Credentialing in Nursing (Summer 2023-2024) PDF

Summer, 2023-2024 At the end of the discussion, the participants shall be able to; Discuss the importance of credentialing in health care Explain the development of licensure requirements in the country. Summarize current licensure requirements in the context of historical deve...

Summer, 2023-2024 At the end of the discussion, the participants shall be able to; Discuss the importance of credentialing in health care Explain the development of licensure requirements in the country. Summarize current licensure requirements in the context of historical developments. Use appropriate resources to obtain current information on licensure and certification. Explain the Accreditation process. Analyse the various components of a nurse practice act.  Credentials are written documents that communicate to others the nature of one`s competence and provide evidence of one`s preparation to perform in a specific occupation. It is a process whereby an individual or a professional preparation program meets the specific standards established by a credentialing body. Credentialing is a process used to designate that an individual, program, institution or product have met established standards set by an agent (governmental, non governmental) recognized as qualified to carry out the specified task. Credentials Include; Certificates- degrees, and diploma awarded by an educational institutions. Legal licenses awarded by a government. Recognition by a professional organization (certification) that focuses on specialty area.  To advancing the safety of health care. Improving the quality of health care. Improving the process of health care. Clarifying and defining the roles of the nurse and other member of the team. Improving the delivery system organizational culture. Providing professional support. Shaping future healthcare delivery practice. Improving job satisfaction.  It is the process by which an agency or government (usually the state) grants permission for individuals to practice a given profession by certifying that those licensed have attained specific standards of competence. e.g. doctors, nurses, physical therapists, school health educators Recognition: pins and registries Nursing pins Symbolize the school’s philosophy, beliefs, and aspirations Evidence of achievement, learning, and skills Registry Nightingale started the tradition of maintaining a registry of all graduates in 1860 Provided institutions and clients with the means to ascertain the skills and knowledge of graduates.  Prior to the Nightingale era, no credentials were available to nurses. The first true nursing credential was a certificate of completion issued to nursing graduates. In the late 19th century, nursing education varied widely in quality and length. Programs varied from 6 weeks to 3 years and included as little education as on the job training to extensive apprenticeships. Nursing leaders became united in the belief that a more uniform education and credentialing system was necessary so that nursing was seen as accountable to the general public.  In the late 19th century the first president of American Nurses Association , Isabel Hampton Robb , said that : “ In the absence of educational and professional standards , I am sadly forced to admit that the term ‘ trained nurse ‘ means any thing ,every thing and next to nothing”. Early licensure activities: 1896: first attempts to license nurses in the United States Failed because of lack of support by hospitals, physicians, and nurses 1901: International Council of Nurses passed a resolution that each state should examine and license nurses  States established boards of nursing to develop rules for examination and licensure of nurses and govern the practice of nursing. 1923: all states had instituted examinations for permissive licensure. 1982: first NCLEX examination was established. 1994: paper-and-pencil test replaced by computerized adaptive testing. Current licensing activities: Efforts to provide common definitions of nursing practice, standards of education, and testing for entry into practice for all states have been successful “Mutual recognition model” of nursing practice Resolution adopted in 1997 by the delegate assembly of the National Council of State Boards of Nursing 1 Permissive licensure: is a system where by an individual allows to practice nursing as long as they don’t have the letters ‘registered nurse’ (RN) after their names. It only protects “the registered nurse” title but not the practice of nursing it self. 2 Mandatory Licensure: Requires practitioners to have a license for providing a service. There is mandatory licensure for physician , dentists , and nurses to practice. 3 Institutional Licensure: Although universally rejected by every nursing organization, it has become a reality for many other types of health care workers. Such as respiratory therapists and physical therapists.  Provide greater protection to the public. Provide safe and effective nursing care. Distinguished between trained to provide nursing care from untrained. A wariness of society needs and nurses meet this needs.  Graduation from nursing school, pass standardized examination. Graduation from high institute of nursing or baccalaureate degree or diploma. Good mental and physical health status. Clean C.V. There are two different procedures for obtaining an initial licensure: 1- Licensure By Examination- for obtaining an initial licensure. The applicant must be meet all provisions of the law (educational program, language proficiency, and legal residency status ) and must pass standard examination. 2- Licensure by Endorsement Nurses who move from one state to another can obtain recognize their nursing license from the original state of licensure. It requires meet all previous of law and must apply for Licensure by examination. Objectives of the licensure body is to; upgrading scientific and professional members while upholding the integrity and traditions of the profession. Applying principles to control how members of the association in the nation exercise their professions and carry out their tasks while monitoring their service implementation. Recruit members and inspire a sense of unity among one another. Improve nursing education, nursing services, and the implementation of scientific and applied research policies. Cooperation with trade union, association and organization and exchange of information and experiences. maintaining the social, cultural, economic, and social well-being of members and their families. Certification is a process by which a professional organization grants recognition to an individual who, upon completion of a competency-based curriculum, can demonstrate a predetermined standard of performance. Is a credential provided by an organization rather than the state. Usually granted after an applicant has completed an approved course of study and passed an examination. Doesn’t confer the same legal right to the holder as does a license. C.H.E.S. (Certified Health Education Specialist). They are professionals who design, conduct, and evaluate activities that help to improve the health of all people in a variety of settings such as schools, communities, health care facilities, businesses, and colleges. NCHEC (National Commission for Health Education Credentialing)  Establishes national standard Attests to individual’s knowledge and skills Assists employers in identifying qualified practitioners Sense of pride and accomplishment Promotes continued professional development  A N It is the process by which a recognized professional body evaluates an entire college or university professional preparation program against predetermined criteria or standards. Health Care Accreditation: Is a practice that's implemented to ensure all necessary practitioners and places are up to par in terms of standards, competency, ethics and standing instructions. NCATE (National Commission for the Accreditation of Teacher Education) & AAHE (American Association for Health Education)CEPH (Council on Education for Public Health) SABPAC (SOPHE/AAHE Baccalaureate Program Approval Committee) 1) Call for an application. 2) Complete and Submit application. 3) Upon receipt a packet will be mailed to you Containing: Accreditation Manual. Welcome letter. 4) An Accreditation team member is assigned to aid you through the process. 5) Conduct the Self Study: Mission of Program. Administrational Responsibilities. Finances and Funds. Student Services. Instructional Design & Program Elements. Physical Facilities. Equipment and Tools. Cooperative Training. Instructor Qualifications. 6) Submit the Self Study to the review committee 7) Self Study is reviewed by the committee 8) Upon approval of the self study a Visiting Team is assigned 9) An on-site visit is scheduled 10) The one day on-site validation is executed and completed 11)Final Determination is made to grant accreditation & list the program in official directory  Statements that refer to protecting the health and safety of the populace Statements to protect the title of registered nurse Definition of professional nursing Definition of advanced practice, which may be expressed in a single definition or may be separately defined Description of requirements for licensure Description of requirements and procedures necessary for entry into practice Description of requirements for renewal of licensure Designation of a regulatory board to administer the nurse practice act Guidelines for delegation.  Role of regulatory boards to ensure safe practice Membership of the board of nursing usually appointed by the governor’s office Duties of the board of nursing Administering the state’s nurse practice act Granting and renewing licenses and taking disciplinary action when provisions of the act are violated  The public, nurses, and other healthcare professionals are perplexed by nursing credentialing since it incorporates so many facets of education, licensure, and certification. It is crucial for nursing to have a credentialing system that is evident to others because the ideal credentialing system conveys qualifications and competence. Current changes are moving nursing closer to an effective credentialing system.