Marianjoy Library

Online Nursing Journal Club

September, 2013

Welcome to the online Nursing Journal Club! The articles for this month will count for 1.25 continuing education credit and will be available through September 30.

Discussion Via Google Docs/Drive

Reading Assignment:

Article 1
Patient Protection and Affordable Care Act: Potential Effects on Physical Medicine and Rehabilitation
Arch Phys Med Rehabil. 2012 Jun;93(6):929-34. doi: 10.1016. Epub 2012 Mar 26.
Boninger JW, Gans BM, Chan L.


The objective was to review pertinent areas of the Patient Protection and Affordable Care Act (PPACA) to determine the PPACA's impact on physical medicine and rehabilitation (PM&R). The law, and related newspaper and magazine articles, was reviewed. The ways in which provisions in the PPACA are being implemented by the Centers for Medicare and Medicaid Services and other government organizations were investigated. Additionally, recent court rulings on the PPACA were analyzed to assess the law's chances of successful implementation. The PPACA contains a variety of reforms that, if implemented, will significantly impact the field of PM&R. Many PPACA reforms change how rehabilitative care is delivered by integrating different levels of care and creating uniform quality metrics to assess quality and efficiency. These quality metrics will ultimately be tied to new, performance-based payment systems. While the law contains ambitious initiatives that may, if unsuccessful or incorrectly implemented, negatively impact PM&R, it also has the potential to greatly improve the quality and efficiency of rehabilitative care. A proactive approach to the changes the PPACA will bring about is essential for the health of the field.

Full text available from your library

Article 2

Health Care Reform & Issues in Nursing. The PPACA and its impact on Medical-Surgical nursing.

Med-Surg Matters, 2011 Sep-Oct; 20 (5): 14-6. (3 ref).
Hertel, Robing.

This article will highlight several aspects of the PPACA that will affect medical-surgical nursing. Funding for the programs discussed here is not guaranteed; budgetary discussions have stalled the implementation of all the changes and it is almost certain that any funds received will be at markedly reduced levels from fiscal year 2011 funding. Five articles of the act will be discussed to inform the medical-surgical nurse and to serve as a call to action. (No author abstract available).

Full text available from your library

The purpose of the online Nursing Journal Club is to facilitate the use of evidence-based practice in providing excellent nursing care.


  • Identify at least two potential impacts on nurses of the PPACA
  • Identify at least two proposed benefits of the PPACA

Contact Person: Cindy Bright, E-mail   Phone: 630.909.8027                 
Provide your e-mail address

  • you may use either your personal or Marianjoy e-mail address
  • Article will be e-mailed to you
  • Google Docs/Drive will be used for discussion

For further information or any questions, please contact Cindy Bright

Sign Up: SIGN-UP by August 31 to receive article on September 1.

Available Credits: 1.25 Contact Hours

Instructions for receiving the credits:

There are 3 parts to earning CE credit for this article. All components must be completed between September 1 and September 30, 2013:

  1. After reading the article, there is a short post-test on the Learning Link. To get to the module, open and login to Learning Link, click View course catalog, select All courses, and then enter PRCH4014 to find the August journal module. You must complete the post-test on or before September 30 and score at least 80% correct to earn CE credit.
  2. An evaluation of this learning opportunity is required to obtain the CE credit. A link to the evaluation will be found at the end of the post-test.
  3. As part of the requirements to earn the CE credit, you must participate in a discussion about the articles. This discussion will take place via Google Docs/Drive. A Nursing Journal Club designee will generate the discussion. You must respond / participate in the discussion at least 1 time by September 30 to be compliant.

To add some extra excitement to our Journal Club, we will be offering a $25 gift card in a raffle drawing for members that earn CE credit over the next three months. Raffle will take place at the end of September. Be sure to participate so your name will be included in the drawing. As an additional perk, if a participant encourages another Journal Club member to join in the discussion (and the referred member states the referring member’s name in their discussion), we will add the referring member’s name an additional time in the drawing. Remember that both members must earn their CE credit for the month for the referring member to be entered an additional time in the drawing.

The winner will be notified by e-mail and the gift card will be sent to them within 2 weeks after the close of the month.

Instructions to access the Google Docs/Drive Web page for Discussion and to post comments:

  • Click on Google Docs/Drive or the following Link/URL:

  • Ignore the message to upgrade to a modern browser, such as Google Chrome and click on Dismiss (this message may appear on the top)
  • Click on the Comments button (top Right hand) to add your comment
  • Please sign your full name after each comment
  • After typing your comments, click on Comments one more time; you will be able to see your comments
  • For a reply to a specific comment, you may use the Reply button; the comment will appear next to that specific comment, or you may generate your own comment

It should take you approximately 1 hour to read the articles, take the quiz and complete the evaluation. 

As a member of the Nursing Journal Club, you will automatically receive subsequent articles on the first of each month. If you would like to cancel your membership at any time, please contact Cindy Bright via e-mail or contact her at 630.909.8027. We will send out a flyer announcing the next article approximately 2 weeks prior to sending it out.

We are excited that you are interested in this new opportunity. We welcome any comments or suggestions you may have.

Marianjoy Rehabilitation Hospital- Professional Practice Committee, (OH-387, 9/28/2013) is an approved provider of continuing nursing education by the Ohio Nurses Association (OBN-001-91), an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation.

As required by the American Nurses Credentialing Center’s Accreditation Program, we would like to make you aware of all potential conflicts of interest(s). This educational activity’s planners and presenters have indicated that they have no bias or conflict of interest. Marianjoy Rehabilitation Hospital has not received any commercial support for this program. There will not be any endorsement of products or discussion of off-lable use.

The Marianjoy Online Nursing Journal Club is a joint effort between the Nursing Department, the Medical Library, and the Research Department







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