Nurses go through years of hands-on training and academic courses to become a nurse and then excel at their profession. And when nurses find a nursing specialty that is especially rewarding to them, becoming certified is the next step for highly motivated nurses.
On today’s Certified Nurses Day, nurses who take on additional work to become certified in their specialty are honored for their pursuit of excellence.
As a nurse, certification is a signal to your professional community and to your community of patients that you have done all you can to achieve the latest knowledge. That means a nurse’s training and understanding of the most recent evidence-based practices is current.
Making the decision to become certified and then taking the actual steps to make that happen requires both dedication and focus. Nurses generally must complete a certain amount of hours within a specialty before sitting for the certification exam. That process helps give them a solid foundation of the skills and processes needed to specialize in their chosen area. But the time spent working in one area also helps nurses decide if that is the path that is right for their career goals and professional aspirations.
The American Nurses Credentialing Center offers a wealth of resources and various certification exams for nurses. A nurse certified in a particular specialty is one who wants to have all the tools possible to provide the highest standard of patient care. And certification isn’t limited to one area. For instance, specialty certified emergency, trauma, transport, and burn nurses often take the Board of Certification for Emergency Nursing’sCertified Emergency Nurse (CEN) exam, and they might also want to consider the Certified Burn Registered Nurse (CBRN) or the Certified Pediatric Emergency Nurse (CPEN) as well. No matter what area a nurse works in, taking the time and effort to earn a certification is noticed, and even sometimes celebrated, within the organization where they work. Certified nurses often are seen as experts in their areas and so are excellent resources for their teams and also mentors to other nurses.
Some nurses say the fear of failure keeps them from taking a certification exam. But from the perspective of many certified nurses, the information on the exam is information that is part of their daily work responsibilities already. That doesn’t mean exam preparation and studying isn’t necessary, but it does mean that many nurses find they are familiar with the information that they will be tested on.
Combined with preparing for the exam, that existing professional knowledge boosts their chances of success. And if fear of failure is a real roadblock, nurses don’t have to tell anyone that they are taking the exam. Their organization won’t know they are taking it, so if they don’t pass on the first try, it won’t be noticed at work. And if the first try doesn’t go as planned, taking the exam again is worthwhile. Having that additional understanding and the certification to show your dedication to nursing knowledge and process is a significant professional achievement.
Today’s Certified Nurses Day honors all the hard work nurses do to provide top-notch care and also to signal their commitment to the nursing profession as a whole.
The annual recognition of Certified Nurses Day on March 19 honors the nurses who go the extra step to achieve certification in their specialties. But the day also helps raise awareness in the nursing community about the importance of certification and the benefits it brings to a nursing career.
Certification is an excellent career advancing move; after all gaining more knowledge and skills in your nursing specialty is only going to help you be a better nurse. But many nurses overlook another important result of gaining certification–the confidence boost it gives you and the new peer recognition of your advanced knowledge.
Clara Beaver, MSN, RN, ACNS-BC, AOCNS, and president of the Oncology Nursing Certification Corporation (ONCC) says certification brings better patient care, but also changes a nurses relationship with patients. “The best part [of nursing] is the buildup of trust with patients,” she says, “and having certification shows you have that commitment to oncology and that you have that knowledge. You both care about it and you know about it.”
Each certification is different, so look into one that that matches your specialty area. For example, ONCC offers five certifications: Oncology Certified Nurse, Certified Pediatric Hematology/Oncology Nurse, Certified Breast Care Nurse, Blood and Marrow Transplant Certified Nurse, and Advanced Oncology Certified Nurse Practitioner. Beaver says the bone marrow and breast care certifications are newer and were industry driven as a result of many nurses specializing in oncology subspecialties.
Some nursing specialties are starting to require certification as the advanced and most current skills are required for patient care. Many Magnet hospitals require certification for some nurses as do many cancer centers.
“We’re always trying to find the value in increasing knowledge and commitment,” says Beaver. “Certification says to the community that those nurses are staying up-to-date on what’s going on and their skills may be higher.” Beaver says when she became certified it made her think about patient care differently. “I looked at my patient differently because I had increased knowledge,” she says. :I looked at the entire background and not just at the task in front of me.” With certification, Beaver says she understood more of how things worked and could explain what was going on to the patient a little more.
Nurses who are certified are proud to show their certification, says Beaver, because it is instant recognition that you’ve gone above and beyond what’s required. “I feel like certification takes you up a little higher and they become like the informal leaders. They have raised confidence.” And their success with becoming certified shows other nurses that they can also achieve the same thing.
Nurses do find one of the biggest roadblocks to certification is test anxiety. “Nothing is as bad as the NCLEX,” says Beaver with a laugh. Before each of her three certification exams, Beaver says she had to overcome major test anxiety, so she understands why it can be a deterrent. “I just had to remember this is what I do every day,” she says. “Test taking is scary.”
Before each exam, she studied the test blueprints. She also pulled all the resources that were referenced to study those as well. That’s what the questions are based on, she says, so review all that information carefully. “Pull the statistics and the references,” she says and find out your weakest areas so you can focus on those places intensely. Reading information out loud helped Beaver retain the information, and she encourages nurses to find a method that works best for them.
When you sit for the test, Beaver suggests that you read the entire question, then read all the answers, and then go back and read the question over again. This will help you slow down and comprehend exactly what is being asked.
If paying for the exam is a barrier, see if your organization will help pay for it or if a professional organization will help.
“Certification is an important part of our job as nurses,” Beaver says. “And it’s attainable. It expands your knowledge base and your skill set. And it shows a commitment to what you are doing.”
In honor of Certified Nurses Day (on March 19), Minority Nurse interviewed Katherine Houle, MSN, APRN, FNP-BC, CNN-NP and executive director of the Nephrology Nursing Certification Commission (NNCC) and Sandy Bodin, MA, RN, CNN and president of NNCC, to find out why certification is such an essential component of career growth and excellent patient care.
Certification helps nurses achieve an expertise level of understanding of a specialty topic. Whether it’s a nursing student planning out a long career or an experienced nurse who wants to advance to a new level, understanding the benefits of certification is part of a nurse’s career journey.
“Nurses are first introduced to the importance of certification in their nursing program at college when they are taught about the concepts of life-long learning and professionalism,” says Houle. “Typically, as nurses begin their careers, they tend to gravitate toward a specialty. As they become more proficient in that specialty, they often choose to become certified.”
Nurses may choose certification in more than one specialty as each shows a commitment and a proficiency to their roles and their patients. The credential is also a way to outwardly acknowledge a nurse’s advanced skill set and knowledge in a particular area. That easy-to-see credential is valuable to anyone the nurse may interact with–patients, peers, leadership, and the wider nursing community. “This certification enables nurses to demonstrate their expertise in that specialty and validate their knowledge to employers and patients,” says Bodin.
Because certification is confirmation of a nurse’s proficiency in a specialty, patients find credentials signal professional expertise. And nurses take pride in knowing they are taking extra steps to provide the most advanced and up-to-date patient care possible. “Researchers have found a positive relationship between nurse certification, patient satisfaction, and patient outcomes,” says Houle. “Certified nurses report increased confidence, competence, credibility, and control.” And fellow nurses also look to their certified peers as leaders and experts in their specialty. That expectation can open the doors to professional opportunities and collaborations that benefit the nursing industry as a whole.
Nurses are also aware that as a whole, the more certification among a team, the better patient outcomes will be. “The purpose of certification in nursing includes protecting the public from unsafe and incompetent providers, giving consumers more choices in selecting health care providers, distinguishing among levels of caregivers, and giving better-trained providers a competitive advantage,” says Bodin. “Certification has been shown to positively affect patients and nurses.”
The process of becoming certified does take work, and nurses may find taking on extra work daunting, especially when their work is demanding. But many nursing leaders want to remind nurses that the certification exam requires a certain amount of real-world experience before it can be taken. By that point, nurses known the information as they are likely doing the work every day. “Most certification programs require a certain number of hours worked in the specialty prior to applying for certification,” says Bodin.
Nurses dedicated to the credentialing process understand that they need to dedicate some time to the process. “There is a significant commitment in time and effort to become certified,” says Houle. “It takes time to gain expertise in the nursing specialty and an effort to obtain advanced nursing knowledge to demonstrate the skills needed for certification.” Like many other credentials across different industries, once nurses are certified, they should plan to renew that credential as required (the length of time a certification is valid differs by specialty). “Continuing education hours, along with current, ongoing work experience is needed to maintain certification,” she says. “This ensures that the nurse is keeping up with rapid changes in the field.”
When nurses look at long-term career growth, certification offers many benefits. Like a degree, certification isn’t tied to a certain role or organization. As a nurse changes jobs, that certification continues to signal a commitment to professionalism and providing the best patient care. A certification may not bring an instant salary boost, but it can be used as leveraging power during a review or when applying for a different position.
Many organizations also celebrate nurses as they earn their certification as a way to show public recognition of and appreciation for the extra work that a certification requires. This week’s Certified Nurses Day is one way to recognize all that extra work.
On March 19, nurses around the nation are celebrated for earning a nursing certification distinction in a specialty field. Each year on this day, the American Nurses Credentialing Center supports Certified Nurses Day recognizes the dedication of nurses who pursue additional training in their area of expertise so they can provide the best patient care possible.
Certified Nurses Day falls on the birthday of Margretta Madden Styles, RN, EdD, FAAN, a nurse leader and educator who is considered the driving force in nursing certification. Styles was a pioneer in drawing attention to the importance of nurse certification and what is means for high-quality nursing practices and improved patient outcomes. A 1954 Yale graduate, Styles, who was known as Gretta, eventually served as the dean of the School of Nursing for the University of California San Francisco, and gained international acclaim for her advocacy for certification to advance the nursing practice. Styles died in 2005, but her legacy continues to inspire the certified nurses in the United States to this day.
Nursing certifications improve nurses’ skill sets, expand their employment prospects, raise their salary potential, and also elevate the nursing industry as a whole. Individually, nurses who are certified are recognized for the additional time and effort they spend to gain more knowledge in their specialty. And nurses are able to obtain many certifications—they are not limited to just one. Certification helps bring you the understanding you’ll need around practices and processes in whatever area you choose. For instance you may decide to obtain certification in adult gerontology, oncology, nurse leadership, gastroenterology, med-surg, wound care, or diabetes care. The dozens upon dozens of choices available will likely meet whatever interest or specialty you’d want.
To become certified, you’ll need to be a licensed RN. Depending on the certification you are going for, other prerequisites vary by program and by state. In some instances you’ll need to have an advanced degree or a certain number of practice hours in that specialty. Each certification will cost a fee to take, and some employers will cover this fee, or part of it, if you ask. And because certification is based on the idea that having up-to-date knowledge is crucial to excellence in nursing, you’ll need to renew your certification periodically (and that also varies with the specific certification).
Lots of nurses worry that certification is a long process or that they could suffer professional backlash if they don’t pass the exam. As a nurse, you can choose to seek certification without your employer knowing your plan, so you won’t have to worry about telling your supervisor the results. On the other hand, oftentimes the encouragement you’ll receive from your colleagues can inspire you to continue on this path and get through the hard times. And lastly, when you are taking a certification exam, you’re being tests in areas that are already familiar to you.
As a nurse, certification boosts the knowledge you already have and sharpens your skills so you’ll improve your own nursing practice on a daily basis. In the larger picture, as a professional, you’ll gain specific expertise in your area of practice and thus you’ll be looked to as a leader in that area. As you gain a higher professional standing, more opportunities for additional responsibilities and leadership positions may open up for you as well.
On this year’s Certified Nurses Day, celebrate the efforts of nurses who have become certified and have improved their work and their patient outcomes each day. If you’re thinking of becoming certified but are delaying starting the process, the best time to begin is now.
Professional development is one of the most important items in your nurses’ toolkit. Learning new skills, finding out about new technology and how to use it, and discovering new evidence-based practices will make you a better nurse.
But after a year that has wreaked havoc across the world, do you really need to think about professional development during a pandemic?
Simply put, yes. But depending on your role and your current workload, you can adapt to take realistic steps.
Professional development keeps you at the top of your game. As lifelong learners, nurses are committed to continually improving their skills because their patients depend on it. There’s no way to be the best nurse possible if your thinking remains the same as it did when you first started a nursing practice. But if you’re overwhelmed and your workload just isn’t letting up, your professional development goals might look different from another nurse.
What does professional development look like now?
1. Assess the Past Year
If you’re too tapped to even consider adding professional development to your life, think ahead. The past year has been one long lesson in trial by fire and you have learned a lot, even if you don’t have a certificate for it. Think about what you did that might have sparked a curiosity to learn more. What areas do you think you did well in? What areas could use some additional skills? Did you assume roles or responsibilities you liked or some that didn’t fit so well? All of these indicators can help you think about professional development in the future.
2. Make a List
Your last year probably found you using skills you never thought you’d use on a regular basis. Maybe you assumed a leadership role because you had to or you found the leadership role you were already in morphing into something much different. Leading a unit through a pandemic is nothing like what you did before. What can you do in the next year to build on the skills you sharpened through the pandemic?
3. Take Action
Sometimes getting started is the hardest step. At some point, life will return to some semblance of normal, and you’ll want your career to be in good shape to move forward when that happens. Taking action can be a large or small undertaking, but doing something is the goal. When you think about your actionable goal, be realistic for the current time. If you are able to apply for a degree program or to take a certification, now is the time to get that plan in action. If you can’t commit to something big, remember that small actions are important.
Join a professional organization and attend one event.
Network with a nurse you admire.
Read a book or subscribe to a journal in your specialty to sharpen your expertise.
Take an online course in an area that can build up essential skills including communication, conflict resolution, targeted technology, time management, or goal setting.
Share your knowledge by teaching a class in your organization or in your community. You’ll benefit from the public speaking practice and organization skill building, and your audience will benefit from your advanced understanding of the subject matter.
Professional development is an ongoing task, and when the world of nursing is in such change, it’s even more important. But many nurses are tired and stressed, so professional development is going to look a little different than it might have a year ago. Just keep moving forward and learning, but do it with an intention that will bring your career to a better place.