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Why Some Nurses Obtain Specialty Certification and Others Do Not.

Andrew M Dierkes1, Amelia E Schlak, Rachel French

  • 1Author Affiliations: Assistant Professor (Dr Dierkes), Department of Acute and Tertiary Care, School of Nursing, University of Pittsburgh, Pennsylvania; Postdoctoral Fellow (Dr Schlak), School of Nursing, Columbia University, New York, New York; and Predoctoral Fellow (Ms French), Associate Director (Dr McHugh), and Director (Dr Aiken), Center for Health Outcomes and Policy Research, School of Nursing, University of Pennsylvania, Philadelphia.

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Improving hospital work environments and hiring nurses with Bachelor of Science in Nursing (BSN) degrees can increase nurse specialty certification rates. These factors are linked to higher certification odds, benefiting nurses, hospitals, and patients.

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Area of Science:

  • Nursing
  • Healthcare Administration
  • Professional Development

Background:

  • Nurse specialty certification offers benefits to hospitals, nursing staff, and patients.
  • Limited actionable data exists for hospital administrators aiming to boost certification rates.

Purpose of the Study:

  • To identify modifiable nurse and hospital characteristics associated with achieving nurse specialty certification.

Main Methods:

  • Cross-sectional, secondary data analysis.
  • Utilized data from 20,454 nurses across 471 hospitals in four states.

Main Results:

  • Significant variation in certified nurse rates among hospitals.
  • Magnet® recognition and positive hospital work environments correlated with higher certification odds.
  • Individual nurse factors like BSN education, oncology unit assignment, older age, extensive experience, and full-time status were associated with increased certification.

Conclusions:

  • Improving hospital work environments is a promising strategy to enhance nurse specialty certification.
  • Prioritizing the hiring of Bachelor of Science in Nursing (BSN)-prepared nurses can also elevate certification rates.