Certified Registered Nurses: Results of the Study of the Certified Workforce

Cary, Ann H.

doi:10.1097/00000446-200101000-00048

Cited by 106 publications

(84 citation statements)

References 9 publications

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“…These results validate other recent studies and reports about the effect of nursing certification on individual and organizational performance. 10 …”

Section: Discussionmentioning

confidence: 99%

Critical Care Nurses’ Work Environments 2008: A Follow-Up Report

Ulrich¹,

Lavandero

Hart

et al. 2009

Critical Care Nurse

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“…These results validate other recent studies and reports about the effect of nursing certification on individual and organizational performance. 10 …”

Section: Discussionmentioning

confidence: 99%

Critical Care Nurses’ Work Environments 2008: A Follow-Up Report

Ulrich¹,

Lavandero

Hart

et al. 2009

Critical Care Nurse

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“…Several descriptive and comparison studies have linked certification with nurses' perceptions of personal growth, 18 increased competence and confidence, 18,19 enhanced knowledge, 20 and self-esteem 21 ; however, little research has linked nursing specialty certification with enhanced patient outcomes. Of the 150 nursing publications listed on the comprehensive and up-to-date bibliography of articles specific to nursing specialty certification on the ABNS Web site, only 5 were categorized under the subheading of patient outcomes.…”

Section: Nursing Specialty Certification and Patient Outcomesmentioning

confidence: 99%

Nursing Specialty Certification and Nursing-Sensitive Patient Outcomes in the Intensive Care Unit

Krapohl

Manojlovich

Redman

et al. 2010

American Journal of Critical Care

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Background To the public and to individual nurses, certification usually means expert, high-quality, competent nursing care. Little research, however, has yielded results that support, or refute, any differences in clinical practice between certified and noncertified nurses. Objectives To determine whether the proportion of certified nurses on a unit is associated with the rate of nurse-sensitive patient outcomes. Methods A nonexperimental, correlational, descriptive design was used to anonymously survey 866 nurses working in 25 intensive care units in Southeast Michigan. The Conditions for Work Effectiveness Questionnaire-II was used to measure workplace empowerment, and an additional question was asked about certification status. Outcome data were simultaneously collected on 3 nurse-sensitive patient outcomes: (1) rate of central line catheter-associated blood stream infection, (2) rate of ventilator-associated pneumonia, and (3) prevalence of pressure ulcers. Data were aggregated and analyzed at the unit level. Results No significant relationship was found between the proportion of certified nurses on a unit and patients’ outcomes. The association between nurses’ perception of overall work-place empowerment and certification, however, was positive and statistically significant (r=.397, P=.05). Conclusions Although a link between certification and nurse-sensitive outcomes was not established, the association between workplace empowerment and the proportion of certified nurses on a unit underscores the importance of organizational factors in the promotion of nursing certification.

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“…Selon la littérature, les infirmières considèrent que le processus de certification a une incidence positive sur elles et ce, du point de vue personnel et professionnel. En outre, la spécialisation se traduit par de meilleurs résultats pour les patients, de plus bas taux d'échec des secours et une plus faible mortalité chez les patients (Cary, 2001 infirmières certifiées en oncologie obtiennent des scores plus éle-vés que ceux des infirmières non certifiées en ce qui concerne les connaissances relatives à la gestion des symptômes, à la satisfaction au travail et à la satisfaction des patients (Coleman et al, 2009). Cette différence tient peut-être au fait que les infirmières certifiées ont une connaissance accrue des lignes directrices, ce qui leur permet de gérer comme il faut les symptômes, ceci se soldant par un plus haut degré de satisfaction chez les patients (Coleman et al, 2009).…”

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