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

J Nurs Adm. 2025 Sep 1;55(8):443-450. doi: 10.1097/NNA.0000000000001608. Epub 2025 Aug 13.

Abstract

Objective: To explore RNs' perceptions of peer-to-peer feedback (PF), their comfort with giving/receiving PF, and its impact on autonomy/patient safety.

Background: PF promotes professional governance, self-regulation, empowerment, safety, and quality. Robust empirical evidence of effective PF processes is lacking.

Methods: 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.

Results: 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.

Conclusions: 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.

Publication types

  • Multicenter Study

MeSH terms

  • Adult
  • Attitude of Health Personnel
  • Female
  • Humans
  • Job Satisfaction*
  • Male
  • Middle Aged
  • Nursing Staff, Hospital* / psychology
  • Nursing Staff, Hospital* / standards
  • Patient Safety
  • Peer Review*
  • Professional Autonomy
  • Quality of Health Care
  • Surveys and Questionnaires