Future Directions of Credentialing Research in Nursing Workshop Summary (2015) / Chapter Skim
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6 Nursing Credentialing Within a Complex Health Care Landscape
6 Nursing Credentialing Within a Complex Health Care Landscape
Pages 63-72
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From page 63... ...
The activities of these coalitions inherently have implications and opportunities for credentialing research, began Hassmiller. Nursing credentialing research could affect adoption of the IOM recommendation that Advanced Practice Registered Nurses (APRNs)
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From page 64... ...
As such, they are vital to improving health care quality. Yet, American Hospital Association data show nurses account for only a fraction of hospital board positions.
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Like other large health care institutions, North Shore–LIJ is undergoing a massive transformation to prepare itself for the new health care landscape. Central to its activities and to successfully managing these transitions is a high-quality workforce.
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In general, an integrated care model has been shown to be superior to nonintegrated care in achieving higher quality and better health care value, and requires the following seven core functionalities: 1. A clearly articulated and common vision of health care service delivery; 2.
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From page 67... ...
to know which types of credentialing will achieve benefits worth investing in? To develop a national focus for credentialing research, it is also important to establish how nurse credentialing promotes a health care culture of excellence that achieves a level of superior performance that would qualify as "world class." A congressionally mandated review committee, chaired by Kizer, defined a "world class" medical facility (Kizer, 2010)
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From page 68... ...
Thus, the final research question for nursing credentialing research is to what degree, or how, does nurse credentialing promote this catalytic interaction among providers, the facility's physical environment, and technology to achieve a culture of excellence in health care? GETTING FROM RESULTS TO PRACTICE AND POLICY: IMPLICATIONS FOR IMPLEMENTATION Sheila A
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From page 69... ...
If these policies are enacted, Haas said that translational science will advance and health care as a whole will benefit from "sustained implementation and ongoing evaluation of best practices, as well as improvements in patient outcomes and health care safety." QUESTIONS AND COMMENTS What advice can the panelists offer for moving forward with a nursing credentialing research agenda?
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From page 70... ...
If research is not affecting policy and practice, or if advancing a research agenda depends more on changing policy than on furthering research, it may become necessary to "take what [research] you have and begin to look at the communication, the messaging, and advocacy in order to make a difference." Gallo said, "You have to appeal to the marketplace and convince big employers, payers, and government that credentialing equals quality and efficiency and will help them achieve the Triple Aim." It may also be useful to determine the credentialing "tipping point": the credentialed to noncredentialed nurse ratio at which health care teams begin to regress to the mean of credentialed practice, Gallo said.
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From page 71... ...
This expectation should receive greater emphasis in nursing schools, suggested workshop participant Linda Lakdawala. Linda Burnes Bolton said, "There are real costs to initial certification and keeping it up." The "wealthier" academic medical centers cannot be the only ones to adopt a mandatory certification policy; certification must be affordable for all hospitals, she said.
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