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1.
J Nurs Care Qual ; 35(1): E1-E5, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-30817408

RESUMO

BACKGROUND: Certification of nurses has been identified as a strategy to improve health care quality. However, the impact nursing certification has on clinical patient outcomes remains unclear. PURPOSE: The purpose was to examine the relationship between nursing certification and clinical outcomes. METHODS: A systematic review of the literature was conducted through the search of relevant bibliographic databases (CINAHL Plus, PubMed, Medline, and Cochrane Collaboration). RESULTS: Nursing certification was found to have a significant inverse relationship to patient falls and health care-associated infections. Significant correlations were not established in outcomes such as pressure injuries and mortality. CONCLUSIONS: The validation of knowledge through nursing certification has an impact on specific outcomes such as patients falls and health care-associated infections.


Assuntos
Certificação/estatística & dados numéricos , Enfermeiras e Enfermeiros/classificação , Avaliação de Resultados em Cuidados de Saúde/normas , Qualidade da Assistência à Saúde/normas , Certificação/métodos , Escolaridade , Humanos , Enfermeiras e Enfermeiros/estatística & dados numéricos , Avaliação de Resultados em Cuidados de Saúde/estatística & dados numéricos , Qualidade da Assistência à Saúde/estatística & dados numéricos
2.
Pediatrics ; 144(6)2019 12.
Artigo em Inglês | MEDLINE | ID: mdl-31690710

RESUMO

BACKGROUND AND OBJECTIVES: The American Board of Pediatrics (ABP) certifies that general and subspecialty pediatricians meet standards of excellence established by their peers, immediately after training and over the course of their careers (ie, Maintenance of Certification [MOC]). In 2015-2016, the ABP developed the Maintenance of Certification Assessment for Pediatrics (MOCA-Peds) as an alternative assessment to the current proctored, closed-book general pediatrics (GP) MOC examination. This article is 1 of a 2-part series examining results from the MOCA-Peds pilot in 2017. METHODS: We conducted quantitative and qualitative analyses with 5081 eligible pediatricians who registered to participate in the 2017 pilot; 81.4% (n = 4016) completed a quarter 4 survey and/or end-of-year survey (January 2018) and comprise the analytic sample. RESULTS: The majority of pediatricians considered the MOCA-Peds to be feasible and acceptable as an alternative to the proctored MOC GP examination. More than 90% of respondents indicated they would participate in the proposed MOCA-Peds model instead of the examination. Participants also offered recommendations to improve the MOCA-Peds (eg, enhanced focus of questions on outpatient GP, references provided before taking questions); the ABP is carefully considering these as the MOCA-Peds is further refined. CONCLUSIONS: Pilot participant feedback in 2017 suggested that the MOCA-Peds could be implemented for GP starting in January 2019, with all 15 subspecialties launched by 2022. Current and future evaluations will continue to explore feasibility, acceptability, and learning and practice change as well as sustainability of participation.


Assuntos
Atitude do Pessoal de Saúde , Certificação/normas , Competência Clínica/normas , Pediatras/psicologia , Pediatras/normas , Inquéritos e Questionários , Adulto , Idoso , Certificação/métodos , Estudos de Viabilidade , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Projetos Piloto
3.
Pediatrics ; 144(6)2019 12.
Artigo em Inglês | MEDLINE | ID: mdl-31690712

RESUMO

BACKGROUND AND OBJECTIVES: This article is the second of a 2-part series examining results regarding self-reported learning and practice change from the American Board of Pediatrics 2017 pilot of an alternative to the proctored, continuing certification examination, termed the Maintenance of Certification Assessment for Pediatrics (MOCA-Peds). Because of its design, MOCA-Peds has several learning advantages compared with the proctored examination. METHODS: Quantitative and qualitative analyses with 5081 eligible pediatricians who registered to participate in the 2017 pilot; 81.4% (n = 4016) completed a quarter 4 survey and/or the end-of-year survey (January 2018) and compose the analytic sample. RESULTS: Nearly all (97.6%) participating pediatricians said they had learned, refreshed, or enhanced their medical knowledge, and of those, 62.0% had made a practice change related to pilot participation. Differences were noted on the basis of subspecialty status, with 68.9% of general pediatricians having made a practice change compared with 41.4% of subspecialists. Within the 1456 open-ended responses about participants' most significant practice change, responses ranged widely, including both medical care content (eg, "care for corneal abrasions altered," "better inform patients about. . .flu vaccine") and nonspecific content (eg, providing better patient education, using evidence-based medicine, increased use of resources in regular practice). CONCLUSIONS: As a proctored examination alternative, MOCA-Peds positively influenced self-reported learning and practice change. In future evaluation of MOCA-Peds and other medical longitudinal assessments, researchers should study ways to further encourage learning and practice change and sustainability.


Assuntos
Atitude do Pessoal de Saúde , Certificação/normas , Competência Clínica/normas , Educação Médica Continuada/normas , Aprendizagem , Pediatras/normas , Adulto , Certificação/métodos , Educação Médica Continuada/métodos , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Pediatras/psicologia , Projetos Piloto , Padrões de Prática Médica/normas , Inquéritos e Questionários
5.
Orthop Nurs ; 38(4): 234-241, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31343626

RESUMO

BACKGROUND: The Orthopaedic Nurses Certification Board (ONCB) conducts a role delineation study (RDS), also known as a job task analysis, every 5 years. Results identify tasks performed by orthopaedic registered nurses and nurse practitioners, as well as musculoskeletal health conditions commonly experienced by their patients. PURPOSE: The purpose of this study was to define current practice patterns among orthopaedic nurses and nurse practitioners to determine content for future certification examinations. METHOD: An online survey methodology was used to identify task and knowledge statements representative of orthopaedic nursing practice. FINDINGS: Of 6,462 e-mails sent, 904 valid responses were returned (response rate 13.9%). This is lower than results of the Orthopaedic Nurses Certification Board's 2010 RDS (22.7% response rate) but is considered acceptable for an RDS. CONCLUSION: Survey results were analyzed by ONCB Test Committee members with guidance from psychometric staff at PSI/AMP. PSI/AMP staff were used to review and revise examination specifications for the Orthopaedic Nurse Certified (ONC) and Orthopaedic Nurse Practitioner-Certified (ONP-C) certification programs. New examination specification and passing points were implemented with April 2018 testing.


Assuntos
Papel do Profissional de Enfermagem/psicologia , Processo de Enfermagem/normas , Enfermagem Ortopédica/tendências , Adulto , Idoso , Certificação/métodos , Prática Clínica Baseada em Evidências/métodos , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Processo de Enfermagem/tendências , Inquéritos e Questionários
6.
Obstet Gynecol Clin North Am ; 46(2): 269-280, 2019 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-31056129

RESUMO

In 2016, the American Board of Medical Specialties (ABMS) and the National Patient Safety Foundation issued a joint call encouraging each ABMS member board to integrate patient safety principles and activities into their initial and continuous certification processes. This article describes how the American Board of Obstetrics and Gynecology integrates various aspects of patient safety principles into its initial and continuous certification processes. The authors first describe how they assess patient safety within their initial certification processes. They then describe each component of their maintenance of certification program, and how they intentionally embed patient safety principles within each component.


Assuntos
Certificação/métodos , Segurança do Paciente , Competência Clínica , Feminino , Ginecologia , Humanos , Obstetrícia , Administração da Prática Médica , Conselhos de Especialidade Profissional , Estados Unidos
9.
Am J Occup Ther ; 73(2): 7302205090p1-7302205090p8, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-30915970

RESUMO

OBJECTIVE: This study explored U.S. occupational therapists' perceptions of online competence assessment and associated evidence-based resources. METHOD: The study used a cross-sectional design with a survey. Respondents were occupational therapists certifying or recertifying with the National Board for Certification in Occupational Therapy in March 2016. RESULTS: The response rate was 88.6%, with 58.5% indicating they had used the online competence assessment platform. A majority agreed that the platform's tools helped them identify clinical knowledge (n = 211; 79.9%) and skill needs (n = 160; 60.8%). Of those who obtained copies of the evidence-based resources (n = 98; 45.6%), 72.5% (n = 71) read at least one. Chi-square analysis demonstrated negative relationships between years as an occupational therapist and clinical skills assessment and between highest degree and use of evidence-based practices. CONCLUSION: Online competence assessment assisted participants in identifying competence needs and evidence-based resources for improving clinical knowledge and skills.


Assuntos
Certificação/métodos , Competência Clínica , Terapeutas Ocupacionais/psicologia , Terapia Ocupacional , Estudos Transversais , Humanos , Internet , Percepção , Inquéritos e Questionários
10.
J Am Assoc Nurse Pract ; 31(2): 145-146, 2019 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-30747808

RESUMO

EDITOR'S NOTE: Following the recent JAANP article on Emergency Nurse Practitioner educational standards, one of our readers engaged with the authors to discuss the relationship between the urgent care setting and the emergency care setting. They provided this commentary to further enhance the understanding of this specialty area.


Assuntos
Enfermagem em Emergência/educação , Profissionais de Enfermagem/educação , Assistência Ambulatorial/métodos , Certificação/métodos , Currículo/tendências , Humanos
11.
Isr J Health Policy Res ; 8(1): 2, 2019 Jan 04.
Artigo em Inglês | MEDLINE | ID: mdl-30609943

RESUMO

BACKGROUND: Burnout is an occupational disease expressed by loss of mental and physical energy due to prolonged and unsuccessful coping with stressors at work. A prior survey among Israeli pediatricians published in 2006 found a correlation between burnout and job structure match, defined as the match between engagement with, and satisfaction from, specific professional activities. The aims of the present study were to characterize the current levels of burnout and its correlates among community pediatricians, to identify changes over time since the prior survey, and to identify professional activities that may reduce burnout. METHODS: A questionnaire was distributed among pediatricians both at a medical conference and by a web-based survey. RESULTS: Of the 518 pediatricians approached, 238 (46%) responded to the questionnaire. High burnout levels were identified in 33% (95% CI:27-39%) of the respondents. Higher burnout prevalence was found among pediatricians who were not board-certified, salaried, younger, and working long hours. The greater the discrepancy between the engagement of the pediatrician and the satisfaction felt in the measured professional activities, the greater was the burnout level (p < 0.01). The following activities were especially associated with burnout: administrative work (frequent engagement, disliked duty) and research and teaching (infrequent engagement, satisfying activities). A comparison of the engagement-satisfaction match between 2006 and 2017 showed that the discrepancy had increased significantly in research (p < 0.001), student tutoring (P < 0.001), continuing medical education and participation in professional conferences (P = 0.0074), management (p = 0.043) and community health promotion (P = 0.006). A significant correlation was found between burnout and thoughts of quitting pediatrics or medicine (p < 0.001). CONCLUSIONS: Healthcare managers should encourage diversification of the pediatrician's job by enabling greater engagement in the identified "anti-burnout" professional activities, such as: participation in professional consultations, management, tutoring students and conducting research.


Assuntos
Esgotamento Profissional/etiologia , Satisfação no Emprego , Pediatras/psicologia , Adulto , Esgotamento Profissional/psicologia , Certificação/métodos , Certificação/estatística & dados numéricos , Feminino , Humanos , Intenção , Masculino , Pessoa de Meia-Idade , Pediatras/estatística & dados numéricos , Inquéritos e Questionários
12.
AJR Am J Roentgenol ; 212(2): 245-247, 2019 02.
Artigo em Inglês | MEDLINE | ID: mdl-30476455

RESUMO

OBJECTIVE: In 1998, the American Board of Radiology introduced the B. Leonard Holman Research Pathway (HRP) to initial certification for trainees in diagnostic radiology (DR) and radiation oncology (RO) motivated to pursue research-oriented careers in academic DR and RO. CONCLUSION: The HRP Committee anticipated that there would be a relatively even distribution between DR and RO participants, but with 18 years of experience that has not been the case. This article focuses on the HRP and DR.


Assuntos
Certificação/métodos , Radioterapia (Especialidade) , Radiologia , Certificação/estatística & dados numéricos , Conselhos de Especialidade Profissional , Estados Unidos
13.
J Nurs Adm ; 49(1): 12-18, 2019 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-30499867

RESUMO

OBJECTIVE: The aim of this study was to construct a sensitizing definition of certification in nursing for research purposes that can provide a foundation from which to further develop a coherent research program building evidence about the impact of certification on healthcare outcomes. BACKGROUND: The lack of a single definition of certification in nursing makes it difficult to draw conclusions about the relationship between specialty certification and patient outcomes. METHODS: This study was guided by the Delphi-Chaffee hybrid methodology proposed by Grant et al. DISCUSSION: Constructing a single, sensitizing definition of certification: 1) provides coherency for direction of certification research; 2) serves as a guide for researchers; and 3) facilitates multimethodological approaches to exploring the relationship among the different components of the definition of certification. CONCLUSION: A sensitizing definition of certification provides an opportunity for researchers to study the relationship between nursing certification and patient outcomes.


Assuntos
Certificação/métodos , Certificação/normas , Consenso , Pesquisa em Enfermagem , Especialidades de Enfermagem/normas , Técnica Delfos , Humanos
14.
Nurs Adm Q ; 43(1): 26-31, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-30516704

RESUMO

Up-to-date data on foreign-educated nurses (FENs) in Italy and the recognition of their professional qualifications are pivotal to boost international discussion, and to improve the engagement and involvement of multistakeholders in the nursing profession. Currently, FENs in Italy represent roughly 6% of the total number of registered nurses. FENs are predominantly females between 35 and 54 years old. This article discusses FENs' paths to achieve their professional qualification to practice in Italy. It also offers insights for regulators and stakeholders, such as the need to enlarge the scope of practice for nurses.


Assuntos
Certificação/métodos , Enfermeiras Internacionais/educação , Adulto , Idoso , Certificação/tendências , Feminino , Humanos , Itália , Masculino , Pessoa de Meia-Idade
15.
J Am Assoc Nurse Pract ; 30(12): 710-723, 2018 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-30540631

RESUMO

BACKGROUND AND PURPOSE: The Advanced Practice Registered Nurses (APRN) Consensus Model was produced by the APRN Joint Dialogue Group in 2008. The aim of the Consensus Model is to guide state boards on the implementation of APRN practice components, including licensure, accreditation, certification, and education and to clarify the legal scope of practice and APRN roles. The purpose of this scoping review and gap analysis was to appraise the evidence related to patient, nurse practitioner (NP) and organizational outcomes resulting from the Consensus Model. METHODS: A scoping review of research studies and grey literature reports was conducted and focused on the outcomes and key concepts related to the Consensus Model. Areas of foci included patients, NPs, and organizations. A subsequent gap analysis was conducted. CONCLUSIONS: Several positive findings related to the Consensus Model, or components thereof, were identified for patient, NP, and organizational outcomes on various levels. Research gaps exist. Additional research is needed to fully evaluate the health outcomes on a broader scale. IMPLICATIONS FOR PRACTICE: Existing evidence may support NPs and supporting organizations to further legislative efforts to more fully implement the Consensus Model nationwide.


Assuntos
Prática Avançada de Enfermagem/legislação & jurisprudência , Certificação/métodos , Consenso , Profissionais de Enfermagem/educação , Prática Avançada de Enfermagem/métodos , Certificação/legislação & jurisprudência , Certificação/tendências , Humanos
17.
J Am Assoc Nurse Pract ; 30(11): 606-613, 2018 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-30422876

RESUMO

The number of nurse practitioners (NPs) specializing in dermatology has been rapidly rising. Most dermatology NPs acquire their knowledge and skills through post-master's continuing education, select NP fellowship programs, and on-the-job training. However, the professional competencies for dermatology NPs have not been defined or standardized. Competencies require unique knowledge, skills, and judgment for the care of dermatology patients. A national task force and validation panel was convened to define the entry-level competencies for dermatology NP practice.


Assuntos
Competência Clínica/estatística & dados numéricos , Dermatologia/normas , Profissionais de Enfermagem/normas , Certificação/métodos , Dermatologia/métodos , Educação Continuada em Enfermagem/métodos , História do Século XXI , Humanos , Profissionais de Enfermagem/organização & administração , Profissionais de Enfermagem/tendências , Papel do Profissional de Enfermagem/história
18.
Soins ; 63(829): 20-22, 2018 Oct.
Artigo em Francês | MEDLINE | ID: mdl-30366697

RESUMO

TOWARDS A NEW CERTIFICATION OF HEALTHCARE FACILITIES FOR 2020.: The accreditation process, now a certification process for healthcare facilities, has constantly evolved since 1999 in order to improve the quality and safety of care provided to patients. In order to meet demographic, epidemiological and social challenges, it needs to be revised again. The French National Health Authority board has fixed three main objectives for the 2020 version: to medicalise certification, simplify it and adapt it to hospital groups in the public and private sector.


Assuntos
Certificação/tendências , Instalações de Saúde/normas , Garantia da Qualidade dos Cuidados de Saúde/organização & administração , Certificação/métodos , Assistência à Saúde/organização & administração , Assistência à Saúde/normas , França , Instalações de Saúde/tendências , Humanos , Garantia da Qualidade dos Cuidados de Saúde/normas
19.
Soins ; 63(829): 34-37, 2018 Oct.
Artigo em Francês | MEDLINE | ID: mdl-30366701

RESUMO

V2014 CERTIFICATION AND NURSING TEAMS.: V2014 certification focuses on the management of care-related risks. During the certification visit, the caregiver sometimes has to explain to the experts from the French National Health Authority their understanding of the approaches undertaken in their department, as well as their own contribution to their implementation. Users' representatives are also consulted. The next version of the certification, in 2020, will aim to give even more meaning to nursing practices through the analysis and the relevance of the care provided.


Assuntos
Certificação/métodos , Instalações de Saúde/normas , Equipe de Assistência ao Paciente/normas , Certificação/normas , Humanos , Equipe de Assistência ao Paciente/organização & administração , Garantia da Qualidade dos Cuidados de Saúde/métodos , Garantia da Qualidade dos Cuidados de Saúde/normas
20.
Soins ; 63(829): 42-45, 2018 Oct.
Artigo em Francês | MEDLINE | ID: mdl-30366703

RESUMO

CERTIFICATION PROCESS OF A HOSPITAL AT HOME FACILITY: The certification visit by the French National Health Authority requires a high level of commitment and collaboration on the part of the teams of the healthcare facility concerned. Professionals from a hospital at home unit having obtained its Level A certification describe the process and explain how the approach helped to give meaning to collective action when caring for patients in their home.


Assuntos
Certificação/métodos , Serviços Hospitalares de Assistência Domiciliar/normas , Certificação/normas , Serviços Hospitalares de Assistência Domiciliar/organização & administração , Humanos , Segurança do Paciente , Melhoria de Qualidade
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