Page 124 - Hospital Authority Convention 2018

Service Enhancement Presentations
HOSPITAL AUTHORITY CONVENTION 2018

F2.4 Staff Engagement and Empowerment 13:15 Room 421

Promotion of Evidence Based Practice: Surgical Nursing Journal Club
Lui KL, Lau KY, Fung PW, Tang CN
Department of Surgery, Pamela Youde Nethersole Eastern Hospital, Hong Kong
Introduction
Healthcare practice is increasingly focused on delivering care that is based on empirical evidence or research findings
published in the literature. As the primary providers of patient care services, nurses develop guidelines, policies, and
procedures in their individual practice settings based on research evidence. Numerous literatures have suggested that staff
nurses have difficulty in interpreting research articles because of the complexity, academic, and statistical language. As
a result, implementation of a journal club is one approach to help nurses integrate research findings into clinical practice
and provide evidence based care. In January 2016, the Surgical Nursing Journal Club was established which aims to both
educating nurses and improving clinical practice.

Objectives
(1) To consolidate the evidence based nursing (EBN) and surgical nursing care through journal sharing and literature appraisal;
(2) to disseminate learning outcomes by sharing journal and literature appraisal results with other readers.
Monday, 7 May 2018 staffs who had acquired basic EBN knowledge such as completion of EBN training/workshop were recruited as facilitators.
Methodology
The journal club held once every quarter and all nursing staff of surgical department were encouraged to join. Senior nursing

Each surgical ward takes turns to assign a presenter to prepare journal article related to surgical nursing practice for pre-
reading and present in the journal club under the guidance of facilitator. Facilitators gave comments, provided guidance
to facilitate discussions and compilation of the final appraisal report. The appraisal report had been posted up in our
department training website for dissemination as critical appraisal topics (CATs).
Results
From January 2016 to December 2017, seven journal clubs had been held. A total of 143 nursing staff attended the journal
club and completed the questionnaire. Majority of them agreed that the lectures have achieved their stated objectives (Strongly
agree: 16.3%, Agree: 78.6%) and the contents are adequate (Strongly agree: 15.5%, Agree: 81.9%). Also, most of them agreed
that the speakers have enhanced their learning in the lecture (Strongly Agree: 19.6%, Agree: 72.9%) and duration of the
lecture is appropriate (Strongly Agree: 9.8%, Agree: 85.2%). Most importantly, the participants agreed that the journal club is
useful. (Strongly Agree: 20.4%, Agree: 70.4%). Concerning the overall satisfaction, most of the participants appreciated the
venue, time and staff organising the journal club (Strongly Agree: 16.3%, Agree: 77.8%). 97.37% of them would like to join the
activity again and were willing to recommend to other colleagues.

Conclusion
In conclusion, the feedbacks from participants provided solid evidence in supporting the journal club. Establish of journal
club is a kind of impetus to improve our nursing staff’s ability to critically evaluate published research; encourage them how
to make presentation; promote evidence based practice; familiarise nurses with research; have impact on changes in nursing
practice and indicate the multi-roles of surgical nurses in delivery of professional performance in both clinical care and
academic advancement. Although day-to-day working environment is challenging, continuous learning opportunities should
always be provided for enriching staff competence, and confidence under sharing and learning which ultimately benefit
patient with quality and safety.

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