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An Innovative Online Approach to Certification Success.

Lori Christine Price, Ellen M Harvey, Kimberly Ferren Carter

Journal of Emergency Nursing

|January 8, 2026

Summary

This summary is machine-generated.

An innovative online strategy significantly increased nursing certification rates for Trauma Certified Registered Nurse (TCRN) and Critical Care Registered Nurse (CCRN®) credentials. This flexible, accessible approach offers a replicable model for professional development and improved patient care outcomes.

Keywords:

Certification Credential Education Emergency Innovation Trauma

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Area of Science:

Nursing Education
Professional Certification
Healthcare Quality Improvement

Background:

Nursing certification is crucial for clinical performance, job satisfaction, and patient outcomes.
Traditional certification preparation can be time-consuming and resource-intensive.
Nurses in emergency, trauma, and transport specialties pursue certification to validate expertise.

Purpose of the Study:

To present an innovative, accessible, and flexible online strategy for increasing Trauma Certified Registered Nurse (TCRN) and Critical Care Registered Nurse (CCRN®) certification rates.
To demonstrate the successful implementation and replication of this online certification preparation program.
To highlight a toolkit that supports nurses in achieving professional growth through certification.

Main Methods:

Development of an online platform promoting virtual collaboration and resource accessibility.
Bi-weekly 1-hour live and recorded study sessions led by subject matter experts, focusing on exam blueprint content.
Inclusion of group study questions and case study discussions following content review.

Main Results:

Initial success: 12 inpatient nurses achieved TCRN certification and 18 achieved CCRN® certification.
Program replication across a 6-hospital health system for TCRN certification review.
Awarded the Board of Certification for Emergency Nursing National Certification Champion Award in 2023.

Conclusions:

The online strategy effectively increased nursing certification rates in a regional trauma center and health system.
This flexible and accessible approach is a potential model for broader application in various healthcare settings.
Organizations can adopt this toolkit to support nurses in achieving certification and enhancing professional development.