Updating the Acute Care CPNP ® Exam

1. Updating the Acute Care CPNP® Exam Important Information for Faculty, Students, and Exam Candidates 2013-14 Job Practice Analysis

2. Acute Care CPNP Exam2013-14 Job Practice Analysis • The purpose of the job practice analysis, or role delineation study (RDS), is to: • validate the inventory of the tasks and knowledge statements related to work performed by acute care PNPs; • ensure that the tasks and knowledge statements identified were congruent with the objective of certifying entry-level acute care PNPs; and, • develop test specifications for the Acute Care CPNP examination.

3. Acute Care CPNP Exam2013-14 Job Practice Analysis • How and why a job practice analysis is conducted: • Typically uses a survey instrument to obtain descriptive information on demographics and role responsibilities every 3-5 years. • Required of all nursing certification boards by their accrediting agency. • Should identify tasks, knowledge, skills, or abilities deemed important to practice by PNPs with the goal of developing or updating an exam’s content outline.

4. SURVEY SUMMARY The Acute Care CPNPExam 2013-14 Job Practice Analysis Steps Involved & Results “at a glance”

5. Steps Involved… • Over a period of several months, the following occurred: • Developed the survey instrument with subject matter experts (SMEs) from around the country • Pilot tested the instrument for clarity and comprehensiveness • Disseminated the survey • Analyzed survey data • Developed test specifications and the updated content outline from survey findings and SME input

6. Overall Results at a Glance… • A total of 319 responses were used for analysis. • The majority of respondents held the CPNP-AC credential, worked in a university medical center (which includes children’s hospitals), and held a Master’s degree • Survey participants responded to the following survey sections: • Section 1: Background & General Information • Section 2: Tasks • Section 3: Knowledge • Section 4: Technical Competencies • Section 5: Clinical Problems • Section 6: Recommendation for Exam Content • Section 7: Comments

7. Survey Responses: Comparing 2009 to 2013-14

8. Results at a Glance…Tasks & Knowledge • Overall, 141 of 151 tasks & knowledge/skills, (92.86%) achieved high mean ratings for task and knowledge importance, thereby validating their importance to competent performance for Acute Care PNPs.

9. Results at a Glance…Tasks only • 91 of the 98 task statements achieved high importance ratings. • The tasks with “borderline” performance ratings included: • As part of assessment, identify and analyze factors that affect the child’s growth and development including oral health status • Assess child’s and family’s knowledge and behavior and promote health regarding oral health • Assess child’s and family's knowledge and behavior and promote health regarding sexual behavior and practices • As part of diagnosing, determine health status specific to sexual/reproductive issues

10. Results at a Glance…Tasks only (cont.) • 91 of the 98 task statements achieved high importance ratings. • The tasks with “failed” performance ratings include: • As part of assessment, identify and analyze factors that affect the child’s growth and development including school performance • As part of assessment, identify and analyze factors that affect the child’s growth and development including sexual behavior and practice • As part of assessment, identify and analyze factors that affect the child’s growth and development including socioeconomic status A total of 95 task statements were approved for inclusion.

11. Results at a Glance…Knowledge only • 50 of 53 knowledgestatements achieved high importance ratings. • The knowledge/skills rated “borderline” were: • Complementary and alternative medicine • Disaster preparedness • Theories of education and learning All 53 knowledge statements were approved for inclusion.

12. Results at a Glance…Technical Competencies • The 2013-14 study sought validation on a list of 65 possible inclusions of procedures, physiologic monitoring/support, or interpretation of diagnostic results performed in acute care. • 16 specific technical competencies related to physiologic monitoring/support and interpretation of diagnostic results were added as an addendum to the new content outline. • The remaining 49 technical competencies related to procedures did not meet the threshold and were not included. A total of 16physiologic technical competencies were approved for inclusion.

13. OUTLINE OF CHANGES The Acute Care CPNPExam 2013-14 Job Practice Analysis Results “At a Glance”

14. How the 2013-14 Job Analysis Study Impacts the Exam

15. How the 2013-14 Study Impacts the Exam

16. How the 2013-14 Study Impacts the Exam

17. How the 2013-14 Study Impacts the Exam: Summary • Majority of content areas from 2009 content outline remain valid. • Refined descriptions for clarity. • “Assessment” and “Diagnosis” are now separate domains. • Supporting list of technical competencies (e.g., physiologic monitoring/support and interpretation of diagnostic results) now a formal part of the content outline. • Expanded list of clinical problems (body systems).

18. How the 2013-14 Study Impacts the Exam: Assessment • Under Assessment: • Expanded and added definition to each element of Health History and Physical Exam • Added assessment of child health risks • Validated and acknowledged elements of health promotion within acute care practice

19. How the 2013-14 Study Impacts the Exam: Diagnosis • Under Diagnosis: • Created separate domain for Diagnosis – separating it from previous combined domain entitled “Assessment and Diagnosis” • Combined and clarified identification of diagnostic elements (II.A. 1 thru 11) • Collapsed specific body systems / clinical problems so that they are a backdrop to all domains • Prioritization of body systems / clinical problems is standard across all domains

20. How the 2013-14 Study Impacts the Exam: Management • Under Management: • In the acute care environment, where Implementing, Evaluating and Revising interventions can occur rapidly... • Combined the threads of management under one heading (III.A.1) such as: • Age-specific and situation-specific screening and procedures • Complications • Medications • Response to therapy

21. How the 2013-14 Study Impacts the Exam: Management • Under Management (cont.): • Collapsed specific body systems / clinical problems so that they are a backdrop to all domains • Prioritization of body systems / clinical problems is standard across all domains • Clarified and simplified elements of • Education • Collaboration • Referral

22. How the 2013-14 Study Impacts the Exam: Professional Practice Role • Under Professional Practice Role: • Updated, expanded and clarified the essential elements of professional practice as applied to the role of the Acute Care Pediatric Nurse Practitioner.

23. ADDITIONAL INFORMATION The Acute Care CPNPExam 2013-14 Job Practice Analysis

24. Questions others are asking… • Q: When does the updated exam launch? • A: It is expected to launch October 24, 2014. • Q: Is there any advantage in taking one version of the exam over the other? • A: No, both will equally assess your knowledge. • Q: Do I need to study differently if I choose to take the updated exam? • A: No, any preparations you undertake will benefit you regardless of which exam version you take. The reference list remains the same because the tasks listed on the new outline have not changed significantly from the older one.

25. Acute Care CPNPExam We wish you much success on your upcoming exam. If you have questions, please visit www.pncb.org or email exam@pncb.org.