Future Directions of Credentialing Research in Nursing Workshop Summary (2015) / Chapter Skim
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7 Taking the Temperature: Stakeholder Reactions and Suggestions
7 Taking the Temperature: Stakeholder Reactions and Suggestions
Pages 73-82
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From page 73... ...
These plenary presentations are summarized in this chapter, and should not be interpreted as the position of individual presenters or participants. USING THE FRAMEWORK TO DEVELOP RESEARCH PRIORITIES TO ADVANCE NURSING CREDENTIALING Presenters: Jack Needleman and Robert Dittus This workgroup first considered what changes to the Expanded Conceptual Model for nursing credentialing research might be necessary (see Figure 2-2)
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From page 74... ...
The breakout group further discussed emergent research priorities in nurse credentialing, emphasizing the following (not in priority order) : • Standardizing definitions of variables across systems and spe cialties, including current certification status; • Identifying and measuring relevant confounding variables with validity, reliability, and efficiency; • Incorporating social determinants of health in electronic health records (EHRs)
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From page 75... ...
These broader conceptualizations of what "health care" is involve many more professionals and "hand-offs." Finally, the breakout group cautioned against making the model so detailed that it is not useful and striking a good balance between clarity and completeness. Ultimately, conceptual clarity about the purposes for the model may guide those decisions, and different levels of detail will be needed for different purposes.
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From page 76... ...
With these kinds of data available, nursing researchers could unravel some questions about the relative importance of nurse, patient, and organizational factors affecting outcomes of interest to all stakeholders. Stakeholders who would benefit from credentialing, including state boards of nursing, should be involved in prioritizing research questions.
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From page 77... ...
Getting the data house and information management tools in or der, including organizing, collating, consolidating, and establish ing coherence within nursing-relevant data scattered throughout the health system; 2. Once existing data have been assessed, identifying data gaps and strategies to fill them, along with consideration of the infor mation management tools (e.g., EHRs, health information ex changes, registries)
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From page 78... ...
Considering a range of possible funders for this effort -- philanthropy, government, professional organizations, large inte grated delivery systems, or others -- and make an effective case for these investments; 5. Building research capacity and infrastructure among the nurse credentialing organizations to promote consistent research over time, and endowed professorships might provide continuity with in academic institutions; 6.
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From page 79... ...
The group suggested that impartial, objective organizations could develop convening activities to educate stakeholders about topics related to credentialing research and to engage stakeholders in a discussion about the perceived value of a certified nursing workforce and high priority research questions. Among the breakout group's other ideas were to: • develop a broad-based promotional campaign aimed at inform ing the public about the value of having a certified nurse; • create a standardized taxonomy for certification because nurses themselves may be confused about whether they are "certified" in the way meant by the professional organizations at the meeting; • engage risk managers specifically with respect to the need for re search, and if research validates the importance of certification, what that importance is; and • develop transition-to-practice programs for new nurses that cul minate in obtaining certification.
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From page 80... ...
The future will include mining patients' EHRs and linking them to health care personnel databases that include information on credentials. The certification organizations are "absolutely critical" to data standardization, Needleman said, and should develop and employ a common data set for each certified nurse.
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From page 81... ...
Similarly, Ken Kizer suggested that, if nursing credentialing and nursing credentialing research are to be viable in the long term, they must "quantifiably demonstrate value both to health and to health care." These are not necessarily the same thing, he said, and they must demonstrate these effects "in ways that are important and meaningful." In the short term, Kizer continued, credentialing research could focus on potential contributions to integrated care. Lynne Grief emphasized the issue of team credentialing, suggesting that teams of credentialed individuals could identify the best evidence and apply it consistently in practice to achieve the best results for patients.
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