Document Detail


An innovative approach to peer review for the advanced practice nurse--a focus on critical incidents.
MedLine Citation:
PMID:  18638177     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: To provide an overview of the development and implementation of a peer review process for advanced practice nurses (APNs) based on critical incidents that provide meaningful evaluation of practice and meets the needs of APNs across multiple care specialties and practice situations. DATA SOURCES: A review of the literature and evaluation of the existing peer review process currently in place at a large tertiary care facility. CONCLUSIONS: Peer review is central to self-regulation and professional practice for APNs. It has been proposed that APNs of similar rank and clinical expertise should participate in peer review. APN peer review and evaluation have traditionally existed as a component of performance evaluation, evaluation of practice patterns, and compliance monitoring, and to evaluate quality indicators. We found no examples of peer review in the context of evaluating a critical incident in the literature. The APN Peer Review Committee and the review process were developed at our institution to provide peer input and communication to all credentialed APNs in incidents regarding appropriateness of care and scope of practice. IMPLICATIONS FOR PRACTICE: APNs must assure that they have a voice in the peer review process. Representation by peers of similar specialty and rank is an important component in the peer evaluation process. The establishment of the APN Peer Review Committee served this purpose for our institution.
Authors:
Katherine J Kenny; Laurie Baker; Marie Lanzon; Lily R Stevens; Margaret Yancy
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of the American Academy of Nurse Practitioners     Volume:  20     ISSN:  1745-7599     ISO Abbreviation:  J Am Acad Nurse Pract     Publication Date:  2008 Jul 
Date Detail:
Created Date:  2008-07-21     Completed Date:  2008-09-17     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8916634     Medline TA:  J Am Acad Nurse Pract     Country:  United States    
Other Details:
Languages:  eng     Pagination:  376-81     Citation Subset:  N    
Affiliation:
St. Joseph's Hospital and Medical Center, Phoenix, Arizona 85013, USA. kjkenny@cox.net
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MeSH Terms
Descriptor/Qualifier:
Evaluation Studies as Topic
Humans
Nurse Practitioners / standards*
Peer Review / methods*
Professional Staff Committees / organization & administration*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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