Design | Training | Delivery | Evaluation (Outcomes) (Short term) | Evaluation (Impact) (Longer term) |
---|---|---|---|---|
• Length of meeting - 1hour, or dependent on the JC • Frequency of meeting - once every month or every other month • Schedule of meeting - set time agreed by the group • Type of participants - single discipline of allied health or multidisciplinary • Attendance - can be mandatory or voluntary, as set by the JC • Size of group - no optimal number identified | • All members - EBP principles, and processes such as formulation of clinical question, searching for evidence, appraisal of the literature • Facilitator (leader) - same training as members, but will include practical tips for running a JC • Experiential learning on how to implement evidence into practice, gained through JC discussions • Regular monitoring of JCs by iCAHE researchers | • Structured process (see figure 1) • Based on Adult Learning Principles • Well-defined objectives set at the start of JC • Every discussion ends with the resolution of a clinical problem and with a view towards utilising the best available evidence in making clinical decisions and evaluating its effect on practice and health care outcomes • Papers for discussion are circulated prior to the JC meeting; Critical appraisal undertaken using a structured tool | • Ability to recognise uncertainty [41] • Skills to find relevant evidence [41] • Knowledge of critical appraisal concepts, procedures [41] • Skills in summarizing the evidence [41] • Skills in using the evidence to solve problems [41] | • Willingness to apply EBP skills acquired in the journal club in the workplace [41] • Ability to use evidence to facilitate decision making [41] • Using evidence from JC to change organisation/delivery of care [41] |