102 Correctional Nursing Final 040609

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Describing a new nursing specialty certification program for correctional nursing practice

Describing a new nursing specialty certification program for correctional nursing practice

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  • 1. Correctional Nursing Establishing a Specialty Practice 1
  • 2. Objectives • Describe the advances made in establishing the specialty practice of correctional nursing • List components necessary in the development of a nursing specialty certification • Outline progress thus far in establishing a Correctional Nursing Specialty Certification 2
  • 3. Specialty Nursing Practice • Emerged in late 70’s and early 80’s • Factors – Increasingly complex patient presentation – Technologically sophisticated work environment 3
  • 4. Nursing Certification The formal recognition of the specialized knowledge, skills, and experience demonstrated by the achievement of standards identified by a nursing specialty to promote optimal health outcomes. 4
  • 5. Nursing Credentialing • Licensure: • Restrictive: Governmental requirement for practice • Protects practice and title • To protect public from incompetent practitioners • Usually includes examination/assessment • Certification: • Voluntary: Non-governmental; not required for practice • Recognizes individual’s advanced knowledge & skill • To inform public that certified individuals have certain degree of knowledge & skill • Usually includes examination/assessment 5
  • 6. History of Correctional Nursing 6
  • 7. Inmate Care before Reform • Absence of Care • Care by other inmates • Care by officers • Un-trained staff 7
  • 8. Civil Rights Movement • Environment of Care • Health Care Services • Equal Care 8
  • 9. The Evolution of Correctional Nursing • Rena Murtha (1975) • Estelle vs. Gamble (1976) • American Medical Association • National Commission on Correctional Health Care • American Nurses Association • Certified Correctional Health Professionals • Academy of Correctional Health Professionals • Correctional Nursing Specialty Certification Exam 9
  • 10. Professionalism in Practice Recognition as a Nursing Specialty 10
  • 11. Why Another Examination? • The scope of correctional nursing practice requires competence in the application of specific principles and a unique body of knowledge to the care of the inmate/patient • Therefore, practicing correctional nurses should be afforded the opportunity to demonstrate competence in the field and receive the appropriate recognition 11
  • 12. CCHP-N • Certified Correctional Health Professional – Nurse • Registered Nurses who have demonstrated, through the practice of correctional nursing, a foundation of knowledge that can be validated through a recognized CCHP-N certification process 12
  • 13. CCHP-N Eligibility • Current CCHP certification • Current, active RN license within a U.S. state or territory or the professional, legally recognized equivalent in another country, not restricted to corrections only • Equivalent of 2 years of full-time practice as a registered nurse • At least 2,000 hours of practice in a correctional setting within the last 3 years • 54 hours of continuing education in nursing – 18 hours specific to correctional healthcare within the last 3 years 13
  • 14. CCHP – N Recertification • Annual recertification • No additional fees; annual $75 fee will include both basic and nursing certification • CE requirements: 18 hours of nursing CE with 6 specific to correctional health care • Attestation that RN license is still in good standing • No retest required 14
  • 15. Why Become CCHP-N Certified • Validation of Correctional Nursing Practice Knowledge • Attainment of a Professional Standard • Recognition of Expertise • Enhanced Personal Satisfaction • Personal Accomplishment • Increased Job Satisfaction 15
  • 16. Creating the CCHP – N Certification Exam 16
  • 17. Certification Examination Characteristics • Appropriate: related to competencies required for performance on the job or in the profession • Fair: provide opportunity for success; lack of success means deficit in competence • Accurate: valid (measure what it is supposed to measure) and reliable (measure it consistently) 17
  • 18. Components of Certification Exam Development • Test Content Outline Development – Task Statement Development • Job Analysis Survey Instrument • Survey Administration and Analysis – Validation of Test Content Outline • Refine the Test Content Outline • Determine Percentage Distribution of Questions across Content Outline • Identify Pre-requisites/Qualifications of Examinees • Determine Re-certification Requirements • Finalize Examination Format 18
  • 19. Certification Exam Development Team • Psychometrician Nurse Consultant • Correctional Nurse Focus Group – CCHP certified – Many years correctional nursing experience – Representing all practice settings • Juvenile • Jails • Prisons • County, State, Federal 19
  • 20. Test Content Outline • Extent and organization of exam content – facilitates candidate prep – Guides item writing • Based on job requirements • Consists of KSAs delineated by job analysis • Weighting of content areas delineated by job analysis 20
  • 21. Job Analysis (Practice Analysis) • Supports the content validity/job relatedness of a certification exam • Links exam content to the job • Ensures accurate delineation of work, tasks, and/or knowledge, skills, abilities (KSAs) required to perform the job 21
  • 22. Job Analysis Process • Panel of subject matter experts (SMEs) specify a content outline and relevant job KSAs through a series of discussion, review, and approval meetings/conference calls • Approved KSAs assembled into a survey format • Job incumbents complete the survey by rating the frequency and priority of each KSA 22
  • 23. Job Analysis Sources of Job Information/Tasks • Subject Matter Experts (SMEs) • NCCHC standards • ANA standards • Correctional health care policies and procedures • Correctional health care publications (journals, books, on-line sources) • Correctional nurse job descriptions • Existing specialty nurse task lists 23
  • 24. Job Analysis: Phase I Delineation of Job • Objective catalogue of job descriptors or tasks – Identifies things done on the job and abilities required to complete tasks successfully • Statement defines only a single work task • Each task distinguishable from all others • Subject Matter Experts (SMEs): – Define major job performance domains/categories & initial delineation of tasks and KSAs – Review and refine performance dimensions, tasks, KSAs 24
  • 25. Job Analysis: Phase II Validation Study • Preparing task inventory • Developing the sample • Pilot-testing the task inventory • Surveying job incumbents • Collecting data • Analyzing data and determining weights for content outline areas 25
  • 26. Job Analysis: Example Survey 26
  • 27. Remaining Certification Exam Development Components • Test Content Outline Development – Task Statement Development • Job Analysis Survey Instrument • Survey Administration and Analysis – Validation of Test Content Outline • Refine the Test Content Outline • Determine Percentage Distribution of Questions across Content Outline • Identify Pre-requisites/Qualifications of Examinees • Determine Re-certification Requirements • Finalize Examination Format 27
  • 28. The Future of Correctional Nursing Evidenced Based Care Research Integration of Standards Specific to Nursing Practice with NCCHC Standards Council on Correctional Nursing Centers of Excellence Leadership 28
  • 29. Nursing Research • The impact of nursing care delivery on patient outcomes • Measure care provided by nurses and the cost of care • Nursing care in terms of legal litigation • Role of nursing in promoting continuity of care • The nurse’s role in managing chronic disease • Levels of nursing practice in correctional settings • The benefit of nursing leadership to care delivery 29
  • 30. Integration of Nursing Standards • National Commission on Correctional Health Care 30
  • 31. Centers of Excellence Nationally Recognized Correctional Health Facilities 31
  • 32. Council on Correctional Nursing 32
  • 33. Thank You! For more on the specialty practice of Correctional Nursing be sure to attend the following session The ANA Scope and Standard of Practice for Correctional Nursing 2:30pm - 4:00pm Today This Room 33