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Proving Competence: E

Primary Author: Carol A. Rizer CRNA, RN
Co-Principal Investigators/Collaborators: N/A
Organization: The University of Texas at Tyler

 

 

 

Abstract

Purpose

The purpose of this project was to develop a practice portfolio for each Certified Registered Nurse Anesthetists (CRNA) that would provide evidence of competent performance in a rural acute care setting. 

Background

Sweeping changes in the healthcare environment exposes a greater need for the placement of qualified and cost-effective providers in all areas. Certified Registered Nurse Anesthetists have a proven track record of safety as a provider group. A gap exists in identifying, quantifying, and linking existing practice evidence to the performance of individual CRNAs. 

Materials & Methods

The portfolio sections included 1) Performance Improvement data; 2) quarterly performance evaluations; 3) credentials, certifications, and continuing education transcripts; 4) evidence of accurate patient care documentation and billing records; and 5) scholarly work. Implementation of the project was completed over three weeks, including teaching and explanation of project phases, portfolio development and organization, and final evaluation. Feedback evaluation questionnaires were completed by the CRNAs, the Medical Director, the Office Manager, and the Administrative Assistant. 

Results

The majority of respondents agreed that the portfolio was an easier way to organize and access the data and that the components included provided adequate, reasonable, and truthful evidence of CRNA professional competence. The CRNAs felt that having the performance improvement data in their own portfolio would allow them to be informed of the criteria the hospital is keeping and be aware of quarterly reporting results on a regular basis. Also, that peer review and the feedback on documentation/billing packet completeness and legibility would inspire practice change. The majority of respondents stated the data collected from this project could improve the way CRNAs complete documentation, making billing processes more efficient. 

Conclusion

This project demonstrated that CRNA practice portfolios can be utilized to demonstrate competent practice through the compilation of objective, as well as quantifiable evidence. CRNAs in all practice settings might use a similar method to demonstrate practice competence to a variety of stakeholders.

 

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© Improvement Science Research Network, 2012

The ISRN published this as received and with permission from the author(s).