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A Descriptive Study of Nursing Peer-Review Programs in US Magnet® Hospitals

Roberts, Holli MSN, RN; Cronin, Sherill Nones PhD, RN-BC

Journal of Nursing Administration: April 2017 - Volume 47 - Issue 4 - p 226–231
doi: 10.1097/NNA.0000000000000469

OBJECTIVE The goal of this study was to assess the types of nursing peer review (NPR) programs in US Magnet® organizations.

BACKGROUND The 2 most predominant models of NPR programs in the literature are performance evaluation and clinical peer review. The literature on clinical peer review is primarily descriptive, outlining structures and anecdotal outcomes.

METHODS Participants from hospitals holding Magnet recognition were selected using a stratified random-sampling method. A survey developed by the researchers assessed the presence of NPR. If clinical NPR was in place, program design, evaluation measurements, and barriers were explored.

RESULTS Findings suggest wide variability in NPR models. More than one-third of the respondents conduct peer evaluation as the only mechanism of NPR. Most hospitals with a clinical peer-review program reported a case review structure and process measurements not supported by data.

CONCLUSIONS The variations noted in this study suggest more research is needed to measure the effectiveness of NPR models and associated outcomes.

Author Affiliations: Nursing Quality/Magnet Coordinator (Ms Roberts), Baptist Health Louisville; and Professor and Chair of Graduate Nursing (Dr Cronin), Bellarmine University, Louisville, Kentucky.

The authors declare no conflicts of interest.

Correspondence: Ms Roberts, 1068 Champions Circle, Simpsonville, KY 40067 (

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