Chapter 9 Professional Accountability: Credentialing and Accreditation

Professional Accountability Responsibility that one assumes for their practice Obligation to report or account for their actions –To the profession, public, and themselves

Regulation of Nursing National, state, and local agencies –Guide regulation to protect the public’s health, safety, and welfare Examples of each

Hallmarks of a Profession University education Distinct service or practice and discipline Research-based body of knowledge Autonomy (self-governance) and accountability Code of ethics Association membership

Accountability Begins with preconditions –Ability –Responsibility –Authority –Ends in accountability Alliance for Nursing Accreditation (ANA)

Accreditation and Approval in Nursing Education History Purposes National League for Nursing Accrediting Commission (NLNAC) Commission on Collegiate Nursing Education (CCNE) American Nurses Association (ANA)

National Council of State Boards of Nursing (NCSBN) History Purpose Three categories of state boards

Licensure History NCSBN’s role National Council Licensure Examination for Registered Nurses (NCLEX-RN) APRNs

Mutual Recognition Model of Nurse Licensure Goal Nurse Licensure Compact Impact on each state’s Nurse Practice Act

Advantages of Compact Nurses practice in multiple states without needing multiple licenses Collaboration between interstate boards of nursing may increase public safety Improved access to nursing care in rural settings

Trends in Mandatory Continuing Education (MCE) State specific Specialty specific Setting specific Link between MCE and professional competence

Certification and Credentialing American Nurses Credentialing Center (ANCC) Specialty organizations Advance practice

Healthcare Accreditation Joint Commission on Accreditation of Healthcare Organizations (JCAHO) –History –Purpose –Goals Magnet Status