Correctional Nursing
Establishing a Specialty Practice



                                    1
Objectives
• Describe the advances made in
  establishing the specialty practice of
  correctional nursing
• List componen...
Specialty Nursing Practice
• Emerged in late 70’s and early 80’s
• Factors
  – Increasingly complex patient presentation
 ...
Nursing Certification
The formal recognition of the specialized
 knowledge, skills, and experience
 demonstrated by the ac...
Nursing Credentialing
• Licensure:
     •   Restrictive: Governmental requirement for practice
     •   Protects practice ...
History of Correctional
       Nursing

                          6
Inmate Care before Reform
•   Absence of Care
•   Care by other inmates
•   Care by officers
•   Un-trained staff




    ...
Civil Rights Movement
• Environment of Care
• Health Care Services
• Equal Care




                               8
The Evolution of Correctional
                Nursing
•   Rena Murtha (1975)
•   Estelle vs. Gamble (1976)
•   American Me...
Professionalism in Practice
 Recognition as a Nursing Specialty

                                      10
Why Another Examination?
• The scope of correctional nursing practice requires
  competence in the application of specific...
CCHP-N

• Certified Correctional Health Professional
  – Nurse

• Registered Nurses who have
  demonstrated, through the p...
CCHP-N
                    Eligibility
• Current CCHP certification
• Current, active RN license within a U.S. state or
  ...
CCHP – N
              Recertification
• Annual recertification
• No additional fees; annual $75 fee will
  include both b...
Why Become CCHP-N Certified
• Validation of Correctional Nursing
  Practice Knowledge
• Attainment of a Professional Stand...
Creating the CCHP – N
  Certification Exam

                        16
Certification Examination
              Characteristics
• Appropriate: related to competencies
  required for performance ...
Components of Certification Exam
         Development
• Test Content Outline Development
   – Task Statement Development
•...
Certification Exam Development
                Team
• Psychometrician Nurse Consultant
• Correctional Nurse Focus Group
  ...
Test Content Outline
• Extent and organization of exam content
  – facilitates candidate prep
  – Guides item writing
• Ba...
Job Analysis (Practice Analysis)

• Supports the content validity/job relatedness
  of a certification exam
• Links exam c...
Job Analysis Process
• Panel of subject matter experts (SMEs)
  specify a content outline and relevant job
  KSAs through ...
Job Analysis
    Sources of Job Information/Tasks
• Subject Matter Experts (SMEs)
• NCCHC standards
• ANA standards
• Corr...
Job Analysis: Phase I
              Delineation of Job
• Objective catalogue of job descriptors or tasks
  – Identifies th...
Job Analysis: Phase II
          Validation Study
•   Preparing task inventory
•   Developing the sample
•   Pilot-testing...
Job Analysis: Example Survey




                               26
Remaining Certification Exam
     Development Components
• Test Content Outline Development
   – Task Statement Developmen...
The Future of Correctional
        Nursing

            Evidenced Based Care
                   Research
Integration of St...
Nursing Research

• The impact of nursing care delivery on patient
  outcomes
• Measure care provided by nurses and the co...
Integration of Nursing Standards



• National Commission on Correctional
  Health Care




                              ...
Centers of Excellence

  Nationally Recognized
Correctional Health Facilities




                                 31
Council on Correctional Nursing




                                  32
Thank You!
For more on the specialty practice of
Correctional Nursing be sure to attend the
following session

The ANA Sco...
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102 Correctional Nursing Final 040609

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Describing a new nursing specialty certification program for correctional nursing practice

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102 Correctional Nursing Final 040609

  1. 1. Correctional Nursing Establishing a Specialty Practice 1
  2. 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. 3. Specialty Nursing Practice • Emerged in late 70’s and early 80’s • Factors – Increasingly complex patient presentation – Technologically sophisticated work environment 3
  4. 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. 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. 6. History of Correctional Nursing 6
  7. 7. Inmate Care before Reform • Absence of Care • Care by other inmates • Care by officers • Un-trained staff 7
  8. 8. Civil Rights Movement • Environment of Care • Health Care Services • Equal Care 8
  9. 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. 10. Professionalism in Practice Recognition as a Nursing Specialty 10
  11. 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. 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. 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. 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. 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. 16. Creating the CCHP – N Certification Exam 16
  17. 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. 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. 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. 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. 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. 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. 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. 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. 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. 26. Job Analysis: Example Survey 26
  27. 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. 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. 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. 30. Integration of Nursing Standards • National Commission on Correctional Health Care 30
  31. 31. Centers of Excellence Nationally Recognized Correctional Health Facilities 31
  32. 32. Council on Correctional Nursing 32
  33. 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
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