Verification of resident bedside-procedure competency by intensive care nursing staff

Varun K. Bhalla, Aaron Robert Bolduc, Frank D. Lewis, Elizabeth G. NeSmith, Christopher Hogan, Jennifer S. Edmunds, Traci Bedgood Hentges, Regina S. Medeiros, Steven B Holsten

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

BACKGROUND: Recent efforts by the Accreditation Council for Graduate Medical Education to standardize resident education and demonstrate objective clinical proficiency have led toward more accurate documentation of resident competencies. Particularly with regard to bedside procedures, hospitals are now requiring certification of competency before allowing a provider to perform them independently. The current system at our institution uses a time-consuming, online verification system. This study provided an alternative method through an identification card with a list of bedside procedures. Our aim was an easier verification method for nurses, allowing fewer delays of bedside procedures and more time for nursing to patient care.

METHODS: We performed a prospective, controlled study, using general surgical residents and surgical intensive care nurses. Subjects performed an initial survey of their experience with the current online system in place to identify resident bedside procedure competency. Phase I involved educating the subjects about this current system followed by another survey. Phase II involved introducing our proficiency card. After 3 months, we conducted a final survey to evaluate opinions on the proficiency card, comparing it with the online verification method.

RESULTS: Nursing postintervention responses indicated that significantly less time was required to validate a resident's proficiency (P = .04). Prior to the introduction of the proficiency card, only 15% of nurses reported a verification time of 5 minutes or less, compared with 64% postintervention. In addition, nurses rated the card validation as an easier, more efficient method of verification (P = .02).

CONCLUSIONS: We believe that its continued use will not only improve the adherence to a mandatory hospital policy but also result in a less-cumbersome verification process, allowing more time for physician and nurse-to-patient care.

Original languageEnglish (US)
JournalJournal of trauma nursing : the official journal of the Society of Trauma Nurses
Volume21
Issue number2
DOIs
StatePublished - Mar 1 2014

Fingerprint

Critical Care Nursing
Nursing Staff
Nurses
Online Systems
Patient Care
Nursing
Graduate Medical Education
Accreditation
Certification
Critical Care
Documentation
Prospective Studies
Physicians
Education

ASJC Scopus subject areas

  • Emergency
  • Critical Care
  • Advanced and Specialized Nursing

Cite this

Verification of resident bedside-procedure competency by intensive care nursing staff. / Bhalla, Varun K.; Bolduc, Aaron Robert; Lewis, Frank D.; NeSmith, Elizabeth G.; Hogan, Christopher; Edmunds, Jennifer S.; Hentges, Traci Bedgood; Medeiros, Regina S.; Holsten, Steven B.

In: Journal of trauma nursing : the official journal of the Society of Trauma Nurses, Vol. 21, No. 2, 01.03.2014.

Research output: Contribution to journalArticle

Bhalla, Varun K. ; Bolduc, Aaron Robert ; Lewis, Frank D. ; NeSmith, Elizabeth G. ; Hogan, Christopher ; Edmunds, Jennifer S. ; Hentges, Traci Bedgood ; Medeiros, Regina S. ; Holsten, Steven B. / Verification of resident bedside-procedure competency by intensive care nursing staff. In: Journal of trauma nursing : the official journal of the Society of Trauma Nurses. 2014 ; Vol. 21, No. 2.
@article{3c1e877b91af43bead7d78eb0495d565,
title = "Verification of resident bedside-procedure competency by intensive care nursing staff",
abstract = "BACKGROUND: Recent efforts by the Accreditation Council for Graduate Medical Education to standardize resident education and demonstrate objective clinical proficiency have led toward more accurate documentation of resident competencies. Particularly with regard to bedside procedures, hospitals are now requiring certification of competency before allowing a provider to perform them independently. The current system at our institution uses a time-consuming, online verification system. This study provided an alternative method through an identification card with a list of bedside procedures. Our aim was an easier verification method for nurses, allowing fewer delays of bedside procedures and more time for nursing to patient care.METHODS: We performed a prospective, controlled study, using general surgical residents and surgical intensive care nurses. Subjects performed an initial survey of their experience with the current online system in place to identify resident bedside procedure competency. Phase I involved educating the subjects about this current system followed by another survey. Phase II involved introducing our proficiency card. After 3 months, we conducted a final survey to evaluate opinions on the proficiency card, comparing it with the online verification method.RESULTS: Nursing postintervention responses indicated that significantly less time was required to validate a resident's proficiency (P = .04). Prior to the introduction of the proficiency card, only 15{\%} of nurses reported a verification time of 5 minutes or less, compared with 64{\%} postintervention. In addition, nurses rated the card validation as an easier, more efficient method of verification (P = .02).CONCLUSIONS: We believe that its continued use will not only improve the adherence to a mandatory hospital policy but also result in a less-cumbersome verification process, allowing more time for physician and nurse-to-patient care.",
author = "Bhalla, {Varun K.} and Bolduc, {Aaron Robert} and Lewis, {Frank D.} and NeSmith, {Elizabeth G.} and Christopher Hogan and Edmunds, {Jennifer S.} and Hentges, {Traci Bedgood} and Medeiros, {Regina S.} and Holsten, {Steven B}",
year = "2014",
month = "3",
day = "1",
doi = "10.1097/JTN.0000000000000030",
language = "English (US)",
volume = "21",
journal = "Journal of trauma nursing : the official journal of the Society of Trauma Nurses",
issn = "1078-7496",
publisher = "Lippincott Williams and Wilkins",
number = "2",

}

TY - JOUR

T1 - Verification of resident bedside-procedure competency by intensive care nursing staff

AU - Bhalla, Varun K.

AU - Bolduc, Aaron Robert

AU - Lewis, Frank D.

AU - NeSmith, Elizabeth G.

AU - Hogan, Christopher

AU - Edmunds, Jennifer S.

AU - Hentges, Traci Bedgood

AU - Medeiros, Regina S.

AU - Holsten, Steven B

PY - 2014/3/1

Y1 - 2014/3/1

N2 - BACKGROUND: Recent efforts by the Accreditation Council for Graduate Medical Education to standardize resident education and demonstrate objective clinical proficiency have led toward more accurate documentation of resident competencies. Particularly with regard to bedside procedures, hospitals are now requiring certification of competency before allowing a provider to perform them independently. The current system at our institution uses a time-consuming, online verification system. This study provided an alternative method through an identification card with a list of bedside procedures. Our aim was an easier verification method for nurses, allowing fewer delays of bedside procedures and more time for nursing to patient care.METHODS: We performed a prospective, controlled study, using general surgical residents and surgical intensive care nurses. Subjects performed an initial survey of their experience with the current online system in place to identify resident bedside procedure competency. Phase I involved educating the subjects about this current system followed by another survey. Phase II involved introducing our proficiency card. After 3 months, we conducted a final survey to evaluate opinions on the proficiency card, comparing it with the online verification method.RESULTS: Nursing postintervention responses indicated that significantly less time was required to validate a resident's proficiency (P = .04). Prior to the introduction of the proficiency card, only 15% of nurses reported a verification time of 5 minutes or less, compared with 64% postintervention. In addition, nurses rated the card validation as an easier, more efficient method of verification (P = .02).CONCLUSIONS: We believe that its continued use will not only improve the adherence to a mandatory hospital policy but also result in a less-cumbersome verification process, allowing more time for physician and nurse-to-patient care.

AB - BACKGROUND: Recent efforts by the Accreditation Council for Graduate Medical Education to standardize resident education and demonstrate objective clinical proficiency have led toward more accurate documentation of resident competencies. Particularly with regard to bedside procedures, hospitals are now requiring certification of competency before allowing a provider to perform them independently. The current system at our institution uses a time-consuming, online verification system. This study provided an alternative method through an identification card with a list of bedside procedures. Our aim was an easier verification method for nurses, allowing fewer delays of bedside procedures and more time for nursing to patient care.METHODS: We performed a prospective, controlled study, using general surgical residents and surgical intensive care nurses. Subjects performed an initial survey of their experience with the current online system in place to identify resident bedside procedure competency. Phase I involved educating the subjects about this current system followed by another survey. Phase II involved introducing our proficiency card. After 3 months, we conducted a final survey to evaluate opinions on the proficiency card, comparing it with the online verification method.RESULTS: Nursing postintervention responses indicated that significantly less time was required to validate a resident's proficiency (P = .04). Prior to the introduction of the proficiency card, only 15% of nurses reported a verification time of 5 minutes or less, compared with 64% postintervention. In addition, nurses rated the card validation as an easier, more efficient method of verification (P = .02).CONCLUSIONS: We believe that its continued use will not only improve the adherence to a mandatory hospital policy but also result in a less-cumbersome verification process, allowing more time for physician and nurse-to-patient care.

UR - http://www.scopus.com/inward/record.url?scp=85003045374&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85003045374&partnerID=8YFLogxK

U2 - 10.1097/JTN.0000000000000030

DO - 10.1097/JTN.0000000000000030

M3 - Article

C2 - 24614293

AN - SCOPUS:85003045374

VL - 21

JO - Journal of trauma nursing : the official journal of the Society of Trauma Nurses

JF - Journal of trauma nursing : the official journal of the Society of Trauma Nurses

SN - 1078-7496

IS - 2

ER -