Date Available


Year of Publication


Degree Name

Doctor of Nursing Practice

Committee Chair

Dr. Debra Hampton

Clinical Mentor

Dr. Kathy Isaacs

Committee Member

Dr. Karen Stefaniak


Background: Nursing peer review is a process of reviewing standard nursing practice in an organization and comparing a nurse’s own practice to that standard. Nursing peer review contributes to the professional practice environment by assuring standard practice and competence, maintaining a culture of accountability, and maintaining psychological safety.

Purpose: The purpose of this project was to design and implement an educational intervention and simulation activity to prepare nurses to have constructive conversations with peers regarding work performance. Evaluation of the intervention would yield increased confidence and competence of nursing staff in giving constructive performance peer feedback.

Conceptual Framework: Bandura’s Social Cognitive Theory informed this study, supporting that adopting new behaviors will allow participants to feel they have control over the needed change. As new behaviors are incorporated into practice, they become habitual and contribute to the practice environment.

Methods: In this quasi-experimental study, a sample (n=16) of nurses in the medicine service line of a hospital in an academic healthcare system participated in an educational session and a simulation activity to provide them with the knowledge to confidently participate in performance feedback conversations with peers.

Results: Data indicate that the education session and simulation activity did improve confidence of nurses in giving constructive feedback to their peers. Feelings of apprehension in giving peer feedback did decrease, though not to a statistically significant level (p = 0.07).

Discussion: Education and practice in this skill result in decreased apprehension in giving feedback and increase confidence of nurses in giving peer feedback. Participants learned to give honest and meaningful information in a timely fashion. Strong communication skills are essential to both patient care and working with the care team. Poor delivery of feedback will damage trust, but will be motivational and goal-directed when done correctly.

Conclusion: In order for meaningful feedback to be shared, nursing staff need to be adequately educated and prepared. Effective communication is essential to building a strong team and creating a psychologically safe practice environment.