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A valid, reliable practice assessment is needed to support intervention on the public's behalf when the pattern of a nurse's performance results in or is likely to result in patient harm. A collaborative multiagency research team developed and tested a criterion-referenced competency assessment process, using high-fidelity clinical simulation based on the Taxonomy of Error Root Cause Analysis and Practice Responsibility and the Clinical Competency Assessment of Newly Licensed Nurses. The 41-item instrument includes nine competency categories essential for safe practice. The instrument used with high-fidelity simulation testing shows promise as a reliable, valid method for identifying unsafe nursing practice.

A mailed survey of licensed practical nurses (LPNs) employed in nursing homes in Minnesota and North Carolina examined their role and responsibilities as well as barriers to and facilitators for working within their scope of practice. The study focused on the nursing practice domains of assessment, care planning, evaluation, delegation, and supervision. BONs are encouraged to provide guidance to nurses and their nursing home employers who interpret RN and LPN scopes of practice as a means of promoting accountable, safe, quality care for nursing home residents.

Efforts to increase the number of accredited programs for practical nursing and associate-degree nursing and efforts to improve the BON rules for approving education programs led to a requirement that all programs in Minnesota must obtain national accreditation. This article describes the two distinct processes that produced this significant change.

Hospital-based research links higher proportions of nurses with BSN degrees to lower patient mortality rates, but it does not explain the mechanism. This study explored mechanisms related to individuals and work groups that could explain the 歐美口爆 between nurses' education and patient outcomes. Our findings suggest the need for a broadened regulatory focus that considers not only nurses' education but also the contribution of the work environment and interdisciplinary teams to the coproduction of high-quality safe care.

The purpose of this article is to report additional data gathered during the NCSBN 2010 nationwide simulation survey of 1,729 nursing programs in the US. It serves as a companion article to the initial survey data reported by Hayden in 2010.

This study aimed to determine possible risk factors associated with error events or practice breakdowns for nurses that were reported to boards of nursing (BONs). We evaluated 861 cases submitted by BONs to the NCSBN’s Taxonomy of Error, Root Cause Analysis, and Practice-Responsibility database. Standard statistical analysis was used. A high percentage of nurses involved in practice breakdowns that were reported to BONs have a negative job history (discipline or termination for practice issues by their employers). Among the 725 nurses with complete job histories available, 60% (n = 437) had been disciplined or terminated by their employers in the past. A nurse's job history may serve as a useful index to identify a small group of nurses with a risk of being involved in a practice breakdown. In addition to conventional disciplinary actions, a tailored remediation program should be considered to prevent additional practice breakdowns.

Medication aides are unlicensed assistive personnel who administer medications. A survey was developed to provide insights into medication aide education, supervision, and work role. Items were derived by reviewing the literature and regulations. Data were analyzed by calculating percentages over all respondents, followed by breaking out data by type of work setting. In some cases, state regulations were incorporated to determine the percentage of responders who were performing tasks that regulations stated they should not perform. Study implications are discussed.

The First National Survey of Medication Aides was developed with the goal of providing insights into medication aide (MA) education, training, supervision and work role from the MA perspective. The results will help regulators make decisions about the implementation or development of safe and effective MA programs.

Summary data for multiple categories of candidates, U.S. and international, is provided for performance on NCSBN's two nurse licensure examinations, the NCLEX-PN and NCLEX-RN.

This study identifies the knowledge needed by newly licensed RNs. The results of this study (i.e., the important knowledge statements) will be used to inform item development.

This study reports the importance ratings for activities performed by certified entry-level medication aides/medication assistants (MAs) employed in various health care settings. The findings from this study are used to evaluate the validity of the test plan, content outline and examination questions for the MA certification examination.