How many nurses are certified on your unit? Does your institution encourage and/or support certification? Does certification make a difference in patient care and outcomes? In this issue, Kendall-Gallagher and Blegen explore the effect of unit proportion of certified staff on risk of patient harm. They note the following:

  • Findings from several different studies indicate human factors, such as level of clinician knowledge, are frequently identified as contributing to risk of patient harm.

  • In a study examining the ICU work environment, up to 27% of nurses report being certified.

  • This study showed a significant link between the percent of RN staff who were certified and a decreased number of falls.

  • It is challenging to use generalized RN certification data to explore empirical links with patient outcomes that may be based on specific knowledge.

See Article, pp 106–116

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