Marianjoy Library

Online Nursing Journal Club

November, 2014

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

Reading Assignment:

Article # 1

Challenges in acute care of people with co-morbid mental illness
Giandinoto JA1, Edward KL.

British Journal of Nursing. 2014 Jul 10-23;23(13):728-32. doi: 10.12968/bjon.2014.23.13.728.

Available Full-Text only from the Marianjoy network.

Acute secondary care settings are complex environments that offer a range of challenges for healthcare staff. These challenges can be exacerbated when patients present with a co-morbid mental illness. This article is a systematic review of the literature that has investigated the challenges imposed on health professionals working in acute secondary care settings where they care for patients who experience co-morbid physical and mental illnesses. A systematic search of the bibliographic databases was conducted and a total of 25 articles were included in this review. A number of challenges were identified including experience of fear, negative attitudes, poor mental health literacy, being positive and optimistic in providing care as a profession and environmental factors. Health professionals working in acute secondary care settings require organisational support and training in mental health care. Acute secondary care environments conducive to providing holistic care to patients experiencing mental illness co-morbidity are required..

Article # 2

A medical-surgical nurse’s perceptions of caring for a person with severe mental illness

Zolnierek CD1, Clingerman EM.

Journal of the American Psychiatric Nurses Association. 2012 Jul-Aug;18(4):226-35. doi: 10.1177/1078390312446223.

Available Full-Text only from the Marianjoy network


When hospitalized for medical conditions, many people with severe mental illness (SMI) have poor outcomes, yet little is known about contributing factors. Studies exploring the care experience from nurses' perspectives described care processes as "difficult." None of these studies were conducted in the United States, and sociocultural contexts significantly affect perceptions of SMI.
The purpose of this inquiry was to explore a medical-surgical nurse's perceptions of caring for a hospitalized person with SMI in the United States.
A qualitative, descriptive case study was used.
The nurse's experience was characterized by categories of tension, discomfort, lack of professional satisfaction, and difficult.
This case study revealed a negative care experience, similar to conclusions of investigations conducted in other countries. Understanding of nurses' care experiences can inform efforts to improve practice environments, provide resources, or develop models of care that support nurses who care for patients with SMI and improve health outcomes for people with SMI.

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 common concerns of nurses caring for patients with serious mental illness
  • Identify at least two common perceptions that may influence a nurse’s care of a patient with serious mental illness

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 October 31 to receive article on November 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 November 1 and November 30, 2014:

  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 PRCH4027 in the Search For box, leave the default category as All courses and then click the Search button to find the November 2014 journal club module. You must complete the post-test on or before November 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 by November 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 caring for patients with a mental illness co-morbidity
    • 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 October, November and December and the raffle will take place at the end of December. 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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