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Abujaber AA, Nashwan AJ. Nursing privilege: A concept analysis. Nurs Open 2024; 11:e2120. [PMID: 38511562 PMCID: PMC10955619 DOI: 10.1002/nop2.2120] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/30/2023] [Revised: 01/14/2024] [Accepted: 02/07/2024] [Indexed: 03/22/2024] Open
Abstract
AIM The study aimed to provide a comprehensive concept analysis of nursing privileges by elucidating its meaning and implications within the healthcare context. DESIGN A concept analysis paper. METHODS A comprehensive literature review was conducted from nursing and healthcare databases, professional nursing organizations, and regulatory bodies. Documents reviewed include research studies, policy documents and professional guidelines. The study employed Walker and Avant's eight-step method of concept analysis. This involved identifying the uses of the concept, its underlying attributes and referents, and constructing model, borderline, related and contrary cases. The antecedents, consequences and empirical referents of nursing privileges were also determined. RESULTS The analysis uncovered vital attributes defining nursing privileges, encompassing professional authority, autonomy, access to resources, information, influence, decision-making power, respect and recognition. Additionally, antecedents and consequences of nursing privilege were identified, spanning development and resource access, as well as professional satisfaction and enhanced patient care. PATIENT OR PUBLIC CONTRIBUTION No patient or public contribution.
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Schumaker J, Bronow KD, Stocking JC. The 2022 Certified Flight Registered Nurse Pulse Survey. Air Med J 2023; 42:263-267. [PMID: 37356887 DOI: 10.1016/j.amj.2023.04.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2023] [Revised: 03/31/2023] [Accepted: 04/04/2023] [Indexed: 06/27/2023]
Abstract
OBJECTIVE The Certified Flight Registered Nurse (CFRN) credential independently validates a registered nurse's advanced knowledge, skills, and abilities in the unique specialty of flight nursing. Introduced in 1993 and celebrating its 30th anniversary in July 2023, the CFRN is held by over 5,500 registered nurses. The purpose of the 2022 CFRN pulse survey was to better understand the ways CFRN-certified registered nurses value this national flight nursing specialty credential. The CFRN survey is a companion to the 2022 Certified Transport Registered Nurse pulse survey, which focused on the Certified Transport Registered Nurse critical care ground transport nursing credential. METHODS The Board of Certification for Emergency Nursing e-mailed individuals in its database of CFRN credential holders and asked them to respond to a 14-question online survey between October 17, 2022, and November 8, 2022. Participation in the survey was voluntary. Of the 5,275 verified CFRN holders who received the survey, 992 responded, for a response rate of 18.8%. The survey instrument included discrete field and open-ended questions. Data were deidentified for analysis, and institutional review board exemption was received. Counts and percentages were reported, and descriptive statistics were used. RESULTS The highest percentage of flight nurses who responded have more than 10 years of experience in flight nursing (35.3%) and are employed by a stand-alone transport program (42.7%). Flight nurses reported they spent a mean of 70% of their work hours transporting via rotor wing aircraft, with a predominantly adult patient population. The top perceived benefits of being a CFRN-certified nurse were a sense of accomplishment and pride (90.7%) followed by flight physiology knowledge (85.4%), flight nursing clinical knowledge (83.4%), and confidence as a flight nurse (80.6%). CONCLUSION The 2022 CFRN pulse survey identified current CFRN demographics, practice environments including transport percentage by mode and patient population types, and perceived benefits of the CFRN credential. The findings suggest CFRNs are very experienced, provide care for patients across the age continuum, and perceive multiple intrinsic and extrinsic benefits of CFRN certification, all of which are essential to safe, evidence-based advanced nursing practice in the unique, complex, autonomous, and dynamic flight environment.
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Affiliation(s)
- Janie Schumaker
- Board of Certification for Emergency Nursing, Oak Brook, IL.
| | | | - Jacqueline C Stocking
- Department of Internal Medicine and Division of Pulmonary, Critical Care, and Sleep Medicine, UC Davis Health, Sacramento, CA
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The 2022 Certified Transport Registered Nurse Pulse Survey. Air Med J 2023; 42:54-57. [PMID: 36710037 DOI: 10.1016/j.amj.2022.10.016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/29/2022] [Revised: 09/30/2022] [Accepted: 10/28/2022] [Indexed: 11/13/2022]
Abstract
OBJECTIVE The certified transport registered nurse (CTRN) credential independently validates a registered nurse's advanced knowledge, skills, and abilities in critical care ground transport nursing. After multiple years of mostly modest growth, the number of CTRNs surged in 2020 and 2021 and continues to post strong growth into 2022. The aim of the 2022 Certified Transport Registered Nurse Pulse Survey was to better understand the ways in which CTRN-certified registered nurses value this national ground transport specialty credential and gain insight into factors that may have contributed to the recent surge in CTRN certification. METHODS The Board of Certification for Emergency Nursing e-mailed individuals in its database of CTRN credential holders and invited them to complete an 11-question online survey between March 15 and March 28, 2022. Participation in the survey was voluntary. Sixty-three of 297 verified CTRN holders who received the survey responded for a response rate of 21.2%. The survey instrument included discrete field and open-ended questions. Data were deidentified for analysis, and institutional review board exemption was received. Descriptive statistics were used, and counts and percentages are reported. RESULTS The highest percentage of respondents (42.9%) have 10 or more years of experience in ground transport nursing, and nearly half (46%) are employed by a stand-alone transport program. Forty-three percent of all respondents reported that ground transport makes up at least 50% of their current role, whereas one third (33.3%) indicated they do ground transport 100% of the time. Critical thinking (87.5%) in the ground transport environment, confidence as a ground transport nurse (87.5%), and a sense of accomplishment and pride (94.6%) were the top 3 perceived benefits of being a CTRN-certified nurse. CONCLUSION The 2022 CTRN pulse survey identified current CTRN demographics, practice environments, and perceived benefits of the CTRN credential. The findings suggest CTRNs are highly experienced and perceive multiple intrinsic and extrinsic benefits of CTRN certification, many of which are essential to safe, evidence-based nursing practice in the autonomous, complex, and dynamic ground transport environment.
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Halverson CC, Scott Tilley D. Creating a culture of support for nursing surveillance. Nurs Forum 2022; 57:1204-1212. [PMID: 36308313 DOI: 10.1111/nuf.12823] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/02/2022] [Revised: 08/26/2022] [Accepted: 10/02/2022] [Indexed: 06/16/2023]
Abstract
BACKGROUND An estimated 98,000 deaths annually result from medical errors. Preventing these deaths must be a US healthcare goal. Surveillance decreases adverse events. Surveillance is essential for patient safety. Creating a unit culture that supports surveillance requires attention to its antecedents (nurse education, nurse expertise, nurse staffing, as well as organizational culture). METHOD The current literature on topics salient to creating a culture of nursing surveillance including its antecedents and its attributes were reviewed. The findings are summarized and presented. DISCUSSION Suggestions and tools enhancing a culture of safety allow the transition from one set of behaviors to another. An organizational culture that strives for excellence promotes surveillance which results in improved patient outcomes and better qualified nurses. CONCLUSION Unit change resulting in support for surveillance can minimize failure to rescue and promote interruption of adverse events. The patient outcomes include decreased morbidity and mortality.
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Affiliation(s)
| | - Donna Scott Tilley
- Research and Clinical Scholarship, College of Nursing, Texas Woman's University, Denton, Texas, USA
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Queirós SMM, Pinto IES, de Brito MAC, Santos CSVDB. Nursing interventions for the promotion of tracheostomy self-care: A scoping review. J Clin Nurs 2021; 30:3055-3071. [PMID: 34101275 DOI: 10.1111/jocn.15823] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/17/2021] [Revised: 04/01/2021] [Accepted: 04/08/2021] [Indexed: 11/27/2022]
Abstract
AIMS AND OBJECTIVES To map nursing interventions, their characteristics, and outcomes, in promoting self-care of the person with a tracheostomy. BACKGROUND The development of competencies in self-care of a person with a tracheostomy is recognised as one of the most significant nursing intervention areas for the promotion of autonomy, prevention of complications and adaptation. Identifying nursing interventions for the promotion of self-care of the person with a tracheostomy enables enhanced clinical practice knowledge within different care contexts and the identification of gaps in the available evidence. DESIGN The Joanna Briggs Institute (JBI) methodology was used to perform this scoping review. METHOD A search was conducted on the CINAHL, Scopus, Web of Science, PubMed, JBI Database of Systematic Reviews and Implementation Reports, and Cochrane Database of Systematic Reviews. The search for grey literature included Portugal´s Open Access Scientific Repository, OpenGrey, and ProQuest Dissertations and Theses. Studies published in Portuguese, English, Spanish and French were included. The PRISMA-ScR checklist was used. RESULTS From a total of 4,224 identified articles, 31 were included in this review. Multiple nursing interventions were identified and grouped into four types of action: informing, managing, determining and attending. Although most interventions are implemented with the face-to-face method, there is a growing interest in using technologies for this purpose. The dose is the characteristic most poorly described in interventions. Various results were obtained; however, valid assessment tools were not always used. CONCLUSIONS Designing and testing intervention programmes for the promotion of self-care of the person with a tracheostomy is necessary, based on available and robust evidence to guide clinical practice. RELEVANCE TO CLINICAL PRACTICE This review allowed to systematise nursing interventions to promote self-care of the person with a tracheostomy. The use of combined interventions and methodologies is likely to be more effective in care delivery.
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Affiliation(s)
- Sílvia Maria Moreira Queirós
- Institute of Health Sciences, Universidade Católica Portuguesa, Porto, Portugal.,Hospital Epidemiology Center, Centro Hospitalar Universitário de S. João, Porto, Portugal
| | - Igor Emanuel Soares Pinto
- Institute of Health Sciences, Universidade Católica Portuguesa, Porto, Portugal.,Surgery Department, Hospital Pedro Hispano, Unidade Local de Saúde de Matosinhos, Portugal.,Nursing School of Porto, Porto, Portugal
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Stucky CH, De Jong MJ, Wymer JA. Certified Surgical Services Manager (CSSM): The New Gold Standard for Perioperative Nurse Leaders. J Perianesth Nurs 2020; 35:557-563. [PMID: 32732003 DOI: 10.1016/j.jopan.2020.04.003] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/29/2020] [Revised: 04/07/2020] [Accepted: 04/09/2020] [Indexed: 11/26/2022]
Abstract
Specialty certification promotes improved surgical outcomes, enhances health care quality, and is an important external benchmark of overall clinician competence. Given the growing technological, financial, and administrative demands of the modern health care system, the roles of perianesthesia and perioperative nurse managers are increasingly complex. The Certified Surgical Services Manager (CSSM) certification establishes a standard of excellence for perioperative managers, demonstrating that they possess the capacity to adapt and lead in the continually evolving roles of perioperative leadership and surgical services management. In this article, we comprehensively review CSSM certification and offer insights into the importance of lifelong learning and continuous professional development. The topics discussed include the advantages of holding the CSSM credential, the importance of specialty certification, and a general examination overview. In addition, we emphasize the value of the CSSM credential and adopting it as the national standard for surgical service managers.
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Affiliation(s)
- Christopher H Stucky
- Center for Nursing Science and Clinical Inquiry, Womack Army Medical Center, Fort Bragg, NC.
| | | | - Joshua A Wymer
- Nursing Administration, Naval Medical Center San Diego, San Diego, CA
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Chappell K, Newhouse R, Lundmark V, ElChamaa R, Jeong D, Gallagher DK, Salt E, Kitto S. Methods of nursing certification in North America-A scoping review. Nurs Outlook 2020; 68:484-493. [PMID: 32359922 DOI: 10.1016/j.outlook.2020.04.003] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/03/2020] [Accepted: 04/04/2020] [Indexed: 11/30/2022]
Abstract
BACKGROUND Definitions of nursing certification are lacking in the research literature and research on certification in nursing is remarkably limited. METHODS A six-stage scoping review framework was used to identify the nature, extent, and range of certification within the nursing literature. FINDINGS Thirty-six articles were included in this scoping review. Most originated in the United States (89%), were classified as research articles (56%), and used a quantitative approach (90%). The majority focused on initial certification (50%), and written examination was the most prevalent approach to certification (39%). Missing and incomplete data were prevalent. DISCUSSION The overall lack of nursing certification origin, focus, methodological rigor, and clear certification mastery criteria have hindered meaningful study of the relationship between nursing certification and patient outcomes. Common data elements, reporting standards, and observational studies linking common data elements and patient outcomes could guide future research and improve the transparency of certification processes and reporting.
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Affiliation(s)
- Kathy Chappell
- Institute for Credentialing Research and Quality Management, American Nurses Credentialing Center, Silver Spring, MD
| | | | - Vicki Lundmark
- Institute for Credentialing Research and Quality Management, American Nurses Credentialing Center, Silver Spring, MD
| | - Rima ElChamaa
- Department of Innovation in Medical Education and Office of Continuing Professional Development, Faculty of Medicine, University of Ottawa, Ottawa, Ontario, Canada
| | - Dahn Jeong
- Department of Innovation in Medical Education and Office of Continuing Professional Development, Faculty of Medicine, University of Ottawa, Ottawa, Ontario, Canada
| | | | - Elizabeth Salt
- University of Kentucky, College of Nursing, Lexington, KY
| | - Simon Kitto
- Department of Innovation in Medical Education and Office of Continuing Professional Development, Faculty of Medicine, University of Ottawa, Ottawa, Ontario, Canada.
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Whitehead L, Ghosh M, Walker DK, Bloxsome D, Vafeas C, Wilkinson A. The relationship between specialty nurse certification and patient, nurse and organizational outcomes: A systematic review. Int J Nurs Stud 2019; 93:1-11. [PMID: 30822555 DOI: 10.1016/j.ijnurstu.2019.02.001] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2018] [Revised: 12/04/2018] [Accepted: 02/01/2019] [Indexed: 01/13/2023]
Abstract
OBJECTIVES To review the current evidence on the relationship between specialty nurse certification and outcomes. DESIGN A structured and comprehensive systematic review was undertaken using the Joanna Briggs Institute framework to include both published research studies and expert opinion papers. DATA SOURCES Four electronic databases CINAHL, MEDLINE, PubMed, and PsychINFO were searched between 2000 and 2018. The search for expert opinion papers included nursing organizations, OaLster, Grey Literature Report, and The National Database of Nursing Quality Indicators. REVIEW METHODS The records generated through the search were exported to EndNote X8 and duplicates were removed. Title and abstracts of the records were screened by three reviewers for eligibility using the selection criteria. In the absence of an abstract, records were retained for full text review. Full text assessment of each paper was conducted by two reviewers with a third referee, if necessary, to review any discrepancies. In the case of multiple articles drawing on one set of primary data, only one article was included. A review of each article was completed using the JBI Quality Appraisal checklists to assess internal and external reliability and validity. Both quality appraisal and data extraction were conducted by the review team independently and were validated by one other member of the team. Discrepancies were resolved through rigorous discussion between the reviewers. RESULTS Forty one original research studies were included in the final analysis of the literature. The findings from the included articles were synthesized into three major categories and subsequent sub-categories: Patient outcomes, nurse outcomes and organizational outcomes. Twenty seven findings contributed to the sub-category of specialty nurse certification and patient outcomes. Patient outcomes were further classified into nurse sensitive outcomes, patient mortality and patient satisfaction. Fifty-four findings related to nurse outcomes with the sub-categories: personal and professional factors, knowledge and skills, organizational commitment, job satisfaction, empowerment and confidence. Six findings related to organizational benefits: including the sub-categories of nursing turnover and vacancy rates, perception of healthcare, and costs to the organization. CONCLUSIONS The current model risks driving further proliferation of specialty certifications and certifying organizations without questioning the assumptions underlying the goals of certification. The challenges of measuring impact and the cost and value to individual nurses and healthcare organizations are key areas for consideration.
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Affiliation(s)
- Lisa Whitehead
- School of Nursing and Midwifery, Edith Cowan University, Western Australia.
| | - Manonita Ghosh
- School of Nursing and Midwifery, Edith Cowan University, Western Australia
| | | | - Dianne Bloxsome
- School of Nursing and Midwifery, Edith Cowan University, Western Australia
| | - Caroline Vafeas
- School of Nursing and Midwifery, Edith Cowan University, Western Australia
| | - Anne Wilkinson
- School of Nursing and Midwifery, Edith Cowan University, Western Australia
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Constructing a Sensitizing Definition of Certification in Nursing for Research Purposes. ACTA ACUST UNITED AC 2019; 49:12-18. [DOI: 10.1097/nna.0000000000000701] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Conceptualization and Operationalization of Certification in the US and Canadian Nursing Literature. ACTA ACUST UNITED AC 2018; 48:238-246. [DOI: 10.1097/nna.0000000000000608] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Nursing Specialty Certification and Patient Outcomes: What We Know in Acute Care Hospitals and Future Directions. ACTA ACUST UNITED AC 2017. [DOI: 10.1016/j.java.2017.06.002] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
Abstract
Purpose: To discuss the current research evidence about the relationship of nursing specialty certification and patient outcomes in acute care hospitals, interpret research findings within Needleman's Expanded Conceptual Model for Credentialing Research, provide future direction for research using Needleman's model, and discuss how Needleman's model applies to vascular access certification.
Review of Literature: Studies have found relationships between higher rates of nursing specialty certification and lower rates of total patient falls, pressure injuries, selected hospital-acquired infections, failure to rescue, and death. Inconsistent or contradictory evidence exists for the association of specialty certified nurses and lower total patient fall rates, selected hospital-acquired infection rates, and hospital-acquired pressure injuries. In addition, many of the significant associations supporting a relationship between specialty certified nurses and better patient outcomes are weak and may not be clinically meaningful. Many completed studies were not guided by a conceptual framework or model.
Conclusions: Needleman's Expanded Conceptual Model for Credentialing Research provides a mechanism for driving theory-based research about the association of specialty certification and patient outcomes by providing specific intervening variables: invisible architecture, work organization, and performance. Specific aspects of the model can be studied using large datasets such as the National Database of Nursing Quality Indicators.
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The Relationship Between Specialty Certification of Individual Nurses and Outcomes. ACTA ACUST UNITED AC 2017; 47:245-247. [DOI: 10.1097/nna.0000000000000473] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Haut C, Madden M. Hiring appropriate providers for different populations: acute care nurse practitioners. Crit Care Nurse 2017; 35:e1-8. [PMID: 26033108 DOI: 10.4037/ccn2015972] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2022]
Abstract
Acute care nurse practitioners, prepared as providers for a variety of populations of patients, continue to make substantial contributions to health care. Evidence indicates shorter stays, higher satisfaction among patients, increased work efficiency, and higher quality outcomes when acute care nurse practitioners are part of unit- or service-based provider teams. The Consensus Model for APRN Regulation: Licensure, Accreditation, Certification, and Education outlines detailed guidelines for matching nurse practitioners' education with certification and practice by using a population-focused algorithm. Despite national support for the model, nurse practitioners and employers continue to struggle with finding the right fit. Nurse practitioners often use their interest and previous nursing experience to apply for an available position, and hospitals may not understand preparation or regulations related to matching the appropriate provider to the work environment. Evidence and regulatory guidelines indicate appropriate providers for population-focused positions. This article presents history and recommendations for hiring acute care nurse practitioners as providers for different populations of patients.
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Affiliation(s)
- Cathy Haut
- Cathy Haut is a pediatric nurse practitioner working in both acute and primary care settings as well as a faculty member in the pediatric nurse practitioner programs at the University of Maryland School of Nursing.Maureen Madden is a pediatric critical care nurse practitioner at the Bristol-Myers Squibb Children's Hospital. She is on the faculty at the Rutgers Robert Wood Johnson Medical School. She currently serves as president of the Pediatric Nursing Certification Board.
| | - Maureen Madden
- Cathy Haut is a pediatric nurse practitioner working in both acute and primary care settings as well as a faculty member in the pediatric nurse practitioner programs at the University of Maryland School of Nursing.Maureen Madden is a pediatric critical care nurse practitioner at the Bristol-Myers Squibb Children's Hospital. She is on the faculty at the Rutgers Robert Wood Johnson Medical School. She currently serves as president of the Pediatric Nursing Certification Board
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Stobinski JX. Certification and patient safety. AORN J 2015; 101:374-8. [PMID: 25707730 DOI: 10.1016/j.aorn.2014.11.018] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2014] [Accepted: 11/30/2014] [Indexed: 10/24/2022]
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Braine ME, Cook N. An evaluation of post-registration neuroscience focused education and neuroscience nurses' perceived educational needs. NURSE EDUCATION TODAY 2015; 35:1069-1074. [PMID: 26116030 DOI: 10.1016/j.nedt.2015.05.021] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/12/2015] [Revised: 05/25/2015] [Accepted: 05/30/2015] [Indexed: 06/04/2023]
Abstract
BACKGROUND People with complex neurological conditions require co-ordinated care provided by nurses educated in meeting service needs, understanding the pathophysiological processes of disease and the preparation to care for those with complex needs. However, evidence suggests that neuroscience specific education provision is largely unregulated and set outside of a cohesive professional development context. Furthermore, it largely seems to only address the induction phase into working within neurosciences. OBJECTIVES To evaluate the nature of post-registration neuroscience focused education across Europe and neuroscience nurses' perceived educational needs. METHODS Post qualifying nurses working in the field of neurosciences were invited to complete a self-reported 29-item on-line questionnaire that contained closed and open-ended questions exploring professional background, clinical and educational experience, educational opportunities available to them and their perspectives on their educational needs. RESULTS 154 participants from fourteen countries across Europe completed the survey. 75% (n=110) of respondents had undertaken neuroscience focused education with the most accessible education opportunities found to be conferences 77% (n=96) and study days 69% (n=86). Overall, 52.6% of courses were multidisciplinary in nature, and 47.4% were exclusively nursing. Most identified that their courses were funded by their employer (57%, n=63) or partly funded by their employer. Results illustrate a significant variance across Europe, highlighting the need for more effective communication between neuroscience nurses across Europe. Implications for future education provision, recruitment/retention, and funding are discussed, resulting in recommendations for the future of neuroscience nursing. CONCLUSIONS This study, the largest of its kind to survey neuroscience nurses, illustrates the absence of a cohesive career development pathway for neuroscience nurses in Europe. Nurses need quality assured specialist education to deliver high quality appropriate healthcare.
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Affiliation(s)
- Mary E Braine
- School of Nursing, Midwifery, Social Work & Social Sciences, University of Salford, Salford, England M6 6PU, United Kingdom.
| | - Neal Cook
- School of Nursing, Ulster University, Londonderry, Northern Ireland BT48 7JL, United Kingdom.
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Longitudinal Association of Registered Nurse National Nursing Specialty Certification and Patient Falls in Acute Care Hospitals. Nurs Res 2015; 64:291-9. [PMID: 26049719 PMCID: PMC4894769 DOI: 10.1097/nnr.0000000000000107] [Citation(s) in RCA: 40] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/02/2022]
Abstract
Supplemental Digital Content is available in the text Background Researchers have studied inpatient falls in relation to aspects of nurse staffing, focusing primarily on staffing levels and proportion of nursing care hours provided by registered nurses (RNs). Less attention has been paid to other nursing characteristics, such as RN national nursing specialty certification. Objective The aim of the study was to examine the relationship over time between changes in RN national nursing specialty certification rates and changes in total patient fall rates at the patient care unit level. Methods We used longitudinal data with standardized variable definitions across sites from the National Database of Nursing Quality Indicators. The sample consisted of 7,583 units in 903 hospitals. Relationships over time were examined using multilevel (units nested in hospitals) latent growth curve modeling. Results The model indices indicated a good fit of the data to the model. At the unit level, there was a small statistically significant inverse relationship (r = −.08, p = .04) between RN national nursing specialty certification rates and total fall rates; increases in specialty certification rates over time tended to be associated with improvements in total fall rates over time. Discussion Our findings may be supportive of promoting national nursing specialty certification as a means of improving patient safety. Future study recommendations are (a) modeling organizational leadership, culture, and climate as mediating variables between national specialty certification rates and patient outcomes and (b) investigating the association of patient safety and specific national nursing specialty certifications which test plans include patient safety, quality improvement, and diffusion of innovation methods in their certifying examinations.
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Boyle DK, Cramer E, Potter C, Gatua MW, Stobinski JX. The Relationship Between Direct-Care RN Specialty Certification and Surgical Patient Outcomes. AORN J 2014; 100:511-28. [DOI: 10.1016/j.aorn.2014.04.018] [Citation(s) in RCA: 29] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/08/2013] [Revised: 03/29/2014] [Accepted: 04/16/2014] [Indexed: 10/24/2022]
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