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1.
Perspect Clin Res ; 15(2): 54-58, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-38765547

RESUMEN

The importance of undergraduate medical research has been undermined in Indian medical education. Various studies show there is a drastic difference between the research output of Indian medical graduates in comparison to Western counterparts. With all the challenges identified, a student-oriented research committee was formed -Guidance, Education, Networking, and Empowerment-based Smart Initiative for Students (GENESIS) research in health care - A research modeling experience from a newly established medical college. The structure was established to serve the needs of students in the field of research. Problems were identified with the help of a survey, and steps were taken to address the issues through its 4-pronged strategy that includes conducting regular journal clubs. Journal clubs follow a peer-to-peer learning strategy and provide an open stage for discussion. Second, a research tracker which helps in increasing the sustainability of a research project. The third strategy includes a research live matchmaker which helps in bridging the gap between the students and the faculties. Lastly, involving alumni in the initiative will help students get guidance and acts as a gateway to opportunities at the national level. For maintaining the integrity and sustainability of the initiative, the involvement of students from all the batches is made sure. Inputs from faculties and administration are taken on a regular basis. Interinstitutional collaborations and regular assessment and evaluation are done to ensure positive outcomes. With its focus on peer-to-peer mentoring and attempt to eliminate the barriers for research enthusiasts, GENESIS has the potential to make a lasting impact in promoting research culture in colleges.

2.
Eur Heart J Digit Health ; 5(2): 195-197, 2024 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-38505487

RESUMEN

Journal clubs have been a staple in scientific communities, facilitating discussions on recent publications. However, the overwhelming volume of biomedical information poses a challenge in literature selection. This article provides an overview of journal club types and their efficacy in training potential peer reviewers, enhancing communication skills, and critical thinking. Originating in the 19th century, journal clubs have evolved from traditional in-person meetings to virtual or hybrid formats, accelerated by the COVID-19 pandemic. Face-to-face interactions offer personal connections, while virtual events ensure wider participation and accessibility. Organizing journal clubs demands effort, but it has several benefits, including promoting new publications and providing a platform for meaningful discussions. The virtual CardioRNA J-club experience exemplifies successful multidisciplinary collaboration, fostering international connections and inspiring new research. Journal clubs remain a vital component of academic research, equipping senior researchers with the latest developments and nurturing the next generation of scientists. As millennial and Gen Z researchers join the scientific field, journal clubs continue to evolve as a fertile ground for education and collaborative learning in an ever-changing scientific landscape.

3.
Med Sci Educ ; 33(2): 531-538, 2023 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-37251208

RESUMEN

Introduction: Evidence-based medicine (EBM) refers to medical practice that uses current best evidence to inform decision-making. This requires several skills including (1) creating an answerable question, (2) searching literature, (3) critically appraising evidence, and (4) applying results. Journal clubs are known to be effective in improving searching and critical appraisal skills in graduate medical education. In pre-clerkship medical education, journal clubs are used less often, and students often do not have the opportunity to engage in all of the steps above. Methods: We developed a journal club for pre-clerkship students and measured its effectiveness using a pre-test, post-test design. Students attended 5 journal club sessions run by rotating student leaders and facilitated by faculty. Student groups developed searchable questions from clinical cases, searched the literature, located and critically appraised an article, and applied results to the case. We measured EBM skills and confidence using two validated questionnaires. Results: Twenty-nine students (MS-1 and MS-2) completed the study. EBM confidence significantly improved at post-test with greatest improvements in the MS-1 student cohort. Confidence in developing a searchable question from a patient case significantly improved in both cohorts. There were no changes measured on the Test of EBM Knowledge and Skills. Discussion: Participation in a faculty-mentored, student-led journal club improved confidence across all domains of EBM, primarily in MS-1 students. Journal clubs are positively received by pre-clerkship medical students and provide effective mechanisms to teach and promote all steps of EBM in pre-clerkship curricula. Supplementary Information: The online version contains supplementary material available at 10.1007/s40670-023-01779-y.

4.
Cureus ; 14(11): e31535, 2022 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-36532935

RESUMEN

Background The ineffective utilization of journal clubs (JCs) for pre-clinical dental students has led to a lack of research into their effectiveness in developing skills such as critical reasoning and evidence-based medicine (EBM) practice. Therefore, we have implemented JCs in first-year undergraduate dental students and measured their effectiveness using the integrated Assessing Competency in Evidence-Based Medicine (ACE) tool. Methodology We conducted a quasi-experimental study where EBM was included in the curriculum for pre-clinical students as a hybrid model with a year-long blended learning approach. The 50-student class was divided into five groups of 10 students, with each group participating in seven JCs related to the physiology curriculum. After conducting critical analysis in self-directed learning sessions, students created interactive PowerPoint presentations followed by discussion. Instructors offered feedback after each session based on 1-2 levels in Kirkpatrick's training evaluation model. Inferential statistics were used for comparative analysis of the ACE tool pre- and post-test using SPSS version 26 (IBM Corp., Armonk, NY, USA). Results A linear trend in median score from 6 in the pre-test to 9 in the post-test was detected using the box and whisker plot. Using paired sample t-test, the mean difference (95% confidence interval) between the pre-test and post-test responses was -3.14 (-2.32 to -3.96) (p < 0.001). In terms of the post-test responses, each item's difficulty index ranged from 0.3 to 0.9. Internal reliability was in the acceptable range of >0.15 (range = 0.5-0.18). The item discriminatory index was in the range of 0.8 to >0.2. Cronbach's alpha was 0.64, which was deemed acceptable. Conclusions Our results show that pre-clinical dentistry students appreciated the use of JCs to improve active learning, critical appraisal, analytical, and decision-making skills. The 15-item ACE measure is a useful and reliable tool for assessing dentistry students' EBM proficiency in Pakistan.

5.
Occup Ther Health Care ; : 1-10, 2022 Jul 14.
Artículo en Inglés | MEDLINE | ID: mdl-35834430

RESUMEN

A faculty-led journal club was utilized as a teaching strategy to facilitate development of evidence-based practice (EBP) skills for students enrolled in an introduction to health promotion course at an entry-level occupational therapy program. An exploratory post-survey study was conducted to collect outcomes in the areas of student satisfaction and perceived effectiveness. This article describes the faculty-led journal club, highlights outcomes data, and discusses considerations for use of journal clubs in entry-level occupational therapy education.

6.
BMC Med Educ ; 22(1): 307, 2022 Apr 22.
Artículo en Inglés | MEDLINE | ID: mdl-35459187

RESUMEN

BACKGROUND: Allied Health Professionals (AHPs) commonly use journal clubs (JCs) to support Evidence-Based Practice (EBP). There is however little research regarding implementing and sustaining JCs in the long term, and their impact on EBP use and skills in AHPs. This study investigated the impact of implementing a structured JC format, called "TREAT" (previously only investigated across 6 sessions), over a longer period of 16 sessions for AHPs in a public health service. The study also investigated AHP's attendance, adherence, satisfaction and barriers and enablers to implementing the format. METHODS: A mixed methods hybrid-effectiveness implementation design was employed, guided by the Knowledge-to-Action cycle. EBP skills, confidence, use, and attitudes were assessed (Adapted Fresno Test, EBPQ, tailored journal club culture questionnaire) at baseline, and after 10 and 16-monthly sessions. Satisfaction and impact on clinical practice were explored using questionnaires at 10 and 16-months, with free-form responses identifying enablers and barriers to EBP culture and implementation. Data on attendance and adherence to the TREAT format were also collected. RESULTS: Six JCs comprising a total of 132 unique participants from seven Allied Health professions were assessed across three time points. EBP skills improved on the Adapted Fresno Test after 10-monthly (6.6 points: 95% CI, 0.43 to 12.7) and 16-monthly sessions (7.8 points, 95% CI, 0.85 to 14.7), and on self-reported total EBPQ ratings of confidence at 10-months (4.9 points: 95% CI, 2.2 to 7.5) and 16-months (5.7 points: 95% CI 2.7 to 8.7). Of 132 AHPs, 88 reported adopting new treatments/resources and 64 reported updating clinical procedures. Mean attendance was 5.7 sessions (SD = 3.8). Adherence to TREAT components in each session was 86% (95% CI, 83% to 89%). Most participants recommended the format and reported a desire to continue. Enablers to the JC included using clinically relevant topics and active participation while reported barriers included limited time to prepare. CONCLUSIONS: Despite variable attendance, TREAT JCs can continue to be implemented within a service for 16 monthly-sessions, and may contribute to improved EBP skills and confidence and changes in clinical practice over time. Tailoring of implementation strategies was shown to be important to address local enablers and barriers.


Asunto(s)
Práctica Clínica Basada en la Evidencia , Técnicos Medios en Salud , Humanos , Encuestas y Cuestionarios
7.
Med Teach ; 44(1): 57-62, 2022 01.
Artículo en Inglés | MEDLINE | ID: mdl-34403291

RESUMEN

INTRODUCTION: Online journal clubs (JCs) have increased during the COVID-19 pandemic with the resulting social distancing and popularity of online platforms. This systematic review aims to explore current evidence of their use/benefits for clinicians and compare their value to face-to-face (F2F) JCs. METHODS: PubMed, Web of Science, and Scopus were searched systematically, adhering to PRISMA guidelines. Articles were included if they involved clinicians in medical/surgical populations, using an online JC assessing utility, experience and educational value. Quality assessment was undertaken using MERSQI. RESULTS: Fifteen studies were included with findings synthesised into five themes: critical appraisal skills, satisfaction/value, accessibility/environment, evidence-based practice, and preference of online JC. Studies revealed high satisfaction and equivocal or increased preference of online JCs compared to F2F due to ease of access, diverse participation, and less time/cost spent travelling. Online JCs were found to be educationally valuable, aiding development of critical appraisal skills, and promoting change in practice. Disadvantages included lack of discussion intensity, technical issues, and limited interaction on some platforms. DISCUSSION: Online JCs are educationally valuable with high satisfaction rates and distinct advantages/disadvantages to F2F JCs. More high-quality studies are required to elucidate the ideal format to further improve their educational value, utility, and adoption.


Asunto(s)
COVID-19 , Internado y Residencia , Práctica Clínica Basada en la Evidencia , Humanos , Pandemias , SARS-CoV-2
8.
Am J Pharm Educ ; 86(1): 8562, 2022 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-34301550

RESUMEN

Objective. Within pharmacy experiential education, practicing literature evaluation skills usually occurs via journal clubs. Clinical debates have gained traction as an engaging alternative to journal club meetings while completing advanced pharmacy practice experiences (APPEs). The purpose of this study was to compare clinical knowledge and literature evaluation application between journal clubs and clinical debates during APPEs.Methods. This mixed-methods prospective study was conducted in fourth year pharmacy students completing inpatient general medicine APPEs at four institutions. Students participated in a journal club and clinical debate during their experience. Students completed a 10-item knowledge assessment after each activity. Differences in journal club and clinical debate assessment scores were analyzed. Following completion of both activities, a perception survey was administered to gauge preferences and opinions. Differences in perception survey scores for journal clubs compared to clinical debates were evaluated quantitatively, and a thematic analysis was completed for qualitative responses.Results. Fifty students participated in both activities. There were no differences between journal club and clinical debate assessment scores (57.4%±21.0% and 62.9%±20.7%, respectively). Forty students completed the post-perceptions survey and globally agreed or strongly agreed that both journal clubs and clinical debates improved confidence in literature evaluation and clinical skills. Common themes identified included applicability to pharmacists' roles and need for clear instructions and examples.Conclusion. There was no significant difference between student performance on knowledge assessments of journal clubs and clinical debates, and students found both activities to be beneficial. Clinical debates are a reasonable alternative to journal clubs to improve pharmacy students' knowledge and literature evaluation skills.


Asunto(s)
Educación en Farmacia , Farmacia , Estudiantes de Farmacia , Humanos , Aprendizaje Basado en Problemas , Estudios Prospectivos , Encuestas y Cuestionarios
9.
Educ Health (Abingdon) ; 34(1): 22-28, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-34213440

RESUMEN

Background: Current trends in health professions education are aligned to meet the needs of the millennial learner. The aim of this study was to identify learners' perceptions of an ongoing journal club (JC) activity in the optometry curriculum and evaluate the utility and efficiency of this method in promoting student learning. Methods: A qualitative approach with a phenomenological research design was adopted. The perceptions of undergraduate and postgraduate optometry students about JCs were captured using focus group discussions. A narrative thematic analysis was done using the verbatim transcripts and moderator's notes. Results are reported using "consolidated criteria for reporting qualitative research" guidelines. Results: A total of 33 optometry students participated in the study. Data analysis revealed three major themes related to (i) The ongoing practice of JC, (ii) student perceptions of JC and its relevance in facilitating student learning, and (iii) suggestions for modification of JC for achieving optimal educational outcomes. Discussion: Student feedback indicates that an instructional redesigning of JC is necessary, considering the characteristics and expectations of the current generation of learners and the rapid strides made in the field of educational technology. The recommendations provided are likely to resurrect an age-old approach that still has educational relevance if blended with collaborative learning formats and appropriate technology.


Asunto(s)
Aprendizaje , Estudiantes , Curriculum , Grupos Focales , Humanos , Investigación Cualitativa
10.
J Med Imaging Radiat Sci ; 49(4): 428-435.e1, 2018 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-30514561

RESUMEN

INTRODUCTION: The medical radiation sciences' (MRS) MedRadJournalClub attracts a global group of participants to monthly sessions to discuss selected journal articles. The September 2017 session explored the experiences of MRS professionals working with lesbian, gay, bisexual, and transgender (LGBT) patients. The aim of the chat was to establish staff educational preparation, how participants' organizations approached the issue, and what participants would do differently at work or at home in relation to this patient population after the chat. METHOD: Data were extracted using the Twitter advanced search function with #MedRadJClub from the 19th to 23rd September 2017. The data were reviewed and categorized for themes. Tweets related to shared LGBT resources were captured, verified, and counted separately. RESULTS: 44 participants took part in the September Twitter chat. After data cleaning, 127 tweets were included for analysis with a further 16 tweets sharing LGBT resources. Almost all of the participants disclosed that they had no undergraduate education or workplace training in the care of LGBT patients. Workplaces of a limited few participants had specific approaches to improve experiences for this patient population. Many participants were eager to advocate for changes in their workplaces after the Twitter chat. CONCLUSION: There is still work to be carried out to educate MRS professionals to enhance their LGBT patients' experience and improve workplaces. Positive changes in education and a more inclusive clinical environment will ultimately improve care for LGBT patients.


Asunto(s)
Actitud del Personal de Salud , Educación Continua/normas , Relaciones Profesional-Paciente , Radiología/educación , Minorías Sexuales y de Género/psicología , Sexualidad/psicología , Bisexualidad/psicología , Atención a la Salud/normas , Femenino , Homosexualidad Femenina/psicología , Homosexualidad Masculina/psicología , Humanos , Masculino , Mejoramiento de la Calidad , Radiología/normas , Medios de Comunicación Sociales , Transexualidad/psicología
11.
Elife ; 72018 06 11.
Artículo en Inglés | MEDLINE | ID: mdl-29889024

RESUMEN

Early-career researchers can learn about peer review by discussing preprints at journal clubs and sending feedback to the authors.


Asunto(s)
Revisión por Pares/métodos , Revisión por Pares/normas , Publicaciones Periódicas como Asunto , Preimpresos como Asunto , Humanos , Difusión de la Información/métodos , Reproducibilidad de los Resultados
12.
J Med Toxicol ; 14(3): 212-217, 2018 09.
Artículo en Inglés | MEDLINE | ID: mdl-29926389

RESUMEN

BACKGROUND: Twitter-based chat groups (tweetchats) structured as virtual journal clubs have been demonstrated to provide value to learners. In order to promote topics in medical toxicology, we developed the #firesidetox tweetchat as a virtual journal club to discuss and disseminate topics in medical toxicology. METHODS: A group of medical toxicologists from the American College of Medical Toxicology (ACMT) Public Affairs Committee and editorial board of the Journal of Medical Toxicology (JMT) developed a quarterly one hour tweetchat featuring JMT manuscripts. We gathered basic twittergraphics and used a healthcare hashtag aggregator to measure the number of impressions, participants, and tweets per tweetchat session. A qualitative analysis of important themes from #firesidetox was also completed. RESULTS: During five tweetchats over 12 months, we attracted a mean of 23 participants generating a mean of 150 tweets per #firesidetox tweetchat. Tweets generated a mean of 329,200 impressions (unique user views): these impressions grew by 300% from the first through fifth #firesidetox. The majority of participants self-identified as medical toxicologists or physician learners. Although most were from the USA, participants also came from Australia, Poland, and Qatar. Most tweets centered on medical education and 7.9% tweets were learner-driven or questions asking for a medical toxicologist expert opinion. CONCLUSION: The #firesidetox attracted a diverse group of toxicologists, learners, and members of the public in a virtual journal club setting. The increasing number of impressions, participants, and tweets during #firesidetox demonstrates the tweetchat model to discuss pertinent toxicology topics is feasible and well received among its participants.


Asunto(s)
Difusión de la Información/métodos , Medios de Comunicación Sociales , Toxicología , Internet , Médicos
13.
Radiography (Lond) ; 24(1): 3-8, 2018 02.
Artículo en Inglés | MEDLINE | ID: mdl-29306372

RESUMEN

INTRODUCTION: Online Twitter journal clubs are a recent and popular innovation with the potential to increase research awareness and inform practice. The medical radiation sciences' MedRadJournalClub (MJRC) is a Twitter-based event that attracts a global group of participants at the monthly chats. An analysis of a recent MedRadJournalClub discussion evaluated the perceived benefits and limitations of medical radiation practitioners participating in an online journal club. METHODS: The February 2017 chat used for analysis was based on the Journal of Medical Imaging and Radiation Sciences article by Currie et al. "Twitter Journal Club in Medical Radiation Science" that examines the educational theory behind learning and evidencing professional development through MRJC and social media. The data consisted of chat tweets which were collated using the Twitter advanced search function using the #medradjclub. An initial reviewed was performed to exclude irrelevant content. A second review was then undertaken to categorize the main theme of the tweet. The data were then subjected to thematic analysis which yielded seven different categories. RESULTS: The main benefits included global access due to the online nature of MRJC that has facilitated networking and collaboration. Open access to recently published research was another key benefit. The character limitation of a tweet was the most common constraint, and the dynamic nature of the twitter conversation requires multi-tasking that may be difficult. CONCLUSION: Our analysis indicated that participants use MedRadJournalClub as a source of continuing professional development with some evidence that this is directly informing clinical and educational practice.


Asunto(s)
Educación Médica Continua/métodos , Publicaciones Periódicas como Asunto , Radiología/educación , Comunicación Académica , Medios de Comunicación Sociales , Humanos
14.
Occup Ther Health Care ; 32(1): 72-78, 2018 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-29265958

RESUMEN

Academic programs are tasked with the responsibility of providing support for fieldwork educators who provide training for their students. This article describes a pilot program wherein nine fieldwork educators participated in a weekly online journal club to gain increased knowledge of evidence-based supervision strategies. Program assessment indicated that an online journal club was feasible and well accepted by the fieldwork educators and that the participants valued the opportunity to connect and discuss the role with other fieldwork educators.


Asunto(s)
Preceptoría/métodos
15.
J Nurs Manag ; 26(1): 42-49, 2018 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-28799281

RESUMEN

AIM: To describe whether an action learning-inspired journal club for nurse leaders can develop the leaders' self-perceived competences to support a research culture in clinical nursing practice. BACKGROUND: Development of clinical research capacity and nurse leaders with the requisite competences are key factors in evidence-based health care practice. This study describes how nurse leaders at a large regional hospital took part in a journal club for nurse leaders, with a view to developing their competences to support a nursing research culture in their departments. METHODS: A pilot study using a multimethod approach to evaluate the journal club for nurse leaders. Four nurse leaders participated in the journal club for nurse leaders. Content analysis on the data was performed. RESULTS: Data revealed that participation in journal club for nurse leaders gave the leaders a feeling of increased competences to support nursing research culture in their departments. They stated that the action learning approach and the competences of the facilitator were key factors in this outcome. CONCLUSIONS: An action learning-inspired journal club for nurse leaders can be useful and meaningful to nurse leaders in developing leadership competences. IMPLICATIONS FOR NURSING MANAGEMENT: As an approach in journal club for nurse leaders, action learning can develop nurse leaders' competence to support a research culture, and thus ensure evidence-based nursing is practised.


Asunto(s)
Enfermeras y Enfermeros/psicología , Investigación en Enfermería , Publicaciones Periódicas como Asunto/estadística & datos numéricos , Grupos de Autoayuda/tendencias , Dinamarca , Enfermería Basada en la Evidencia/métodos , Humanos , Investigación en Enfermería/organización & administración , Investigación en Enfermería/tendencias , Proyectos Piloto , Recursos Humanos
16.
J Surg Educ ; 75(3): 722-729, 2018.
Artículo en Inglés | MEDLINE | ID: mdl-28822821

RESUMEN

BACKGROUND: Journal clubs play an important role in the education of orthopaedic surgery residents; however, there are sparse data available on the characteristics that make journal clubs effective. OBJECTIVE: The primary goal of this study was to determine the characteristics of effective journal clubs as identified by orthopaedic residents and faculty. We sought to compare the opinions of residents and faculty in order to identify areas that may benefit from future research and discussion. DESIGN: Orthopaedic surgery residents and faculty at residency programs around the country were surveyed anonymously. The survey was designed to determine the contribution of various journal club characteristics on the effectiveness of journal club. Nonparametric statistics were used to test for goodness-of-fit, and to compare responses between faculty and residents. RESULTS: A total of 204 individuals participated. The most important goals of journal clubs were teaching the skillset of evaluating scientific papers (2.0 ± 1.2 [mean rank ± standard deviation, on a scale of 6, with 1 being most important]), encouraging participants to read current orthopaedic literature, (2.4 ± 1.1), and instilling career-long habits of reading the orthopaedic literature among residents (3.1 ± 1.3). Mandatory attendance (71.8%), monthly journal clubs (80.9%), resident presentation of articles (86.7%), and discussion of 3 to 5 papers (78.7%) were thought to lead to more effective clubs. The most clinically relevant articles published within the last year (63.8%), and classic articles that have influenced practice (68.1%) were preferred. Participation and attendance (2.4 ± 1.5) and paper selection (2.6 ± 1.5) were the most important characteristics overall. CONCLUSIONS: In orthopaedics, journal clubs fulfill the role of encouraging reading of the literature, as well as educating residents and faculty. There are many possible club formats, but some are clearly felt to be more effective. Particular attention should be paid to attendance, participation, and paper selection.


Asunto(s)
Educación de Postgrado en Medicina/métodos , Docentes Médicos/organización & administración , Internado y Residencia/organización & administración , Ortopedia/educación , Publicaciones Periódicas como Asunto , Femenino , Humanos , Factor de Impacto de la Revista , Masculino , Evaluación de Programas y Proyectos de Salud , Encuestas y Cuestionarios , Estados Unidos
17.
J Am Med Inform Assoc ; 24(6): 1192-1203, 2017 Nov 01.
Artículo en Inglés | MEDLINE | ID: mdl-28541552

RESUMEN

OBJECTIVE: Critical appraisal of clinical evidence promises to help prevent, detect, and address flaws related to study importance, ethics, validity, applicability, and reporting. These research issues are of growing concern. The purpose of this scoping review is to survey the current literature on evidence appraisal to develop a conceptual framework and an informatics research agenda. METHODS: We conducted an iterative literature search of Medline for discussion or research on the critical appraisal of clinical evidence. After title and abstract review, 121 articles were included in the analysis. We performed qualitative thematic analysis to describe the evidence appraisal architecture and its issues and opportunities. From this analysis, we derived a conceptual framework and an informatics research agenda. RESULTS: We identified 68 themes in 10 categories. This analysis revealed that the practice of evidence appraisal is quite common but is rarely subjected to documentation, organization, validation, integration, or uptake. This is related to underdeveloped tools, scant incentives, and insufficient acquisition of appraisal data and transformation of the data into usable knowledge. DISCUSSION: The gaps in acquiring appraisal data, transforming the data into actionable information and knowledge, and ensuring its dissemination and adoption can be addressed with proven informatics approaches. CONCLUSIONS: Evidence appraisal faces several challenges, but implementing an informatics research agenda would likely help realize the potential of evidence appraisal for improving the rigor and value of clinical evidence.


Asunto(s)
Medicina Basada en la Evidencia , Revisión de la Investigación por Pares , Investigación Biomédica Traslacional , Informática Médica , Publicaciones Periódicas como Asunto , Edición
18.
Worldviews Evid Based Nurs ; 13(2): 163-71, 2016 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-26765809

RESUMEN

BACKGROUND: Two previous systematic reviews describe studies on journal clubs from 1995 to 2007. AIMS: To gather, assess, and synthesize the current empirical evidence on implementation of journal clubs, influencing factors, and outcomes of journal clubs in promoting evidence-based nursing. DESIGN: A systematic review based on the procedure of the Centre for Reviews and Dissemination. DATA SOURCES AND METHODS: Cochrane, CINAHL, and PubMed Medline databases were sought from 2008 to 2015. The final data consisted of 10 studies. Articles' references were searched manually. The quality appraisal was made according to study design. Data were analyzed by qualitative content analysis and narrative synthesis. RESULTS: The analyses produced four main categories with 14 subcategories that described the journal clubs: organization, conduct of meetings, influencing factors, and intervention outcomes. Journal clubs had been carried out in a fairly uniform manner in different nursing communities. There remains a lack of evidence on journal clubs' impact on evidence-based nursing (EBN) implementation, which challenges the development of journal clubs' content and methods. LINKING EVIDENCE TO ACTION: Because journal clubs have achieved a uniform and easy-to-follow manner that is suitable for different nursing contexts and provide multiple positive outcomes, they are recommended for EBN. In work communities, journal clubs should be combined with other well-known factors that promote EBN implementation. The assessment of the outcomes of journal clubs should cover all learning categories of EBN with a focus on medium- to long-term effectiveness. The evaluation of the effectiveness of journal clubs on patient care is of great importance for future studies.


Asunto(s)
Enfermería Basada en la Evidencia/métodos , Procesos de Grupo , Publicaciones Periódicas como Asunto , Desarrollo de Personal/métodos , Humanos
19.
Nurse Educ Today ; 37: 173-7, 2016 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-26763208

RESUMEN

BACKGROUND: To improve journal club participation, innovative approaches are required but few have been described. It was unknown if adding an element of competition, to an established journal club, would increase nurses' participation. OBJECTIVE: To explore the impact on attendance and participation in a hospital-wide nursing journal club through the introduction of an element of competition. DESIGN: A descriptive exploratory study. SETTING AND PARTICIPANTS: An Australian specialist tertiary paediatric hospital with over 1600 nurses. METHODS: In 2013, 12 hospital wards/departments were randomly assigned a month each to present journal club. Nurses were supported to evaluate an article according to a published framework. A predetermined rubric guided marking. Post competition, all hospital nurses received an anonymous online survey invitation. Demographic, Likert scale and qualitative data were collected. Questions elicited attitudes and perceived barriers or facilitators to participation in the journal club. RESULTS: Compared to 2012, there was a statistically significant increase in journal club attendance (2013 median=20.5 [IQR=18.2, 27.7] vs. 2012 median=9 [IQR=6.5, 12.5], Mann-Whitney U test, p<0.01). Full online survey responses were received from 289/1674 (response rate 17.3%) of sent invitations (Non-Attendees n=224, Attendees n=65 (including 18 presenters). Overall, Attendees reported journal club had a positive impact on their professional engagement. Presenters rated the journal club format highly as it developed skills and increased their confidence in journal club presentation. Emergent themes were time and location, engagement, topics and content. CONCLUSION: A competition format can increase nurses' journal club attendance and participation. Further work is required to establish applicability of this format to other settings.


Asunto(s)
Conducta Competitiva , Enfermeras Pediátricas/psicología , Publicaciones Periódicas como Asunto , Actitud del Personal de Salud , Australia , Educación Continua en Enfermería , Enfermería Basada en la Evidencia/educación , Humanos , Enfermeras Pediátricas/educación , Encuestas y Cuestionarios
20.
Gerontol Geriatr Med ; 2: 2333721416653036, 2016.
Artículo en Inglés | MEDLINE | ID: mdl-28680935

RESUMEN

Evidence has accumulated in support of the role of Journal Clubs (JC) as an effective educational tool especially in promoting critical appraisal skills, and improving knowledge of epidemiology and biostatistics. However, the educational underpinnings that inform the process and explain how learning occurs within the context of JCs have not been investigated. We conducted a qualitative study among the members of the geriatric JC to better understand the process of learning in a JC setting. We employed a two-step methodology starting with a nominal group technique and followed by one to one semi-structured interviews. The members of the JC were in various stages of their medical training, as well as attending physicians (consultants). This study confirms that the JC in geriatrics provides significant learning through its unique style. The JC may be envisaged as a community of practice offering learning experience even for senior physicians. The learning that occurs is enhanced by relating the content to real life clinical cases and through promoting group interaction, discussion and dialogue. The attending physicians added to the learning process by helping to link pieces of information together and demonstrating its relevance to clinical practice.

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