NBCRNA Research: 5 Updates to Know
November 2019
As part of its focus on research, the NBCRNA will provide ongoing updates about the activities
and projects of the Evaluation and Research Advisory Committee (ERAC).

 The NBCRNA recognizes that as research and technologies continue to evolve, it will impact your CRNA practice in various ways and how you provide quality patient care. Through the work of the ERAC, the NBCRNA is evaluating the current NBCRNA credentialing programs, researching current technologies, and exploring alternative assessment modalities as they relate to the question: What is the best way to assess knowledge and competence over time in CRNA practice? This work will further strengthen and best position the CRNA profession for the future in today's evolving health care environment, promoting patient safety, supporting lifelong learning and enhancing provider quality.
In this Issue - Top 5 Research Updates to Know
  1. Visiting Research Fellow Selected
  2. Continued Professional Certification Assessment (CPCA) Beta Research Study Published
  3. Two New ERAC Subcommittees Formed: Longitudinal Assessment and English as a Second Language
  4. New Videos: What is a Logic Model, ERAC Update
  5. Progress Update on Simulation and Methods to Assess Competence Subcommittees
Hymel Selected as Inaugural NBCRNA Visiting Research Fellow
The NBCRNA is pleased to announce Nicole Hymel, DNP, CRNA, MSN, APRN, as the inaugural Visiting Research Fellow for FY 2020. This two-year fellowship stems from the work of the Evaluation and Research Advisory Committee (ERAC). The purpose is to provide a fellowship opportunity to CRNAs interested in performing research on professional certification and credentialing. Dr. Hymel currently works as a staff CRNA at Saint Tammany Parish Hospital in Covington, LA and has a passion for continuing education and research in the nurse anesthesia field. She will attend an ERAC orientation in December 2019, followed by two days of ERAC meetings. Her term will run through August 2021. Congratulations and welcome to Dr. Hymel. 

Find out more about the Visiting Research Fellowship and other ways to get involved with the NBCRNA on the Get Involved! page.
CPC Assessment Beta Research Study Published
The NBCRNA is pleased to announce that the CPC Assessment (CPCA) Beta Research Study was published in the October 2019 issue of the Journal of Nursing Regulation. The full article, Use of Resources and Method of Proctoring During the NBCRNA Continued Professional Certification Assessment: Analysis of Outcomes , is available to view here .

This innovative research study on the computer-based CPCA evaluated testing performance in six varied testing environments. Launched in September 2018, the research study included 1,500 randomly selected CRNAs who volunteered to take the 150-question, four-hour CPCA exam in one of the six assigned testing conditions, including with and without resources, and at a testing center or live, remote proctoring. The study provided the data necessary to establish both the testing condition and performance standard for the assessment requirement of the NBCRNA’s CPC Program. Although testing conditions varied, the percentage of study participants that met the performance standard was 95%, indicating preparedness and mastery of the knowledge necessary for practice in nurse anesthesia.

Read the full article as it appeared in the JNR here .
Two New ERAC Subcommittees Formed:
Longitudinal Assessment, English as a Second Language
Longitudinal Assessment Subcommittee

The Longitudinal Assessment (LA) Subcommittee was recently formed to investigate the use of longitudinal assessment as an alternative or option to the CPCA and throughout the NBCRNA's credentialing programs, providing recommendations to the ERAC. The goal of this subcommittee is to explore current and innovative methods in longitudinal assessment of CRNA crucial clinical decision-making knowledge, judgement, skills and abilities needed over time throughout their practice, to promote patient safety and support lifelong learning.

Sarah Giron, PhD, CRNA, will serve as the LA Subcommittee chair. The subcommittee will begin their work in November 2019 and provide an overview of their charge, charter and preliminary timeline to the ERAC at the meeting in December 2019.  
English as a Second Language Subcommittee

The English as a Second Language Subcommittee (ESL) Subcommittee was newly formed to explore considerations on examination performance for examinees with ESL throughout the NBCRNA's credentialing programs and provide recommendations to the ERAC. The goal of this subcommittee is to investigate licensure and certification practices, translational, localization and adaptation considerations, as well as demographic variables on examination performance for examinees with ESL.

The subcommittee will begin their work in November 2019, chaired by Garry Brydges, PhD, DNP, MBA, ACNP-BC, CRNA, FAAN. An overview of their charge, charter and preliminary timeline will be presented to the ERAC in December 2019.
New Videos: Logic Models, ERAC Update
A new Logic Model video explaining what Logic Models are is now available. The video describes Logic Models and how the NBCRNA is using them to guide the evaluation and progress of its credentialing programs. The video features Dennis Spence, PhD, MS, CRNA, NBCRNA Board Director and member of the ERAC.

A Logic Model is essentially a simplified picture—a road map—to both depict and help answer key questions such as: what are we putting into a program and what are we trying to achieve? The NBCRNA is using logic models to evaluate the effectiveness throughout their credentialing programs.

Plans are underway to evaluate the logic models developed for the CPC Program requirements and identify any improvement opportunities. 
Find out about the latest work of the ERAC in the new ERAC Update video . This video is part of a planned series being launched to provide updates on the ERAC activities and how they relate to the NBCRNA's Research Initiative. This first video, recorded by ERAC Chair Steve Wooden, DNP, CRNA, NSPM-C, provides a description of who the ERAC is, as well as brief updates on each of the ERAC subcommittees, including the Simulation, Methods to Assess Competence, Longitudinal Assessment (LA), and the English as a Second Language (ESL) Subcommittees.
Progress Update on ERAC Subcommittees:
Simulation, and Methods to Assess Competence
Simulation Subcommittee

The subcommittee’s work has progressed over the past months stemming from a productive meeting in Boston at the Center for Medical Simulation to explore further considerations, opportunities and limitations of High-fidelity Patient Simulation and Virtual Reality (VR). As a result, the subcommittee gained additional insights on how to design simulation-based assessment options for CRNAs as an initial formative evaluation, and considering other modalities such as screen-based simulation. A progress update on their initial proposal will be provided by the subcommittee Co-chairs Chris Muckler, DNP, MSN, CRNA, CHSE and Jeffrey Groom, PhD, CRNA, APRN, FSSH, during the in-person meeting in Chicago in December 2019.
Methods to Assess Competence Subcommittee

The subcommittee has conducted a literature review of over 11,000 articles on current and innovative assessment methods. An initial report of their meta-analysis was provided at the NBCRNA April 2019 Board of Directors meeting and a progress update on their preliminary report will be provided by the subcommittee Chair Kenneth Wofford, PhD, CRNA, during the in-person meeting in Chicago in December 2019.
Purpose: The Simulation Subcommittee was established to investigate the use of simulation as an alternative or option to the 150-question, closed-book CPCA and provide recommendations to the ERAC. Simulation is currently used as a required component of the NBCRNA’s Reentry Program.
Purpose: The Methods to Assess Knowledge and Competence Subcommittee was formed to explore current and innovative methods for assessment of CRNAs’ crucial clinical decision-making knowledge, judgement, and skills throughout their career and provide recommendations to the ERAC.
About the ERAC... 
In August 2017, the NBCRNA established the Evaluation and Research Advisory Committee (ERAC) to assist the NBCRNA Board of Directors in providing oversight for project development and design, ongoing analysis, outcomes, and reports related to the NBCRNA's credentialing programs. The ERAC will develop an evidenced-based evaluation of recommendations related to the credentialing programs brought forward by stakeholders to help inform the NBCRNA and any potential changes to the CPC Program and throughout other credentialing programs. The ERAC will provide summary recommendations to the NBCRNA Board of Directors for final determination.

The ERAC members represent a wealth of experience and depth in evaluation, research and related fields, bringing a breadth of expertise and innovation to NBCRNA's efforts to enhance provider quality, support lifelong learning, and promote patient safety. The current ERAC and subcommittee rosters include:
ERAC

Chair:  Steve Wooden, DNP, CRNA, NSPM-C
(Virginia) Chris Muckler, DNP, MSN, CRNA, CHSE
Andrzej Kozikowski, PhD
Edward Waters, DNP, CRNA
Edwin Aroke, PhD, CRNA
Israel N. Akpadiaha, PhD, CRNA
Kay K. Sanders, DNP, CRNA
Kenneth Wofford, PhD, CRNA
Michelle Aebersold, PhD, RN, CHSE, FAAN
Robyn Ward, PhD, MS, CRNA, CDR, USN (ret.)
Sarah Jingying Zhang, PhD, CRNA
Suzan Kardong-Edgren, PhD, RN, ANEF, CHSE, FSSH, FAAN
Rishelle Zhou, MS, LLB, CRNA
AANA Appointee: Bryan Wilbanks, PhD, DNP, CRNA
NBCRNA Board:  Terry Wicks, DNP, MHS, BSN, CRNA;
Mary M. Wojnakowski, PhD, CRNA; Dennis Spence, PhD, MS, CRNA
Visiting research fellow: Nicole Hymel, DNP, MSN, CRNA, APRN
Simulation Subcommittee

Co-chair: (Virginia) Chris Muckler, DNP, MSN, CRNA, CHSE
Co-chair: Jeffrey Groom, PhD, CRNA, APRN, FSSH
Celeste Villanueva, EdD, CRNA, FNAP
Kristin J. Henderson, DNAP, CRNA, CHSE
Michelle Aebersold, PhD, RN, CHSE, FAAN
NCSBN Representative: Nancy Spector, PhD, RN, FAAN
Pamela Jeffries, PhD, RN, FAAN, ANEF, FSSH
Richard Flowers, DNP, CRNA
Suzan Kardong-Edgren, PhD, RN, ANEF, CHSE, FSSH, FAAN
Research/Testing Advisors: John Wickett, PhD; Anthony R. Zara, PhD
AANA Appointee: Catherine H. Horvath, DNP, CRNA, CHSE
NBCRNA Board: Mary M. Wojnakowski, PhD, CRNA; Stephen Klinkhammer, DNP, CRNA, CHSE, APNP, APN
NBCRNA ERAC Liaison: Dennis Spence, PhD, MS, CRNA
Duke Students: Gaige Flewelling, BSN, RN, CCRN, SRNA; Bailey Augustine, BSN, RN, CCRN, SRNA

Methods Subcommittee

Chair: Kenneth Wofford, PhD, CRNA
Edwin Aroke, PhD, CRNA
Kay K. Sanders, DNP, CRNA
NBCRNA ERAC Liaison: Dennis Spence, PhD, MS, CRNA
Longitudinal Assessment Subcommittee

Chair: Sarah Giron, PhD, CRNA
Andi (Rice) Stamper, DNP, MSN, CRNA
Chuck Griffis, PhD, CRNA
Deniz Dishman, PhD, DNAP, CRNA
Joseph Chapman, APRN, CRNA
Myron Arnaud, DNP, CRNA
Timothy A. Newcomer PhD, CRNA
ERAC Liaison: Robyn Ward, PhD, MS, CRNA, CDR, USN (ret.)
External Advisors: Grady Colson Barnhill, MEd; Jared Riel, MA
NBCRNA Board Liaison: Susan McMullan, PhD, MSN, CRNA
English as a Second Language Subcommittee

Chair: Garry Brydges, PhD, DNP, MBA, ACNP-BC, CRNA, FAAN
Israel N. Akpadiaha, PhD, CRNA
Sarah Jingying Zhang, PhD, CRNA
Jose Castillo III, PhD, MS, APRN, CRNA
Sherily Pereira Morals, PhD, RNA
NBCRNA Board Liaison: Pamela Chambers, PhD, MSN, CRNA
ERAC Liaison: Edwin Aroke, PhD, CRNA
External Advisors: Anne Marie Remy, CRNA

Find out more about NBCRNA's research initiative at www.nbcrna.com/research .

Questions? Email research@nbcrna.com
Keep up-to-date

  • View regular updates on NBCRNA's Research webpage.
  • View Doctoral Research Topics Resource recently posted here.
  • The ERAC and Subcommittees will be meeting in Chicago in December 2019 to orient new members, discuss the committee and subcommittee work, and provide a progress update. Check back and view ERAC updates here.
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