“…6,10 Specific benefits of employing certified nurse experts, such as having them serve as peer support for direct care nurses, assist in quality improvement activities, mentor colleagues preparing for exams, and improve collaboration with health team members, were noted by nurses and organizations alike. 16 Although certified nurses have attributed certification to favorable changes in their practice, the assumption that certification contributes positively to improved patient outcomes is largely hypothetical. 13 Researchers have concluded that the certified workforce has remained largely invisible to the analysis of cost, quality, and value.…”