2015 Vision
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Work Walls
Team 1
Team 2
Team 3
Team 4
Team 5
Team 6
Team 7
Team 8
Team 9
Team 10
Team 11
Team 12
Debrief
Michael Kaufman: What did you hear in this exercise and in your conversations? Any surprises?
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- I was surprised by the difference of how things are defined. For instance, evidence-based practice. Someone said they hope it means research. We use that as a definition but I’m not sure we’re clear about what it means. Competence also needs a definition. I think we need to come up with shared terminology.
- I’m surprised how few people are looking towards their associations. There is an opportunity for us in this way. We look towards government but I think there are complementary needs between us and our associations.
- You have to articulate the buy-in message. You have to be able to show what’s in it for me.
- There is a link between quality and a potential mandate for policy changes.
- We talked about the gap analysis and it might be helpful to look at mandating certification. The certification for people in different specialties might not be mandated.
- Certification does not necessarily lead to better outcomes. That was surprising.
- I liked that team 10 spent time thinking about developing process measures. There are many things that are not measured yet in nursing outcomes.
- If you’re looking at how to measure certification, the specialty certification will measure something different than others. Of course, because each cares about different things but we need to look at common denominators across all the specialties.
- I was surprised education didn’t come up more often. We need to get the message about how important this is to the certification process.
- Partnering with the association will take care of that too.
- Our association wants us to pay them for our certification. Maybe we could pay less but they’re not willing to do it for free.
- If we figure out what’s in it for the association there might be some negotiation.
- A certified member is much more valuable to the organization.
- The dynamics between certification and member organizations are not completely clear and I think we haven’t taken advantage of that. I think we need to think about the posture we take.
- This speaks to competition. We have time and money, both are limited. We’re always lobbying for the attention of both.
We need to consider that there is a third model that can be created. Maybe the idea that those things are limited is a model that can be challenged?
- Whether specialty certification brings about positive results to patient outcomes is questionable. We need to look at improving certification as a trigger for improving patient outcomes. Our goals can be more achievable because the underlying motive is proving it. This is a biased beginning point for a research agenda. It’s easier to prove the benefits if you do a good job with linking certification to process improvements.
- Just as a devil’s advocate position: Are we being too altruistic instead of being more Machiavellian about this? There is a difference between the organized medical staff and the club room associated with a hospital. You can't be a part of the club unless you have a certification. Are we spending a lot of time and money just to prove our altruistic focus?
- I realized that we could do this without doing any research. We could sell this certification and be successful. They’re not necessarily tied together. It might be a chicken and egg thing. It could still be important to do this marketing even without the proof there. Just by saying our nurses are certified might be a benefit.
- We really want to learn about the link to patient outcomes. I’m not assuming that ABNS is doing the research but they’re providing the agenda that independent researchers need.
We need to clarify something. Having a unified research agenda does that mean that ABNS is supporting or mandating this? This session is to help all the organizations unify what they want around this issue.
- The research group could either prove the theory or change the theory itself
- Research might edit your re-certification process. This might be part of our future.
- In terms of patient outcomes, there are already a group of nurses who are motivated to prove that but it is a hard thing to prove.
- We know that people are certified by internal motivation.
