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What Nephrology Nurses Need to Know About the 2026 CNN and CDN Certification Changes: Implications for Eligibility,
Amber B Paulus1,2,3
1Assistant Professor and Associate Chief of Nephrology Research & Data Analytics, Department of Internal Medicine, Division of Nephrology, School of Medicine, Virginia Commonwealth University School of Medicine, Richmond, VA.
Abstract:
The Nephrology Nursing Certification Commission is updating the Certified Nephrology Nurse and Certified Dialysis Nurse certification programs in 2026 based on national practice-analysis findings. These changes include revised examination blueprints, standardized eligibility criteria, removal of the baccalaureate-degree requirement, and clearer differentiation between dialysis-focused and broader nephrology nursing practice. This article explains the rationale for the updates, summarizes key transition dates, interprets available education and practice-scope data, and provides practical guidance for nurses, educators, employers, and review-course developers. Under standing these changes can help nephrology nurses select the appropriate credential, prepare effectively, and align certification with contemporary specialty practice.
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