CertifiedClinical Nurse Educator: The Advanced Nursing Role

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CertifiedClinical Nurse EducatorThe Advanced
Nursing Role

• Jennifer Hrivnak
• Shannon Manning
• Sarah Palmer
• Hali Saucier
• NURS 523
• Pacific Lutheran University

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Historical Development

• 1860 Florence Nightingale
• Introduced idea of formal nursing education
• First training school
• Closely related to apprenticeship system
• 1893 American Society of Superintendents of
  Training in Schools
• Correct inadequacies of nursing education
• In 1926, became the National League of Nursing
  Education and later the National League for
  Nursing
• 1940-1960 Nursing education shifted from
  hospital to Universities
• 1987 National Nursing Staff Development
  Organization

Barker, 2009 Chitty, 2005 NNSDO website
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NNSDO

• Idea originated in 1987
• Organization established in 1989 to
• Foster nursing education within agencies
• Promote professional status of agency based nurse
  educators
• Nursing research and clinical application
• Publications
• 1992 - Quality Indicators in Staff Development
• 1995 Core Curriculum for Nursing Staff
  Development
• 20 publications for Nurse Educators
• Yearly convention
• In collaboration with ANCC, developed
• first certification exam for Professional
• Nurse Developer in 1992

NNSDO website
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ANCC Certification Professional Nurse Developer

• Eligibility criteria
• Current, active RN license
• BSN or higher
• Practiced as full-time RN for two years
• 4,000 hours clinical practice in nursing
  professional development within last five years
• 30 hours of continuing education in nursing
  professional development within last three years

ANCC, 2008
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NLN Academic Based CNE

• 1995 - Certified Nurse Educator (CNE)
  Examination
• 8 Core Competencies
• Recognizes excellence in advanced specialty role
  of academic nurse educator
• Mark of professionalism
• Professional development for academic nurse
  educators
• Use of core competencies in practice
• Advanced Practice role?
• As of March, 2008
• 954 nurse educators nation-wide
• have earned CNE

NLN, 2008
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CNE Distinctions

• Agency-based clinical educator
• Staff developer or Professional Developer
• Typically work in hospital setting, often on a
  specific unit
• Function similar to CNS
• Does NOT require a masters degree
• Represented by the NNSDO
• Certification in Nursing Professional Development
  through ANCC
• Academic nurse educator
• Certified nurse educator
• Typically works in nursing schools
• Masters or doctoral degree required
• Represented by the NLN
• Certified Nurse Educator through NLN

(NLN, 2002 NNSDO, 2008)
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The Decline of CNEs

• Current Statistics
• 3,500 nursing programs
• 300,00 nursing students
• Predicted future need
• 400,000 nursing students
• 101 studentfaculty ratio 40,000 faculty
• Currently have lt50 and is declining due to
• Retirement of faculty
• Limited of graduate nursing programs
• Declining student enrollment

NLN, 2002
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Top 10 Reasons to become a CNE

• Work in intellectually stimulating environment.
• Autonomy and flexibility.
• Research creates knowledge and advances the
  field.
• Work has value to society.
• Teach anywhere in the world.
• Teach from the beach or the slopes, using
  technology.
• Encourage and educate eager minds and rejoice
  when students surpass you.
• Shape the future of healthcare.
• Change lives.
• Teach what you love.

NLN, 2002
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Preparation for the CNE (Certified) role

• Personal characteristics
• Displays leadership and role model capabilities
• Skillful in conducting research
• Competent clinician
• Facilitates learning with proper evaluation
• Advances professional development of learner
• Seeks opportunities to advance learners into
  educator role
• Outside influences
• Undergraduate faculty-identification of talented
  beginning students as nurse educators
• Mentoring of novice students by senior
  faculty-promotes growth into role
• Further implementation of a heightened focus on
  research and educational excellence to the
  students

NLN, 2002
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Certification for CNE (Certified) role

• Eligibility criteria
• Active RN licensure
• Masters or Doctoral degree in nursing with
  emphasis on nursing education
• gt 9 hours of graduate-level CE courses AND gt 2
  yrs of full-time employment as a faculty role
  within the past 5 yrs
• Or
• No CE courses AND gt 4 yrs of full-time employment
  as a faculty role within the past 5 yrs
• CNE Exam offered through NLN
• CNE after name
• Good for 5 years
• Renewal
• Professional Development CEUs or re-taking the
  CNE examination

NLN, 2002
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Preparation for the CNE (Clinical) role

• Personal characteristics
• Enjoys mentoring
• Develops continuing education
• Ability to teach, guide, and evaluate learners
• Flexibility in ever-changing education trends
• Derives satisfaction through thriving future
  nurses
• Professional characteristics
• Responsible for JCAHO criteria
• Designs curricula for continuing education
• Opportunities to collaborate with health
  professionals

Nurses for a Healthier Tomorrow
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Certification for CNE (Clinical) role

• Eligibility noted earlier in presentation
• Offered through American Nurses Credentialing
  Center (ANCC)
• Certified in Nursing Professional Development in
  your specialty for 5 yrs
• Renewal
• Values and goals of certification
• Validates nursing specialty knowledge
• Demonstrates accountability and dedication
• Career enhancement opportunities
• Higher salaries and bonuses

1000 hrs practicing in area of certification
Certification Renewal
of CE credits
OR
Retake and pass exam
American Nurses Credentialing Center, 2008
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Core Competencies Nurse Educator

• Facilitate Learning
• Facilitate Learner Development Socialization
• Use Assessment Evaluation Strategies
• Participate in Curriculum Design Evaluation of
  Outcomes
• Function as a Change Agent Leader
• Pursue Continuous Quality Improvement in the
  Nurse Educator Role
• Engage in Scholarship
• Function within the Educational Environment

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Role Variations of Nurse Educators

• Academic Based
• FT, PT or adjunct
• Deans
• Administrative Nurse Faculty
• Instructional Nurse Faculty in Doctoral, Masters,
  Bachelors and Associate Degree programs
• Clinical Nurse Educator
• Agency Based
• Professional Nurse Developer
• Staff Development Officer
• Continuing Education Specialist

• Many Nurse Educators function similar to a CNS
  in various different specialty areas
• In some ways, all nurses are educators!!!

Nurses for a Healthier Tomorrow, 2008
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Advanced Practice?

• Recognized APN Roles
• CNS
• NP
• CNM
• CRNA

• APN Requirements
• Graduate education
• Practice experience
• Licensure and certification
• Direct patient care

Barker, 2009 Bryant-Lukosius et al. 2004 AACN,
1996
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Does CNE Role Meet APN Requirements?
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APN vs. ANP

• Advanced Nursing Practice
• Describes the work, or what nurses do in a role
• Not clearly defined
• Extends beyond traditional scope of nursing
• Clinical practice, education, research,
  professional development, leadership, change
  agents

• Advanced Practice Nursing
• Refers to a whole field of a specific type of
  practice
• Title-protected roles
• Masters education
• Direct patient care
• Specific licensure/certification

The CNE role is considered advanced nursing
practice because of the advanced knowledge and
skill required.
Bryant-Lukosius et al. 2004
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References

• American Association of Colleges of Nursing.
  (1996). The essentials of masters education for
  advanced practice nursing. Retrieved September
  13, 2008 from http//www.aacn.nche.edu/education/m
  astessn.htm
• American Nurses Credentialing Center. (2008).
  Nursing Professional Development. Retrieved
  September 25th, 2008 from http//www.nursecredenti
  aling.org/Documents/Certification/Application/Nurs
  ingSpecialty/NursingProfessionalDevelopment.aspx
• Barker, A.M. (2009). Advanced Practice Nursing
  Essential Knowledge for the Profession. Sudbury,
  MA Jones and Bartlett.
• Bryant-Lukosius et al. (2004). Advanced practice
  nursing roles development, implementation and
  evaluation. Journal of Advanced Nursing, 48 (5),
  519-529.
• Chitty, K.K. (2005). Professional Nursing
  Concepts and Challenges, 4th ed. St. Louis, MO
  Elsevier Saunders.
• National League for Nursing. The Certified Nurse
  EducatorCM (CNE) Examination. Retrieved
  September, 25th, 2008 from http//www.nln.org/Facu
  ltyCertification/index.htm.
• National Nursing Staff Development Organization.
  https//www.nnsdo.org/home.html
• Nurses for a Healthier Tomorrow. Career
  Information Nurse Educator. Retrieved September
  25th, 2008 from http//www.nursesource.org/nurse_e
  ducator.html.