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Found 22 results

  1. Bea Bea

    PMHNP- ANCC Exam 2019

    Last minute advise for anyone who has taken the PMHNP ANCC exam? Currently using: 1. Board Vitals 2. Purple ANA book 3. Pocket Prep 4. ANA IQ Questions All tips are welcomed TIA
  2. clam151543

    ANCC FNP Board Exam

    I passed my board exam yesterday. Prior to taking the exam, I searched this board for advice/tips and thought it was very helpful. I am posting now to pay it forward. This is what I did to prepare (2 weeks: around 4 hours a day): 1. I took a DRT exam from Barkley to see how much I remembered (took the boards 7 months after I graduated) and what I need to focus on. Tip: take the test as soon as you can after you graduate. It's hard to get back into studying mode if you wait too long and you would've forgotten much of what you learned in school. If you get a 70 or above, you will very likely pass the boards. 2. Read the ANCC FNP exam outline. 3. Listened to all of the online FNP lectures from Barkley. (Very useful but very time consuming) I took notes so I can I quickly look it over before the exam. 4. Read the Leik book: read the tips. If you have time, do the questions in the back and read the rationales. I didn't. Download the app: read and do questions. 5. Google pictures of different skin conditions. There were a few pictorial questions for you to pick a skin condition. 6. Took another DRT exam from Barkley. Read the rationales at the end. 7. Had coffee, ate breakfast and went to the exam center. Go at least 30 minutes before the exam. Make sure you use the restroom right before you start your exam. There are no breaks once you start. You will lose exam time if you need to use the bathroom after. You got this! Study hard and get it. Good luck!
  3. Hello all, I'm a little bewildered on how/what/when/which CEU/CME's count and where to get them for recertification with ANCC. I'm currently an FNP with board certification through ANCC, and it appears there are much cheaper, more plentiful sources of CEU/CME that apply to AANP recertification. Example is hours spent on UpToDate, is tracked by the program, but they only seem to apply toward AANP, not ANCC. And my current employer (VHA), doesn't provide CME money, that I can see anyway. What recommendations of where to find ANCC certified CME credits? Sorry if this is a silly question, but I've read through the ANCC website and it is a little confusing to me. Thanks for any input or recommendations or explanations on how the CME/CEU process works and where to get the required credits. I believe it's 75 hours, with 25 of those hours in Pharmacology within the 5 year recertification window. Thanks
  4. Hoping for some insight. I take the ANCC PMHNP exam in January. I see they have updated the blueprint and changes went into effect on Dec. 16th. Looks like there are fewer policy/professional questions. Has anyone taken the new format? How was it? Pocketbook just now updated their prep to match the new exam and it seems like a lot of other sources are behind in updating it, so I am rather worried. Thanks in advance.
  5. MissMemphis05

    ANCC EXAM REVIEW TIPS PMHNP exam

    Hello, I'm currently in a Psychiatric Mental Health Nurse Practitioner program. I am looking for tips to study for state boards. I will be taking the ANCC certification. Has anyone tried the Lantern review? What has worked for you guys? Please Help. I appreciate all of the help. Thank you in advance.
  6. For those of you that have taken the exam, did you find it challenging? I'm thinking of taking it and I'm trying to put together a study plan. How many hours a week would you recommend to study? I'm relevatively new; I just barely have the minimum number of hours to qualify for the exam.
  7. Rookmini

    ANCC study prep help

    Hi all, In December, I completed my Master's in FNP and now I am hoping to take the ANCC exam. In January, I took a review course offered by Fitzgerald Health Education Associates in New York. Unfortunately, due to some personal circumstances, I was not able to start studying after the review course. Now that I am back on track, I would like to jump right back in. I was hoping to get some input from people in my situation or anyone who has taken the exam. How long did you prepare for the exam? Did you take the ANP or the ANCC? What study materials did you utilize? Thanks in advance.
  8. megamiepona

    ANCC Medical Surgical Certification

    Hi All, I'm scheduled to take this exam at the end of this month and have been utilizing Lippincott's Review for Medical-Surgical Nursing Certification (5th ed) as well as purchased test questions through the ANCC website and Amazon (Mometrix's Medical surgical nurse exam practice questions). I am still looking for more practice questions. For those of you who passed this exam, do you feel that practicing NCLEX questions also helped prepare you for this exam? I'm thinking of using NCLEX questions to test my knowledge of each subject's content. I appreciative anyone's feedback!
  9. Planning on taking the ANCC for FNP June 2020 and looking into review courses. Debating between APEA (Hollier) and Fitzgerald live review. Who would you recommend for ANCC content? Also, when should I plan on taking the course if I plan on taking boards toward the end of June? Any help or additional advice is appreciated! Thank you so much, Carrie
  10. smartypant

    Lantern review for ANCC PMHNP Exam

    I am studying for the Ancc Pmhnp exam and I am using the lantern review please has anyone used the lantern review and passed on the first try and would you recommend it again?
  11. Greg 77 MSN NP

    ANCC Practice PMHNP exam

    I was wondering if anyone had noticed the format of the Practice PMHNP Exam offered by the ANCC, I take the certification exam in 10 days. First on the practice exam, there is no forward or back buttons, just a Submit, is this the same software that is used on the actual exam? The software seems like it is from the 90's, I was just wondering how you skip ahead, answering the questions you know while skipping the harder ones until the end. The practice questions are unnumbered, is the Certification set up like a normal exam.
  12. Ximena2008

    AANPCB versus ANCC

    Hi: I am looking for recommendations. I am in my last semester of the Family Nurse practitioner program. I just started researching on taking the Board and found that there are 2 certification exams, one is through ANCC and the other is the AANPCB. For those of you that have taken or will be taking the FNP board which one did/will you take and why? TIA
  13. southwest nurse

    Passed ANCC FNP exam today

    I passed ANCC ARNP-exam today... While I was preparing I was so nervous and some of the previous post regarding the ANCC FNP exam helped and some scared me to death. I made a promise to myself to post some of my experience so that It will be helpful for the NP students who are preparing for the test soon First of all I want to tell you all the test was not bad at all. I graduated on May 15 and registered for exam at the same time. my school took 15 days to send my official transcript to ANCC, as soon as they received my transcript they send me the OK letter to schedule the test in 2 days. In between I contact them to verify the status and they were nice... I took 2 week to study and these are the resources I used Leik book-- Excellent book , only needed info. breakdown nicely.. and the 650 questions at the end ...very useful. The last 2-4 chapters go over at least couple times.. you will never regret ( some minor errors noted in Leiks book) Fitzgerald review-- I have to travel to a different town and stay in a hotel 3 days for live review... I will choose the online review much more affordable and wise. the spiral binder they gave you in the review very helpful. The Fitzgerald online tutorials about research and the Leik book research chapter will cover the research topics pretty much for you... I borrowed Fitzgerald 3 rd edition and read all chapters and did the answer the test questions (1400)... APEA online review (offered by school almost 3 months ago) -- Amelie is awesome and honestly the test did not look like what review questions... Exam edge- FNP review- I bought 10 test bundles. End up studying 10-15 different theories (some of them I even heard before and very frustrating). I scored 360-399 on these tests. very poorly constructed questions with lot of grammatical errors --the test questions in real exam is much more professional ( and ended up withno theories in my real test at all...) Here is my exam looked like (unable to provide exact details.. don't want to be in trouble): 22 multiple choice Hypertensive meds (CCB, HTCZ ACEI) 5 drag 3 exhibit 10 pictures (derm and eye) pictures were good quality ...please make sure you review common eye conditions with pictures well Billing and how choose CPT codes in primary care ANA position statements and research methods (meta analysis, case study etc..) At least 20 cultural questions (Leik book good resource but Google it for more info) 1 milestone peades, 1 obg question Real test looked like Fitzgerald review test questions I finished 200 questions in 3 hours and took 30 mts to review the marked items Once you finish the test, the proctor outside testing room will print a results for you.. I know this post is bit longer... But if this will help my fellow NP students I am happy for it.... Best of luck for all of you.
  14. pleuralP

    PMHNP ANCC exam prep

    What did you use to study? Was it helpful? If you could go back and do the study process again, what would you do?
  15. dream2bnurse1234

    ANCC FNP April 2019

    I took my boards today - the ANCC and passed! I started looking at this forum the WHOLE time while studying while it had its pros and cons I have to say it really did have a little bit of both. It can be a blessing to read the forums and see what other people thought then it can be a curse because it stressed you out and makes you SUPER nervous and anxious and make you feel like your not ready! I’m here to help you. Just take a deep breathe and realize everyone is different. How I studied... I was torn between what to take. I ended up taking ANCC because everyone said its more “known”. I figured let me take it if I fail I'll do AANP. I was also super scared to put a lot of time into studying for the nonclinical topics but I'm glad I chose ANCC. I graduated December. Took Barkley class in January in NYC. I had a breakup in February. I couldn’t focus couldn’t eat couldn’t sleep. The end of February I realized I needed to start studying and let something good come from this breakup. I deactivated my social media and facebook. I started Studying March 1. I took a week of vacation. March 1-12. After Barcley - I paid some extra money to have his audio until April 1 and I still had the textbook. I would do two systems a day. Listen to him go through his workbook. Then go through the LEIK book. Those two really correlate with each other and helped me. I would also do Board Vitals on the those days of the systems I finished along with the LEIK app questions. I did that and finished the whole book and all of Barkleys audios. When I would drive to work I would listen to him repeatedly. On my break at work I would listen to him. I still worked 3 12 hour shifts a week but on any off day I would study again. I started to feel a little overwhelmed doing both. I started to only do LEIK and skim the Barkley or read some areas in his book that I liked better than Leiks. I also had Fitzgerlad workbook and only used that RESPIRATORY, ENDO, hypo/hyper thyroidism. My next few days off were March 28-April 3. I kept studying and reading leik in that time. I bought EXAM MASTERY and started doing questions on there. I worked April 4-7 then the last week I just studied everything - no practice questions just straight studying until 9pm the night before the test! I never went out with friends I just studied all the time! I felt I couldn’t even workout because I needed to study. So what I recommend for studying LEIK! I believe you can pass only studying her book I read it a total of three times. I also did enjoy Barkley - I think he was good! I felt Fitzgerald was too in depth . I think board vitals questions were super hard! I liked LEIK and EXAM Mastery questions. And I also did all the ANCC practice exam questions on Psych NP, Peds NP, Acute Care NP, GERO np, Family np, ambulatory nurse practice exam I did them all. I never finished the back of the book questions on Leik I felt the app questions were the same thing. I did half of the Boards Vitals NON-clinical questions and honestly believe it was a waste of time I also did half of the exam mastery nonclinical questions but was getting upset I was getting so much wrong. My advice on Non-clinical I felt Barkleys and Leik did a good job and for that area I feel study the ratings of research and everything else from those two I feel the questions were all over the place. I rented the Bupart book which I didn’t even open! I felt too overwhelmed. Something I never saw on this was that there's questions on this exam that isn’t graded right? So relax if you feel you are marking lot maybe you are marking some that isn’t even counted! I never took a practice exam and sat and practiced for 200 questions straight and I didn’t even do practice exam questions the week of test. I just made sure I really studied the content. I only studied content. Never did practice questions and I passed all the tests so I just did the same! Good luck to all of you! And know you can do it once you master content. But I thank LEIK so much she was a blessing. That book was my bible I would not have passed with it.
  16. Riburn3

    ANCC AGACNP Exam Tips

    I wrote a similar article when I passed my FNP exam back in 2014, and still receive feedback from people thanking me, so I thought a similar review would be helpful for the AGACNP exam since I recently passed that as well. 1) Start planning NOW! If it's you last semester of school or even you final year, now is the time to start planning. The closer you test to when you graduate, the more successful you will be. 2) Attend a live review I like Barkley and find his lectures pretty funny. These folks are experts at making concepts you've struggled with seem easy, and there's are reason why they boast a greater than 99% pass rate. Their schedule for live AGACNP reviews is pretty sparse compared to FNP reviews, so if your schedule doesn't allow, definitely buy his CD's. It's all pricey, but if you have a job on the line, a small investment will pay big dividends. 3) Buy a study manual The manual you get from the Barkley live review is like gold (I swear I don't work for him). It has what you need to know, in a concise format, and what's in the book is what's on the test. It's not filled with a bunch of needless fluff. If you go to his review you are killing two birds with one stone. 4) Practice questions! I love using practice questions when prepping to study, especially if you get to review the rationale as you go. The questions that are almost identical to the format you will see on the exam are the sample questions found on the ANCC website for free, and the practice package you can buy through the ANCC website (actually takes you to the ANA website) for $125. Worth it as these are exactly the style of the real test. -Boardvitals has a large database of questions as well, that I enjoyed using. Overall though, these questions are a lot more wordy and difficult than the real exam, which I like since it makes taking the real exam seem easier. You can buy 1-6 month access for the exam, and if you buy anything over 3 months they guarantee you will pass. -Barkley Readiness Exams are pretty good too, but they are also much more difficult than the real deal. I took one at the end of my program last December and got a 71, which is very good according to him. Right before I took the exam I bought one and scored a 59, which is failing. I was much better at taking the ANCC provided material, which I think is more important since they give the test. Like Boardvitals, I think Barkley uses harder content to make the test seem easier. 5) Be careful on here This website is a great resource for people, but it also is littered with posts about people failing their exam, and it can freak you out. When you read threads on here about people not passing, they all usually didn't attend a live review course. I promise they're worth it no matter what company you choose. If they did fail and did attend a live review, they're literally in the bottom 1% of all individuals, so reading into what they did might not prove too helpful. They're a rare anomaly. Also remember that a vast majority of people pass this test on the first try, and most people don't go and celebrate it on a message board. It's people that are unsuccessful that come to places like this to vent and seek comfort. It can be helpful to understand what people did and possibly see where they went wrong, but don't let it discourage you or make you anxious. That's pretty much it. Stay confident, do a live review, and do lots of practice questions and you'll be good to go. Feel free to PM me or post if you have further questions.
  17. Aggie RN

    ANCC and the APHN-BC

    Does anyone know why they decided to discontinue offering this credential?
  18. Provided by ANCC American Nurses Credentialing Center This year's event in Denver will mark the 16th year ANCC has hosted the Magnet Conference. Join over 10,000 other talented nurses and nursing executives that represent more than 20 countries for the National Magnet Conference. The prestigious Magnet Recognition Program celebrates accomplishments for newly designated Magnet organizations. Attendees return to their hospitals energized to improve their practice and equipped with proven solutions. Over 250 exhibitors will be sharing their expertise so make sure to stop by and pick their brains. The Magnet Conference was organized to recognize healthcare organizations that provide exceptional nursing care and uphold the tenets of professional nursing practice. Lunch and refreshments are provided along with prize drawings and giveaways. Make sure to take time to see the more than 150 posters that fellow nurses have made showing their evidence-based practice. Choose from the 70+ new and innovative concurrent sessions and enjoy the inspirational general sessions with dynamic speakers ... and don't forget to come to the welcome party! Who Attends Magnet? Magnet is the leading source of successful nursing practices and strategies worldwide. A breakdown of the attendees is below. 65% have a BSN - 2% are under age 25 44% have a RN - 22% are age 25-34 33% have a MSN - 26% are age 35-44 7% have a MS - 27% are age 45-64 8% have a BS - 21% are age 55-64 4% have a PhD 42% are staff nurses 9% are CNO 9% are Directors 6% are Hospital Administrators Attendee to Exhibitor is 32 to 1 Conference Dates Wednesday - October 24, 2018, 12:00 p.m. to 4:00 p.m. Thursday - October 25, 2018, 8:30 a.m. to 12:30 p.m. Friday - October 26, 2018, 8:30 a.m. to 12:30 p.m. Conference Location Colorado Convention Center 700 14 Street Denver, Colorado 80202 Sessions The Year of Rapid Improvement Events Inpatient Flow A Behavioral Emergency Support Team (BEST) on Medicine Developing Future Nurse Manager Empowering Nurses With an Online Roadmap for Evidence Based Practice From Paper to Practice: Getting Your Team on the Same Page Building a Nurse-Led Patient Care Logistics Reducing Unrecognized Clinical Deterioration and MANY MORE. For a full list, go to Concurrent Sessions Poster Subjects Fostering Systems Thinking to Improve Golden Hour Efficiency Elevating Practice with an Electronic Peer Review Tool Contrast Induced Acute Kidney Injury in the Cath Lab Decreasing Staff Injury with Innovative Protective Equipment Rates Early-Bird Registration Ends June 22, 11:59 p.M. EDT Individual rate: $889 before deadline June 22, 2018 - save $490 Group Rate: $879 before deadline June 22, 2018 - save $1050 Retired Nurse, Faculty: $629 before deadline June 22, 2018 - save $240 PreConference Options Research Symposium: October 22, 2018 9am-5pm - $359 Practice Transition Accreditation Program (PTAP) Workshop: October 23, 2018 8am-5pm - $325 Nurse Executive Certification Interactive Review Course: October 23, 2018 8am-12:30 p.m. - $399 Advanced Nurse Executive Certification Interactive Review Course - Workshop: October 23, 2018 1:00 p.m.-5:30 p.m. - $399 International Forum: October 23, 2018 5:30pm-7:30pm - $125 Getting Started Magnet Program: October 22, 2018 8am-4pm - $999 Additional Guest to Welcome Party - $125 The Welcome Party is on October 24, 2018 from 7pm to 9pm. Journey through the seasons and snack on locally grown food and enjoy the beer garden from the Colorado microbrewery. Registration Register online only and pay by check or credit card. Pay by check is only to September 7, 2018. After that date, the only payment accepted is by credit card. Refunds up until September 7 minus $200 administration fee. Contact information ANCC Conference Services, P.O. box 207, Lincoln, RI 02865-0207 ancc@confex.com Hotel/Travel Information Use Connection Housing (the official provider) for special rates and features Email: ANCCHousing@ConnectionsHousing.com Phone: 404-842-0000 Toll free: 1-800-262-9974 Fax: 678-228-1930 Information regarding hotels and prices is available at conference site Airline discounts starting on January 22, 2018, 3-10% discounts available Delta - delta.com/meetings: Code NMRT3 1-800-328-1111 United Airlines - www.united.com: Code ZCODE=ZEZC Agreement code: 119159 (1-800-426-1122) Check out the excitement from the 2017 event [video=youtube;0OI-O-Ml6F4] Conclusion Bring your family or a best friend with you to enjoy the Mile High City. There is a large variety of restaurants, museums, nightlife, and natural wonders for you to explore. While you learn and network, you know that you are with an organization that gives back. They partner with Metro Caring that has been in the Denver community since 1974. Here they have a free Fresh Foods Market in which their aim is to end hunger through access to food and break the cycle of poverty.
  19. Courtney, FNP-BC

    Passed FNP ANCC July, 2016!

    Here's what I did I graduated May, 2016. I took two days off per week from my job to study for boards. I signed up for the ANCC which was a relatively smooth and easy process. I blocked out a calendar to study for approximately 6 weeks. Each day, I reviewed a system/topic and did 50-100 practice questions. I am a huge anal retentive list-maker, so I would check off my progress and this motivated me to stay on track with studying. I then made notecards for my "trouble areas" and things I felt I needed to memorize, such as ABX, Tanner staging, dermatology, etc. I took my test the first week in July and I passed. I took about 6 weeks of studying, therefore I wasn't "cramming" and didn't feel pressure to rush through material I needed more focus on! Resources I took the Barkley Review in January, 2016. I took this because I thought it would give me more time to study, however looking back, I feel I should have waited and taken it closer to graduation. It was basically a crash-course of everything we learned in graduate school compiled into 2.5 days. He was an excellent lecturer, however this really was not my style of learning. I did use the book provided to me during this course to study from and focused on the "PEARLS" of the exam which were helpful. I bought the "Family Nurse Practitioner Certification Intensive Review 2nd Edition" book which was hands down, the BEST resource. It's basically the "quick and dirty" of the ANCC. This is the book I felt prepared me for the ANCC. I went through all of the chapters and systems and utilized this to focus on the theory, insurance, billing, etc. portion of the ANCC exam. There were 650 practice questions in the book which were also very helpful! I also used the Family Nurse Practitioner Review Secrets Revealed" book for the questions, however I did not use it for anything else. The FNP mastery phone app was awesome- I would answer questions when I was in bed, waiting for friends, etc. It was $30 and worth every penny! The week before the test, I stopped doing practice questions, focused on my problem areas, and reviewed the Leik book PEARLS one more time. Almost Test Time I am very superstitious and like my RN boards, I only told two people when I was testing. I had scheduled my boards for July 5th, so when my friends knew I wasn't coming out to party, I'm sure the suspected my test was happening soon! The day before the test I didn't study, I watched movies, worked out, and relaxed. I was SO nervous all day, sick to my stomach, palpitations, etc. I just kept reminding myself that I was prepared! My test was at 8am, I woke up at 4am, 5am, etc. SO nervous that I would miss it! I arrived an hour early, was checked in, went through a metal detector, had to empty my pockets, sign in, verify my ID, etc. This process was slightly intimidating but the staff at the testing center were very calming! The Test I have never been so nervous or unsure of myself. The test is composed of 200 questions, however 25 are used for future test question development. It took me about 2 hours to go through the 200 questions the first time around and I marked the questions I needed to go back to. If a question was too "wordy," I would mark it and come back to it. At my two-hour mark, I took a quick bathroom break and returned. The test was not at all what I expected. It contained many non-clinical questions which were still difficult, however I was able to figure out with some deep thinking! My exam was all over the place, from derm to cardiac to pulmonary to ethics to leadership, etc. You name it, it was on there. I felt well-prepared, however hitting the "submit" button gave me the biggest stomach-drop EVER. The Results I went to the area to get my results and of course there were four people sitting there! AHHHH-Noooo, what if I failed? They are going to see me ugly cry!!! The nice man sitting at the desk asked for my ID and signature and I blurted out "DON'T SAY MY RESULTS OUT LOUD!" Everyone looked at me like I was a bit crazy, but he said "don't worry, I never do." I saw the sheet of paper laying on the desk and saw the word "Congratulations!" This was one of the BEST moments of my life! All of my hard work and dedication have paid off-finally. Anyways, he handed me the paper, I started happy-crying, hugged the four people around me in the testing center and was on my merry way! Bottom Line I've struggled with test anxiety my whole life. I've done well in school and have to work hard to get good grades and do well on exams. This may seem impossible to some, but it is SO doable and the best feeling after you're done. Best of luck to everyone testing!
  20. KJ NP

    ANCC and AANP Certification

    Now I would like to share my experience in hopes it will help someone. I have taken both ANCC and AANP. The ANCC was taken on 10/30/16 and I failed, my score was 340 and I needed at least 350. I was very disappointed to say the least. On 12/17/16- I took the AANP and passed, Praise god. I had studied consistently for about 7 weeks for the ANCC. After about a week, I started to study again this time I decided to take the AANP. On my results from the ANCC it stated I scored High on the clinical but low on the non-clinical, so I figured AANP would be a better test for me. So ensure you pick the right test according to your strengths. The ANCC - this test had a lot of non-clinical content, things such as leadership, research content and research studies, hospice, ethics, licensing, HIPAA, things like if the NP wanted to do a research study what would she/he do first, and therapeutic communication. Many questions for the non-clinical gave a scenario and would ask you to decide next step or how would you handle it. Also questions on reliable research studies. The clinical content was straightforward, no tricks with those at all. However, there were photos on dermatology and eye disorders. Most questions were multiple choice; there were a few "all that apply" type questions. There also were a couple matching questions. The clinical questions were on almost all the body systems. Also, important to know labs and diagnostics test for each diagnosis as well as first line and second line medications. For the ANCC please allow time to study the non-clinical as well as the clinical. After taking the ANCC, I went back to my school textbooks and found some good information in those, so it may be a good idea to revisit some of your old textbooks. The AANP- this text was mainly clinical, I did have two to three non-clinical questions but they were easy like therapeutic communication and privacy. The majority were clinical; questions were straight forward, no tricks. All my questions were multiple choice. All body systems were on my test, I did not have any contraceptive or OB questions. This test was very much like its blueprint, a lot on assessments, knowing signs and symptoms, diagnostic testing, first and second line medications, and side effects of medications. On this test there was a great deal of questions on the elderly and frail elderly, knowing the changes in the body system, medications, and difference in some of the presenting symptoms for this population. I seem to like this test better because I am more clinical. TIP: Please allow yourself enough time to study. It is very important to master the materials not memorize. Please get plenty of rest the few days leading up to the test date. Eat good nutrition meals. For the test, please take your time reading the questions and read them more than once. Try your best to keep your anxiety at a low; I was constantly calming myself down. Do not spend too much time on a question, select your best answer then mark it and come back to it, if possible. Also, this time I took a break, something I did not do the first time, and I honestly felt it made a difference. My mind was racing, I was getting all confused and just feeling lost, so I took a 5 minute break, went to the restroom. When I returned, I felt rejuvenated. I looked back at the questions I had marked and it seemed as if the right answer just came to me, my mind was much clearer from that 5-minute break. So if possible, take a break. Study Materials 1st - Maria Leik - Her book was very good, the content and the questions in the back of the book were very similar to the test questions, especially the questions on the AANP. 2nd - Barkley - I ordered Barkley Home Review Package with book, CD's and readiness test- his materials are good as well, I love his CD's very helpful and you can listen to them anywhere. The Barkley test was good as well and I did well on that test. 3rd - Fitzgerald - Her book was very detailed, not really geared toward the test, more for practice but it did have useful information. I also purchased the pocket prep (FNP exam prep), it was useful, detailed like Fitzgerald book, downloads to your phone, you can answer questions anywhere. Most useful app. To me is the FNP mastery study guide, very informative with great rationales. So sorry for the long post, I tried to remember everything and if I think of anything else, I will post again. Good luck to everyone! We made it through school and we will make it through this! I hope everyone is able to pass the first time but if not remember many people have had to test more than once and made it. Personally, the positive of taking it twice is that I am much more confident and ready to practice the material. We know much more than we think we know! Moreover, I know you can do this; we have come too far, we have to do it! God bless you! Feel free to ask me any questions, will help anyway I can.
  21. ElizabethStoneRN

    Magnet Designation: What's the Attraction?

    Simply put, Magnet designation symbolizes "nurse-driven excellence in patient safety, quality outcomes and patient satisfaction" 1. So what exactly does this mean? To better understand the meaning of nursing excellence and the value of Magnet designation, it helps to also take a look at some of the groundbreaking research by Linda Aiken 2-7. Aiken, an internationally recognized nurse scientist, has been involved in numerous studies linking nursing excellence to patient outcomes. The results of her research have led to a greater awareness of how variables such as nurse work environment, nurse education and nurse empowerment to innovate affect a multitude of outcomes including patient satisfaction scores, mortality rates and failure-to-rescue rates. Improvements in these variables also affect hospital reimbursement 8. It is no surprise that, given this magnitude of evidence which demonstrates the value of nursing excellence, more and more hospitals are striving to become Magnet designated. Below are what organizations must do to achieve magnet. (#1-#3 are based upon information obtained the American Nurses Credentialing Center's (ANCC) website's "Journey to Magnet Excellence"1): 1) The application process involves identifying gaps in organizational performance, developing action plans to address them, and implementing nurse-driven measures to improve them. What this means to me Professional recognition and growth. Yes, it is more work for nurses. But to me this means that ANCC, and any hospital which achieves Magnet designation, recognizes nurses' expertise as integral to improving everything from nurse turnover to patient outcomes. Empowerment leads to engagement, and engaged nurses attract more engaged nurses. Enthusiasm is contagious. A common concern Who is going to pay us for this extra work? Good question, and in my opinion this is one of the biggest challenges magnet brings. Anyone who has ever been in charge of a quality improvement or nursing research project knows that the work is very time-consuming. Nobody wants to do a lot of extra work "for free". While clinical ladder programs may incentivize and indirectly reimburse for project involvement, this is not enough for everyone. I get it. I have seen creative solutions to this, but they are usually unit-based and not standardized across the organization. All I can say is that if hospitals are going to continue to be Magnet designated, they are going to HAVE to figure out a way to reimburse nurses for these extra professional involvements in a fair way. If any of you work in hospitals which have a system in place by which to regularly reimburse nurses for "extra work" that is not direct patient care, please comment below and share how your hospital does it! 2) A major culture shift for many organizations; they must either have an infrastructure in place to support nurse empowerment and innovation, or develop one pronto. Programs such as shared governance, nursing research and evidence-based practice councils, and peer review are just some examples. What this means to me This culture shift is not a "dog and pony show" that can be developed quickly and then dismissed after an organization obtains magnet designation, unless they want to lose it. Magnet requires that the "infrastructures and culture [that empower nurses] are firmly embedded in the organization"1. The very stringent magnet application process and subsequent recertification requirement ensure that this infrastructure is permanently in place. Common criticism "Any hospital can do these things- it doesn't require magnet status". True, but I for one would rather work in a hospital which is held accountable for having this infrastructure in place and maintaining it. My hospital just recently achieved magnet designation, and I have already begun to see the results of this culture shift as more and more of our nurses are applying to present their quality improvement and nursing research projects at nursing conferences or writing them up for publication. Many of them have never considered sharing their work with a larger audience; but now they have the resources and support in place to do so. 3) Leadership support of nurses is key to this culture change. What this means to me A LOT. Leadership at all levels (from Chief Nurse Officer to unit nurse managers) have become more in tune with the issues at the bedside: the problems staff nurses face, the ideas staff nurses have on how to address those problems. Leadership is learning how to support and encourage staff nurses to question outdated practices, explore innovative ideas, and make changes. Nurses at my hospital, and all over the world, have always had great ideas and have been innovative in their practice, but now they are receiving more recognition and support for cultivating those ideas. Common criticism "This is a marketing ploy for the hospital". Yes, of course it is a huge marketing decision and investment- healthcare is a business. But a magnet structure is well managed by a strong nursing leadership, there can be huge benefits on both sides. "Attracting and retaining top talent, and growing your business and financial success" are two of the benefits of Magnet listed on the ANCC site1. Magnet designation is a major investment and business decision for the hospital. When it does work to help improve nurse retention, the hospital saves considerable money. But most importantly a Magnet certification represents a dedication to and an investment in nursing excellence. Achieving and maintaining Magnet designation is a lot of work for the hospitals and for the nurses who work there. But in my experience, the personal, professional and work-based benefits are worth the effort. Most importantly, our patients are worth the effort. In my hospital, achieving magnet designation has already helped bring about a very positive culture change. References 1. American Nurses Credentialing Center (2015). Journey to Magnet. https://www.nursingworld.org/magnet 2. Aiken, L. H., Shang, J., Xue, Y., & Sloane, D. M. (2013). Hospital use of agency-employed supplemental nurses and patient mortality and failure to rescue. Health Services Research, 48(3), 931-948. doi:10.1111/1475-6773.12018 3. Aiken, L. H., Sloane, D. M., Bruyneel, L., Van den Heede, K., Griffiths, P., Busse, R., . . . RN4CAST Consortium. (2014). Nurse staffing and education and hospital mortality in nine european countries: A retrospective observational study. Lancet, 383(9931), 1824-1830. doi:10.1016/S0140-6736(13)62631-8 4. Kutney-Lee, A., Sloane, D. M., & Aiken, L. H. (2013). An increase in the number of nurses with baccalaureate degrees is linked to lower rates of postsurgery mortality. Health Affairs, 32(3), 579-586. doi:10.1377/hlthaff.2012.0504 5. Kutney-Lee, A., Stimpfel, A. W., Sloane, D. M., Cimiotti, J. P., Quinn, L. W., & Aiken, L. H. (2015). Changes in patient and nurse outcomes associated with magnet hospital recognition. Medical Care, 53(6), 550-557. 6. Lasater, K. B., Sloane, D. M., & Aiken, L. H. (2015). Hospital employment of supplemental registered nurses and patients' satisfaction with care. Journal of Nursing Administration, 45(3), 145-151. doi:10.1097/NNA.0000000000000174 7. Stimpfel, A. W., & Aiken, L. H. (2013). Hospital staff nurses' shift length associated with safety and quality of care. Journal of Nursing Care Quality, 28(2), 122-129. doi:10.1097/NCQ.0b013e3182725f09 8. New York University (2015). Nursing Research: Magnet hospitals have better overall patient experiences which may positively enhance reimbursement for hospitals. NYU News. 10/07/2015. Nursing Research: Magnet Hospitals Have Better Overall Patient Experiences Which May Positively Enhance Reimbursement for Hospitals
  22. Hi everyone, I wanted to share my thoughts and study plan with you as this website helped me immensely when studying for boards. I took both the AANP and ANCC FNP boards this week (yes, crazy I know). I have a job lined up and was worried if I didn't pass one, it would take too long to register for my "backup" exam. So, I tested for both this week. It took about a month for ANCC to process my application to test. AANP was much quicker, which impressed me--I was cleared to test in less than a week. AANP I'm not sure if it is because I took it first, but I much preferred the AANP exam to ANCC. First of all, AANP is shorter than ANCC. The questions are solely clinical based and are really straightforward. I was finished with this exam after 2 hours and decided to submit as they say changing answers is not recommended. I felt pretty confident with most of my answers. I completed the test and the proctor handed me the paper that said PASS. I was elated. Now the pressure was off of me to achieve certification. ANCC I walked out of the testing room thinking I completely failed this one. The questions were HEAVY on policy, ethics, and components of research studies and seemed to be worded ridiculously. Honestly, I was shocked when the proctor handed me the paper that read PASS. I was also finished with this exam an hour early and chose to submit without changing any answers here as well. How Did I Study? Well, I took a vacation right after graduation (highly recommended if you can). I came back and gave myself a month to study. I purchased Leik's phone app and the Fitzgerald online review. Leik's phone app is great as it provides the exact same review info as in her most recent book edition, but all questions are on electronic format for Q & A practice. I read all of the reviews in the app and answered all of her questions one time through. Fitzgerald online review was great as I am not very well disciplined at sitting and reading on my own for hours. She provides more information than probably necessary, but it seemed that some of her "tangential" subjects popped up on examination. Her review of policy and ethics was great when coupled with Leiks review. REALLY study these things if taking ANCC. If I could make an estimate I would say ANCC is more like 85% policy based (even though they say it's not. I purchased APEA predictor sets halfway through studying and completed two of those with 71% score on each. I'm not sure if they helped much, but they made me feel better about passing Finally, I purchased BoardVitals review questions. At first, I thought these questions were WAY too extensive and over the top. BUT, I'm glad I did them. I completed questions and would read all the explanations for answers. A lot of the things I saw on here that I thought were strange and unnecessary were actually on the AANP exam and were not covered in Leik nor Fitzgerald reviews. As far as what I did every day--well I can honestly say I devoted about 3-4 hours to studying each day. I think you will know when you are ready to test. Not that I felt that I knew everything by any means, but I was getting more right than wrong on review. Plus, I didn't have much choice with a job waiting on me to finish boards. I guess the external pressures helped me. Good luck everyone! You will do great.
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