2 OverviewThis is a brief overview of the Nursing Credentialing programs in Australia. The Critical Care Nurses program is under review and not included in here.This presentation shows that there are different processes for credentialing even though we use the word Credentialing.
3 Professional Self-regulation Statutory regulationPowers under legislationProtection of the public from unqualified, incompetent or unethical practitionersAuthorisation to practiceAccreditation, Standards, Practice, Quality Control.Self – regulation (self-governance, voluntary regulation)Professional organisationsSelfQuality nursing care, professional excellence in area of expertise through standards of practice and educationProtection of the public?- RCNA – grant secured from governmentPolicy developed through a number of orgs from international to local level – ICN assists in direction of policy, nurse reg authorities, nursing orgs and unions.Statutory – powers under legislationCredentialing by membership organisations I the absence of any legislation is voluntary.
4 CoNNO definition Credentialing The process by which an individual nurse is designated as having met established professional competency standards, at a specified time, by an agent or body generally recognised as qualified to do so.In Australia this is a voluntary process for nurses and credentialing is organised by the professional organisation and not nurse regulatory authorities.The purpose of credentialing or certification is to assure other professionals and the public that the person has mastered the skills necessary to practise a particular specialty and has acquired the standard body of knowledge common to that specialty.
5 CoNNO definition Credentialing Principles That credentialing apply to the individual nurse.That the ICN position statement on regulation which places prime responsibility for standard setting for education and practice in the hands of the profession be adopted for credentialing.That credentialing be voluntary.That a person may not use the titles relating to credentials without evidence of holding the relevant nationally recognised credential.5. That educational components of credentialing involve combinations of formal, informal, on the job and experiential components in acknowledgement of the variety of ways in which professional education may be acquired.
6 CoNNO definition (cont.) That credentialing processes include demonstration of appropriate competencies (see definition of competence).That credentialing processes be equitable and accessible to registered nurses regardless of their geographical location or the nature of their employment.That, as a demonstration of professional accountability, information about specific credentialing content and processes be available to the profession broadly and to consumers.That consistent, equitable and defensible assessment procedures apply to all credentialing processes. Such procedures may include written assessment standards, adequate training for assessors, mechanisms to assure inter-rater reliability of assessors, meeting equal opportunity
7 CoNNO definition (cont.) legislative requirements and providing appropriate appeal mechanisms.That all principles above apply to re-credentialing.With agreed nationally consistent frameworks, credentialing content and process be determined by the relevant national organisation(s).That where a credential may regularly be sought across one or more related areas of practice the relevant national organisation(s) collaborate to discuss means of pursuing appropriate combinations for such credentials.
8 American Nurse Credentialing Centre ANCC's certification and portfolio recognition programs validate nurses' skills, knowledge, and abilities. ANCC board certification and recognition empowers nurses within their professional sphere of activity and contributes to better patient outcomes.
9 Perceived Value of Certification Previous studies – positive regard for certification even if not certified.11,000 respondents, 20 specialty nurse certification orgs - Certified nurses, non-certified nurses and nurse managers.Top perceived values – personal accomplishment and satisfaction, professional challenge, enhance professional credibility, and provide evidence of professional commitment.Important intrinsic value, but need to reduce barriers and offer recognition and incentives.
10 Perceived Value of Certification American Board of Nursing Specialties; uniformity in nursing certification (accreditation) and to increase public awareness of the value of certification.
11 Who else credentials Diabetes Educators Gastroenterology nurses Aust. College of Critical Care NursesBreast physiciansAustralian College of MidwivesStomal Therapy Nurses
12 MidwiferyMidwifery Practice Review is a formal, transparent, nationally consistent peer review mechanism that supports midwives to regularly reflect on their portfolio, their own midwifery practice and future professional development plans or identified needs.
13 ACMThis reflection is in relation to recognised professional standards for the provision of safe, high quality care to women and their families within the full scope of practice of the midwifeThis reflection is in relation to recognised professional standards for the provision of safe, high quality care to women and their families within the full scope of practice of the midwife.Midwifery Practice Review is relevant and open to midwives who currently care for women and their families.Midwives are encouraged to undertake Midwifery Practice Review on a three yearly basis.Midwifery Practice Review is an integral element of the College’s continuing professional development framework - MidPLUS.Midwifery Practice Review has been developed as a process of reflection, self-assessment and face to face discussion with specially trained peers and consumers.Midwifery Practice Review is a supportive, facilitative and positive professional process.
14 ACMMidwifery Practice Review is relevant and open to midwives who currently care for women and their families.Midwives are encouraged to undertake Midwifery Practice Review on a three yearly basis.
15 ACMMidwifery Practice Review is an integral element of the College’s continuing professional development framework – MidPLUSMidwifery Practice Review has been developed as a process of reflection, self-assessment and face to face discussion with specially trained peers and consumers.
16 ACMMidwifery Practice Review is a supportive, facilitative and positive professional process.
17 Diabetes EducatorsAll CDE candidates must meet the following criteria before lodging their application: Complete a graduate certificate in diabetes education and management accredited by the ADEA in the six (6) years prior to applying
18 Diabetes EducatorsComplete 1800 hours of practice in the specialty field of diabetes education over a maximum period of four (4) years prior to applying
19 Diabetes EducatorsSubmit evidence of participating in professional development relevant to the specialty field of diabetes education in the 12 months prior to applying as Initial Credentialing Points Guide.
20 Diabetes EducatorsSubmit a Referee's Report completed by a CDE of at least 12 months standing that addresses the National Core Competencies for Credentialed Diabetes Educators.
21 Diabetes EducatorsParticipate as a mentee in a mentoring relationship registered with the ADEA Mentoring Program.
22 Diabetes EducatorsUndertake to practice in accordance to the ADEA Code of Conduct and other ADEA standards of practice.
23 Diabetes EducatorsRecognition as a CDE is a benefit for diabetes educators who have a current financial full ADEA membership. Annual fee $250. Other applicants are charged a fee of $2,500 for the three (3) year credentialing period. To learn more about ADEA membership, please return to the Membership benefits page.
24 Credentialed Stomal Therapy Nurse Essential:Qualified Stomal Therapy Nurse.Full member of the Australian Association of Stomal Therapy Nurses Inc.Have completed at least one year’s Continuing Professional Development (CPD) demonstrating 100 points CPD each year.Have two years’ recent experience post Stomal Therapy Nursing qualification using Stomal Therapy knowledge to maintain clinical competence.
25 Credentialed Stomal Therapy Nurse Additional expectations of a Credentialed Nurse:Able to provide or facilitate a range of activities and experience in the following core functions:-Ostomy, Wound, Continence,Breast Care.Education, Research,Leadership Management.Prepared to complete a focused preceptorship workshop.Able to provide a letter of commitment from employing institution to take stomal therapy nursing education program students for clinical placement.
26 Gastroenterology Nurses Credentialing is a process by which a non-governmental agency validates, based on predetermined standards, an individual nurse's qualification and knowledge for practice in a defined functional or clinical area of nursing. Credentialing is a voluntary process, which formally recognises advanced knowledge and skills within the specialty. Experienced Gastroenterology nurses, working in their specialty field, have developed such knowledge and skills for the benefit of improved patient care and the community at large.
27 Gastroenterology Nurses Credentialing the Gastroenterology nurse, therefore, offers tangible benefits for the individual, the employer, and most importantly the patient. It provides a benchmark process, which can assess such a nurse and give an indication of their advanced level within the specialty. The Credentialing Organisation of Gastroenterology Nurses Ltd. (COGEN) credentialing process is intended to set a high standard for the practice specialty Gastroenterology nursing.
28 Gastroenterology Nurses Examination booklet available on the GENCA website.
29 American Credentialing Centre Clinical Nurse Specialist in Paediatrics Certification Eligibility Criteria.This is a Computer-Based Test (CBT).Credential Awarded: PCNS-BC (Paediatric Clinical Nurse Specialist—Board Certified).NB Paediatrics was chosen as an example
30 American Credentialing Centre Eligibility CriteriaAll requirements must be completed prior to application for the examination.Hold a current, active RN licence in a state or territory of the United States or the professional, legally recognized equivalent in another country.
31 American Credentialing Centre Hold a master's, post-master's, or doctorate from a clinical nurse specialist in a paediatrics program or a program that provides course work that addresses children's unique physiological, psychological, and developmental needs from birth through age 21 that is accredited by the Commission on the Collegiate of Nursing Education (CCNE) or the National League for Nursing Accrediting Commission (NLNAC).
32 American Credentialing Centre A minimum of 500 faculty supervised clinical hours in the Paediatric CNS role and specialty must be included in the educational program. This Paediatric CNS graduate program must include three separate courses in:advanced health assessment advanced pharmacology advanced pathophysiology
33 ACMHN Mental Health Nurse Credentialing Voluntary but formal peer review process.Professional self regulation – quality practice, public protection, professional accountability.Identifies you as a specialist mental health nurse.Indicates to others that you have achieved professional standards for practice in mental health nursing (MHN).
34 ACMHN Credential for Practice Program Education and regulatory developments – single register - specialist self-governance.Late 1990s – ACMHN development and trial of credentialing process using peer review in Tasmania.Implementation of Credential for Practice Program –intrinsic – recognition as a specialist mental health nurse.Mental health nurses holding a credential for practice eligible to provide services under Medicare initiative (mental health care worker).2007 COAG Mental Health Nurse Incentive program - mental health nurses must be credentialed.
35 Mental Health Nurse Credentialing Credentialing offers tangible benefits forthe individualthe patient and communitythe employerCredentialing promotesprofessional accountabilitya commitment to ongoing education and practice developmentprofessional ethics and practice standardsevidence based practice and quality health care delivery
36 Credentialed Mental Health Nurses Holds a current license to practice as a registered nursewithin Australia.Holds a recognised specialist/post graduate mental healthnursing qualification, or, equivalent.Has had at least 12 months experience sincespecialist/postgraduate qualification or 3 years experience as a registered nurse working in mental health.Has been practicing recently (within last three years).Has met continuing professional development standard – education AND practice.Is supported by two professional refereesCompletes a professional declaration agreeing to uphold standards of the profession.A credential is awarded for three yearsCRITERIA 1Registered Nurse in AustraliaMust be currently registeredCRITERIA 2Specialist/postgraduate qualification in mental health nursing undertaken in AustraliaCurrent benchmark: graduate diploma in mental health nursingCourses leading to mental health nursing within Australia3 year hospital based psychiatric nursing coursePost registration hospital course (12-18 mths)UG psychiatric/mental health nursing degree or diploma (direct entry course)PG Diploma or Masters in mental health nursingN.B. Undergraduate general nursing, and PG certificates in mental health nursing are not sufficient as only qualification.Equivalence - provides for applications based on relevant alternative formal educational pathways, relevant experience and ongoing professional development.Suitable for nurses who have undertaken psychiatric/mental health nursing courses overseas, or where other qualifications in mental health, but not specifically nursing, have been undertaken(and maintain registration while holding a credential).CRITERIA 3 - Duration of Practice in Mental HealthPractice maybe clinical, educational, academic, management, health administration, research, consultancy or advisory (public or private)It is not defined by who you work for but the nature of your practiceMust be able to demonstrate primary focus is mental healthMinimum 3 years FTE (5472hrs) as RNor 12 months FTE (1824hrs) since obtaining relevant specialist qualificationCRITERIA 4 - Recency of Practice in Mental HealthAt least 3 months (456hrs) over the last yearOR, at least 6 months (912hrs) over the last 2 yearsOR, at least 12 months FTE (1824hrs) over the last 3 yearsCRITERIA 5 Continuing Professional Education Continuing Practice DevelopmentDuring immediate 3 years preceding application:Minimum 100 pts per CPE and CPDMust be relevant to MHN practice1 point = 1 hr direct contact with activityCan only be claimed once per activityNote maximum points in each category on following slidesApplicants expected to maintain a record of activities - EBREBR submitted with application, evidence held by applicantCPE and CPD activities are coded and cross referenced with application form to provide totalsCRITERIA 6 - RefereesTwo referees – preferable that one a practicing mental health nurse.Referees are important to the applicant. Guidelines for referees on the website.Seek support of referee who understands the importance of your applicationIt is advised that referees view and discuss the application and supporting documentation before it is submitted so that referees can offer advice and facilitate reflection on knowledge and skills.Referees may be contacted about an applicationDECLARATIONSClinical Supervision – if claiming clinical supervision for CPD, details are declared on the form, and recorded in the EBR.Recency of practice - Employer declarationIf self-employed, use statutory declaration.Applicant declarations – restrictions on license to practice, validity of information provided, and commitment to the credential.FEESMember of ACMHN $180Non member $430Priority processing fee $75Appeal fee $110
37 ACMHNI have expanded on the ACMHN version for a additional information only as an example, given that I know and have the information on hand.
38 Applying for a Credential CRITERIA 1Registered Nurse in AustraliaMust be currently registered (and maintain registration while holding a credential).CRITERIA 2Specialist/postgraduate qualification in mental health nursing undertaken in AustraliaCurrent benchmark: graduate diploma in mental health nursingPast courses - e.g pre-registration three year hospital course, post registration hospital certificate.Equivalence - recognition of alternative formal educational pathways where relevant, relevant experience and ongoing professional development.
39 Applying for a Credential CRITERIA 3 - Duration of Practice in Mental HealthPractice maybe clinical, educational, academic, management, health administration, research, consultancy or advisory (public or private).It is not defined by who you work for but the nature of your practice.Must be able to demonstrate primary focus in mental health.Minimum 3 years FTE (5472hrs) as RNor 12 months FTE (1824hrs) since obtaining relevant specialist qualificationCRITERIA 4 - Recency of Practice in Mental HealthAt least 3 months (456hrs) over the last yearOR, at least 6 months (912hrs) over the last 2 yearsOR, at least 12 months FTE (1824hrs) over the last 3 years
40 Applying for a Credential CRITERIA 5 Continuing Professional Education Continuing Practice DevelopmentIs mental health nursing like riding a bike?Purpose of CPD – maintenance and improvement of standards and competence.Involves a range of activities.Personal and professional achievements - enhance confidenceDeveloping a portfolio takes time but it provides an opportunity to reflect on one’s practice, identify one’s learning needs and stay in charge of one’s career.
41 Applying for a Credential CRITERIA 5 Continuing Professional Education Continuing Practice DevelopmentDuring immediate 3 years preceding application:Minimum 100 pts per CPE and CPDMust be relevant to MHN practice.1 point = 1 hr direct contact with activity.Can only be claimed once per activity.Note maximum points in each category on following slides.Applicants expected to maintain a record of activities - EBR.EBR submitted with application, evidence held by applicant.CPE and CPD activities are coded and cross referenced with application form to provide totals.
42 Applying for a Credential CRITERIA 5b Continuing Practice Development (Code 25. Thus 25.1, 25.2 etc.)Clinical supervision of you 50Contribution to profession 50College activities 40EBP and clinical research 40Clinical practice 35Quality improvement 30Clinical presenter 30Working committees 30Consumer/carer partnerships 30NGO partnerships 30Projects and consultancy 30Community development 30Promotion and prevention 30Peer review/mentorship 30Performance management 30Your supervision of othersOther professional bodies 20Other CPD activity 15
43 Applying for a Credential CRITERIA 6 – RefereesTwo referees – preferable that one a practicing mental health nurse.Referees are important to the applicant. Guidelines for referees on the website.Seek support of referee who understands the importance of your application.It is advised that referees view and discuss the application and supporting documentation before it is submitted so that referees can offer advice and facilitate reflection on knowledge and skills.Referees may be contacted about an application.
44 Applying for a Credential DeclarationsClinical Supervision – if claiming clinical supervision for CPD, details are declared on the form, and recorded in the EBR.Recency of practice - Employer declarationif self-employed, use statutory declaration.Applicant declarations – restrictions on license to practice, validity of information provided, and commitment to the credential.FeesMember of ACMHN $180Non member $430Appeal fee $110
45 Evidence Based Record (EBR) CRITERIA 5 – Evidence Based Record (EBR)Example of EBR – Download template from College website No different from a diary or activity portfolio which can also double up as evidence of continuing education and practice development either for proof of NRB currency of practice (annual nurse registration) or performance management with line manager.
46 EBR COLLEGE EDUCATION PROGRAMS ACMHN Hunter Sub-branch 3 24.2 DATEACTIVITYEVIDENCEHRSCODECPECPDCOLLEGE EDUCATION PROGRAMSJuly 2004ACMHN Hunter Sub-branchSeminar Len Bowers Making Acute Wards SaferCert of attendance324.2Sep 2004ACMHN International ConferenceA Changing Landscape3 days including meetings28May 2005ACMHN HSBConference: Lower Than LikelyCert of Attendance6Oct 2005Setting Sail for New Horizons Fremantle18-19 May 2006Conference: Acute Care, Getting it Right1 day83-8 Oct 2006ACMHN International conferenceMental Health at the CentreTOTAL CPE / CPD POINTS101
47 EBR – CPP Points Example Points Summary - CPE ACMHN education programsConference presentationsPublicationsRelevant mandatory staff developmentRelevant ed. from other professional bodyDeliver formal lecturesCurricula course developmentConvene education programACMHN memberJournal subscriptionsTotals: all (“work”) (270)
48 EBR – CPP Points Example Points Summary - CPD Clinical supervision of youContribution to professionCollege activitiesEBP/Clinical researchWorking committeesQA (Service development)Performance managementOther professional body activitiesTotals: all (“work”) (505)
49 Personal Perspective…being Credentialed I am able to demonstrate the advanced and specialist nature of my work.…credentialing shows me the regard in which my peers hold me.…clients are able to gain [various] benefits… this assists them in meeting their health needs.….the process also encourages me to further my skills and to maintain my Credential in years to come.
50 InformationI hope that you have found this presentation of interest.