Support for certiflcation in this
sample of hospitals suggests a commitment
to promoting nurse professionalism,
and the patient safety
outcomes of these endeavors warrant
further examination. These
data provide support for a larger
prospective study to investigate the
relationship among nurse certification,
workforce factors, and nursingsensitive
quality indictors in all
types of hospital units (medical, surgical,
critical care, and emergency
departments) serving mostly older
adults in both NICHE hospitals and
non-NICHE hospitals