Related Experiment Videos
Nurses' decision making in heart failure management based on heart failure certification status
Nancy M Albert1, James F Bena2, Denise Buxbaum3
1Office of Nursing Research and Innovation and the George M. and Linda H. Kaufman Center for Heart Failure, Cleveland Clinic, 9500 Euclid Avenue, Mail code J3-4, Cleveland OH, 44195, USA.
Heart & Lung : the Journal of Critical Care
|April 2, 2018
Summary
Heart failure nurse certification improves evidence-based decision-making, unlike certification in other specialties. This study clarifies the value of specialized nursing credentials in patient care.
Area of Science:
- Cardiovascular Nursing
- Nursing Professional Development
Background:
- Previous research on nurse certification value relied on subjective measures.
- The impact of heart failure certification on clinical decision-making remains unclear.
Purpose of the Study:
- To evaluate the impact of heart failure certification on nurses' clinical decision-making.
- To differentiate the value of heart failure certification versus other specialty certifications.
Main Methods:
- A cross-sectional study involving 605 nurses who completed heart failure clinical vignettes.
- Statistical analysis included multivariable linear, logistic, and proportional odds logistic regression models.
Main Results:
- Nurses certified in heart failure demonstrated higher clinical vignette scores (p=0.002) compared to those not certified.
- Nurses certified in other specialties showed no significant difference in decision-making scores (p=0.62) compared to non-certified nurses.
Conclusions:
- Heart failure certification is linked to decision-making reflecting high-quality care.
- Certification in other specialty/job roles was not associated with improved decision-making in this context.