Development and Program Evaluation of NPD Practitioner Peer Review Process
Ryann Basiliere, MSN, RN; Laura Wilkinson, BSN, RN, CCRN
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Our hospital performed a cultural assessment of nursing practice using Nelson and Burns (2005) framework of high performance programming model. This framework consisted of four levels of development based on characteristics of behaviors or habits within a microsystem. The levels include reactive, responsive, proactive and high performing. The assessment revealed that 47% of the nursing care environment is responsive. The responsive level behaviors include a reluctance to speak up regarding safety concerns and a lack of self-awareness of developmental needs. A robust action plan was developed. This action plan included the implementation of nursing peer review. The NPD practitioners began planning for peer review implementation by preforming a literature review. Abundant in the literature are the 1988 ANA principles of peer review. A key principle, nursing peer review at all levels, served as an opportunity for the NPD practitioners to leverage their nursing skills and sphere of influence. The NPD practitioners developed, implemented and evaluated their own peer review process. The tool was created using essential role functions. This tool consisted of 10 questions that correlated to 10 different standards from the ANA Standards of Practice for Nursing Professional Development. Evaluation of projects and programs was also a focus of the peer review tool. Evaluation exemplars were included and designed with Kirkpatrick Evaluation Model and the Logic Model. Outcomes were the advancement of developmental level and a repository of learning programs and PI projects that can easily be disseminated at the regional or national level.
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