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A nurse who holds one or more specialty-nursing certifications in transport, such as the Certified Flight Registered Nurse (CFRN) and the Certified Transport Registered Nurse (CTRN), offered by the Board for Certification of Emergency Nurses (BCEN) is commonly assumed to have greater clinical and transport safety knowledge and competency than a nurse who holds no such certifications (BCEN, 2021 & Schroeter, 2015). Although these certifications require nurses to be familiar with safety standards, it is unclear if transport nurses consistently translate/apply safety knowledge into behaviors post certification examination. There are no safety universal assessment requirements post certification.  Despite the standard practice of viewing certification status as an indicator of safety competency, there is little quantitative information to determine the relationship between the two.

In the current project, our purpose was to determine the relationship between certification status and the transport nurse’s self-rated safety competency. The specific aims were as follows.

Aim 1. Compare safety competency scores between transport nurses with any specialty nursing certification and transport nurses holding no specialty nursing certification.

    1. Hypothesis: Certified transport nurses (i.e., having at least one specialty nursing certification) will have higher safety competency scores in comparison with noncertified transport nurses (i.e., not having any specialty certification).

Aim 2. Compare safety competency scores between nurses holding a transport-specific nursing certification (CFRN or CTRN) and Nurses holding a non-transport-specific nursing specialty certification.


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