Clinical Concerns Committee: A Multidisciplinary Approach to Clinical Problem Solving and Evidence-Based Care

Wednesday, 1 August 2012

Karina L. Black, BScN, MN1
Shirley Perry, RN, BN, MN1
Mary Anne Venner, BScN, MN2
Jennifer Shepherd, BScN1
Marcel Romanick, BSc (Pharm)3
Mark Belletrutti, MD4
(1)Pediatric Oncology Program, Stollery Children's Hospital, Edmonton, AB, Canada
(2)Pediatric Hematology Program, Stollery Children's Hospital, Edmonton, AB, Canada
(3)Pharmacy Services, Stollery Children's Hospital, Edmonton, AB, Canada
(4)Division of Pediatric Hematology, Oncology and Palliative Care, University of Alberta, Edmonton, AB, Canada

Learning Objective 1: recognize the key leadership role nursing can play in promoting evidence based practice in their clinical setting.

Learning Objective 2: discuss a potential approach to promote evidence based practice and address clinical issues within a program in our current health care climate.


Pediatric Oncology/Hematology programs are challenged with increasing patient numbers and acuity, which can stretch the resources of an existing program especially in the current economic climate. Finding ways to address clinical concerns and provide evidence based care can be difficult when clinical demands monopolize the focus and time of staff.  Nursing comprises the largest membership in our program and is integral in addressing concerns, promoting change and providing leadership towards excellence in care.


In an effort to effectively and efficiently address the clinical concerns, the Pediatric Oncology/Hematology Program developed a multidisciplinary Clinical Concerns Committee (CCC). The purpose of this committee is to promote consistent and evidenced based care for all Pediatric Oncology/Hematology patients treated at the Stollery Children’s Hospital.


The CCC was established in June 2009 with a core membership including three advanced practice nurses (including the chair), a Hematologist/Oncologist, pharmacist, and clinical nurse educator, with ad hoc members attending when required. Clinical issues are received from any members of the program. The committee has the support of administration for attending regular monthly meetings with secretarial support. CCC is responsible to disseminate information or practice changes back to the program.


The CCC has been successful in the promotion of consistent care within our program. Submissions have come from all disciplines in the program and have ranged from basic to complex care issues. Issues are dealt with efficiently and effectively because of the multidisciplinary and consistent membership.


 The Clinical Concerns Committee is an effective initiative for addressing issues and providing leadership within our pediatric program and institution. The CCC is also now providing a format to initiate research projects around clinical questions.