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• W2970928621 abstract "Whereas state licensure through the National Council Licensure Examination verifies the readiness of entry-level nurses, specialty certification confirms “the ability of expert nurses to provide evidence-based care at all levels of acuity in a specialized area.”1(p550) The American Nurses Association and the Institute for Credentialing Excellence define certification as a voluntary, formal process in which a nongovernmental association certifies that a licensed nurse has met predetermined specialty standards and is given time-limited recognition and use of a credential.2, 3 Certification demonstrates to the public and health care providers that a nurse has mastered a specialized body of knowledge and acquired a set of skills and abilities in a defined role and clinical practice by meeting psychometric requirements (eg, examination) or through a consensus-driven process.4-7 Professional certification is a mark of excellence on the part of the nurse, and it is an effective means for nurses to demonstrate competency and quality in nursing practice.8 Attaining nursing certification Approximately 17 accredited certifying organizations oversee 56 nursing specialty certification programs, certifying more than 500,000 specialty nurses.12 More than 34,250 perioperative nurses currently hold the CNOR credential (Sidebar 1).13 One of the many functions of the Competency & Credentialing Institute is the development, implementation, and oversight of the CNOR examination. The letters “CNOR” do not represent an acronym; CNOR is defined as “the documented validation of the professional achievement of identified standards of practice by an individual registered nurse providing care for patients before, during and after surgery.”1 Nurses must have worked full time for two years (ie, 2,080 hours) before they can take the CNOR examination. Nurses can choose to study on their own or in groups, informally or formally (eg, enroll in a program). Numerous study products are on the market as well. The Competency & Credentialing Institute and AORN offer study materials at https://www.cc-institute.org/cnor/prepare/exam-prep and https://www.aorn.org/education/prep-for-cnor, respectively. Nurses should set aside dedicated time to study on a scheduled basis to review content regularly and take practice tests—learning how to answer questions is an important part of being successful. Candidates are given three hours and 45 minutes to complete the CNOR examination, which contains 200 multiple-choice questions based on nine domains or subject areas. The nine subject areas include the following. The Competency & Credentialing Institute also offers the Take 2 option, which allows a CNOR-eligible nurse to take the examination twice in a 12-month period if the first attempt is unsuccessful. The CNOR Core Study Program: Overview can be found at www.cc-institute.org/instructorsKit/guide/overview.pptx. Editor's note: CNOR is a registered trademark of the Competency & Credentialing Institute, Denver, CO. REFERENCES 1. About CNOR. CCI. https://www.cc-institute.org/cnor/about . Accessed July 2, 2019. 2. Learn more about the CNOR exam. CCI. https://www.cc-institute.org/cnor/prepare/learn. Accessed July 2, 2019. Lifelong learning is an important aspect of professional development that provides a means to keep abreast of changing practices and technology.5, 9, 14, 15 The 2010 Institute of Medicine report The Future of Nursing: Leading Change, Advancing Health16 states that lifelong learning is necessary for continued competence when providing care for changing and diverse patient groups. Pursuing certification is a mechanism for staying up-to-date with evidence-based best practices and technological advances in the perioperative setting. Renewing certification signals that the certificant has maintained a level of knowledge in the specialty and participated in ongoing activities that support the maintenance of competence in that specialty. Maintaining and enhancing professional competency fulfills an ethical obligation to patients that the nurse will consistently provide high-quality care. Nursing certifications seek to promote best practices as established by national standards of care, and certified nurses are responsible for ensuring their specialty practices are consistent with those standards.7 Specialty certification, “when fully realized, has the potential to improve patient outcomes, contribute to patient safety goals, and elevate our profession.”9(p374) Engaged, certified perioperative nurses who keep current with changes in their specialty field are better able to make meaningful contributions toward safe patient care.9 Studies demonstrating a positive link between certification and patient outcomes have found that certification contributed to In addition, nursing specialty certification contributes to staff development, decreases nurse vacancy and attrition rates, and improves personnel satisfaction.17, 18, 35 Preparing for and taking a specialty certification examination is an individual effort influenced by personal values and motivation.12 Motivation can be intrinsic, for which the rewards are internal and intangible benefits (eg, a feeling of personal accomplishment), or extrinsic, for which the rewards are tangible benefits (eg, a salary increase, advanced placement). Intrinsic motivators include the desire to hold oneself accountable, demonstrate clinical competence and confidence in clinical abilities, and develop a professional growth pathway.7, 8, 11 Personal rewards of certification may include Professional rewards of certification may include There are four articles tied to the special certification theme of this Journal issue. These articles can be used to augment study materials for the CNOR examination, although the topics are relevant to all perioperative nurses regardless of certification status. The article “Surgical specimen management in the preanalytic phase: perioperative nursing implications”44 discusses various types of errors related to surgical specimen management as well as their effects, contributing factors, and strategies for error prevention. The article “Surgical instrument decontamination: a multistep process”45 examines the instrument cleaning steps beginning with point-of-care cleaning in the OR followed by the manual, ultrasonic, and mechanical washer cleaning phases after the instruments enter the decontamination area of the sterile processing department. Staff member competency in performing decontamination duties is paramount for efficient sterilization and the assurance of sterile instruments. The article “Regional anesthesia: an overview”46 explores the various types of regional nerve blocks and local anesthetics that patients receive and the necessary care rendered by perioperative nurses to keep patients comfortable during and after surgery. Whether assisting the anesthesia professional, providing comfort care or conscious sedation, or monitoring for local anesthetic systemic toxicity, perioperative nurses play an important role in patient safety when anesthetics are used. The article “CNOR recertification: why continuing education alone is no longer sufficient”47 provides a detailed explanation of the impending revised CNOR recertification process, which is based on the accrediting bodies that govern certifying agencies’ practices. The text elaborates on why the completion of continuing education alone is not sufficient to satisfy the need for professional development and ongoing learning. It also explains the different recertification options available based on whether nurses earned their CNOR before January 1, 2019, or after December 31, 2018. The Future of Nursing report and the American Nurses Credentialing Center's Magnet Recognition Program recognize the importance of certification and its validation of excellence. Becoming certified enriches the personal care nurses deliver and, by default, the nursing profession. Certification credentials assure the public that nurses have acquired the specialized professional development, training, and competencies needed to provide safe, quality care. Although certification is only one way to measure continued competency, it is a meaningful way to do so. The question nurses should ask is not “Should I become certified?” but “When and how will I become certified?”15 Editor's notes: CNOR is a registered trademark of the Competency & Credentialing Institute, Denver, CO. ANCC Magnet Recognition is a registered trademark of the American Nurses Credentialing Center, Silver Spring, MD. Debra Dunn, MSN, MBA, RN, CNOR, is an education specialist for the OR at Holy Name Medical Center, Teaneck, NJ. Ms Dunn has no declared affiliation that could be perceived as posing a potential conflict of interest in the publication of this article." @default.
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• W2970928621 title "The Meaning and Value of Certification" @default.
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