaluation of this learning opportunity is required to obtain CE credit. A link to the Survey Monkey evaluation will be found at the end of the post-test in Learning Link. It should take you about two hours to read the articles, take the quiz, complete the evaluation and participate in the discussion.
  3. As part of the requirements to earn CE credit, you must participate in a discussion about the articles. This discussion will take place via Google Docs/Drive. A Nursing Journal Club designee will generate the discussion. You must participate in the discussion at least 1 time by April 30 to earn CE credit. The discussion is intended to clarify or provide fellow participants with further information on this topic. Suggested discussion focus:
    • Your experience encouraging patient participation in their safety initiatives
    • How you plan to use the information provided in these articles in your practice
    • Respond to another participant’s comments

Raffle opportunity

To add some extra excitement to our Journal Club, we will be offering a $25 gift card in a raffle drawing every quarter for members that earn CE credit. The current raffle covers the months of April, May, and June and the raffle will take place at the end of June. Be sure to participate so your name will be included in the drawing. As an additional perk, if a participant encourages another Journal Club member to join in the discussion (and the referred member states the referring member’s name in their discussion), we will add the referring member’s name an additional time in the drawing. Remember that both members must earn their CE credit for the month for the referring member to be entered an additional time in the drawing.

The winner will be notified via e-mail and the gift card will be sent to them within 2 weeks after the close of the month.

Instructions to access the Google Docs/Drive Web page for Discussion and to post comments:

  • If you have not already done so, place a Help Desk call to have Google Chrome added to your desktop. Then proceed as follows:
  • If Google Chrome is your default web browser, click on the following Link/URL:
  • If Google Chrome is not your default web browser, open Google Chrome, copy the URL link above and paste into the address bar in Google Chrome
  • Click on the Comments button (top Right hand) to add your comment
  • Please sign your full name and location after each comment
  • After typing your comments, click on Comments one more time; you will be able to see your comments
  • For a reply to a specific comment, you may use the Reply button; the comment will appear next to that specific comment, or you may generate your own comment

It should take you approximately 1.5 hours to read the articles, take the quiz and complete the evaluation. 


As a member of the Nursing Journal Club, you will automatically receive subsequent articles on the first of each month. If you would like to cancel your membership at any time, please contact Cindy Bright via e-mail or contact her at 630.909.8027. We will send out a flyer announcing the next article approximately 2 weeks prior to sending it out.


If you are having trouble accessing the article or should you have any other questions, please contact Cindy Bright: or 630.909.8027.  We are excited that you are interested in this opportunity.   We welcome any comments or suggestions you may have.    For further information, visit us at Online Nursing Journal Club.

This program will award 2.0 hours of CE credit. Marianjoy Rehabilitation Hospital- Professional Practice Committee, (OH-387, 9/28/2013) is an approved provider of continuing nursing education by the Ohio Nurses Association (OBN-001-91), an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation.

As required by the American Nurses Credentialing Center’s Accreditation Program, we would like to make you aware of all potential conflicts of interest(s). This educational activity’s planners and the presenter(s) have indicated they have no bias or conflict of interest. There has been no commercial support for this program.

The Marianjoy Online Nursing Journal Club is a joint effort between the Nursing Department, the Medical Library, and the Research Department








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