title: Does certification status of oncology nurses make a difference in patient outcomes?
abstract: 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).
authors.affiliation: School of Nursing, Northern Illinois University, Dekalb, IL, USA. cancer@niu.edu
authors.forename: Marilyn
authors.initials: M
authors.lastname: Frank-Stromborg
authors.forename: Sandra
authors.initials: S
authors.lastname: Ward
authors.forename: Linda
authors.initials: L
authors.lastname: Hughes
authors.forename: Karen
authors.initials: K
authors.lastname: Brown
authors.forename: Ann
authors.initials: A
authors.lastname: Coleman
authors.forename: Cecelia Gatson
authors.initials: CG
authors.lastname: Grindel
authors.forename: Cynthia
authors.initials: C
authors.lastname: Miller Murphy
mesh_terms: 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