Pathway to Becoming a Progressive Care Certified Nurse

Linnea Benike, Janelle Wozniak

Research output: Contribution to journalArticlepeer-review


Nurses working on progressive care units (PCUs) use specialized knowledge and skills to provide care to acutely ill patients. The literature suggests that specialty certification may have a positive impact on patient and nurse outcomes alike, although results are mixed. A project team set out to create a culture that encouraged nurses to pursue progressive care certified nurse (PCCN) certification on three cardiac medical PCUs at a large academic health center by implementing a Pathway to PCCN program, which is a structured, cohort-based approach to certification preparation.The primary aim of the intervention was to achieve a 10% PCCN certification rate within one year. Additionally, the project team evaluated whether participating in the Pathway to PCCN program affected staff nurses' self-reported confidence in their clinical judgment in 10 patient care domains: cardiac, pulmonary, behavioral, neurological, musculoskeletal, hematological, endocrine, gastrointestinal, renal, and multisystem.Project methods included structured strategies within a "4R" framework developed by the project team: recruitment, obtaining resources, providing reassurance, and celebrating certification through recognition. Project methods were evaluated using anonymous electronic surveys and staff interviews.The percentage of staff with PCCN certification increased from 0% to 15.2%. The average confidence levels reported by nurses who participated in the project (N = 64) increased in eight out of nine (89%) of the clinical judgment domains tested on the PCCN examination in Cohort 2, and in nine of the clinical judgment domains in Cohorts 1 and 3. Implementing a structured cohort pathway for specialty certification using the 4R framework is a strategy that can increase rates of specialty certification among eligible nurses.

Original languageEnglish (US)
Pages (from-to)50-57
Number of pages8
JournalAmerican Journal of Nursing
Issue number10
StatePublished - Oct 1 2022

Bibliographical note

Publisher Copyright:
© 2022 Lippincott Williams and Wilkins. All rights reserved.


  • certification
  • nursing certification
  • progressive care
  • progressive care certified nurse
  • progressive care nursing
  • specialty certification
  • Humans
  • Surveys and Questionnaires
  • Certification

PubMed: MeSH publication types

  • Journal Article


Dive into the research topics of 'Pathway to Becoming a Progressive Care Certified Nurse'. Together they form a unique fingerprint.

Cite this