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Updated: Jun 8, 2026

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
Published on: February 16, 2011
Improving professional practice through certification
1Research and Education, Nursing Center for Learning, Innovation, and Research, Veterans Affairs, Greater Los Angeles Healthcare System, Los Angeles, California, USA. sharon.valente@med.va.gov
Abstract:
Certification helps ensure quality of practice and currency of nursing knowledge. We designed certification review courses and evaluated their impact on satisfaction, quality of care, adverse drug events (ADEs), and RN vacancies. Certification correlated with improved patient and nurse satisfaction, quality of care, and increased nurse rates of reporting ADEs, although the ADE total rates are consistent. Certification inversely correlated with nurse vacancies. Certification has helped to enhance nurses' knowledge, productivity, quality of care, and patient and nurse satisfaction, and has decreased RN vacancies.
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