LINDA GIBBONS, MS RN
NEW YORK PRESBYTERIAN HOSPITAL NEW YORK, NY
Martha A. Q. Curley, RN, PhD, FAAN Synergy: The Unique Relationship Between Nurses and Patients. The AACN Synergy Model for Patient Care
Former Chairman: American Association of Critical Care Nurses With AACN credentialing arm, developed the Synergy Model Professor of Nursing at UPenn & Nurse Scientist in Critical Care & Cardiovascular Nursing at Children's Hospital Boston.
Work r/t clinical management of critically ill infants, children & their families Received >$18M as PI and >$48M as co-PI in research awards of primarily federal grants
What is certification?
Why should we want it?
How do we get it?
Role of the ABA?
a program to verify a person’s knowledge,
skills, & abilities
(Typically done through a test)
WHAT IS CERTIFICATION?
WHY GET CERTIFIED?
Burn Profession/ABA •Attract new members
•Create/retain highly skilled workforce
•Prestige & credibility
•int. regulation/avoid ext. imposed regulation
Our Employers •Identify qualified workers
Burn Nurses •Prestige & credibility
•Other disciplines recognize
Burn-injured Patients •Health & safety:
•Est. prof standards
•Quality of services
NURSE CERTIFICATION STRUCTURE
American Board of Nursing Specialties (ABNS)
↓ Accrediting arm
Accreditation Board for Specialty Nursing Certification (ABSNC) ↓ Accredits
• 19 Certifying Organizations (ALL NURSING) – ex. ANCC
Institute for Credentialing Excellence (ICE)
↓ Accrediting arm
•National Commission for Certifying Agencies (NCAA) ↓ Accredits
CERTIFYING ORGANIZATIONS - ANCC
(NCAA & ABSNC accredited, 47 certification programs) Nurse Practitioner
Acute Care; Adult; Family; Pediatrics; Primary Care; Diabetes Management – Advanced, Psychiatric Mental Health
Pediatric, Adult Gerontology, Public/Community Health, Adult & Child/Adolescent Psychiatric – Mental Health
Nurse Executive, Nurse Executive Advanced, Cardiac, Vascular, Medical Surgical, Case Management, Pain, Management, School,
Ambulatory Care, Home Health
CERTIFYING ORGANIZATIONS - AACN
American Association of Critical Care Nurses Certification Corporation
(NCAA Accredited, 10 certification programs)
Specialty & Subspecialty Certifications
Acute/Critical Care; Tele-ICU Acute/Critical Care; Progressive Care; Nurse Manager and Leader; Cardiac
Medicine; Cardiac Surgery
Advanced Practice Certifications
Acute Care NP; CNS: Wellness through Acute Care; Adult Acute Care NP; Acute Care CNS
CERTIFYING ORGANIZATIONS – ABA?
accredited by…ABSNC/NCAA? # certification programs…?
• Create a separate credentialing arm of ABA (like AACN, ENA)? • Must haves:
• Obtain ISO certification (get certified as a certifying body) • Pool of clinical experts
WHO SHOULD ABA WORK WITH?
Work with Certifying Organization
Become Certifying Organization
ANCC American Nurses
Credentialing Center • Experience • Proven success
ABSNC American Board for
Specialty Nursing Certification
• Specializes in Nursing
AACN American Association
of Critical Care Nurses Certification Corporation • Experience
• Proven success
NCAA National Commission
for Certifying Agencies* • Broad base
• Collaborate with other disciplines?
Recommend: Create a Task Force to Assess
CREATING A CERTIFICATION EXAM
Needs Assessment Survey
Identify critical skills necessary
Create Exam Blueprint
Create Exam Items
STEP #1 NEEDS ASSESSMENT
Measure nursing interest in
obtaining certification through a
NEEDS ASSESSMENT SURVEY RESULTS (N=414)Question % Current certification? •Yes •No 38 62
If yes, which certification?
•Other (not PCRN, WOCN)
Hospital financial support?
•Don’t know •None
Why credentialing is valuable?
•Enhance credibility for knowledge in subject
•Est. standards for profession & enhance quality of products & services provided
•Recognition by other bodies (Magnet) 89 79 59
Separate peds/adult certifications?
•Combined •Separate 61 38 Question % Highest degree •Bachelor’s (nursing) •Master’s 51 19
Years of Exp: RN / Burn RN
• >10 •1-5 53/41 26/32 Current position •Staff Nurse
•Other (not NM, CNS, or senior leader) 60 22 Interested in certification? •Yes •No •Unsure 86 5 9 If yes, 1stchoice? •Certification exam •Certification through portfolio
A. Role Delineation Study (Study of Practice/Job Analysis)
• What nurses do & how much of it • Unique skills & knowledge
• Methods to collect/considerations: cost, ease • Compartmentalize work: exam match what RNs doing • Data Collection Tool – what to collect? AACN ex:
• Time spent performing a specific activity • How important to perform activity correctly
STEP #2 IDENTIFY CRITICAL SKILLS
STEP #2 CRITICAL SKILLS
B. Expert Panel • Diverse
•Lg & sm facilities
•Rural & urban
•Teaching & Non-teaching
• Includes members of those being certified
• Creates survey (if survey utilized as collection tool)
• Draws on experience/reviews additional materials • Textbooks
• Journal articles • Practice protocols
STEP #3 CREATE EXAM BLUEPRINT
Process (nursing assessment process:
assessment, dxn, implementation of plan)
Model of Care (ex. AACN Synergy)
STEP #4 CREATE EXAM ITEMS
Individuals trained to write exam items
Sign confidentiality agreement
activities r/t work
STEPS TO CERTIFICATION - ANCC
Certification exam OR certification through portfolio Portfolio assessment: ANCC & Content Expert Panel (CEP) RN - evidence of specialty involvement
•high level practice •relevant CE
•professional development (research, presentation, teaching) Portfolio assessments & guideline recommendations
•American Educational Research Association •American Psychological Association •National Council on Measurement in Education
KEY QUESTIONS TO ANSWER
• What level of nursing practice to certify? • Finances: initial funding & then sustaining? • Administrative oversight/structure
• Resources needed & who provides? • What is the role of the ABA?