Recertification and Reentry to Practice for Nurse Anesthetists Using High-Fidelity Simulation: Phase III
The National Board of Certification and Recertification of Nurse Anesthetists (NBCRNA) uses high-fidelity simulation for high-stakes competency assessment as a part of the Reentry Program. Purpose: This quality improvement project aimed to develop and validate a simulation scenario and corresponding assessment tool. Methods: A modified Delphi method using two expert panels of certified registered nurse anesthetists (CRNAs) was used to accomplish the aims through a blinded, online survey process. Results: All questions regarding simulation scenario and assessment tool content were deemed valid with a mean content validity index (CVI) of 0.977 and 1.0, respectively, for Scenario Design Team 1 (high spinal) and a mean CVI of 0.99 and 0.83, respectively, for Scenario Design Team 2 (pulmonary embolism). Conclusion: The results of this project support the use of high-fidelity simulation in high stakes assessment of CRNAs with the NBCRNA's Reentry Program. Implications: Recertification and reentry to practice can be accomplished with objective assessment using standardized, validated, and reliable simulation and assessment tools to determine whether CRNAs are safe to reenter practice.
Arno, A; Fry, C; Patel, D; Rogge, C; Titch, JF; Vacchiano, CA; Muckler, VC
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