AACN News—October 2007—Practice

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Vol. 24, No. 10, OCTOBER 2007

Practice Resource Network

QI have a few questions related to CCRN renewal using the Synergy Model. I’ve reviewed the Renewal QwikTips for referencing the categories. Since staff members in my hospital will generally ask my opinion on some of the topics, I would like to make sure I am providing them with the correct responses. Some of the topics that seem to border on both Category A and Category B are:
• Uncovering Abuse of the Pregnant Woman
• Elder Abuse: Mistreatment of Older Americans on the Rise
• Nurses, Women and Cardiac Disease
• Hospice Care: Right Patient, Right Time, Right Place
• Document It Right – Would Your Charting Stand Up in Court?

Aas you know, the AACN Certification Corporation is transitioning Renewal by CERPs (Categories A and B) to Renewal by Synergy CERPs (Categories A, B and C).
Here are a few guidelines to use for reference when determining the correct category for your CCRN or PCCN renewal continuing education. Remember, you may count some activities toward your renewal CERPs (these are designated by an asterisk*)

Category A
Clinical Judgment: Clinical reasoning, which includes clinical decision-making, critical thinking and a global grasp of the situation, coupled with nursing skills acquired through a process of integrating education, experiential knowledge and evidence-based guidelines. Examples include:
• ABG interpretation
• Clinical implications of bioterrorism
• Hemodynamic monitoring
• Nursing diagnosis
• Pharmacology (including pain management)
• *CCRN and PCCN self assessment exams (SAEs)
Clinical Inquiry (innovator/evaluator): The ongoing process of questioning
and evaluating practice and providing informed practice; creating changes through evidence-based practice, research utilization and experiential knowledge. Examples include:
• Clinical research articles
• Research process
• Evidence-based practice articles
• *Performing audits or prevalence studies
• *Publishing and editing articles
• *Performing a QI project
• *Developing a practice protocol

Category B
Advocacy/Moral Agency: Working on another’s behalf and representing the concerns of the patient/family and nursing staff; serving as a moral agent in identifying and helping to resolve ethical and clinical concerns within and outside the clinical setting. Examples include:
• Legal aspects of nursing practice
• Public policy
• Advance directives
• Patient rights
• Informed consent
• Sexual harassment training
• *Participating on an ethics committee
Caring Practices: Nursing activities that create a compassionate, supportive and therapeutic environment for patients and staff with the aim of promoting comfort and healing and preventing unnecessary suffering. These caring behaviors include, but are not limited to, vigilance, engagement and responsiveness of caregivers. Caregivers include family and other healthcare personnel. Examples include:
• Comfort measures
• Stress management
• Grief and loss
• Patient safety (e.g., fall prevention, infection control practices)
• Palliative care
• Pet therapy
• *Critical incident debriefing
Response to Diversity: The sensitivity to recognize, appreciate and incorporate differences into the provision of care. Differences may include, but are not limited to, individuality, cultural, spiritual, gender, race, ethnicity, lifestyle, socioeconomic, age and values. Examples include:
• Medical Spanish or sign language classes
• Age-appropriate interventions
• Spiritual considerations of the dying patient
• Nutrition for the aging population
• Health disparities
• Cultural aspects of organ donation
• *Translating documents for patient care/teaching
Facilitation of Learning (patient/family educator): The ability to facilitate learning for patients/families, nursing staff, other members of the healthcare team, and the community. Includes both formal and informal facilitation. Examples include:
• Selecting effective teaching strategies
• Conducting a needs assessment
• Education evaluation methodology
• Preceptor methods
• *Participating in a health fair
• *Teaching courses/inservices/programs
• *Serving as a preceptor/mentor

Category C
Collaboration: Working with others (e.g., patients, families, healthcare providers) in a way that promotes and encourages each person’s contributions toward achieving optimal or realistic goals. Collaboration involves intra- and interdisciplinary work with colleagues and the community. Examples include:
• How to work on teams
• Communication skills (e.g., crucial conversations, negotiation)
• Dealing with difficult people
• Assessing performance
• *Participating on a nursing team or interdisciplinary hospital committee or project
• *National nursing organization membership and participation
Systems Thinking: The body of knowledge and tools that allow the nurse to manage whatever environmental and system resources that exist for the patient/family and staff, within or across healthcare and non-healthcare systems. Examples include:
• Healthy work environments
• Management skills
• Risk management
• Disaster planning
• Case management
• *Designing new systems, forms, policies or procedures
• *Leading a case conference
So, let’s go back to your specific articles and categorize them according to the Synergy Model:
• Uncovering Abuse of the Pregnant Woman Synergy CERP B (Advocacy/Moral Agency)
• Elder Abuse: Mistreatment of Older Americans on the Rise Synergy CERP B (Advocacy/Moral Agency)
• Nurses, Women and Cardiac Disease Synergy CERP A (Clinical Judgment)
• Hospice Care: Right Patient, Right Time, Right Place Synergy CERP B (Caring Practices)
• Document It Right – Would Your Charting Stand Up in Court? Synergy CERP B (Advocacy/Moral Agency)
For your convenience, CE activities in AACN’s Online CE Center are already categorized by Synergy CERPs. Those for NTI 2007 have been categorized by Synergy CERPs as well. We will continue to categorize CEs in both types of CERPs until the transition to Renewal by Synergy CERPs is complete in 2010.

Work Groups Focus on Association Initiatives

AACN work group members are selected from a pool of volunteers who registered in AACN’s Volunteer Profile Database online (www.aacn.org. > About AACN > Volunteer Opportunities).
Following are those tapped for 2007-08 work groups, along with their board and staff liaisons.

Advanced Practice Institute Work Group
Susan Marie Allison
Carrie M. Horton
Peggy L. Kirkwood
Lisa M. Milonovich
Linda M. Tamburri

Chair - Nancy L. Munro
Board Liaison - Janice M. Wojcik
Staff Liaison - Linda J. Bell

Evidence-Based Practice Resource Work Group
Annette M. Bourgault
Karen L. Johnson
Debra L. Kramlich
Kate M. Moore
Nancy M. Richards
Mark D. Weber

Chair - Maureen A. Seckel
Board Liaison - Mary A. Stahl
Staff Liaison - Joyce C. Hall
NTI Work Group
Michele L. Avila-Emerson
Phyllis A. Cerone
Louise R. Cook
Gerard B. Hannibal
Donna K. Kruse
Barbara B. Pope
Susan Ward
Mary Jane Zellinger

Chair - Mary Frances D. Pate
Board Liaison - Janice M. Wojcik
Staff Liaison - Bonnie L. Baker

Staff Nurse Advisory Group
Angelina Andrzejewski
Gwendolyn Dransfield
Amy Ferenz
Dora Frank
Stephanie Hodges
Kim Hoepner
Michelle Legg
Amy Toole

Board Liaison - Marian Altman
Board Liaison - Paula Lusardi
Staff Liaison - Mary Pat Aust
Staff Liaison - Dana K. Woods

Half-day Regional CE Programs on Cardiovascular Disease Risk Reduction Scheduled

The Preventive Cardiovascular Nurses Association continues its series of regional programs on cardiovascular disease (CVD) risk reduction. Advanced practice nurses and other clinical nurses specializing in cardiovascular disease management and prevention are invited to attend free of charge.

The three-contact hour continuing education programs examine current guidelines in the prevention and treatment of dyslipidemia, hypertension and diabetes. The practice guidelines, based on national guidelines from the American Heart Association, JNC 7, ATP III and the American Diabetes Association, provide interventions and treatment goals proven to reduce risk in individuals with known or increased risk for CVD. Participants will learn how to use the guidelines in their practice and to improve outcomes for CVD prevention.

Following is the program schedule for the remainder of the year.
Oct. 27, 2007 Durham, N.C.
Nov. 10, 2007 Cleveland, Ohio and Miami, Fla.
Nov. 17, 2007 Spokane, Wash. and Tampa, Fla.
Dec. 1, 2007 Sacramento, Calif.

Preregistration is required at www.pcna.net/ members/chapevent_register/guidelines.

Jan. 1 Is the Deadline to Apply for These AACN Nursing Research Grants

Unless otherwise specified, all research grant proposals must meet the following criteria: 1) Relevant to acute and/or critical care nursing practice, 2) Addresses one or more of AACN’s research priorities, and 3) principal investigator is a current AACN member and remains a member throughout the life of the grant funding.
Jan. 1, 2008 is the deadline to apply for the following research grants.

Small Grants
AACN Clinical Inquiry Grant
Five awards up to $500 each are available for projects that directly benefit patients and/or families. Interdisciplinary projects are especially invited. The principal investigator must be currently employed in a clinical setting and directly involved in patient care.

AACN End-of-Life/Palliative Care Small Projects Grant
One award up to $500 is available for a project that focuses on patients of all ages, patient education, staff development, CQI projects, outcomes evaluation projects, or small clinical research studies. A broad range of topics may be addressed including bereavement, communication issues, caregiver needs, symptom management, advance directives, and life support withdrawal.

AACN Evidence-Based Clinical Practice Grant
Three awards up to $1,000 each for projects focusing on research utilization studies, CQI projects or outcome evaluation studies. Collaborative projects are encouraged and may involve interdisciplinary teams, multiple nursing units, home health, sub-acute and transitional care, other institutions and community agencies.

Large Grants AACN Mentorship Grant
One award up to $10,000 to provide research support for a novice researcher, with limited or no research experience, who will act as the principal investigator for the study. The study must be directed by a mentor with strong research experience in the area of proposed investigation. The mentor can be an AACN member; however, it is not a requirement for funding. The mentor may not be a mentor on an AACN Mentorship Grant in two consecutive years.

AACN Critical Care Grant
One award up to $15,000 for a study relative to acute and critical care nursing and focused on one or more of AACN’s research priorities.

To find out more about AACN’s research priorities and research grant opportunities, visit the Research area of the AACN Web site, www.aacn.org > Research > Grants or e-mail research@aacn.org.
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