335 - A Proactive Approach: Active Learning Opportunities for Strong CNOR Rates*
Description: Abstract:Recertification criteria for the Certified Nurse in the Operating Room (CNOR) is changing to include more active learning methods compared to traditional passive learning methods. This means a lower focus on passive learning via continuing education units (CEUs) by listening to presentations or reading, and greater emphasis on active learning requiring participation and engagement in professional development activities to earn points for activities. Due to this change, many staff members on our unit expressed both confusion and apathy towards maintaining certification. To intercept team members from lapsing recertification during transition to the new certification requirements, a study was done to gather perceptions and opportunities for our unit practice.Description of team: To prepare, a team of front line nurses, formal and informal unit leadership, and education personnel were gathered to review certification rates and the changing criteria. It was decided that education would be built and required for the units RN’s about the new recertification process. Preparation and Planning: Steps taken to build education include contacting the Competency and Credentialing Institute (CCI) who provided pamphlets, creating an in-service to educate all RN’s on the unit on the new requirements, a goal of return demonstration from team member documenting points earned on the CCI website, and developing a pre and post qualitative surveys about the unit’s perception on the criteria and ease of use. Pre and Post education surveys asked 31 RNs about their knowledge and confidence in the new recertification criteria.
Assessment: Pre-data show 70% of eligible RN’s on our unit have obtained certification.Outcomes: The number of RNs comfortable with the new criteria rose post education from an average of 4.1 to 7.4 on a scale of 1-10. The number of RNs familiar with new criteria saw an increase as well with the average increasing from 2.6 to 8.4. Team members have also verbalized the new requirements were not as difficult as they initially believed. 70% of the RN’s have been able to log points by one month post education. Feedback from the survey showed 83% of surveyed RNs would like to earn points leading in-services and presentations in the unit; a plan is being created by the Unit Practice Council. Certification rates will continue to be tracked with a goal of maintaining or increasing the units’ certification rate.Implications for perioperative nursing: Additional benefits include that post education four additional eligible RN’s have registered to take the CNOR exam by the end of the year, and the team leading the project became subject experts to help mentor others. Team members have also recognized that many criteria for points correlate to the activities on the inpatient clinical ladder and have expressed an interest in the Operating Room clinical ladder aligning with CCI’s recertification by points criteria.