Does certification status of oncology nurses make a difference in patient outcomes?
OBJECTIVE
To test hypotheses that patients cared for by Oncology Certified Nurses (OCNs(r)) have superior outcomes compared to those cared for by noncertified nurses.


METHODS
Descriptive ex post facto.


METHODS
A homecare agency in the midwestern United States.


METHODS
20 nurses (7 certified and 13 noncertified) and charts for 181 of their patients.


METHODS
Retrospective chart review.


METHODS
Symptom management (i.e., pain and fatigue), adverse events (e.g., infection and decubitus ulcers), and episodic care utilization (e.g., visits to care facilities, admissions to care facilities, unscheduled home visits).


RESULTS
Contrary to hypotheses, the two groups did not differ with respect to assessment of pain at admission, number of pain assessments subsequent to admission, assessment of fatigue at admission, number of unplanned visits to care facilities, admissions to care facilities, and number of unscheduled home visits. As hypothesized, the OCNs(r) documented a higher number of postadmission fatigue assessments (p less than 0.05). Contrary to hypotheses, patients of OCNs(r) had a greater number of infections and fewer documented instances of patient teaching regarding infection.


CONCLUSIONS
Little support was found for the hypothesis that nursing care by OCNs(r) results in superior patient outcomes in comparison to care by noncertified nurses.


CONCLUSIONS
Further research is needed to examine the dimensions of clinical practice that may demonstrate the benefits of care by OCNs(r).
Frank-Stromborg
Marilyn
M
School of Nursing, Northern Illinois University, Dekalb, IL, USA. cancer@niu.edu
Ward
Sandra
S
Hughes
Linda
L
Brown
Karen
K
Coleman
Ann
A
Grindel
Cecelia Gatson
CG
Miller Murphy
Cynthia
C
D002568:Certification; D006801:Humans; D008485:Medical Audit; D009859:Oncology Nursing / Q000592:standards*; D017063:Outcome Assessment, Health Care; D005791:Patient Care / Q000592:standards*; D012189:Retrospective Studies