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Program A vs. B

Introduction  |  Research Design  |  Data, Analytics & Results
Client
National Council of State Boards of Nursing internal project
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Duration
6 months
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Role on Project
Principal investigator
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Skills Demonstrated

Stakeholder interviewing

Literature review

Data mining

Chi-square & survival analysis

Introduction

This project was an investigation into outcomes of practice-related remediation programs offered by Boards of Nursing.

 

Remediation is the process of evaluating, counseling, and educating a healthcare professional to improve performance or practice. Different states have different types of remediation programs for licensed nurses who have been reported to the Board of Nursing for practice-related issues. 

 

This study was designed to investigate if remediation program A had a lower rate of recidivism and licensure lapse versus

program B.

Introduction

01. Research Design

Retrospective/archival longitudinal study design
  • A comprehensive literature review on remediation in nursing and medicine was conducted
  • A day-long stakeholder and subject matter expert interviewing session was conducted

  • Data was obtained from a database that tracked information on nurse licensure

  • Additional data was obtained from Boards of Nursing where the remediation programs were implemented

  • Data from 2007 to 2015 was retrieved

  • Data were compared between remediation programs A and B

  • 653 nurses took program A

  • 715 nurses took program B

Literature review summary overview

Stakeholder and SME interviewing

Research Design

02. Data, Analytics & Results

Data

  • Age

  • Gender

  • Race/ethnicity

  • Education

  • License type

  • Employment status

  • Work setting

  • Original licensure date

  • Expiration date of license

  • Prior action by Board of Nursing

  • Reason for remediation

  • Date started remediation program

  • Program completion (yes/no)

  • Date completed the program (or not completed)

  • Date recidivated (or none)

  • Date of licensure lapse (or no lapse)

Data
Analytics: Chi-Square
  • Relationship between remediation program (A vs B) and recidivism (yes vs no)
  • Relationship between remediation program (A vs B) and licensure lapse (yes vs no)
Analytics: Survival Analysis
  • Time to recidivism for program A vs B
  • Time until licensure lapse for program A vs B
  • A log rank test was used to test for differences in the survival curves between the two independent groups
Research Report

Click to view the de-identified results

Results were confidential. Please contact me for additional info.

Insights
This study was the first step in investigating the effectiveness of practice-related remediation programs for licensed nurses. One finding from the study indicated that State A had a higher licensure lapse as compared to State B. One explanation for this may be public versus non-public discipline. Discipline in State A was public and the nurses may have needed to move out-of-state to get a job. State B nurses may not have had this trouble since the remediation program allowed for non-public discipline—making it easier for them to remain a nurse in that state.
Analytics & Results
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