A professional association and certification are "pillars of professional practice." The loss of these pillars has an adverse effect on home healthcare nurses and their patients. Patients are deprived of the kind of passionate commitment to excellence that a nursing specialty's association and certification inspire its nurses to achieve. Think of the Infusion Nurses Society or the Wound Ostomy Continence Nurses Society and their certification processes—and the difference they are making in enhancing the standard of care for their patients.
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