2008
EMERGENCY NURSES ASSOCIATION
Continuing Nursing Education Guidelines
Continuing Nursing
Education Guidelines
EMERGENCY NURSES ASSOCIATION
Continuing Nursing Education Guidelines
These guidelines were designed to ease the process of applying for contact hours while keeping in compliance with the
specifications established by the American Nurses Credentialing Center (ANCC).
The Emergency Nurses Association is accredited as an approver of continuing nursing education by the American Nurses
Credentialing Center‘s Commission on Accreditation.
The ANCC Accreditation Program application manual is a suggested reference for further compliance clarification.
Emergency Nurses Association
915 Lee Street
Des Plaines, IL 60016
Phone 847/460-4116 • Fax 847/460-4005
Table of Contents
MISSION/VISION 1
PURPOSE/GOALS 2
KEY ELEMENTS OF THE APPLICATION PROCESS 3
APPLICATION CATEGORIES 6
APPLICATION PROCESS 8
CHECKLIST 11
FEE INFORMATION 11
REVIEW PROCESS 15
FORMS 17
APPENDIX A 37
APPENDIX B 42
APPENDIX C 44
APPENDIX D 46
APPENDIX E 47
E M E R G E N C Y N U R S E S A S S O C I A T I O N
MISSION/VISION
ENA is a professional member organization recognized
internationally for promoting excellence in emergency nursing
through leadership, research, education, and advocacy. (2005)
Mission Objectives
Promote the specialty of emergency nursing.
Promote the interests of ENA‘s members and improve the professional
environment of the emergency nurse through education and public awareness.
Promote ethical principles as defined in the ENA Code of Ethics for
Emergency Nurses and the American Nurses Association Code of Ethics.
Actively collaborate with other health-related organizations to improve
emergency care.
Be the primary resource for emergency nursing leadership, education, and
research.
Define standards that serve as a basis for emergency nursing practice.
Evaluate emergency nursing education and research.
Encourage interaction and mentorship among emergency nurses.
Identify and disseminate information on key trends affecting, and pertinent to,
emergency nursing.
Serve as an advocate for the public regarding emergency care.
Vision Statement
―ENA leads the way in knowledge, resources, and responsiveness for emergency
nurses, their patients, and families.‖ (2006)
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PURPOSE/GOALS
Purpose of Continuing Nursing Education (CNE)
Approver Unit
ENA recognizes the dynamic and evolving roles of emergency nurses in providing
quality nursing care to patients in emergency care settings. The Association assists the
emergency nurse in meeting these changing roles by promoting quality emergency
nursing care and improvement of health care through the approval of quality
continuing education activities.
Goals of the ENA CNE Approver Unit
To ensure emergency nurses that the educational offering being approved for contact
hours has met established criteria for planning, implementation, and evaluation, and is
an appropriate educational offering for an emergency nurse to maintain competency in
emergency nursing (knowledge, attitude, and skills) or enhance professional
development.
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KEY ELEMENTS OF THE
APPLICATION PROCESS
1. Each educational activity must be planned collaboratively by at least one
designated Nurse Planner and one other planner. The Nurse Planner must be
a registered nurse, hold a graduate degree (baccalaureate or graduate) in
nursing, and be involved in the entire process of the provision of continuing
education activity.
2. Each educational activity must be developed with:
a. An identified purpose and explicit educational objectives for the
learner.
b. Content congruent with the activity‘s purpose and educational
objectives.
c. Teaching and learning strategies congruent with the activity‘s
objectives and content.
d. Criteria for judging successful completion of an activity.
e. A method determined for verifying participation in an activity.
3. Contact hours associated with the official accreditation statement are approved
for those portions of the educational activity devoted to didactic, clinical
experience, or to evaluating the activity. One contact hour = 60 minutes. The
minimum number of contact hours that may be awarded for educational
activities is 0.5 (30 minutes). Contact hours will be awarded in units using two
decimal places or less. For example, a learning activity that consists of 45
minutes equals 0.75 contact hours. If rounding is necessary to reach a two-
decimal figure, the contact hours should be rounded DOWN to avoid credit
being awarded for time not spent in education.
a. The number of contact hours for time-open educational activities,
those in which learners set the pace according to no predetermined
starting or ending times, should be calculated by pilot study or another
logical and defendable mechanism (such as word count, number of
post-test questions, or text difficulty analysis for journal articles that
offer contact hours). Individuals acting as ―learners‖ for the purpose
of a pilot study may receive contact hours for that educational activity
when the appropriate number of contact hours have been established.
b. Contact hours will not be approved retroactively.
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4. A clearly defined method, which includes learner input, must be used to
evaluate the effectiveness of each educational activity.
a. Learner Satisfaction: Survey
b. Knowledge Enhancement: Post-test
c. Skills Demonstration: Hands-on
d. Change in Practice: Follow-up Survey
5. Participants must receive written verification of their successful completion of
an activity, which includes at a minimum:
a. The name of the Activity Coordinator
b. The name and address of the Provider Unit
c. The title and date of the educational activity
d. The number of contact hours approved
e. The official ANCC accreditation statement. This statement must
stand-alone; that is, it must not be attached to any other statement and
must be separated by a line from any other text.
―This continuing nursing education activity was approved by the
Emergency Nurses Association, an accredited approver of continuing
nursing education by the American Nurses Credentialing Center‘s
Commission on Accreditation.‖
6. Commercial support, exhibits, or the presentation of research conducted by a
commercial company shall not influence the design and scientific objectivity of
any educational activity. Commercially-supplied funds for an educational
activity that are given in the form of an educational grant or in-kind assistance
shall be acknowledged in the brochures and/or printed material for the
continuing education activity. Read Appendix A for a complete statement of
ENA‘s Commercial Support Policies for Continuing Education Activities.
These policies must be followed for each approved activity.
7. Conflict of Interest Disclosure Statements must be obtained from the Activity
Coordinator, Nurse Planner, Planning Committee, and Speakers. The Activity
Coordinator must identify and resolve any potentially biasing financial
relationships on the part of those who have an impact on the content of an
educational activity. Refer to Appendix A and the Conflict of Interest
Disclosure Statement in Forms.
8. Learners must receive the following information regarding each educational
activity:
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a. Notice of requirements for successful completion: Learners must be
informed in advance of the criteria to be used to determine successful
completion of an educational activity.
b. Conflicts of Interest: Learners are to be informed of any influencing
financial relationships or lack thereof disclosed by Activity
Coordinator, Nurse Planner, Planning Committee, and Speakers.
c. Commercial support: Learners are to be made fully aware of the nature
of any commercial support related to an educational activity.
d. Non-endorsement of products: Learners must be advised that
approving contact hours does not imply endorsement by ENA or
ANCC of any commercial products displayed in conjunction with an
activity.
e. Off-label use: Learners must be notified when an educational activity is
related to any product use for a purpose other than that for which it
was approved by the Food and Drug Administration.
9. For each educational activity, the following documentation must be kept in a
secure and confidential manner for six (6) years: A completed Application,
including Biographical Data Forms and Conflict of Interest Disclosure
Statements from planners and presenters and resolutions of conflict of interest,
as appropriate; Marketing Tools; all Evaluation Tools used, including an
Evaluation Summary; participant names and addresses; and a sample
Certificate of Completion. It is the Activity Coordinator‘s responsibility to keep
this information. The Activity Coordinator may be audited and requested to
provide ENA with this information during the six-year period.
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APPLICATION
CATEGORIES
ENA Chapter or State Council Programs:
These are traditional education programs which are offered at an ENA Chapter or
State Council meeting or provided by the local chapter or state council. The approval is
valid for a one-time presentation of the program. The application fee corresponds to
the number of contact hours.
Non-ENA Programs:
These programs are not offered by an ENA Chapter or State Council. The approval is
valid for a one-time presentation of the program. The application fee corresponds to
the number of contact hours.
Repeat Programs:
Programs can be repeated once within a one-year period from the approval date for a
nominal fee. ENA Chapter or State Council Programs are assessed a repeat fee of $25.
Non-ENA Programs are assessed at $50. The Activity Coordinator is required to
submit the Repeat Program Form, six weeks prior to the repeated program. Content,
timeframes, and speakers may not be altered. Any revisions to the program require
submission of a new application.
Corporate Programs:
These programs may be offered repeatedly during a 12-month period (commencing
with the date of approval) and contact hours are valid for each offering. There is a one-
time application fee of $500. The content and timeframes cannot be altered.
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Speakers, however, may be substituted. Biographical Data Forms and Conflict of
Interest Disclosure Statements must be re-submitted for each speaker substitution. A
new application and fee must be submitted if there any alterations to the content or
timeframes. Contact hours expire one (1) year from the date of approval.
Independent Study and Internet-based Programs:
Independent study and Internet-based programs are unmonitored learning experiences.
See Appendix B for Continuing Nursing Education Guidelines for these programs.
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APPLICATION PROCESS
Complete applications must be submitted a minimum of six (6)
weeks prior to the date of the program. Incomplete applications will
not be reviewed until all documents are received. Late applications
may be denied contact hours. It is the Activity Coordinator‟s
responsibility to confirm ENA‟s receipt of the application. Contact
hours will not be approved retroactively.
1. Application and supporting documents must be typed. A timeline for
developing a continuing education program is outlined in Appendix C.
2. E-mail one (1) copy of the Continuing Nursing Education Application and
supporting documents to CNE@ena.org . If the program is too large to be
submitted via e-mail, please contact Educational Services at 847/460-4116 for
submission instructions.
3. A Program/Presentation Module is required for each program. If there are
multiple presentations in the program, a Program/Presentation Module must
be completed for each presentation. Program/Presentation Modules must
include a minimum of two (2) objectives for each one (1) contact hour applied
for , speaker, and timeframes. It is acceptable to include time spent completing
the evaluation. The blank Program/Presentation Module may be utilized for
typing.
4. Biographical Data Forms and Conflict of Interest Disclosure Statements are
required for the Activity Coordinator, Nurse Planner, Planning Committee
Members, and each Speaker. Curriculum vitae and/or résumés are not
acceptable.
5. An Evaluation Tool must be submitted if you have developed your own.
Please specify in the application the evaluation category. If you are using
ENA‘s Evaluation Tool (see Forms for sample), be sure to indicate this on the
Application.
6. A sample Certificate of Completion must be submitted if you have developed
your own. If you are using ENA‘s Certificate (see Forms for sample), be sure
to indicate this on the Application. Certificate of Completion should include
the official ANCC accreditation statement. This statement must stand-alone;
that is, it must not be attached to any other statement and must be separated
by a line from any other text.
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“This continuing nursing education activity was approved by the Emergency Nurses
Association, an accredited approver of continuing nursing education by the American
Nurses Credentialing Center‟s Commission on Accreditation.”
7. The program brochure, pamphlet, or flyer (Marketing Tool see sample in
Forms) must be submitted with the application. If it is still in developmental
stages, your most recent draft is acceptable.
a. All written material related to the educational activity following a
verified submission but PRIOR to approval must contain the
following official ANCC accreditation statement. This statement must
stand-alone; that is, it must not be attached to any other statement and
must be separated by a line from any other text.
―This activity has been submitted to the Emergency Nurses Association for
approval to award contact hours. The Emergency Nurses Association is accredited
as an approver of continuing nursing education by the American Nurses
Credentialing Center's Commission on Accreditation.‖
b. All written material related to the APPROVED educational activity
must contain the following official ANCC accreditation statement.
This statement must stand-alone; that is, it must not be attached to any
other statement and must be separated by a line from any other text.
“This continuing education activity was approved by the Emergency Nurses
Association, an accredited approver of continuing nursing education by the
American Nurses credentialing Center‟s Commission on Accreditation”
8. The application fee must be received at ENA no later than seven (7) business
days from the receipt of the completed application at ENA (refer to Fee
Information to calculate the appropriate fee). ENA accepts personal checks,
corporate/business checks, MasterCard, Visa, American Express, Discover, or
money order.
9. A Program Evaluation Summary must be provided to ENA within 30 business
days after the event.
10. ENA reserves the right to deny a request, which may be in direct conflict (a
period of 30 days prior to or following the date of event) with educational
offerings provided by the Emergency Nurses Association or its affiliates.
11. Applications submitted using previous editions of the ENA‘s CECH
Guidelines will not be reviewed.
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12. ENA reserves the right to decline a program for review if submitted less than
two (2) weeks prior to the program date. This includes programs that were
previously received earlier than the two-week deadline, but were deemed
incomplete, and continue to remain incomplete two weeks prior to the
program date.
13. Denials are open to appeal/reconsideration. To file an appeal, the applicant
must submit a written argument to ENA within 30 business days after
receiving written notice of decision. Organizations considering whether to
appeal a decision, or to request a reconsideration of a decision, should contact
ENA at CNE@ena.org for the appropriate forms. An example of the form is
located in Forms.
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CHECKLIST
All of the following documents must be submitted. Request for
contact hours must be received a minimum of six (6) weeks prior
to the date of the program. Incomplete applications will not be
reviewed until all documents are received. Late applications may be
denied contact hours. Contact hours will not be approved
retroactively.
Continuing Nursing Education Application
Program/Presentation Module including timeframes (one form for each
presentation in the program)
Biographical Data Forms and Conflict of Interest Disclosure Statements for
Activity Coordinator, Nurse Planner, Planning Committee, and Speaker(s)
(résumé or curriculum vitae not acceptable)
Evaluation Tool (if not using ENA‘s)
Certificate of Completion (if not using ENA‘s)
Marketing Pamphlet/Brochure (including timeframe for each presentation)
Payment for Application Fee
FEE INFORMATION
Fee Calculation:
The Application Fee is determined by the total number of requested contact hours for
each program.
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Fee Structure:
There are two (2) primary Fee Structures: ENA Chapter or State Council and Non-
ENA.
ENA Chapter or State Council Programs:
When an ENA Chapter or State Council offers a traditional educational program at a
meeting and the program will be fewer than two (2) hours in length, the fee for contact
hours is $10.00. For programs that are greater than two (2) hours in length, the ENA
Chapter or State Council Fee Structure is to be used. ENA-sponsored programs use
the ENA Chapter or State Council Fee Structure.
Non-ENA Programs:
Programs that are not provided by an ENA Chapter or State Council use the Non-
ENA Fee Structure.
Repeat Programs:
The fee for submitting a repeat program is $25 for ENA Chapters or State Councils.
Non-ENA programs are assessed at $50.
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Corporate Programs:
The fee is $500 for the initial application. There is no fee for substituting speakers at
future meetings. Alterations to content require the application process to be repeated
with the assessed $500 application fee.
Late Fee:
Applications received fewer than six (6) weeks prior to the date of the program are
considered ―late.‖ Late applications are required to pay an additional processing fee.
Late applications may be denied review. If a program is submitted fewer than two (2)
weeks prior to the program date, a $250 flat-fee would be added to the ―fewer than six
(6) weeks‖ deadline fee.
Calculating Contact Hours:
To calculate the number of contact hours, divide the total number of lecture minutes
and evaluation time of all presentations by 60 (i.e., a program has a total of 75 lecture
minutes; divide 75 by 60, equaling 1.25 contact hours).
Programs/presentations that are two (2) hours (120 minutes) or greater in length are
required to incorporate one 10-minute break for every 60 minutes (i.e., a two-hour
lecture would have two (2) 10-minute breaks and 100 minutes of actual lecture time; to
calculate contact hours, 100 minutes, divided by 60, equals 1.66 contact hours).
The minimum number of contact hours that may be awarded for educational activities
is 0.5 (30 minutes). Contact hours will be awarded in units using two decimal places or
less. For example, a learning activity that consists of 45 minutes equals 0.75 contact
hours. If rounding is necessary to reach a two-decimal figure, the contact hours should
be rounded DOWN to avoid credit being awarded for time not spent in education.
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Fee Structure:
All programs received fewer than two (2) weeks prior to the program date will be
charged $250, in addition to the After Deadline Fee.
Before Deadline After Deadline Before Deadline After Deadline
(greater than six (fewer than six (greater than six (fewer than six (6)
(6) weeks prior (6) weeks prior (6) weeks prior weeks prior to
to program to program date) to program date) program date)
date)
Estimated ENA Chapter ENA Chapter Non-ENA Fee Non-ENA Fee
Contact or State Council or State Council
Hours Fee Fee
0–4 $25 $75 $100 $200
5–10 $50 $125 $200 $400
11–15 $75 $175 $300 $600
16–20 $100 $225 $400 $800
21–25 $125 $275 $500 $1,000
26–30 $150 $325 $600 $1,200
31–35 $175 $375 $700 $1,400
36–40 $200 $425 $800 $1,600
41–45 $225 $475 $900 $1,800
46–50 $250 $525 $1,000 $2,000
Programs over 50 contact hours will be assessed on an individual basis and must have
verbal consent from ENA‘s Director of Education before submitting for review.
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REVIEW PROCESS
Applications are to be e-mailed to CNE@ena.org . ENA will send an electronic receipt
for each e-mail received. If the Activity Coordinator does not receive a receipt for each
sent e-mail, the program was NOT received. It is the Activity Coordinator‘s
responsibility to confirm ENA‘s receipt of the entire application. Applications are
thoroughly examined to ensure they are complete and that supporting documents are
present. The application is forwarded to a member of the Education Committee for
Peer Review. All members of the ENA Education Committee are registered nurses
with at least a baccalaureate degree in nursing and possess the relevant knowledge and
experience to participate in the peer review process. Once an activity is sent for review,
an e-mail is sent to the Activity Coordinator stating the application status and estimated
return date.
The Peer Reviewer will look at program content, and Biographical Data Forms to
ensure all members of the Planning Committee have relevant knowledge pertaining to
their role in the activity. The Peer Reviewer ensures that objectives are measurable and
determines if content is relevant to Nursing and approves contact hours accordingly.
The Peer Reviewer will make every effort to assist the Activity Coordinator with
revisions if they are necessary. The Peer Reviewer may contact the Activity
Coordinator by e-mail.
Upon approval, the Activity Coordinator will be contacted via e-mail and informed of
the total contact hours approved and the breakdown of Clinical and Other. All
pertinent paperwork will be attached in the e-mail. It is the Activity Coordinator‘s
responsibility to duplicate and distribute Certificates of Completion to the attendees.
For each educational activity, the following documentation must be kept in a secure
and confidential manner for six (6) years: A completed Application, including Conflict
of Interest Disclosure Statements from planners and presenters and resolutions of
conflict of interest, as appropriate; Marketing Tools; all Evaluation Tools used,
including an Evaluation Summary; participant names and addresses; and a sample
Certificate of Completion. It is the Activity Coordinator‘s responsibility to keep this
information. The Activity Coordinator may be audited and requested to provide ENA
with this information during the six-year period.
A Program Evaluation must be submitted within 30 days of the completion of the
program to ENA Headquarters for every program providing contact hours (see
Program Evaluation form in Forms).
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If an activity is denied and the Activity Coordinator would like to file an appeal,
complete the Appeal Form and submit to CNE@ena.org. The Director of Education
and the Nurse Peer Review Leader will review all documentation, speak with the Peer
Reviewer and make a determination once all of the information is investigated. The
Activity Coordinator will be notified via e-mail as to the outcome.
If at anytime during the review process, an Activity Coordinator decides to withdraw
an application, the following steps must be taken: The Activity Coordinator must send
the request to withdraw the program via e-mail to CNE@ena.org. ENA will reply, via
e-mail, that the program has been withdrawn. The application fee is non-refundable.
In the event that ENA encounters an issue with a previously approved program such
as incorrect usage of the accreditation statement or content changes, ENA will revoke
the activity‘s approval. The Activity Coordinator will be notified via e-mail and by
telephone. If the Activity Coordinator feels that the revocation was invalid, he or she
may file an Appeal.
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FORMS
(All forms may be reproduced, but not altered)
Continuing Nursing Education Application
Biographical Data
Conflict of Interest Disclosure Statement (electronic signatures are acceptable)
Program/Presentation Module
Sample Program/Presentation Module (form)
Participant Roster
Participant Program Evaluation
Participant Speaker Evaluation
Sample Certificate of Completion
Sample Marketing tool/Flyer
Program Evaluation Summary
Activity Coordinator Feedback Form
Repeat Program Form
Appeal Form
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Continuing Nursing Education Application
Activity Code No. (ENA office use)
APPLICATION MUST BE TYPED
Check appropriate application category:
ENA Chapter or State Council Non-ENA Corporate Independent Study
Continuing Nursing Education Activity:
Title:
Date(s):
Has this activity been submitted to/denied by any organization/association in the past two years?
If yes, name of organization/association, year submitted and reason for denial:
Organization Providing Activity:
Name:
Address:
Daytime Phone: ( ) Fax: ( )
E-Mail Address:
Web Address:
Continuing Nursing Education Activity Coordinator:
Name:
Address:
Daytime Phone: ( ) Evening Phone: ( )
Fax: ( )
E-Mail Work: E-Mail Home:
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Planning Committee (Minimum of one member must be a registered nurse-ENA member preferred):
Nurse Planner:
Name: Title:
Name: Title:
Name: Title:
Name: Title:
Please add addition Planning Committee members on an additional sheet
Target Audience:
ED Nurse MD EMT/EMT- P Other
Comments:
Needs Assessment (Check all that apply):
Expressed Needs (written/verbal) Institutional Policy
Regulatory Requirements Recommendations from QA
Previous Program Evaluation Summaries Other
Activity Purpose:
To educate health care professionals in regard to:
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Estimated Number of Participants:
Course Location (Site, City, State):
Description of Facilities: Classroom (desks) Theatre (seats only)
Breakout (small groups)
Other (specify)
Teaching Methods (check all that apply):
Lecture Skill practice sessions
Small group sessions Clinical application
Audiovisuals Question and answer sessions
Simulations Handouts
Role-playing Games
Evaluation Tool: Using ENA’s Submitting form to be used
Category of Evaluation: Learner Satisfaction (survey) (e.g., ENA’s tool)
Knowledge Enhancement (post-test)
Skills Demonstration (hands on)
Change in Practice (follow-up survey)
Certificate: Using ENA’s Submitting form to be used
Web Posting:
Would you like your program posted on the ENA Continuing Education Calendar located on the ENA Web
site? Yes No
Contact Information for Web
Contact Name:
Provider Organization:
Course Location (City, State):
Contact Phone: ( ) Fax: ( )
E-Mail Address: Web site:
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BIOGRAPHICAL DATA
FORM MUST BE TYPED
This form must be completed for all Speakers, Committee Members, Nurse Planner, and Activity
Coordinator. Résumés or Curriculum Vitaes may not be submitted.
Name: Credentials:
Position:
Employer:
Education:
Degree/Major Institution Year
Summarize your professional experience related to the presentation:
Speaker (only): List qualifications specific to presentation (e.g., previous presentations, published
articles related to topic, clinical expertise related to topic, etc.)
Participation in this program includes (check all that apply):
Development of: Objectives Selection of: Teaching Methods
Content Handouts/Bibliography
Evaluation Tools Other:
Other:
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CONFLICT OF INTEREST/COMMERCIAL SUPPORT DISCLOSURE STATEMENT
This form must be completed and signed for all Speakers, Nurse Planners, Committee Members, and Activity Coordinator
Name:
Program Title:
Date of Activity:
A. List the names of commercial interests, with the exemption of non-profit or government organizations and non-health care related companies, with which you or your spouse/partner have,
or have had, a relevant financial relationship within the past 12 months. For this purpose, we consider the relevant financial relationships of your spouse or partner that you are aware of to be
yours.
B. Describe what you or your spouse/partner received (e.g., salary, honorarium, etc.). The Emergency Nurses Association does not want to know how much you received.
C. Describe your role.
Nature of Relevant Financial Relationship
(Include all those that apply)
A. Source of Relevant Financial Support (includes Commercial Interests as
well as other sources) B. What was received C. For What Role?
Example: Company „X‟ Honorarium Speaker
I do not have any relevant financial relationships with any commercial interests.
Is off label use of a drug or product addressed in this presentation? Yes No
If ―Yes,‖ how will you inform learners?
Signature (electronic is acceptable) Date:
Example terminology
What was received: Salary, royalty, intellectual property rights, consulting fee, honoraria, ownership interest (e.g., Role(s): Employment, management position, independent contractor (including contracted research), consulting, speaking and
stocks, stock options or other ownership interest, excluding diversified mutual funds), or other financial benefit. teaching, membership on advisory committees or review panels, board membership, and ‗other activities (please specify).
((Glossary of terms is on next page)
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GLOSSARY OF TERMS
Commercial Interest
ENA defines an entity that has a ―commercial interest‖ as any proprietary entity producing health care goods or services, with the exception of non-profit or
government organizations.
Financial Relationships
ENA defines ―financial relationships‖ as those relationships in which the individual benefits by receiving a salary, royalty, intellectual property rights, consulting
fee, honoraria, ownership interest (e.g., stocks, stock options, or other ownership interest, excluding diversified mutual funds), or other financial benefit.
Financial relationships can also include ‗contracted research‘ where the institution gets the grant and manages the funds and the individual is the principal or
named investigator on the grant. Financial benefits are usually associated with roles such as employment, management position, independent contractor
(including contracted research), consulting, speaking and teaching, membership on advisory committees or review panels, board membership, and other
activities from which remuneration is received, or expected. ENA considers relationships of the person involved in the continuing nursing education (CNE)
activity to include financial relationships of a family member.
Relevant Financial Relationships
ENA considers financial relationships in any amount occurring within the past 12 months as ―relevant‖ in terms of creating a conflict of interest.
Conflict of Interest
ENA defines a ―conflict of interest‖ as when an individual has an opportunity to affect CNE content with products or services from a commercial interest with
which he/she has a financial relationship.
ENA considers ―opportunity to affect CNE content‖ to include content about specific agents/devices, but not necessarily about the class of agents/devices,
and not necessarily content about the whole disease class in which those agents/devices are used.
Off Label
Using products for a purpose other than that for which it was approved by the Food and Drug Administration (FDA).
PROGRAM/PRESENTATION MODULE
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If there are multiple presentations in the program, a Program/Presentation Module form must be completed for each presentation.
(For assistance in completing this form, see sample form.)
Presentation Title: Speaker: Date of Presentation:
Objectives Outline Time Speaker Method
(Describe learner outcomes. State measurable objectives. Each objective must have a corresponding State total number of minutes List speaker‘s List teaching
Describe action or behavior which will occur (refer to content outline (in outline format). Each item for each objective. Total time name. method (e.g.,
Bloom‘s Taxonomy-Appendix D) on completion of must be specific enough to describe the content. of presentation must (Attach bio lecture, work
program. Objectives must be realistic and achievable. correspond with time listed in for ALL group, etc.) and
There must be a minimum of two (2) objectives per brochure. speakers) audio-visual
contact hour applied for. tools.
Evaluation
Total Minutes
SAMPLE PROGRAM/PRESENTATION MODULE
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If there are multiple presentations in the program, a Program/Presentation Module form must be completed for each presentation.
Presentation Title: Emergency Nursing Speaker: Deborah Smith, RN Date of Presentation: July 14, 2008
Objectives Outline Time Speaker Method
(Describe learner outcomes. State measurable objectives. Each objective must have a corresponding State total number of minutes List speaker‘s List teaching method
Describe action or behavior which will occur (refer to content outline (in outline format). Each item for each objective. Total time name. (e.g., lecture, work
Bloom‘s Taxonomy-Appendix D) on completion of must be specific enough to describe the of presentation must group, etc.) and
program. Objectives must be realistic and achievable. There content. correspond with time listed in (Attach bio for audio-visual tools.
must be a minimum of two (2) objectives per contact hour brochure. ALL speakers)
applied for.
1. Upon completion of program, participants will be able I. History of emergency nursing. 10 minutes D. Smith Lecture
to describe the history of emergency nursing from the A. 1800s
1800‘s through current day practice. B. 1900s
2. Upon completion of program participants will be able to II. Roles of an emergency nurse. 10 minutes D. Smith Slides
list four roles of the emergency nurse. A. Triage
B. Educator
C. Major Care
D. Trauma
3. Upon completion of program participants will be able to III. Various roles in emergency nursing. 20 minutes D. Smith Lecture
outline at least three job categories within emergency A. Staff Nurse
nursing. B. Educator
C. Manager
4. Upon completion of program participants will be able to IV. Education 10 minutes D. Smith Lecture
identify two examples of each formal and informal A. Formal Handouts
emergency nursing educational opportunity. B. Informal
1. TNCC
2. ACLS
Evaluation 10 Minutes D. Smith
Total Minutes
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PARTICIPANT ROSTER
It is the Activity Coordinator‘s responsibility to keep the Participant Roster for a minimum of six (6) years.
ENA reserves the right to audit these records at any time during the six (6) years.
Program Title: Date of Program: ENA Activity Code:
RN License Number
Participant Name Mailing Address City State Zip (Required)
(street)
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PARTICIPANT’S EVALUATION OF PROGRAM
It is the Activity Coordinator‘s responsibility to keep the Participant Program Evaluation for a minimum of six (6) years.
ENA reserves the right to audit these records at any time during the six (6) years.
Evaluations are the most effective way for the Speaker, Planning Committee, and Emergency Nurses Association to determine whether or not your
learning needs were met. It also provides insight as to whether program alterations may be necessary. Check the column that most closely corresponds
to your feelings about each statement. Please return this form to the Speaker/Monitor.
Program Title: Date of Program: ENA Activity Code:
Strongly Strongly
Agree Agree Disagree Disagree Comments
1. This program achieved its goal.
2. The program met my educational needs.
3. The physical facilities were conducive to learning.
4. The overall quality of the speaker(s) was excellent.
5. The overall quality of the program was excellent.
6. What did you like most about this course?
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PARTICIPANT’S EVALUATION OF SPEAKER
It is the Activity Coordinator‘s responsibility to keep the Participant Speaker Evaluation for a minimum of six (6) years.
ENA reserves the right to audit these records at any time during the six (6) years.
Evaluations arethe most effective way for the Speaker, Planning Committee, and Emergency Nurses Association to determine whether or not your
learning needs were met. It also provides insight as to whether program alterations may be necessary. Please return this form to the Activity
Coordinator.
Program Title: Date of Program: ENA Activity Code:
Use the following scale to determine your rating: 1 – Strongly Agree 2 – Agree 3 – Disagree 4 – Strongly Disagree
Speaker Speaker Speaker Speaker Speaker Speaker Speaker
1. The speaker was knowledgeable.
2. The presentation objectives were achieved.
3. The information was current.
4. The education level was appropriate.
5. The teaching method was effective.
6. The presentation met my educational needs.
7. The information was pertinent to my practice.
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PROGRAM EVALUATION SUMMARY
This form must be completed and e-mailed to the Emergency Nurses Association, CNE@ena.org, within 30
business days of completion of the program.
Program Title:
Date of Program: ENA Activity Code:
Total Number of Participants:
Participants (by credentials): RN LPN EMT MD Other
Number of Presentations: Number of Speakers:
Program Evaluation (Summarize data from participants‘ evaluations.)
Program achieved its goal:
Strongly Agree Agree Disagree Strongly Disagree
Program met educational needs:
Strongly Agree Agree Disagree Strongly Disagree
Speaker Evaluation (Summarize data from participants‟ evaluations. Complete this section for each speaker. Duplicate
form if necessary.)
Speaker‟s Name:
Speaker was knowledgeable:
Strongly Agree Agree Disagree Strongly Disagree
Information was current:
Strongly Agree Agree Disagree Strongly Disagree
Teaching methods were effective:
Strongly Agree Agree Disagree Strongly Disagree
Presentation met my educational needs:
Strongly Agree Agree Disagree Strongly Disagree
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ACTIVITY COORDINATOR’S EVALUATION OF ENA APPROVER UNIT
Please complete this form and e-mail to the Emergency Nurses Association, CNE@ena.org, or mail to ENA,
Education Department, 915 Lee Street, Des Plaines, IL 60016. Your feedback is valuable to maintaining our
processes and improving customer service.
Program Title: (not required) Activity Coordinator: (not required)
Date of Program: (not required) ENA Activity Code: (not required)
Use the following scale to determine your rating: 1 – Strongly Agree 2 – Agree 3 – Disagree 4 – Strongly Disagree
Forms
Forms were easy to access and use (If 3 or 4, please explain in comment section):
Forms were easy to understand (If 3 or 4, please explain in comment section):
Comments:
Use the following scale to determine your rating: 1 – Strongly Agree 2 – Agree 3 – Disagree 4 – Strongly Disagree
ENA Contact Person
The ENA contact person was able to answer my questions (If 3 or 4, please explain in comment section):
The ENA contact person was polite and courteous (If 3 or 4, please explain in comment section):
Comments:
Use the following scale to determine your rating: 1 – Strongly Agree 2 – Agree 3 – Disagree 4 – Strongly Disagree
Review Process
The review process was clearly explained to me (If 3 or 4, please explain in comment section):
Clear explanations were provided by the Reviewer for the requested revisions (If 3 or 4, please explain in comment section):
I received my approval in a timely manner (If 3 or 4, please explain in comment section):
Comments:
Additional Comments:
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SAMPLE CERTIFICATE
This Certifies That
has completed
Earning a total of Contact Hours
ENA has approved C ontact Hours which meets BC EN‘s C ategory of C linical.
ENA has approved C ontact Hours which meets BC EN‘s C ategory of Other.
This co n tin uin g n ursin g educatio n activ ity w as appro v ed by the Em ergen cy Nurses Asso ciatio n , an ac credited appro v er
o f co n tin uin g n ursin g ed ucatio n by the Am erican Nurses crede n tialin g Cen ter‟s Co m m issio n o n Accreditatio n .
Activity Coordinator: Provider Unit:
Activity Code: Address:
Course Location: Course Date:
Nursing Profession Advancement Officer – Emergency Nurses Association: Donna Massey , RN, MSN
(Do not send this certificate to the Board of Nursing. Keep it for your personal files. This certificate must be kept by licensee for a period of six years.)
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SAMPLE FLYER/MARKETING TOOL
PROGRAM TITLE
Provided by: A State Chapter of ENA
Program Description
Program Agenda
Program date(s)
Program Time
Location
Contact Information
Required Statement for approved activities (must stand-alone)
This continuing education activity was approved by the Emergency Nurses Association, an accredited approver
of continuing nursing education by the American Nurses Credentialing Center‟s Commission on Accreditation.
Required Statement for activities that are being submitted for approval (must stand-alone)
This activity has been submitted to the Emergency Nurses Association for approval to award contact hours.
The Emergency Nurses Association is accredited as an approver of continuing nursing education by the
American Nurses Credentialing Center's Commission on Accreditation.
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Repeat Program Form
FORM MUST BE TYPED
Continuing Nursing Education Activity:
Title:
Date(s):
Date of program approval: ENA Activity Code:
Has any of the content changed? If yes, you must fill out a new application and submit for
review.
Organization Providing Activity:
Name:
Address:
Daytime Phone: ( ) Fax: ( )
E-Mail Address:
Web Address:
Continuing Nursing Education Activity Coordinator:
Name:
Address:
Daytime Phone: ( ) Fax: ( )
E-mail Work: E-mail Home:
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Estimated Number of Participants:
Course Location (Site, City, State):
Description of Facilities: Classroom (desks) Theatre (seats only)
Breakout (small groups)
Other (specify)
Teaching Methods (check all that apply):
Lecture Skill practice sessions
Small group sessions Clinical application
Audiovisuals Question and answer sessions
Simulations Handouts
Role-playing Games
Evaluation Tool: Using ENA’s Submitting form to be used
Category of Evaluation: Learner Satisfaction (survey) (ENA’s tool)
Knowledge Enhancement (post-test)
Skills Demonstration (hands on)
Change in Practice (follow-up survey)
Certificate: Using ENA’s Submitting form to be used
Web Posting:
Would you like your program posted on the ENA Continuing Education Calendar located on the ENA
Web site? Yes No
Contact Information for Web
Contact Name:
Provider Organization:
Course Location (City, State):
Contact Phone: ( ) Fax: ( )
E-Mail Address: Web site:
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Appeal Form
Submit completed form to CNE@ena.org
FORM MUST BE TYPED
Continuing Nursing Education Activity:
Title:
Date(s):
Organization Providing Activity:
Name:
Address:
Daytime Phone: ( ) Fax: ( )
E-Mail Address:
Web Address:
Continuing Nursing Education Activity Coordinator:
Name:
Address:
Daytime Phone: ( ) Evening Phone: ( )
Fax: ( )
E-Mail Work: E-Mail Home:
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Please state reason for appeal:
If necessary, please attach an additional sheet
ENA CNE Contact: (ENA office use only)
Director: (ENA office use only)
Resolution: (ENA office use only)
Final Notes: (ENA office use only)
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APPENDIX A
ENA’S COMMERCIAL SUPPORT POLICIES FOR CONTINUING
EDUCATION ACTIVITIES
This policy was developed using the Standards from the Accreditation Council for Continuing
Medical Education (ACCME), which articulates the policies for disclosure and commercial
support.
I. INDEPENDENCE
A. ENA defines an entity that has a ―commercial interest‖ as any proprietary entity producing health care goods or
services, with the exception of non-profit or government organizations.
B. A continuing nursing education (CNE) provider must ensure that the following decisions were made free from control
of a commercial interest.
1. Identification of CNE needs;
2. Determination of educational objectives;
3. Selection and presentation of content;
4. Selection of all persons and organizations that will be in a position to control the content of the CNE;
5. Selection of educational methods; and
6. Evaluation of the activity.
C. An entity with a commercial interest cannot take the role of non-accredited partner in a co-provider relationship.
II. RESOLUTION OF PERSONAL CONFLICTS OF INTEREST
A. An individual must disclose any financial relationships with an entity with a commercial interest (see 1).
B. The provider must be able to show that each individual who is in a position to control the content of an education
activity has disclosed all relevant financial relationships with any entity with a commercial interest in the provider. ENA
defines ―financial relationships‖ as those relationships in which the individual benefits by receiving a salary, royalty,
intellectual property rights, consulting fee, honoraria, ownership interest (e.g., stocks, stock options, or other ownership
interest, excluding diversified mutual funds), or other financial benefit. Financial relationships can also include
―contracted research‖ where the institution gets the grant and manages the funds and the individual is the principal or
named investigator on the grant. Financial benefits are usually associated with roles such as employment, management
position, independent contractor (including contracted research), consulting, speaking and teaching, membership on
advisory committees or review panels, board membership, and other activities from which remuneration is received, or
expected. ENA considers relationships of the person involved in the CNE activity to include financial relationships of
a family member. Financial relationships must be disclosed to the learners for 12 months following initiation of the
relationship.
C. ENA considers financial relationships in any amount occurring within the past 12 months as ―relevant‖ in terms of
creating a conflict of interest.
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D. An individual who refuses to disclose relevant financial relationships will be disqualified from being a planning
committee member, a teacher, or an author of CNE and cannot have control of, or responsibility for, the
development, management, presentation, or evaluation of the CNE activity.
E. The provider must have implemented a mechanism to identify and resolve all conflicts of interest prior to the
education activity being delivered to learners.
F. ENA defines a “conflict of interest‖ as when an individual has an opportunity to affect CNE content with products
or services from a commercial interest with which he/she has a financial relationship.
ENA considers ―opportunity to affect CNE content‖ to include content about specific agents/devices, but not
necessarily about the class of agents/devices, and not necessarily content about the whole disease class in
which those agents/devices are used.
III. APPROPRIATE USE OF COMMERCIAL SUPPORT
A. The provider must make all decisions regarding the disposition and disbursement of commercial support.
ENA defines ―commercial support‖ as financial, or in-kind, contributions given by a commercial interest, which is
used to pay all or part of the costs of a CNE activity.
B. A provider cannot be required by an entity with a commercial interest to accept advice or services concerning teachers,
authors, or other education matters, including content, from the entity as conditions of contributing funds or services.
C. All commercial support associated with a CNE activity must be given with the full knowledge and approval of the
provider.
Written agreement documenting terms of support
D. The terms, conditions, and purposes of the commercial support must be documented in a written agreement with the
entity that includes the provider and its educational partner(s). The agreement must include the provider, even if the
support is given directly to the provider‘s educational partner or a co-provider.
E. The written agreement must specify the entity that is the source of commercial support.
F. Both the entity and the provider must sign the written agreement regarding the support to be provided/accepted.
Expenditures for an individual providing CNE
G. The provider must have written policies and procedures governing honoraria and reimbursement of out-of-pocket
expenses for planners, teachers, and authors.
H. The provider, the co-provider, or designated educational partner must pay directly any teacher or author honoraria or
reimbursement of out-of-pocket expenses in compliance with the provider‘s written policies and procedures.
I. No other payment shall be given to the director of the activity, planning committee members, teachers or authors, co-
provider, or any others involved with the supported activity.
J. If teachers or authors are listed on the agenda as facilitating or conducting a presentation or session, but participate in
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the remainder of an educational event as a learner, their expenses can be reimbursed and honoraria can be paid for
their teacher or author role only.
Expenditures for learners
K. Social events or meals at CNE activities cannot compete with or take precedence over the educational events.
L. The provider may not use commercial support to pay for travel, lodging, honoraria, or personal expenses for non-
teacher or non-author participants of a CNE activity. The provider may use commercial support to pay for travel,
lodging, honoraria, or personal expenses for bona fide employees and volunteers of the provider, co-provider, or
educational partner. This element applies only to nurses whose official residence is in the United States.
Accountability
M. The provider must be able to produce accurate documentation detailing the receipt and expenditure of commercial
support.
IV. APPROPRIATE MANAGEMENT OF ASSOCIATED COMMERCIAL PROMOTION
A. Commercial exhibits and advertisements are promotional activities and not continuing nursing education. Therefore,
monies paid by commercial interests to providers for these promotional activities are not considered to be ―commercial
support.‖ However, accredited providers are expected to fulfill the requirements of Standard 4 and to use sound fiscal
and business practices with respect to promotional activities.
B. Arrangements for commercial exhibits or advertisements cannot influence planning or interfere with the presentation,
nor can they be a condition of the provision of commercial support for CNE activities.
C. Product-promotion material or product-specific advertisement of any type is prohibited in or during CNE activities.
The juxtaposition of editorial and advertising material on the same products or subjects must be avoided. Live (staffed
exhibits, presentations) or enduring (printed or electronic advertisements) promotional activities must be kept separate
from CNE.
Print, advertisements and promotional materials shall not be interleafed within the pages of the CNE
content. Advertisements and promotional materials may face the first or last pages of printed CNE content as
long as these materials are not related to the CNE content they face and are not paid for by the entities with
commercial interests in the CNE activity.
Computer-based advertisements and promotional materials shall not be visible on the screen at the same time as
the CNE content and not interleafed between computer ‗windows‘ or screens of the CNE content
Audio and video recording, advertisements and promotional materials shall not be included within the CNE.
There shall not be ―commercial breaks.‖
Live, face-to-face CNE, advertisements and promotional materials shall not be displayed or distributed in the
educational space immediately before, during, or after a CNE activity. Providers shall not allow representatives of
an entity with commercial interests to engage in sales or promotional activities while in the space or place of the
CNE activity.
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D. Educational materials that are part of a CNE activity, such as slides, abstracts, and handouts, shall not contain any
advertising, trade name, or a product-group message.
E. Print or electronic information distributed about the non-CNE elements of a CNE activity that are not directly
related to the transfer of education to the learner, such as schedules and content descriptions, may include product
promotion material or product-specific advertisement.
F. A provider shall not use an entity with a commercial interest as the agent providing a CNE activity to learners, e.g.,
distribution of self-study CNE activities or arranging for electronic access to CNE activities.
V. CONTENT AND FORMAT WITHOUT COMMERCIAL BIAS
A. The content or format of a CNE activity or its related materials must promote improvements or quality in health care
and not a specific proprietary business interest of an entity with a commercial interest.
B. Presentations must give a balanced view of therapeutic options. Use of generic names will contribute to this
impartiality. If the CNE educational material or content includes trade names, when available trade names from
several companies should be used, not just trade names from a single company.
VI. DISCLOSURES RELEVANT TO POTENTIAL COMMERCIAL BIAS
Relevant financial relationships of those with control over CNE content
Disclosure of information about provider and faculty relationships may be disclosed verbally to participants at a CNE
activity. When such information is disclosed verbally at a CNE activity, providers must be able to supply ENA with
written verification that appropriate verbal disclosure occurred at the activity. With respect to this written verification:
A. A representative of the provider who was in attendance at the time of the verbal disclosure must attest, in writing:
1. that verbal disclosure did occur; and
2. itemize the content of the disclosed information (Standard 6.1) or that there was nothing to disclose (Standard
6.2).
B. The documentation that verifies that adequate verbal disclosure did occur must be completed within one month of
the activity.
C. The accredited provider is responsible for ensuring that learners are aware of any relevant financial relationship(s), to
include the following information:
The name of the individual
The name of the commercial interest(s), and
The nature of the relationship the person has with each commercial interest
D. For an individual with no relevant financial relationship(s), the learners must be informed that no relevant financial
relationship(s) exist.
Commercial support for the CNE activity
The provider‘s acknowledgment of commercial support as required by Standard 6.3 and 6.4 may state the name,
mission, and areas of clinical involvement of the company or institution and may include corporate logos and slogans,
if they are not product-promotional in nature.
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E. The source of all support from entities with commercial interests must be disclosed to learners. When commercial
support is other than monetary support, the nature of the support must be disclosed to learners.
F. ―Disclosure‖ must never include the use of a trade name or a product-group message.
Timing of disclosure
G. A provider must disclose the above information to learners prior to the beginning of the educational activity.
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APPENDIX B
CONTINUING NURSING EDUCATION GUIDELINES FOR
INDEPENDENT STUDY PROGRAMS
The following elements of the application process must be followed for Independent Study or
Internet-based programs.
1. Activity coordinator will complete the continuing education application, including a Program/Presentation
Module. Biographical Data Forms and Conflict of Interest Disclosure Statements must be submitted for each
member of the Planning Committee.
2. The pilot study must be completed prior to application submission. Pilot studies require a minimum of three (3)
nurses to complete the entire program. Determination of the amount of contact hours to be approved will be
based on the average recorded time from the pilot group. If this length of time appears inaccurate or
inappropriate, a second pilot study will be required.
3. The following information must be submitted with the Continuing Nursing Education Application for an
independent study or Internet-based program:
a. Post-test questions: The questions must be the same questions used for both the pilot study and actual
program. The post-test questions are used to verify attainment of the objectives.
b. The scores on the post-test for each member of the pilot group.
c. Evaluations of the pilot group with the time to complete each section/module of the program (use the
evaluation form included in this section.)
4. Because the nature of independent study is an unmonitored learning experience, there must be a mechanism in
place to determine that objectives were met and learning occurs. Therefore, all independent studies must
include post-test questions for the participant to answer.
a. For every one (1) contact hour approved, there must be a minimum of two (2) questions. Portions of
that amount are acceptable for more than one (1) contact hour. For example, if the independent study
verified by the pilot study takes 1.5 hours to complete, the program submitted for contact hours must
include a minimum of three (3) questions. These questions must address the objectives.
b. In an independent study, it is necessary that feedback be given to the participant. This can be
accomplished through item analysis of tests, bibliographic references of areas underachieved, etc.
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INDEPENDENT STUDY PARTICIPANT’S EVALUATION OF PROGRAM
It is the Activity Coordinator‘s responsibility to keep the Program Evaluation for a minimum of six (6) years.
ENA reserves the right to audit these records at any time during the six (6) years.
Evaluations are the most effective way for the Speaker, Planning Committee, and Emergency Nurses Association to determine whether or not your learning
needs were met. It also provides insight as to whether program alterations may be necessary. Check the column that most closely corresponds to your feelings
about each statement. Please return this form to the Activity Coordinator.
Program Title: Date of Program: Name:
Strongly Strongly
Agree Agree Disagree Disagree Comments
1. This program achieved its stated objectives.
2. The program met my educational needs.
3. The content was relevant to my clinical practice.
4. The content was current and updated.
5. The overall quality of the program was excellent.
6. What did you like most about this course?
7. How long did it take you to complete this activity? Total Minutes:
Activity Coordinator Use Only
Time: Score:
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APPENDIX C
SAMPLE TIMELINE FOR DEVELOPING A CONTINUING NURSING
EDUCATION PROGRAM
20 Weeks Prior to Program Date:
Select lecture topics
Select and contact potential speakers
Order audiovisuals
Select and reserve room space
Place catering order
Request mailing labels from ENA
Solicit vendors to ―advertise‖ at your program
Sixteen (16) Weeks Prior to Program Date:
Obtain required material needed for application submission from speakers (objectives, outlines, biographical data,
and conflict of interest disclosure statements).
Twelve (12) Weeks Prior to Program Date:
Prepare all documents for application submission
Mail marketing tool to target audience
Eight (8) Weeks Prior to Program Date:
Contact speakers or committee members who have not returned required forms for application submission (fax or
e-mail may be used to expedite receipt)
Reconfirm audiovisual needs and room configuration
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Obtain handout materials from speakers
Confirm catering order with vendor
At least Six (6) Weeks Prior to Program Date:
E- mail Continuing Nursing Education Application to ENA and confirm ENA has received the application
Two (2) Weeks Prior to Program Date:
Confirm travel arrangements for speakers
Reconfirm all reservations (hotels, vendors, caterers, etc.)
Duplicate all handouts
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APPENDIX D
BLOOM’S TAXONOMY
This is an excellent reference if you are unsure of writing behavioral objectives. Simply
determine what it is that you would like your participant to accomplish, find an appropriate verb
in the listings below, use that verb to begin your statement and you have a behavioral objective.
Different verbs can verify different products. If you want to verify knowledge, use a verb from the
knowledge list, comprehension from that particular group, etc.
Knowledge: define, describe, identify, label, list, match, name, outline, recall, record, relate, repeat,
reproduce, select, state, and underline
Comprehension: Convert, defend, describe, discuss, distinguish, estimate, explain, express, extend,
generalize, give example, identify, infer, locate, paraphrase, predict, recognize, report, restate, review,
rewrite, summarize, tell and translate
Application: Apply, carry out, change, code, comply, demonstrate, discover, dramatize, employ, follow,
follow up, illustrate, interpret, interview, maintain, manipulate, modify, operate, perform, practice, predict,
prepare, produce, relate, respond, retrieve, schedule, screen, shop, show, sketch, solve, transcribe, and use
Analysis: Abstract, analyze, appraise, audit, breakdown, calculate, category, compare, contrast, criticize,
debate, determine, distinguish, edit, examine, experiment, identify, illustrate, infer, inspect, inventory,
investigate, outline, point out, questions, relate, review, select, separate, solve, subdivide, test
Synthesis: Advise, arrange, assemble, categorize, collect, combine, communicate, compile, compose,
conduct, construct, contribute, coordinate, counsel, create, design, develop, devise, establish, explain,
formulate, gather, generate, incorporate, instruct, manage, modify, organize, plan, prepare, propose,
rearrange, recognize, recommend, reconstruct, relate, review, rewrite, set up, summarize, supervise, tell,
update, and write
Evaluation: Appraise, assess, choose, compare, conclude, contrast, criticize, describe, discriminate,
enforce, evaluate, explain, interpret, judge, justify, measure, monitor, rate, relate, review, score, select,
summary, support, value.
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Continuing Nursing Education Guidelines
E M E R G E N C Y N U R S E S A S S O C I A T I O N
APPENDIX E
GLOSSARY
Biographical Data. Information required of persons involved in the peer review process or the planning and
delivery of continuing education activities. The data provided should document their qualifications relevant to
the continuing education process or a specific activity with respect to their education, professional
achievements and credentials, work experience, honors, awards, and/or professional publications.
Clinical Educational offerings that primarily contain information applicable to direct practice in the clinical
area. The program content must be primarily focused on knowledge the nurse can apply in providing direct
care to an individual patient or community.
Contact Hour. A unit of measurement that describes 60 minutes of an organized learning activity that is
either a didactic or clinical experience.
Conflict Of Interest. Refer to Appendix A.
Continuing Nursing Education. Systematic professional learning experiences designed to enhance the
knowledge, skills, and attitudes of nurses and therefore enrich the nurses‘ contributions to quality health care
and their pursuit of professional career goals
Designated Nurse Planner. See ―Nurse Planner‖.
Educational Objectives. A statement of the learner outcome(s) of an educational activity that is measurable
and achievable within the designated time frame and based on provided content outline.
Nurse Planner. The nurse planner must be a registered nurse and hold a baccalaureate or higher degree in
nursing. The Nurse Planner must demonstrate competence in performing successfully at the expected level.
Accepted demonstration of competence may be evaluated by review of the nurse planner‘s professional
portfolio. The portfolio should demonstrate the presence of the following knowledge and skills: Knowledge
of adult learning theory, critical thinking skills, knowledge of the Scope and Standards of Practice for Nursing
Professional Development,
Other Educational offerings related to the professional practice of nursing and the emergency care system.
Target Audience. "Group for which an educational activity has been planned and designed
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Continuing Nursing Education Guidelines
www.ena.org
Emergency Nurses Association
Educational Services—Approver Unit
915 Lee Street
Des Plaines, IL 60016
Tel: 847/460-4123 Fax: 847/460-4005