Impact of Nurse Peer Review on a Culture of Safety. Issue 2 (April 2019)

• Record Type: Journal Article
• Authors: Herrington, Cynthia R.; Hand, Mikel W.
• Is Part Of: Journal of nursing care quality. Volume 34:Issue 2(2019)
• Publication Date: 2019-04
• Subjects: nursing peer review -- nursing practice -- patient safety -- peer review -- safety culture; Nursing -- Standards -- Periodicals; Nursing audit -- Periodicals; Health facilities -- Safety measures -- Periodicals; Nurse administrators -- Periodicals; 610.73
• DOI: 10.1097/NCQ.0000000000000361
• Languages: English
• ISSNs: 1057-3631

Abstract

Abstract : Background: Nursing peer review (NPR) is essential in evaluating nursing practice. A common theme throughout the literature is that NPR holds nurses accountable for their practice. Problem: The nursing profession has struggled to conduct peer review consistently due to lack of a standardized framework. Approach: A NPR program was developed, implemented, and evaluated in a 355-bed acute care hospital in the Midwestern United States. Outcomes: A pre- and postdesign using the Agency for Healthcare Research and Quality Hospital Survey on Patient Safety Culture was used for evaluation. Paired t test results revealed statistically significant differences in group means for 2 questions: mistakes have led to positive changes here ( P < .001, d = 1.31), and staff will freely speak up ( P = .002, d = 0.67). Clinically significant differences in group means were noted for the remaining survey items. Conclusions: Implementation of an NPR program is a promising means to improve the culture of safety in health care institutions. Abstract : Supplemental Digital Content is Available in the Text.