Peer Review Outcomes Supporting Professional Nursing Excellence and Readiness: A Multisite Study.

To explore RNs' perceptions of peer-to-peer feedback (PF), their comfort with giving/receiving PF, and its impact on autonomy/patient safety. PF promotes professional governance, self-regulation, empowerment, safety, and quality. Robust empirical evidence of effective PF processes is lacking. A descriptive, correlational study with an online PF survey was used to measure RNs' perceptions of PF, and potential correlates with nursing autonomy, satisfaction, and patient safety/quality. Of 983 RNs, 588 (59.8%) reported that PF was a comfortable/positive experience and was viewed as valuable for identifying care issues and fostering growth. A strong correlation to work satisfaction was found among nurses who felt autonomous and engaged in PF concerning care quality. Study outcomes confirm the predictive value of nurses' perceived comfort in giving/receiving PF to enhance autonomy, quality/safety, and satisfaction. Data support the need for organizational leaders to strengthen the structures and processes to support a robust peer feedback program.