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APPLIED MEASUREMENT PROFESSIONALS, INC.

APPLIED MEASUREMENT PROFESSIONALS, INC. A Practice Analysis of the occupational health Nurse Certified occupational health Nurse (COHN). Certified occupational health Nurse - Specialist (COHN-S). occupational health Nurse Case Management (CM). Executive Summary Copyright 2012 by APPLIED MEASUREMENT Professionals, Inc. and the American Board for occupational health Nurses, Inc. PROPRIETARY. All rights reserved. No part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopy and recording, or any information and retrieval system, without permission in writing from APPLIED MEASUREMENT Professionals, Inc. and the American Board for occupational health Nurses, Inc. The purpose of this study was to identify the roles and responsibilities of the certified occupational health nurse, the certified occupational health nurse specialist, and the occupational health nurse in case management as a first step in the ongoing development of job-related certification examinations.

4. Develop occupational health and safety policies and procedures 5. Design/develop the budget for occupational health and/or safety 6. Establish goals and objectives for an occupational health and safety program 7. Develop/implement nursing protocols 8. Incorporate knowledge of cultural b eliefs/practices in implementing programs and services 9.

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Transcription of APPLIED MEASUREMENT PROFESSIONALS, INC.

1 APPLIED MEASUREMENT PROFESSIONALS, INC. A Practice Analysis of the occupational health Nurse Certified occupational health Nurse (COHN). Certified occupational health Nurse - Specialist (COHN-S). occupational health Nurse Case Management (CM). Executive Summary Copyright 2012 by APPLIED MEASUREMENT Professionals, Inc. and the American Board for occupational health Nurses, Inc. PROPRIETARY. All rights reserved. No part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopy and recording, or any information and retrieval system, without permission in writing from APPLIED MEASUREMENT Professionals, Inc. and the American Board for occupational health Nurses, Inc. The purpose of this study was to identify the roles and responsibilities of the certified occupational health nurse, the certified occupational health nurse specialist, and the occupational health nurse in case management as a first step in the ongoing development of job-related certification examinations.

2 Stated another way, the purpose was to analyze areas of knowledge, skill, and ability for occupational health nurses as reflected by the tasks that they perform. The American Board for occupational health Nurses, Inc. (ABOHN) requested the services of APPLIED MEASUREMENT Professionals, Inc. (AMP) to design and conduct a study which would provide the support necessary to develop specifications upon which content-valid certification examination results could be reported. This study can be considered to be the first link in the chain of evidence that can be used to support the validity of the examination results. The ABOHN. identified the need to ensure that the examination specifications would be representative of the responsibilities of a Certified occupational health Nurse (COHN), the Certified occupational health Nurse - Specialist (COHN-S), and the occupational health Nurse Case Management (CM) in a variety of settings.

3 The ABOHN appointed a Practice Analysis Advisory Committee (AC) to conduct the activities necessary to identify occupational health nurse (OHN) responsibilities and develop examination specifications. The diversity of this group was reflective of the areas within occupational health nursing, and all AC members had demonstrated expertise in their respective areas of specialization. The study involved a review of current occupational health nursing practices with OHNs from across the country. The review, along with the previous job analysis survey, contributed to the development of a definition of the OHN, development of a job analysis survey, distribution of that survey to occupational health nurses, an analysis of the responses, and development of examination specifications based on the survey responses.

4 The AC met during June 2010 to initiate the following six tasks: 1. Develop a sampling plan 2. Identify tasks for the survey instrument 3. Determine the rating scales 4. Determine the relevant demographic variables of interest 5. Integrate demographics, rating scales, and tasks into a survey instrument A total of 8,720 web-based surveys containing 136 task statements were distributed to occupational health nurses throughout the United States and Canada. After reducing the sample for undeliverable emails and addresses (n = 2,401), a total of 6,319 valid survey invitations remained. Of these, approximately 41% of the sample accessed the survey (n= 2,594), and some were not used because either they did not respond to any questions, or did not respond to at least a quarter of each survey scale, and therefore did not warrant inclusion in study.

5 These individuals were removed before analysis;. leaving 2,409 responses available for analysis, an adjusted response rate of 38%, which is considered excellent for this type of research. Copyright 2012 ABOHN and AMP page 1. During a series of web-based meeting sessions held in October, 2010 the AC reviewed the demographics of the respondents, evaluated the significance of the tasks, and established examination specifications. The responses to the demographic questions indicated that there were sufficient numbers of respondents in relevant groups for subsequent analysis. Some of the key demographic findings are illustrated in the figures that follow. For figures that differentiate COHN and COHN-S, respondents were first classified by certification held; those not currently certified were divided by their highest level of education, consistent with ABOHN eligibility requirements Figure 1.

6 Highest Level of Education in Nursing by Certification Type Figure 2. Certification in occupational health Nursing As shown in the figures that follow, for those who were certified, the average length of time certified was years for COHN, and years for COHN-S. On the average, a COHN has worked as an RN for years and the average for COHN-S was years. On the average, COHN respondents have worked as an OHN for years, and COHN-S years. Copyright 2012 ABOHN and AMP page 2. Figure 3. COHN Years Certified in OHN Figure 4. COHN-S Years Certified in OHN. Figure 5. COHN Years as Registered Nurse Figure 6. COHN-S Years as Registered Nurse Figure Years Working as an OHN Figure 8. COHN-S Years Working as an OHN. Copyright 2012 ABOHN and AMP page 3. Figure 9. Region of Practice Northeast - CT, MA, ME, NH, NJ, NY, PA, RI, VT.

7 Midwest - IA, IL, IN, KS, MI, MN, MO, ND, NE, OH, SD, WI. South - AL, AR, DC, DE, FL, GA, KY, LA, MD, MS, NC, OK, SC, TN, TX, VA, WV. West - AK, AZ, CA, CO, HI, ID, MT, NM, NV, OR, UT, WA, WY. Canada - Alberta, British Columbia, Manitoba, Newfoundland, Nova Scotia, Ontario Figure 10. Region of Practice by Certification Type Copyright 2012 ABOHN and AMP page 4. Figure 11. Job Title by Certification Type Figure 12. Percent of Time Spent in OHN Roles by Certification Type Copyright 2012 ABOHN and AMP page 5. Figure 13. Percent of Time Spent in OHN Activities by Cert Type Related to the tasks on the survey, approximately of the respondents felt that the practice analysis survey at least adequately addressed the responsibilities of the occupational health nurse.

8 In addition, respondents used all rating scales with an acceptable level of reliability. To evaluate the COHN and COHN-S tasks specifically, as noted previously, respondents were classified by the certification they held or their likely eligibility for those who were not currently certified. To evaluate Case Management tasks specifically, respondents were first classified by certification held. Those with a CM. certification were considered CM-types. In addition, respondents who reported their job title as case manager, or spend > 25% in a case management role, or spend > 30% in case management activities were also classified as CM-type. Decision rules were adopted by the AC, separately for COHN, COHN-S, and CM. These rules were used to determine which tasks were appropriate for assessment, and therefore for inclusion in the final Detailed Content Outline (DCO).

9 Decision rules were established to ensure that the resulting content was: Clearly part of practice, Important to practice, Important throughout the United States, Important for entry-level practitioners, Important regardless of certification status, Important for different types of organizational settings, and Important for a variety of job titles. Copyright 2012 ABOHN and AMP page 6. Application of these decision rules resulted in retention of 93 tasks that were appropriate for the COHN examination, 117 tasks appropriate for the COHN-S. examination, and 83 tasks appropriate for the CM examination. It was determined that an examination with 150 multiple-choice items would be sufficient to assess the tasks for the COHN and COHN-S examinations, while 100 multiple-choice items were deemed sufficient for the CM examination.

10 The examination specifications, reflecting four major domains of practice for the COHN, five major domains for the COHN-S, and four major domains for the CM, will be used to develop examination forms. After agreeing on the number of items on the examination, the AC discussed how these items should be distributed across the content categories. Based on the significance of the task ratings and the breadth of content within each major content area the committee members used their judgment to reach consensus on the number of items for each content area (role), as well as each step in the nursing process ( , minor category totals). The detailed content outlines that appear on the following pages will be used to create examination forms for administration beginning in September 2012.


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