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An Innovative Online Approach to Certification Success
Journal of Emergency Nursing
|January 8, 2026
Summary
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.
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.
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