Implementation and evaluation of a peer review process for advanced practice nurses in a university hospital setting

J Am Assoc Nurse Pract. 2017 Jul;29(7):369-374. doi: 10.1002/2327-6924.12471. Epub 2017 May 30.

Abstract

Background and purpose: Over the past decade, implementation of the peer review process for the development of the advanced practice nurse (APN) has been emphasized. However, little exists in the literature regarding APN peer review. The peer review process is intended to help demonstrate competency of care, enhance quality improvement measures, and foster the professional growth of the APN.

Methods: APNs serving on a professional governance council within a university teaching hospital developed a model of peer review for APNs. Nine months after the tool was implemented, an anonymous follow-up survey was conducted. A follow-up request was sent 4 weeks later to increase the number of respondents. Likert scales were used to elicit subjective data regarding the process.

Conclusions: Of 81 APNs who participated in the survey, more than half (52%) felt that the process would directly improve their professional practice.

Implications for practice: Survey results show that the peer review process affected APN professional practice positively. Additional research might include pathways for remediation and education of staff, evaluation of alternate methods to improve application to clinical practice, and collection of outcome data. The models presented provide a foundation for future refinement to accommodate different APN practice settings.

Keywords: Peer review; advanced practice nurse; clinical competency; nurse practitioner; professional.

MeSH terms

  • Academic Medical Centers / methods
  • Academic Medical Centers / organization & administration
  • Advanced Practice Nursing* / methods
  • Advanced Practice Nursing* / standards
  • California
  • Clinical Competence / standards*
  • Humans
  • Nurse Practitioners / education
  • Peer Review / methods*
  • Peer Review / standards*
  • Process Assessment, Health Care / methods*
  • Process Assessment, Health Care / standards
  • Surveys and Questionnaires
  • Workforce