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Updated: Jun 25, 2026

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Published on: June 21, 2010
[Accreditation processes for nurses: a historical briefing]
Rosana Chami Gentil1, Maria Cristina Sanna
1Grupo de Estudos e Pesquisas em Administração e Gerenciamento em Saúde e Enfermagem, Departamento de Enfermagem, Universidade Federal de São Paulo, São Paulo, SP.
Professional nursing accreditation in critical care began mid-20th century, primarily in developed nations. This process evaluates educational institutions and individual nurses for specialized practice.
Area of Science:
- Nursing
- Healthcare Accreditation
- Professional Development
Context:
- The historical evolution of nurse accreditation in critical care is a complex process.
- Accreditation standards vary globally, impacting nursing education and practice.
- Key international bodies and national systems influence accreditation processes.
Purpose:
- To trace the historical development and milestones of nurses' accreditation in critical care.
- To analyze the different categories and approaches to nursing accreditation worldwide.
- To identify key countries and timelines for the establishment of nursing accreditation.
Summary:
- A literature review of LILACS and MEDLINE identified 16 publications on critical care nurses' accreditation.
- The USA employs CCNE, NLNAC, NCLEX, and professional associations for evaluating institutions and nurses.
- Accreditation is also significant in Spain, Canada, South Africa, and Australia, with origins in the mid-20th century.
Impact:
- Understanding historical accreditation trends informs current and future nursing standards.
- Highlights the developed world's focus on professional certification and accreditation in nursing.
- Provides a global perspective on the establishment and evolution of nursing accreditation frameworks.
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