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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.
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Citation: Pautasso M (2013) Ten Simple Rules for Writing a Literature Review. PLoS Comput Biol 9(7): e1003149. https://doi.org/10.1371/journal.pcbi.1003149 . Literature reviews are in great demand in most scientific fields. Their need stems from the ever-increasing output of scientific publications [1]. For example, compared to 1991, in 2008 three, eight, and forty times more papers were indexed in Web of Science on malaria, obesity, and biodiversity, respectively [2]. Given such mountains of papers, scientists cannot be expected to examine in detail every single new paper relevant to their interests [3]. Thus, it is both advantageous and necessary to rely on regular summaries of the recent literature. Although recognition for scientists mainly comes from primary research, timely literature reviews can lead to new synthetic insights and are often widely read [4]. For such summaries to be useful, however, they need to be compiled in a professional way [5]. When starting from scratch, reviewing the literature can require a titanic amount of work. That is why researchers who have spent their career working on a certain research issue are in a perfect position to review that literature. Some graduate schools are now offering courses in reviewing the literature, given that most research students start their project by producing an overview of what has already been done on their research issue [6]. However, it is likely that most scientists have not thought in detail about how to approach and carry out a literature review. Reviewing the literature requires the ability to juggle multiple tasks, from finding and evaluating relevant material to synthesising information from various sources, from critical thinking to paraphrasing, evaluating, and citation skills [7]. In this contribution, I share ten simple rules I learned working on about 25 literature reviews as a PhD and postdoctoral student. I
The purpose of this article is to reflect on the use of journal club exams in an evidence-based health care course for student pharmacists.Three journ…
There has been an explosion of data published in a short period of time about COVID‐19. It can be difficult for learners to stay on top of the latest information while also critically appraisin
PubMed comprises more than 30 million citations for biomedical literature from MEDLINE, life science journals, and online books. Citations may include links to full-text content from PubMed Central and publisher web sites.
Journal clubs are a good way of opening strong interdisciplinary discussion between clinicians or other pertinent disciplines (i.e., physicians, nurses, occupational therapists, physical therapists, and speech-language pathologists, etc.) and initiating implementation of research into practice.
This scoping review aims to gather and map inspiration, ideas and recommendations for teaching evidence-based practice across Professional Bachelor Degree healthcare programmes by mapping literature describing evidence-based practice teaching methods for undergraduate healthcare students including the steps suggested by the Sicily Statement. A computer-assisted literature search using PubMed, Cinahl, PsycINFO, and OpenGrey covering health, education and grey literature was performed. Literature published before 2010 was excluded. Students should be attending either a Professional Bachelor’s degree or a Bachelor’s degree programme. Full-text articles were screened by pairs of reviewers and data extracted regarding: study characteristics and key methods of teaching evidence-based practice. Study characteristics were described narratively. Thematic analysis identified key methods for teaching evidence-based practice, while full-text revisions identified the use of the Sicily Statement’s five steps and context. The database search identified 2220 records. One hundred ninety-two records were eligible for full-text assessment and 81 studies were included. Studies were conducted from 2010 to 2018. Approximately half of the studies were undertaken in the USA. Study designs were primarily qualitative and participants mainly nursing students. Seven key methods for teaching evidence-based practice were identified. Research courses and workshops, Collaboration with clinical practice and IT technology were the key methods most frequently identified. Journal clubs and Embedded librarians were referred to the least. The majority of the methods included 2–4 of the Sicily Statement’s five steps, while few methods referred to all five steps. This scoping review has provided an extensive overview of literature describing methods for teaching EBP regarding undergraduate healthcare students. The two key methods Research courses and workshops and Collaboration with clinical practice are advantageous methods for teaching undergraduate healthcare students evidence-based practice; incorporating many of the Sicily Statement’s five steps. Unlike the Research courses and workshop methods, the last step of evaluation is carried out partly or entirely in a clinical context. Journal clubs and Embedded librarians should be further investigated as methods to reinforce existing methods of teaching. Future research should focus on methods for teaching EBP that incorporate as many of the five steps of teaching and conducting EBP as possible.
The traditional journal club (JC) format of reviewing an article followed by group
discussion may be misaligned with millennial learners’ needs and may not rely on best
principles of adult learning. Our objective was to deliver an interactive JC allowing pediatric residents to critically engage...
I read the article by Miles and Patel [1] with great interest. The authors described
multiple advantages of using Twitter, ranging from personal branding to medical education. Many journals have started using Twitter to conduct online journal clubs, as using Twitter makes it possible to reach a...
J Surg Educ. 2018 Oct 13. pii: S1931-7204(18)30428-8. doi: 10.1016/j.jsurg.2018.09.012. [Epub ahead of print]
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
Journal clubs exist in a variety of forms in medical schools across the United States.
Many incorporate a full spectrum of medical specialties, some are specific to certain
interest groups or specialties, and many widely vary in whether or not they are school
mandated or student-run. While these clubs are ubiquitously scattered throughout medical
education, there has been very little quantitative or qualitative analysis regarding
the efficacy of these clubs in enhancing medical students' abilities to evaluate clinical
literature.
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Introduction : les associations infirmières exigent le développement d’habiletés à intégrer les résultats probants dans la pratique pour favoriser la qualité des soins.Contexte : le manque de confiance personnelle à l’égard des étapes opérationnelles de la pratique informée par les résultats probants serait une barrière à l’intégration des résultats probants à la pratique infirmière.Objectif : évaluer l’effet d’un club de lecture (CL) sur le sentiment d’efficacité personnelle (SEP), les attentes et les intentions d’étudiantes envers l’utilisation des résultats probants.Méthode : devis quasi expérimental, longitudinal avec groupe de comparaison non randomisé.Résultats : la progression du SEP envers l’utilisation des résultats probants était favorable aux étudiantes ayant participé au CL (n = 48) comparativement aux étudiantes qui ont reçu une modalité pédagogique conventionnelle (MPC) (n = 50), mais il n’y a pas eu d’effet d’interaction significatif groupe x temps pour les attentes ou les intentions.Discussion : les changements positifs significatifs au-delà de la MPC peuvent s’expliquer par le fait que le CL intégrait les modes d’influence sur le SEP.Conclusion : l’effet positif associé au CL sur le SEP est difficile à maintenir sans pratique continue. Il est important de maintenir des attentes de résultats élevées dans la formation infirmière.
Journal clubs and book clubs are educational activities used in health sciences education to teach evidence-based decision-making, critical thinking, …
Social media (e.g. Twitter, Facebook, Instagram) are platforms heavily used by medical professionals, and the lay public, to communicate and share results from research studies. Visual abstracts, which are visual representations of research articles, are visually engaging and concise ways of...
Self-evaluation is a critical step in professional development. Peer evaluation may enhance student learning and help peer evaluators recognize their …
Impact of a National Journal Club and Letter Writing Session on Improving Medical Students' Confidence with Critical Appraisal Shyam Ajay Gokani,1,* Ekta Sharma,2,* Tanisha Sharma,3 Shyam Venkatesan Moudhgalya,3 Subothini Sara Selvendran,4 Nikhil Aggarwal5 1Research Department of Primary Care & Population Health, University College London (Royal Free Campus), London, UK; 2Academic Section of Vascular Surgery, Division of Surgery, Imperial College London, Charing Cross Hospital, London, UK; 3Department of Medicine, St George’s University of London, London, UK; 4Department of Medicine, Southampton University, Southampton, UK; 5Department of Medicine, Barts and the London School of Medicine and Dentistry, Queen Mary University of London, London, UK*These authors contributed equally to this workCorrespondence: Shyam Ajay GokaniResearch Department of Primary Care and Population Health, University College London (Royal Free Campus), London, UKTel +44 20 7679 2000Fax +44 20 7472 6871Email shyamg@live.co.ukBackground: Critical appraisal is an important skill for clinicians of the future which medical students often have limited opportunities to develop. This study aimed to evaluate whether a national journal club session could improve medical students’ confidence with critical appraisal.Methods: 98 medical students attended a critical appraisal lecture and supervised journal article discussions. Junior doctor mentors supported students to submit discussion points as a letter-to-the-editor. An online cross-sectional survey was administered before and after the conference.Results: 74 students responded, reporting increased confidence with critically appraising research articles (median score 2 vs 4, p
How much could we improve care if Medicaid addressed social determinants of health?
Digital Medicine Society (DiMe)...
Journal clubs are commonly used by healthcare professionals, including pharmacists, as a means of analyzing and applying research to clinical practice…
Journal clubs (JC) may increase clinicians’ evidence-based practice (EBP) skills and facilitate evidence uptake in clinical practice, however there is a lack of research into their effectiveness in allied health. We investigated the effectiveness of a structured JC that is Tailored According to Research Evidence And Theory (TREAT) in improving EBP skills and practice compared to a standard JC format for allied health professionals. Concurrently, we explored the feasibility of implementing TREAT JCs in a healthcare setting, by evaluating participating clinicians’ perceptions and satisfaction. We conducted an explanatory mixed methods study involving a cluster randomised controlled trial with a nested focus group for the intervention participants. Nine JCs with 126 allied health participants were randomly allocated to receive either the TREAT or standard JC format for 1 h/month for 6 months. We conducted pre-post measures of EBP skills and attitudes using the EBP questionnaire and Assessing Competence in Evidence-Based Medicine tool and a tailored satisfaction and practice change questionnaire. Post-intervention, we also conducted a focus group with TREAT participants to explore their perceptions of the format. There were no significant differences between JC formats in EBP skills, knowledge or attitudes or influence on clinical practice, with participants maintaining intermediate level skills across time points. Participants reported significantly greater satisfaction with the organisation of the TREAT format. Participants in both groups reported positive changes to clinical practice. Perceived outcomes to the TREAT format and facilitating mechanisms were identified including the use of an academic facilitator, group appraisal approach and consistent appraisal tools which assisted skill development and engagement. It is feasible to implement an evidence-based JC for allied health clinicians. While clinicians were more satisfied with the TREAT format, it did not significantly improve their EBP skills, attitudes, knowledge and/or practice, when compared to the standard format. The use of an academic facilitator, group based critical appraisal, and the consistent use of appraisal tools were perceived as useful components of the JC format. A structured JC may maintain EBP skills in allied health clinicians and facilitate engagement, however additional training may be required to further enhance EBP skills.
ACTRN12616000811404
Retrospectively registered 21 June 2016.
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