Marianjoy Library

Online Nursing Journal Club

March, 2015

Welcome to the online Nursing Journal Club! The articles for this month will count for 2.0 continuing education credits. Attached are the articles in PDF format. These articles will be available through March 31. Discussion Via Google Docs/Drive

Reading Assignment:

Article # 1

Myasthenia gravis vs. Guillain-Barré syndrome—What's the difference?
Moore, Ann S, Shepard, Leslee H.

Nursing Made Incredibly Easy! August 2014; 12(2): 20-30
Available Full-Text only from the Marianjoy network.

Managing the care of patients with a neurologic disorder can be complicated. Providing nursing care for these patients becomes even more complex when the signs and symptoms of two completely different conditions are closely related. Prime examples of this are myasthenia gravis (MG) and Guillain-Barre syndrome (GBS).This article will help you differentiate between these two conditions so that you can be better prepared to plan, manage, and implement appropriate nursing interventions when providing care for patients with MG or GBS (see Comparing MG and GBS and Comparing assessments and interventions for MG and GBS).MG is an acquired autoimmune disease...

Article # 2

Multiple sclerosis: an overview.

D'Arcy, Caroline.

Nursing & Residential Care (NURS RESIDENTIAL CARE), 2012 Jul; 14 (7): 335-7. (26 ref)

Available Full-Text only from the Marianjoy network


In the first part of the series, Caroline D'Arcy explains how different types of this progressive and comlex neurological disease affect people and what this means for care providers.

Article # 3

Critical illness polyneuromyopathy.

Confer, Jennifer; Wolcott, Janet; Hayes, Robert

American Journal of Health-System Pharmacy, 2012 Jul 15; 69 (14): 1199-205.

Available Full-Text only from the Marianjoy network


Purpose. The clinical characteristics of and treatment approaches for critical illness polyneuromyopathy (CIPNM) are reviewed. Summary. CIPNM is an acute axonal sensory-motor polyneuropathy that tends to occur after the development of respiratory insufficiency in patients with systemic inflammatory response syndrome, sepsis, or multiple-organ dysfunction syndrome. Numerous mechanisms have been proposed to explain the pathophysiology of CIPNM, most of which are complex and not fully understood or proven. While the rate of intensive care unit-acquired weakness varies greatly among patients, an estimated 25-85% of critically ill adult patients will develop neuromuscular weakness, most commonly CIPNM, during hospitalization. While no specific pharmacologic treatments exist for CIPNM, the outcome for most patients is related to the severity of the illness and neuromyopathy, as well as early intervention to treat the underlying condition.

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 differences between myasthenia gravis and Guillain-Barre
  • Identify at least one strategy for preventing critical illness polyneuromyopathy
  • Identify at least two symptoms of multiple sclerosis

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 February 28 to receive articles on March 1.

Available Credits: 2.0 Contact Hours

Instructions for receiving the credits:

There are 3 parts to earning CE credit for these articles. All components must be completed between between March 1 and March 31, 2015:

  1. After reading the articles, there is a short post-test on the Learning Link. To find the Learning Link module, open and login to Learning Link, click View course catalog, enter PRCH4030 in the Search For box, leave the default category as All courses and then click the Search button to find the March 2015 journal club module. You must complete the post-test on or before March 31 and score at least 80% correct to earn CE credit.
  2. An evaluation of this learning opportunity is required to obtain CE credit. A link to the Survey Monkey evaluation will be found at the end of the post-test in Learning Link. It should take you about two hours to read the articles, take the quiz, complete the evaluation and participate in the discussion.
  3. As part of the requirements to earn 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 participate in the discussion at least 1 time by by March 31 to earn CE credit. The discussion is intended to clarify or provide fellow participants with further information on this topic. Suggested discussion focus:
    • Your experience caring for patients with neurological diseases
    • How you plan to use the information provided in these articles in your practice
    • Respond to another participant’s comments

Raffle opportunity

To add some extra excitement to our Journal Club, we will be offering a $25 gift card in a raffle drawing every quarter for members that earn CE credit. The current raffle covers the months of January, February, and March and the raffle will take place at the end of March. 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 via 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:

  • If you have not already done so, place a Help Desk call to have Google Chrome added to your desktop. Then proceed as follows:
  • If Google Chrome is your default web browser, click on the following Link/URL:
  • If Google Chrome is not your default web browser, open Google Chrome, copy the URL link above and paste into the address bar in Google Chrome
  • Click on the Comments button (top Right hand) to add your comment
  • Please sign your full name and location 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 1.5 hours 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.


If you are having trouble accessing the article or should you have any other questions, please contact Cindy Bright: or 630.909.8027.  We are excited that you are interested in this opportunity.   We welcome any comments or suggestions you may have.    For further information, visit us at Online Nursing Journal Club.

This program will award 2.0 hours of CE credit. 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 the presenter(s) have indicated they have no bias or conflict of interest. There has been no commercial support for this program.

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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