Does certification status of oncology nurses make a difference in patient outcomes?
PURPOSE/OBJECTIVES: To test hypotheses that patients cared for by Oncology Certified Nurses (OCNs(r)) have superior outcomes compared to those cared for by noncertified nurses. DESIGN: Descriptive ex post facto. SETTING: A homecare agency in the midwestern United States. SAMPLE: 20 nurses (7 certified and 13 noncertified) and charts for 181 of their patients. METHODS: Retrospective chart review. MAIN RESEARCH VARIABLES: 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). FINDINGS: 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) document
