Marianjoy Library

Online Nursing Journal Club

December 2014/January 2015

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 January 31. Discussion Via Google Docs/Drive

Reading Assignment:

Article # 1

Literacy, readability and cultural barriers: critical factors to consider when educating older African Americans about anticoagulation therapy.
Wilson FL, Racine E, Tekieli V, Williams B.

J Clin Nurs. 2003 Mar;12(2):275-82.

Available Full-Text only from the Marianjoy network.

The number of patients on anticoagulation therapy has increased dramatically over the past two decades. Yet, few studies have examined the psychosocial barriers of low literacy, culture and inappropriate patient education materials used to teach older African Americans about their anticoagulation therapy. The aims of this study were to investigate literacy levels among older patients, and evaluate the readability and determine the cultural sensitivity of written information used in an anticoagulation management clinic. A descriptive, correlational design was used. Patients' (n = 62) knowledge levels and the readability and cultural sensitivity of written materials were examined. The Rapid Estimate of Adult Literacy in Medicine (REALM) was used to measure reading skills of patients, while the SMOG formula (a formula for assessing readability) was used to test the readability of written educational materials used in an Anticoagulation Management Clinic. A Knowledge Information Profile, developed for this study by one of the authors (Wilson), was used to measure patient knowledge about warfarin, medication side-effects and food sources of vitamin K. A modified, culturally sensitive and easy-to-read pamphlet was used as an alternative teaching tool in the study. The results of the study revealed the average self-reported for highest grade completed in school was twelfth grade; however, the actual mean reading skills were between seventh and eighth grade. The readability of the written information was three to four grades higher than patients' reading abilities. None of the patient education materials were culturally sensitive. This study underscores the importance of having information that is understandable and culturally relevant to prevent the outcome of internal bleeding. Nurses have a vital role in educating patients and ensuring that teaching materials are appropriate for the target population.

Article # 2

CDC Grand Rounds: Preventing Hospital-Associated Venous Thromboembolism.

Zolnierek CD1, Clingerman EM.

Morbidity and Mortality Weekly Report (MMWR). 2014 March 7; 63(09):190-93.

Available Full-Text only from the Marianjoy network


As a health-care–associated condition, VTE is receiving increased attention from patient safety experts, the Agency for Healthcare Research and Quality (AHRQ), and the Centers for Medicare & Medicaid Services (CMS).

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 factors that may contribute to low literacy as identified in the Wilson article
  • Identify at least two common consequences of venous thromboembolism

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 November 30 to receive articles on December 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 December 1 and January 31, 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 PRCH4028 in the Search For box, leave the default category as All courses and then click the Search button to find the Dec/Jan 2014 journal club module. You must complete the post-test on or before January 31 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 January 31 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 taking anticoagulants
    • 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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