Regulation of advanced nursing practice: Part Two--Certification

Area of Science:

• Nursing
• Healthcare Regulation
• Professional Credentialing

Background:

• Advanced practice nursing (APN) certification is utilized for credentialing and licensure in various states.
• Significant variability exists in the purposes and procedures of APN certification processes.
• This variability can devalue the utility and impact of APN certification.

Framework:

• The current framework for APN certification lacks consistency among certifying agencies.
• Inconsistencies negatively impact APN mobility and career flexibility.
• Nursing must retain control over practice regulation amidst increasing external oversight.

Implementation:

• Certification is a requirement for APN credentialing and, in some states, for licensure.
• Variability in certification procedures affects its perceived value and standardization.
• Lack of documented impact of certified APNs hinders recognition.

Implications:

• Standardizing certification processes is essential to enhance the credibility of APN credentials.
• Research into the outcomes of certified advanced nursing practice is a priority.
• Collaboration among specialty nursing organizations is needed to strengthen certification standards.