NBCRNA Annual Summary of NCE & SEE Performance and Transcript Data Fiscal Year 2013 November, 2013
NBCRNA FY 2013 Summary of NCE/SEE Performance and Transcript Data TABLE OF CONTENTS 1. INTRODUCTION... 1 2. TEST TAKER PERFORMANCE ON THE NCE... 2 3. DEMOGRAPHIC CHARACTERISTICS OF FY 2013 NCE TEST TAKER POPULATION... 4 4. DESCRIPTIVE INFORMATION ON NUMBER OF ANESTHESIA CASES... 7 5. EXIT SURVEY RESULTS... 13 6. DEMOGRAPHIC CHARACTERISTICS OF FY 2013 SEE TEST TAKER POPULATION... 18 APPENDIX... 27
1. Introduction The National Board of Certification and Recertification for Nurse Anesthetists (NBCRNA) implemented computerized testing for its examinations beginning in April 1996. The NBCRNA administers two adaptive tests: the National Certification Examination (NCE) and the Self Evaluation Examination (SEE). This report presents a summary of information on students performance on the NCE and the SEE in Fiscal Year (FY) 2013 (September 1, 2012 August 31, 2013). For the NCE performance (Sections 2 and 3), pass/fail outcomes are summarized by gender, age, clinical background, and type of graduate degree. Section 4 of the report provides an analysis of test takers responses on a satisfaction survey administered at the end of the NCE. The survey asks questions pertaining to test takers opinions about their registration and test experience. Section 5 contains descriptive statistics (mean, standard deviation, etc.) summarizing the number of cases performed in various clinical areas by FY 2013 nurse anesthesia program graduates. Section 6 contains summaries of SEE scaled scores broken down by gender, age, clinical background, type of graduate degree, and year in program. Please note that, while previous reports presented the data summarized over calendar year (January 1 December 31), the present report presents data summarized over a fiscal year (September 1 August 31). 1
2. Test Taker Performance on the NCE Table 1 summarizes NCE performance for FY 2013 examinees. Table 1 shows pass rates for FY 2013 examinees, divided by first-time test takers and repeat test takers. Note that the observed pass rate is lower for repeat examinees. First-time examinee pass rates for the NCE can be found in Table A1 in the Appendix of this report. Also, summaries of NCE total scores and subscores for FY 2013 1 st time test takers can be found in Table A2 of the Appendix. TABLE 1 PASS/FAIL SUMMARY FOR FY 2013 NCE TEST TAKERS 1 ST TIME TAKERS FREQUENCY PERCENT PASS 2169 88.4% FAIL 286 11.6% TOTAL 2455 100.0% REPEAT TAKERS PASS 268 65.4% FAIL 142 34.6% TOTAL 410 100.0% 2
Table 2 shows the distribution of test length and pass/fail status. Only 1 st time examinees are included in Table 2. The majority of test takers (61.6%) passed the test in 70 items (not including the 30 unscored pretest items). Only 4.8 percent of NCE test takers failed the test at 70 items. Approximately 16.2 percent of the test takers took the maximum test length of 140 items. TABLE 2 PASS/FAIL SUMMARY BY TEST LENGTH FOR FY 2013 NCE TEST TAKERS FREQUENCY PERCENT PASS IN 70 ITEMS 1644 67.0% PASS IN 71 TO 139 ITEMS 309 12.6% PASS IN 140 ITEMS 216 8.8% FAIL IN 70 ITEMS 79 3.2% FAIL IN 71 TO 139 ITEMS 84 3.4% FAIL IN 140 ITEMS 123 5.0% TOTAL 2455 100.0% 3
3. Demographic Characteristics of FY 2013 NCE Test Taker Population Tables 3 through 6 summarize FY 2013 pass rates on the NCE by gender, age, clinical background, and degree earned. Only 1 st time examinees are included in these tables. Table 3 illustrates that approximately 64.6% of the NCE test takers in FY 2013 were female, 33.4% male. The pass rates between males and females were essentially equal. Table 4 displays the pass rate by age group and demonstrates that the pass rate decreased as examinee age increased. The average age of the FY 2013 NCE examinees was just under 33.4 years old. TABLE 3 GENDER OF FY 2013 NCE TEST TAKERS GENDER PASS FAIL TOTAL N PERCENT N PERCENT N PERCENT FEMALE 1393 87.8% 194 12.2% 1587 100.0% MALE 776 89.4% 92 10.6% 868 100.0% TOTAL 2169 88.4% 286 11.6% 2455 100.0% TABLE 4 AGE OF FY 2013 NCE TEST TAKERS AGE PASS FAIL TOTAL N PERCENT N PERCENT N PERCENT UNDER 30 869 93.2% 63 6.8% 932 100.0% 30-35 812 89.2% 98 10.8% 910 100.0% 36-39 258 81.9% 57 18.1% 315 100.0% 40 OR MORE 230 77.2% 68 22.8% 298 100.0% TOTAL 2169 88.4% 286 11.6% 2455 100.0% 4
Table 5 displays pass rates by clinical background. The clinical setting most represented was ICU/CCU (30.7%). Incoming nurse anesthesia students who specialize in critical care backgrounds spend an average of 3.35 years in that specialty prior to entering their education program (See Table A4 in the Appendix). TABLE 5 CLINICAL BACKGROUND OF FY 2013 NCE TEST TAKERS CLINICAL BACKGROUND PASS FAIL TOTAL N PERCENT N PERCENT N PERCENT CCU 199 89.6% 23 10.4% 222 100.0% ICU/CCU 667 88.5% 87 11.5% 754 100.0% MICU 318 92.2% 27 7.8% 345 100.0% NEURO ICU 96 87.3% 14 12.7% 110 100.0% NICU 46 85.2% 8 14.8% 54 100.0% OR 134 83.2% 27 16.8% 161 100.0% PACU 47 83.9% 9 16.1% 56 100.0% PICU 68 87.2% 10 12.8% 78 100.0% SICU 438 88.8% 55 11.2% 493 100.0% Trauma ICU 156 85.7% 26 14.3% 182 100.0% TOTAL 2169 85.7% 286 14.3% 2455 100.0% 5
Table 6 displays pass rates by degree attained. Over half (50.8%) of the FY 2013 1 st time NCE examinees attained the MSN degree. Pass rate comparisons between different clinical settings (Table 5) and degree (Table 6) should be made with caution because some demographic subgroups feature small sample sizes. TABLE 6 TYPES OF GRADUATE DEGREE OF FY 2013 1 st TIME NCE TEST TAKERS DEGREE UPON COMPLETION PASS FAIL TOTAL N PERCENT N PERCENT N PERCENT MS Nursing Major 1109 88.9% 139 11.1% 1248 100.0% MS Nurse Anesthesia 855 89.1% 105 10.9% 960 100.0% Other Masters 154 84.6% 28 15.4% 182 100.0% Doctoral 48 78.7% 13 21.3% 61 100.0% Post Masters Certificate 3 75.0% 1 25.0% 4 100.0% Total 2169 88.4% 286 11.6% 2455 100.0% 6
4. Descriptive Information on Number of Anesthesia Cases The following tables summarize the data collected about the number of anesthesia cases performed in clinical areas, as reported on the official NBCRNA transcript forms submitted by program directors for their students completing nurse anesthesia programs in FY 2013. Please note that these data are reflective of transcripts submitted for individuals with a graduation date in FY 2013, and not the sample of FY 2013 NCE test takers. Thus, the sample size reflected in the following tables will not necessarily reflect the sample size of 1 st -time NCE examinees, as reported in Tables 1-6. Tables 7-17 summarize the student frequency distributions of anesthesia cases for each specific area. The organization of the tables reflects the headings and subheadings in the record of clinical experience section of the official NBCRNA student transcripts (see the Record of Clinical Experience in the Appendix). The same columns are replicated in Tables 7-17: The first column contains the clinical area in which cases were performed. The Number (N) column represents the number of transcripts submitted in FY 2013. The Total Number of Cases column indicates the minimum number of cases that must be completed by any applicant in order to be deemed eligible to take the NCE. If, within a given clinical area, cases were not required, but rather preferred, the suggested number of cases is indicated in brackets ([ ]). If a minimum number of cases is neither required nor preferred, a 0 is entered in this column. Please refer to the Appendix for a copy of the Record of Clinical Experience, which documents the required number of cases in each clinical area. The Minimum (Min) column indicates the fewest number of cases reported on the FY 2013 transcripts. The Mean column indicates the average number of cases reported on the FY 2013 transcripts. The Median column indicates the median number of cases (50 th percentile) reported on FY 2013 transcripts. Half of the FY 2013 transcripts contained values higher than this number, and half contained a value below this number. The SD column indicates the standard deviation in the number of cases reported on the FY 2013 transcripts. TABLE 7 SECTIONS I, II & III: TOTAL NUMBER OF CASES, HOURS OF ANESTHESIA, CLINICAL HOURS Area N Required Number of Cases Mean Standard Deviation Median Minimum Total Number of Cases 2433 550 853.3 159.8 834 550 Total Hours of Anesthesia 2433 0 1677.1 373.6 1633 900 Total Clinical Hours 2433 0 2591.9 585.4 2525 1180 TABLE 8 SECTION IV: PATIENT PHYSICAL STATUS Area N Required Number of Cases Mean Standard Deviation Median Minimum Class I 2433 0 102.1 46.1 94 2 Class II 2433 0 397.3 116.9 381 35 Class III & IV 2433 100 355.8 102.3 345 109 Class V 2433 [5] 3.2 4.3 2 0 7
TABLE 9 SECTION V: SPECIAL CASES Area N Required Number of Cases Mean Standard Deviation Median Minimum Geriatric, 65+ years 2433 50 215.2 78.3 202 50 Pediatric, 2-12 years 2433 25 75.1 38.4 68 25 Pediatric, under 2 years 2433 10 24.8 13.8 21 10 Neonatal, under 4 weeks 2433 [5] 2.0 2.8 1 0 Trauma/Emergency 2433 30 60.2 25.9 54 30 Ambulatory/Outpatient 2433 100 415.9 157.3 395 100 Obstetrical Mgmt. 2433 30 75.3 48.1 62 30 Obstetrics, Cesarean Section 2433 10 34.7 18.7 31 10 Obstetrics, Analgesia for Labor 2433 10 41.3 34.3 33 10 Area N TABLE 10 SECTION VI: POSITION CATEGORIES Required Number of Cases Mean Standard Deviation Median Minimum Prone 2433 20 53.5 29.3 47 20 Lithotomy 2433 25 88.6 33.6 84 25 Lateral 2433 5 77.9 47.8 65 7 Sitting 2433 5 24.2 20.5 18 5 8
TABLE 11 SECTION VII: ANATOMICAL CATEGORIES Area N Required Number of Cases Mean Standard Deviation Median Minimum Intra-abdominal 2433 75 186.3 72.8 172 75 Extrathoracic 2433 15 35.9 16.4 32 15 Extremities 2433 50 170.0 60.4 160 53 Perineal 2433 15 97.9 46.4 90 16 Head, Extracranial 2433 15 69.3 32.7 64 15 Head, Intracranial 2433 5 14.0 7.7 12 5 Head, Oropharyngeal 2433 20 85.1 44.8 76 20 Intrathoracic 2433 15 35.2 24.1 32 15 Heart 2433 5 18.0 11.3 16 5 Lung 2433 5 11.2 6.1 10 5 Intrathoracic, Other 2433 0 5.8 5.7 4 0 Neck 2433 5 22.9 10.5 21 5 Neuroskeletal 2433 20 46.1 27.0 40 20 Vascular 2433 10 36.8 20.8 33 10 Other 2433 0 38.7 55.2 20 0 TABLE 12 SECTION VIII: PHARMACOLOGICAL AGENTS Area N Required Number of Cases Mean Standard Deviation Median Minimum Inhalation Agents 2433 200 599.4 132.0 582 260 Intravenous Induction Agents 2433 200 674.8 174.2 655 219 Intravenous Agents, Muscle Relaxants 2433 200 456.5 124.9 431 204 Intravenous Agents, Opioids 2433 200 711.1 155.7 693 307 9
Area General Anesthesia Intravenous Induction Inhalation Induction Mask Management LMA Tracheal Intubation/Oral Tracheal Intubation/Nasal Total Intravenous Anesthesia Emergence from Anesthesia Monitored Anesthesia Care N TABLE 13 SECTION IX: METHODS OF ANESTHESIA Required Number of Cases Mean Standard Deviation Median Minimum 2433 350 605.0 128.4 588 352 2433 200 508.2 124.9 493 200 2433 10 92.6 50.3 83 13 2433 25 69.9 81.0 46 25 2433 25 111.1 49.3 104 25 2433 200 387.7 86.5 379 200 2433 [10] 16.0 12.8 13 0 2433 10 48.8 49.3 31 10 2433 200 569.8 199.0 547 207 2433 25 146.6 80.9 129 25 Regional/Management 2433 30 113.5 61.2 102 30 Administration 1 2433 25 104.0 57.9 90 25 Spinal 2433 [50] 41.0 25.1 36 1 Epidural 2433 [50] 37.9 26.7 32 1 Peripheral 2433 [40] 25.1 30.0 15 1 1 Experience required in each sub-category (Spinal, Epidural, and Peripheral). 10
TABLE 14 SECTION X: ARTERIAL TECHNIQUE Area Arterial Puncture/Catheter Insertion N Required Number of Cases Mean Standard Deviation Median Minimum 2433 25 56.6 27.3 50 25 Intra-arterial Blood Pressure Monitoring 2433 25 78.4 31.3 73 25 TABLE 15 SECTION XI: CENTRAL VENOUS PRESSURE CATHETER Area Placement Monitoring N Required Number of Cases Mean Standard Deviation Median Minimum 2433 5 13.1 10.0 10 5 2433 15 27.8 13.3 24 15 TABLE 16 SECTION XII: PULMONARY ARTERY CATHETER Area Placement Monitoring N Required Number of Cases Mean Standard Deviation Median Minimum 2433 [5] 6.6 7.7 5 0 2433 [10] 15.1 10.1 13 0 11
TABLE 17 SECTION XIII: OTHER Area N Required Number of Cases Mean Standard Deviation Median Minimum Intravenous Catheter Placement 2433 100 230.6 140.0 186 100 Mechanical Ventilation Pain Management 2433 200 467.8 109.4 458 201 2433 [10] 20.5 48.4 5 0 Alternative Airway Management/Total 2433 10 50.1 29.5 44 10 Fiberoptic Total 2433 5 18.7 14.1 15 5 Alternative Airway Mgmt. Techniques: Other 2433 5 31.2 24.6 26 5 12
5. Exit Survey Results As part of NBCRNA s ongoing evaluation of the testing process, test takers are asked to complete a post-examination survey regarding their test experience. The post-examination survey consists of the following: Seven statements related to pre-examination activities such as registration and scheduling, locating the testing center and interaction with test center staff. Nine statements related to examination experience such as readability, fairness of test questions, and use of testing software. Four statements related to examinee perception of the Alternative Question Formats. Three statements related to exam preparation. The majority of the survey questions involved a Likert-type rating scale which requires the respondents to indicate their level of agreement with the statement. The survey questions and format were developed by NBCRNA and representatives from its testing agency, Pearson VUE, Inc. Completion of the survey is not required as part of the examination process and is not part of the three-hour time limit. Respondents do not always answer all of the questions on the survey, as reflected by the unequal sample size across questions. Responses to the survey questions were analyzed based on a sample of NCE test takers who were administered the exit survey during the period of September 1, 2012 through August 31, 2013. Following each test administration, the test taker could also contact the NBCRNA office to address any problems or concerns related to the NCE. The first seven statements pertain to pre-examination scheduling and registration activities. About 91% of FY 2013 NCE examinees indicated that they scheduled their examination on the web. The responses to the other six survey questions are summarized in Table 18. 13
TABLE 18 SUMMARY OF RESPONSES TO SURVEY QUESTIONS SCHEDULING AND REGISTRATION COUNT PERCENT I WAS ABLE TO SCHEDULE AN ACCEPTABLE TEST DATE. I WAS ABLE TO SCHEDULE AN ACCEPTABLE TEST CENTER LOCATION. AGREE 663 93.0% DISAGREE 50 7.0% THE EXAM RESERVATION PROCESS WAS EASY TO USE. AGREE 673 94.7% DISAGREE 38 5.3% THE TEST CENTER WAS EASY TO LOCATE. AGREE 705 99.4% DISAGREE 4 0.6% THE TEST CENTER STAFF WAS HELPFUL AND KNOWLEDGEABLE. AGREE 697 98.0% DISAGREE 14 2.0% AGREE 707 99.6% DISAGREE 3 0.4% THE TESTING CENTER REGISTRATION/CHECK-IN PROCESS WAS HANDLED IN A PROFESSIONAL AND EFFICIENT MANNER. AGREE 705 99.3% DISAGREE 5 0.7% The next nine statements relate to mid-administration issues, such as question fairness and readability of the examination. Table 19 summarizes the responses to these survey questions. Overall (99.6% agreement), the FY 2013 NCE examinees were satisfied with their testing experience. 14
TABLE 19 SUMMARY OF RESPONSES TO SURVEY QUESTIONS: MID-EXAMINATION COUNT PERCENT I THOUGHT THE EXAMINATION QUESTIONS WERE FAIR. AGREE 1832 87.0% DISAGREE 274 13.0% THE GRAPHS AND DIAGRAMS WERE EASY TO READ. AGREE 1913 91.6% DISAGREE 175 8.4% THE GRAPHS, FIGURES AND DIAGRAMS IN THE QUESTIONS FIT ONTO THE SCREEN. AGREE 1633 78.5% DISAGREE 446 21.5% I WAS ABLE TO "SCROLL" IN ORDER TO VIEW AN ENTIRE GRAPH OR FIGURE IN A QUESTION. THE AREAS OF THE CONTENT OUTLINE WERE FAIRLY REPRESENTED. AGREE 2030 98.0% DISAGREE 42 2.0% MY TESTING ENVIRONMENT WAS CLEAN, QUIET AND COMFORTABLE. AGREE 1909 90.6% DISAGREE 198 9.4% AGREE 700 98.7% DISAGREE 9 1.3% I ENCOUNTERED NO TECHNICAL PROBLEMS WITH THE TEST ADMINISTRATION SOFTWARE. THE TEST ADMINISTRATION SOFTWARE WAS USER-FRIENDLY AGREE 695 97.3% DISAGREE 19 2.7% AGREE 709 99.4 % DISAGREE 4 0.6% OVERALL, I WAS SATISFIED WITH MY TEST EXPERIENCE AGREE 707 99.6% DISAGREE 3 0.4% 15
Since August 2009, the NBCRNA has administered alternative question formats (AQF) on the NCE. These question formats included multiple correct response (MCRs; where the examinee is asked to select an indicated number of correct responses), short answer / calculation (SA; where the examinee types in a short, numerical response), drag and drop (used for matching or ordering questions), and hotspot (in which an examinee points and clicks on the correct region of an image). A random sample (N=2,153) of examinees was given the opportunity to record their feedback on these question formats. Table 20 summarizes the responses to six survey questions relating to the MCR, SA, Drag and Drop, and Hotspot question formats. TABLE 20 SUMMARY OF RESPONSES TO SURVEY QUESTIONS: ALTERNATIVE QUESTION FORMATS COUNT PERCENT THE QUESTIONS IN THE MULTIPLE CORRECT RESPONSE (MCR) FORMAT WERE FAIR. AGREE 1891 89.8% DISAGREE 214 10.2% THE QUESTIONS IN THE SHORT ANSWER / CALCULATION FORMAT WERE FAIR. AGREE 1957 93.6% DISAGREE 134 6.4% THE QUESTIONS IN THE DRAG AND DROP FORMAT WERE FAIR. AGREE 1998 95.3% DISAGREE 99 4.7% THE QUESTIONS IN THE HOTSPOT FORMAT WERE FAIR. AGREE 1882 89.5% DISAGREE 220 10.5% I UNDERSTOOD HOW TO RESPOND TO THE QUESTIONS IN THE AQF FORMATS. AGREE 2060 98.1% DISAGREE 40 1.9% I NEEDED HELP FIGURING OUT HOW TO RESPOND TO THE QUESTIONS IN THE AQF FORMATS. AGREE 623 29.7% DISAGREE 1476 70.3% 16
The final three statements of the exit survey, asking about exam preparation, are summarized in Table 21. Of the FY 2013 NCE examinees, 62.6% stated the SEE helped prepare them for the NCE. The majority (90.9%) attended a review course while only 9.1% did not. Finally, nearly three-fourths of the sample of examinees reported that their nurse anesthesia educational program featured the use of computerized testing. TABLE 21 SUMMARY OF RESPONSES TO SURVEY QUESTIONS: EXAM PREPARATION COUNT PERCENT TAKING THE SEE HELPED PREPARE ME TO TAKE THE NCE. AGREE 1247 62.6% DISAGREE 744 37.4% IF YOU TOOK A REVIEW COURSE IN PREPARATION FOR THIS EXAMINATION, PLEASE INDICATE BELOW WHICH REVIEW COURSE YOU TOOK. VALLEY ANESTHESIA 1210 52.7% CORE CONCEPTS 128 5.6% HOWARD REVIEW 2 0.1% R&R BOARD REVIEW 4 0.2% PRODIGY ANESTHESIA 558 24.3% OTHER COMMERCIAL 43 1.9% CRNA PROGRAM 165 7.2% DID NOT TAKE 187 9.1% PLEASE INDICATE BELOW IF YOUR NURSE ANESTHESIA EDUCATIONAL PROGRAM FEATURED ANY ACADEMIC TESTS USING COMPUTER BASED TESTING. YES 1568 74.2% NO 544 25.8% 17
6. Demographic Characteristics of FY 2013 SEE Test Taker Population The following tables summarize FY 2013 performance on the SEE by gender, age, clinical background, and degree. Within each demographic, the scores are also broken down by year in program. The mean total score for Year 2 examinees (401.4) was higher than the mean total score for Year 1 examinees (392.0). There was also a substantial cohort of doctoral students in the 3 rd year of their program. The mean SEE score for these Year 3 students was 404.2. Also, summaries of SEE total scores and subscores can be found in Table A3 of the Appendix. Table 22 summarizes SEE scores by gender: 35.8% of SEE examinees were male, 64.2% female. 18
TABLE 22 FY 2013 SEE TEST TAKER PERFORMANCE BY GENDER AND YEAR IN PROGRAM YEAR 1 GENDER COUNT MEAN STANDARD DEVIATION FEMALE 402 385.4 41.4 MALE TOTAL 285 401.4 41.9 687 392.0 42.3 YEAR 2 FEMALE MALE TOTAL 1507 397.2 39.9 850 408.8 40.8 2357 401.4 40.6 YEAR 3 AND ABOVE FEMALE MALE TOTAL 313 401.2 39.5 104 413.5 42.6 417 404.2 40.6 TOTAL FEMALE MALE 2222 395.6 40.4 1239 407.5 41.3 TOTAL 3461 399.9 41.1 19
Table 23 summarizes SEE scores by age group. The average age of Year 1 SEE examinees was 31.2 years. The average age of Year 2 SEE examinees was 32.1 years. The average age of Year 3 SEE examinees was 32.4 years. The mean age of all FY 2013 SEE examinees was 31.9 years, on average about a 1 year younger than the sample of first-time NCE examinees in FY 2013. The largest subgroup (by age) was composed of examinees under the age of 30 (41.3%). Examinees between the ages of 30 and 35 comprised a slightly smaller subgroup (37.7%). In general, younger examinees tended to score higher on the SEE than older examines. 20
TABLE 23 FY 2013 SEE TEST TAKER PERFORMANCE BY AGE AND YEAR IN PROGRAM YEAR 1 AGE COUNT MEAN STANDARD DEVIATION UNDER 30 317 394.4 39.6 30-35 248 390.1 43.5 36-39 60 389.0 48.4 40 AND OVER 62 390.5 44.9 TOTAL 687 392.0 42.3 YEAR 2 UNDER 30 951 403.8 40.1 30-35 908 402.1 42.0 36-39 256 395.3 39.7 40 AND OVER 242 395.8 37.0 TOTAL 2357 401.4 40.6 YEAR 3 AND ABOVE UNDER 30 163 409.0 41.2 30-35 150 402.5 38.8 36-39 48 402.8 40.4 40 AND OVER 56 396.2 42.8 TOTAL 417 404.2 40.6 TOTAL UNDER 30 1431 402.3 40.4 30-35 1306 399.9 42.2 36-39 364 395.2 41.4 40 AND OVER 360 394.9 39.3 TOTAL 3461 399.9 41.1 21
Table 24 displays the summaries of SEE scores by clinical background. The clinical setting most represented was ICU/CCU (28.5%). 22
TABLE 24 FY 2013 SEE TEST TAKER PERFORMANCE BY CLINICAL BACKGROUND AND YEAR IN PROGRAM YEAR 1 CLINICAL BACKGROUND COUNT MEAN STANDARD DEVIATION CCU 94 394.3 38.9 ER 33 389.3 47.7 ICU/CCU 177 386.9 42.6 MICU 71 392.1 39.5 NEURO ICU 12 386.8 42.9 NICU 13 350.0 41.8 OR 9 384.9 36.1 OTHER 32 407.9 39.6 PACU 12 389.2 40.4 PICU 23 391.4 43.2 SICU 146 394.5 42.0 Trauma ICU 65 401.9 44.7 TOTAL 687 392.0 42.3 YEAR 2 CCU 220 400.1 39.7 ER 40 401.3 42.6 ICU/CCU 687 401.2 43.1 MICU 332 403.3 39.3 NEURO ICU 105 400.8 41.4 NICU 45 394.9 39.2 OR 80 402.1 38.3 Other 5 413.8 50.1 PACU 29 400.0 42.1 PICU 86 397.1 36.9 SICU 503 403.8 39.2 Trauma ICU 225 398.0 40.0 TOTAL 2357 401.4 40.6 23
TABLE 24, CONT D YEAR 3 AND ABOVE CCU 40 416.0 42.1 ICU/CCU 123 404.4 38.8 MICU 70 404.6 41.9 NEURO ICU 14 413.2 40.9 NICU 9 392.7 34.2 OR 41 406.8 38.2 PACU 6 373.0 26.7 PICU 21 388.8 43.9 SICU 67 399.6 41.2 Trauma ICU 26 411.3 43.1 TOTAL 417 404.2 40.6 TOTAL CCU 354 400.3 40.1 ER 73 395.9 45.0 ICU/CCU 987 399.0 42.9 MICU 473 401.8 39.8 NEURO ICU 131 400.9 41.6 NICU 67 385.9 42.4 OR 130 402.4 38.2 Other 37 408.7 40.4 PACU 47 393.8 40.4 PICU 130 394.7 39.1 SICU 716 401.5 40.1 Trauma ICU 316 399.9 41.3 TOTAL 3461 399.9 41.1 24
Table 25 displays summaries of SEE scores by degree to be attained. Please note that the totals within year-in-program in Table 25 will not match previous tables, due to the removal of students who were either dismissed or chose to withdraw from their educational program. Over half (54.1%) of the FY 2013 SEE examinees were enrolled in the MSN degree programs. A smaller but growing number of SEE examinees (119) were students coming out of Doctorate-level programs. This number represents 3.4% of the entire FY 2013 SEE testing population. Score comparisons made among groups represented in these tables should be made with caution because some of the subgroups reflect small sample sizes. 25
TABLE 25 FY 2013 SEE TEST TAKER PERFORMANCE BY TYPE OF GRADUATE DEGREE AND YEAR IN PROGRAM DEGREE UPON COMPLETION YEAR 1 COUNT MEAN STANDARD DEVIATION MS Anesthesia 1 467.0 --- MS Nurse Anesthesia 129 390.7 44.2 MS Nursing Major 424 397.5 40.2 Other Masters 127 373.4 42.1 Post Masters Certificate 3 430.7 31.5 TOTAL 684 392.0 42.3 YEAR 2 MS Anesthesia 35 420.1 33.4 MS Nurse Anesthesia 829 400.7 37.9 MS Nursing Major 1184 403.1 42.4 Other Masters 247 397.4 38.7 Doctoral 50 377.5 43.1 TOTAL 2345 401.4 40.6 YEAR 3 AND ABOVE MS Nurse Anesthesia 68 402.6 35.8 MS Nursing Major 265 406.6 38.8 Other Masters 14 400.0 36.2 Doctoral 69 399.2 49.9 TOTAL 416 404.2 40.6 TOTAL MS Anesthesia 36 421.4 33.9 MS Nurse Anesthesia 1026 399.6 38.7 MS Nursing Major 1873 402.3 41.5 Other Masters 388 389.6 41.3 Post Masters Certificate 3 430.7 31.5 Doctoral 119 390.1 48.2 TOTAL 3445 399.9 41.1 26
Appendix TABLE A1 NCE PASS RATE TRENDS- FIRST TIME NCE TAKERS 2007 FY 2013 ADMINISTRATION DATE(S) PERCENT PASS 2007 93.1 2008 (graduates 2007-2008) 1 89.9 2009 (graduates after 2008) 87.7 2010 88.9 2011 89.1 FY 2012 88.5 FY 2013 88.4 TABLE A2 DESCRIPTIVE STATISTICS FY 2013 NCE SCORES - FIRST TIME NCE TAKERS AVERAGE SD Total Score 497.0 46.7 Basic Sciences 501.0 66.1 Equipment, Instrumentation & Technology 505.0 94.8 Basic Principles 502.7 56.1 Advanced Principles 498.7 58.8 Professional Issues 497.0 46.7 TABLE A3 DESCRIPTIVE STATISTICS FY 2013 SEE SCORES 2 1 ST YEAR IN PROGRAM 2 ND YEAR IN PROGRAM 3 RD YEAR IN PROGRAM ALL AVG. SD AVG. SD AVG. SD AVG. SD Total Score 392.0 42.3 401.4 40.6 404.2 40.6 399.9 41.1 Professional & Legal Aspects 397.9 54.5 405.3 53.0 409.4 54.6 404.3 53.6 Anatomy, Physiology & Pathophysiology 398.5 55.4 404.8 55.1 406.5 53.9 403.7 55.1 Pharmacology 395.6 60.2 404.2 62.2 413.0 64.0 403.6 62.2 Basic Principles 391.8 56.7 406.3 55.4 412.7 54.7 404.2 55.9 Advanced Principles 392.0 42.3 401.4 40.6 404.2 40.6 399.9 41.1 1) The policy limiting the time frame for passing the National Certification Examination (NCE) to 2 years following completion of a nurse anesthesia educational program was implemented. This was the last opportunity for a number of first time candidates who had completed programs prior to 2007, but who had never tested, to take the NCE. The reporting data for those few first time takers was separately identified. 2) For more information on SEE comparative data, please see the SEE Interpretive Guides under Certification > SEE Resources or Certification > Program Administration > Reports at www.nbcrna.com 27
TABLE A4 AVERAGE NUMBER OF YEARS SPENT IN CRITICAL CARE PRIOR TO NURSE ANESTHESIA PROGRAM YEAR AVG. NO. YEARS FY2009 3.75 FY2010 3.73 FY2011 3.48 FY2012 3.49 FY2013 3.35 TABLE A5 AVERAGE NURSE ANESTHESIA PROGRAM LENGTH YEAR MONTHS FY2009 28.01 FY2010 28.08 FY2011 28.14 FY2012 28.23 FY2013 28.35 28
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