Apply for Contact Hours – National Association of Indian Nurses of America

APPLY FOR CONTACT HOURS FROM NAINA

NAINA CONTACT HOURS APPLICATION

Step 1 of 17

ACCREDITED PROVIDER PLANNING TEMPLATE

The Nurse Planner must be a registered nurse who holds a current, unrestricted nursing license (or international equivalent) AND hold a baccalaureate degree or higher in nursing (or international equivalent) AND be actively involved in planning, implementing, and evaluating this NCPD educational activity based on educational resources provided by the Accredited Provider Program Director.

Nurse Planner contact information for this activity:

Name(Required)

Credentials(Required)

Email(Required)

Phone(Required)

11. Names and credentials of all individuals on the planning team:

a. When providing a list of individuals, clearly identify who is the nurse planner and who is the content expert.
b. Provide credentials along with the names of the individuals.
c. Note: A Planning committee must consist of a minimum of two individuals

Nurse Planner Name(Required)

Credentials(Required)

Additional Nurse Planners

First Name

Last Name

Credentials

Hidden

Nurse Planner Name

Hidden

Credentials

Hidden

Nurse Planner Name

Hidden

Credentials

Hidden

Nurse Planner Name

Hidden

Credentials

Hidden

Nurse Planner Name

Hidden

Credentials

Content Experts

First Name

Last Name

Credentials

Hidden

Content Expert Name

Hidden

Credentials

Hidden

Content Expert Name

Hidden

Credentials

Hidden

Content Expert Name

Hidden

Credentials

Hidden

Content Expert Name

Hidden

Credentials

Hidden

Content Expert Name

Hidden

Credentials

Hidden

Content Expert Name

Hidden

Credentials

Hidden

Content Expert Name

Hidden

Credentials

Hidden

Content Expert Name

Hidden

Credentials

Hidden

Content Expert Name

Hidden

Credentials

Hidden

Content Expert Name

Hidden

Credentials

13. Demonstration of identification of financial relationships with ineligible companies for all individuals in a position to control content (planners, presenters, faculty, authors, and/or content reviewers) as described in the toolkit.
a. Provide evidence that financial relationship data has been collected and analyzed for all individuals in a position to control content –this includes the planning team.
b. This might be in a table, on a spreadsheet, or other document e.g., email documentation.
14. Evidence of mitigation of relevant financial relationships?
If a relevant financial relationship with an ineligible company is identified, describe steps taken to mitigate the risk of undue influence in planning and/or providing the activity. Mitigation strategies include but are not limited to:
✓ Divest the financial relationship
✓ Recusal from controlling aspects of planning and content with which there is a financial relationship
✓ Peer review of planning decisions by persons without relevant financial relationships
✓Attest that clinical recommendations are evidence-based and free of commercial bias (e.g., peer-reviewed literature, adhering to evidence-based practice guidelines)
✓Use other methods – make sure you describe the method
**Make sure that the mitigation steps are appropriate to the role(s) that each person has**

15. Commercial Support Agreement: N/A
Purpose: Activities that choose to accept commercial support (defined as financial or in-kind support from ineligible companies) are responsible for ensuring that the education remains independent of the ineligible company and that the support does not result in commercial bias or commercial influence in the education. The support does not establish a financial relationship between the ineligible company and planners, faculty, and others in control of content of the education.
Key elements that must be addressed in the activity file:
✓ Appropriate management of commercial support, if applicable.
✓ Maintenance of the separation of promotion from education, if applicable.
✓ Promotion of improvements in health care and NOT proprietary interests of a commercial interest.
Required Disclosures to Learners (MUST BE INCLUDED IN THE ACTVITY FILE APPLICATION) (16 -21):
✓ Evidence of what is required information that must be provided to learners prior to start of the educational activity.
✓ Include relevant slide(s), screen shot(s), script(s), or other evidence showing what the learners will receive.
✓ **New applicants should provide sample disclosures that they would provide to learners if they were accredited**
Disclosures are to include the following:
16. Accreditation statement as issued by the ANCC:
Verbiage should be consistent with the statement provided by the ANCC and should match the accreditation statement on the sample certificate or document of completion (see number 11).
17. Criteria for awarding contact hours:
Criteria for awarding contact hours should be consistent with the criteria documented in the planning process.

18.Presence or absence of relevant financial relationships for all individuals in a position to control content, including mitigation (if applicable):
If you did not identify relevant financial relationships because the activity was non-clinical, no disclosure should be provided.
If relevant financial relationships were identified the disclosure statement must include:
The names of individuals with relevant financial relationships
The names of the ineligible companies with which they have a relationship (Identify ineligible companies by their names only, do not include logos or trade names.)
The nature of the financial relationships
A statement that all relevant financial relationships have been mitigated. The mitigation steps do not need to be outlined.
Example: Samantha Turner is on the speakers’ bureau for ABC Pharmaceuticals. The relevant financial relationships have been mitigated. No relevant financial relationships were identified for any other individuals with the ability to control content of the activity.
If no financial relationships were identified, the disclosure should inform the learners that no relevant financial relationships with ineligible companies were identified.
Example: Samantha Turner, Jessica Smith, and Eva Grace have no relevant financial relationship(s) with ineligible companies to disclose.
Example: None of the planners for this activity have relevant financial relationship(s) to disclose with ineligible companies.

19. Commercial Support from ineligible organization/companies (if applicable):
If the educational activity received commercial support, there must be a disclosure to learners of the names of the ineligible companies that gave the support and the nature of the support.
No logos, trade names, or product group messages for the organization can be provided in the disclosure.
20. Expiration date for enduring activities or materials (if applicable):
If the activity is enduring, the expiration
Expiration date must be provided to learners.
21. Joint providership (if applicable):
If the activity is jointly provided, there should be a statement that demonstrates that two or more groups were involved in the planning and development of the activity.
There is not a prescribed statement that must be used for disclosing joint providership.
Remember:Joint providership occurs when two or more groups collaborate to develop an educational activity. The accredited provider unit is responsible for ensuring adherence to ANCC educational design criteria. The accredited providername should be clear, and the accreditation statement as issued by the ANCC must be on the certificate and disclosure, and it should be clear that the accredited provider is providing the contact hours. If both or more than one organization has accreditation, one organization needs to take responsibility for being the provider of contact hours.
Summative evaluation:
The summative evaluation contains two components: To be completed after the program
A summary of data highlighting whether the activity was effective in closing or narrowing the gap and achieving the educational activity outcome.
An analysis of what was learned from the evaluation data and what can be applied to future activities.
TIPS:
The summative evaluation does not simply include the data collected from the evaluations.
There should be a clear analysis of the data from the NP and planning committee documented.
There is no prescribed method for providing the summative evaluation information.

Please read carefully the following instructions before applying for the Contact Hours:

Contact hours may be obtained by any chapter affiliated with National Associated of Indian Nurses of America (NAINA)

8 – 12 weeks prior to the Activity:
Initial discussion of the activity

Inform the Accredited Provider Program Director
Download the forms from the website: https://nainausa.org/
Accredited Provider Planning Template
Standard of Integrity Form – for all planning committee members, speaker and content experts if the program is clinical in nature.
Evaluation Survey for Contact Hour

6 – 8 weeks prior to the activity.
Complete highlighted areas of the above forms and approved by the nurse planner Flyer cannot be posted until all above forms are approved and contact hour determined.

Information for Flyer:
Flyers needs to have the ANCC requirements:

ANCC Statement
NAINA logo and ANCC logo

The Accreditation marks are legally trademarked symbols and must be used in accordance with these rules: All lettering inside the logo must be readable when the symbol is used on materials. If the words are not legible, please increase the size of the logo.

The logo cannot be altered or modified. It may be resized, provided the proportions of the entire logo are maintained and all features of the logo are clearly distinguishable.

The logo shall be reproduced:

In black or in purple (PMS 2577 purple or equivalent)
In a size which makes all features of the mark clearly distinguishable
Without distortion of its dimensions
Accreditation logos cannot be used in isolation from the accredited organization’s logo. All materials must contain both the accredited organization’s logo and the appropriate Accreditation program logo. Accreditation logos cannot be larger than the organization’s logo.

For the use of the accreditation marks on electronic documentation (i.e., websites), these same rules apply.

Logos used on an accredited organization’s/program’s website must include a hyperlink to the ANCC Accreditation Program main landing page at https://www.nursingworld.org/organizational-programs/accreditation/

Prior to Activity:

Download the ANCC Statement of Disclosure and update the number of contact hours the program received along with the Learning Outcome. This powerpoint needs to be presented prior to the start of the activity.

2 weeks post activity:

Evaluation Summation needs to be completed.

Webinar/Conference Flyer

The following statement must be added to your webinar/conference flyer and send a copy of the flyer for NAINA records.

“The National Association of Indian Nurses of America is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center’s Commission on Accreditation.”

Frequently Asked Questions

If I have question, how do I get help?

Please write to us at: nainaeducation@gmail.com

Why do I have to complete the online form?

Online application will help to reduce ……………..

Can I email you the request form?

No, it is required to complete the online form.

Shipra Prasad
DNP, APRN, FNP-C, PCCN
Professional Development Chair
Email: nainaeducation@gmail.com

APPLY FOR CONTACT HOURS FROM NAINA

NAINA CONTACT HOURS APPLICATION

ACCREDITED PROVIDER PLANNING TEMPLATE

Nurse Planner contact information for this activity:

1. Description of the professional practice gap (PPG) (e.g., change in practice, problem in practice, opportunity for improvement):

a. Provide a brief description of the problem or opportunity for improvement this activity is designed to address for your learners.

2. Evidence to validate the professional practice gap (check all methods/types of data that apply):

a. Provide a summary that includes the NP/planning committee’s analysis of the data not just the data sources.

3. Educational need that underlies the professional practice gap (e.g., knowledge, skill and/or practices):

Why do learners need this education?

4. Identify or describe the target audience (must include the registered nurse):

5. Desired learning outcome(s):

6. Description of evaluation method:

7. Description of evidence-based content with supporting references or resources:

Learner engagement strategies:

9. Number of contact hours awarded and calculation method:

10. Criteria for Awarding Contact Hours:

11. Names and credentials of all individuals on the planning team:

Standards for Integrity and Independence and Standards (13 –15):

Please read carefully the following instructions before applying for the Contact Hours:

Webinar/Conference Flyer

Frequently Asked Questions

About us

Address:

Email:

Follow Us

Links: