Nursing peer review process for identified errors
NURS 491 - Nursing Management (D)
Liberty University
Name
2022
Nursing peer review process for identified errors
Collaborative Rural Nurse Peer Review
The identified need that the program was designed to meet
The program was designed to make recommendations about implementing nursing practice peer
review in the small rural facilities. Professional nursing practice necessitates the use of nursing practice
peer review (NPPR). NPPR is the process by which practicing registered nurses access, monitor, and
make judgments regarding the quality of nursing care provided by peers as measured against
professional standards of practice. The goal of the NPPR is to assess the quality of nursing care, identify
strengths and weaknesses, identify opportunities to improve quality and safety and make change
suggestions. Peer review is used in various countries, professions, and educational institutions (Garner,
2015). Peer review allows nurses to assess the quality of care they deliver to clients and look for
methods to improve their practice. However, a survey of the literature reveals that there are few
examples of standardized formal nursing peer review (NPR) methods. Peer-to-peer feedback supplied in
real-time or as a summary over a predetermined period is informal NPR (Semper et al., 2016).
Individuals are sometimes assessed using tools and standards of care unique to their practice unit/area
(Herrington & Hand, 2019). Once a year, informal peer review is sometimes combined with an
individual's organizational performance evaluation. Formal NPR is an organized procedure for evaluating
identified deficiencies in a system or at the individual nurse's practice level. Information on the patient-
specific event is examined by staff familiar with the guidelines, summarized for committee review, and
presented in a structured format with the help of a meeting moderator. Charting, patient advocacy,
clinical skills, competency validation, and staffing concerns can benefit from the findings (Herrington &
Hand, 2019).
A team of nursing leaders and staff nurses from rural and critical access hospitals within 1
health care system was formed to make recommendations about implementing nursing practice
peer review in the small rural facilities.
Within the health care system, a group of nursing leaders and staff nurses from rural and critical access
institutions. A collaborative rural nursing practice peer review council was formed with staff nurses and
leader representation from geographically diverse hospitals
Any identified shortcomings or challenges
The identifieBarriers to implementation of nursing practice peer review in rural hospitals can be
mitigated through a collaborative approach, resulting in efficient and effective processes for small, rural,
and geographically distinct hospitals. Barriers included limited numbers of nurse reviewers by nursing
specialty and inherent bias of reviewers due to personal knowledge of cases and nurses involved.
Interventions: A collaborative rural nursing practice peer review council was created, with staff nurse
and leader representation from geographically distinct facilities.
References
Garner J. K. (2015). Implementation of a Nursing Peer-Review Program in the
Hospital Setting.&Clinical nurse specialist CNS,&29(5), 271–275.
https://doi.org/10.1097/NUR.0000000000000149
Semper, J., Halvorson, B., Hersh, M., Torres, C., & Lillington, L. (2016). Clinical
Nurse Specialists Guide Staff Nurses to Promote Practice Accountability
Through Peer Review.&Clinical nurse specialist CNS,&30(1), 19–27.
https://doi.org/10.1097/NUR.0000000000000157
Herrington, C. R., & Hand, M. W. (2019). Impact of Nurse Peer Review on a
Culture of Safety.&Journal of nursing care quality,&34(2), 158–162.
https://doi.org/10.1097/NCQ.0000000000000361
