BURN NURSE CERTIFICATION LINDA GIBBONS, MS RN NEW YORK PRESBYTERIAN HOSPITAL NEW YORK, NY THANK YOU 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?
WHAT IS CERTIFICATION? Certification a program to verify a person s knowledge, skills, & abilities (Typically done through a test) WHY GET CERTIFIED? Burn Profession/ABA Attract new members Create/retain highly skilled workforce Prestige & credibility int. regulation/avoid ext. imposed regulation Stimulate Research Our Employers Identify qualified workers Burn Nurses Prestige & credibility Recognition (Magnet) Other disciplines recognize Career opportunities Prof. involvement 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 13 Nursing specific Certifying Organizations, - ex. ANCC & AACN
CERTIFYING ORGANIZATIONS - ANCC American Nurses Credentialing Center (NCAA & ABSNC accredited, 47 certification programs) Nurse Practitioner Acute Care; Adult; Family; Pediatrics; Primary Care; Diabetes Management Advanced, Psychiatric Mental Health CNS Pediatric, Adult Gerontology, Public/Community Health, Adult & Child/Adolescent Psychiatric Mental Health Specialty 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? American Burn Association Certification Corporation? 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 Statistician - assist with validity & reliability of exam questions
WHO SHOULD ABA WORK WITH? Work with Certifying Organization ANCC American Nurses Credentialing Center Experience Proven success AACN American Association of Critical Care Nurses Certification Corporation Experience Proven success Become Certifying Organization ABSNC American Board for Specialty Nursing Certification Specializes in Nursing NCAA National Commission for Certifying Agencies* Broad base Collaborate with other disciplines? Recommend: Create a Task Force to Assess CREATING A CERTIFICATION EXAM Step #1: Needs Assessment Survey Step #2: Identify critical skills necessary Step #3: Create Exam Blueprint Step #4: Create Exam Items STEP #1 NEEDS ASSESSMENT SURVEY Measure nursing interest in obtaining certification through a survey Don t move forward without it!
NEEDS ASSESSMENT SURVEY RESULTS (N=414) Question % Highest degree Bachelor s (nursing) Master s Years of Exp: RN / Burn RN >10 1-5 Current position Staff Nurse Other (not NM, CNS, or senior leader) Interested in certification? Yes No Unsure If yes, 1 st choice? Certification exam Certification through portfolio 51 19 53/41 26/32 60 22 86 5 9 53 36 Question % Current certification? Yes No If yes, which certification? CCRN 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) Separate peds/adult certifications? Combined Separate 38 62 57 48 35 12 89 79 59 61 38 STEP #2 IDENTIFY CRITICAL SKILLS 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 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 Based on: Process (nursing assessment process: assessment, dxn, implementation of plan) OR 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? ROLE OF ABA?