Exploring Staff Nurses' Perceptions of Specialty Certification at a Large Urban Academic Medical Center

2.50
Hdl Handle:
http://hdl.handle.net/10755/621472
Category:
Full-text
Format:
Text-based Document
Type:
Poster
Level of Evidence:
N/A
Research Approach:
N/A
Title:
Exploring Staff Nurses' Perceptions of Specialty Certification at a Large Urban Academic Medical Center
Author(s):
Clair, Jennifer J.
Lead Author STTI Affiliation:
Alpha Chi
Author Details:
Jennifer J. Clair, MS, RN, CNS-BC, Professional Experience: 2008-2013--staff nurse on general medicine unit at Massachusetts General Hospital, Boston, MA 2012-2013--clinical instructor for Boston College undergraduate nursing students at Massachusetts General Hospital, Boston, MA 2013-present--clinical nurse specialist on solid organ transplant unit at Massachusetts General Hospital, Boston, MA Poster presentations at National Association for Clinical Nurse Specialists and International Transplant Nurses Society conferences Author Summary: Jennifer Clair is a clinical nurse specialist (CNS) at Massachusetts General Hospital where she works between the three spheres of influence of the CNS-patients, staff, and organization. She has a special interest in advancing the practice of her nursing staff and sees certification as a way to do this. This scholarly project was done as part of Jennifer's doctoral work for her Doctor of Nursing Practice degree from Northeastern University.
Abstract:

Background

The Institute of Medicine’s study on medical errors, To Err is Human: Building a Safer Health System, recommends that health professions implement periodic reexaminations and relicensing of providers (Institute of Medicine, 2000). While Registered Nurse (RN) licensure provides entry-level competence, specialty certification provides a platform to consistently validate specialty experience, knowledge, experience, and skills (Altman, 2011).

Certification of staff nurses is also an important component of Magnet designation. Magnet status indicates that a hospital is recognized by the American Nurses Credentialing Center (ANCC) for demonstrating excellence in patient care across the organization (American Nurses Credentialing Center, 2016). The large, urban academic medical center in this study is a Magnet hospital and supports and encourages nurses to become certified. However, nurse leaders express challenges getting staff to sit for specialty certification exams.

The Perceived Value of Certification Tool© (PVCT) is an existing valid and reliable survey tool that assesses nurses’ perceived value of certification. The PVCT has been used in seventeen studies since 2003, totaling over 25,000 respondents.

Reliability of the tool has been shown through three psychometric studies. Sechrist, Valentine, & Carter (2006) performed factor analysis of the tool and found a two factor analysis, labeled intrinsic and extrinsic value, that explained 59.2% of the total variance; Cronbach’s alpha was .94 for the measure as a whole, suggesting high inter-correlation between the subscales (Sechrist et al., 2006).

Aims

The purpose of this scholarly project is to assess staff nurses’ perceived value of specialty certification at a large urban academic medical center; with a goal to better educate nursing leadership on potential facilitators and barriers that could in turn affect the number of nurses that obtain specialty certification.

Methods

Design

A quantitative descriptive design method was used.

Sample and Setting

A convenience sample was obtained by administering the web-based survey to approximately 4,000 staff nurses via email. Inclusion criteria was English-speaking staff nurses with access to hospital email that are able to read and complete an online survey. Exclusion criteria included advanced practice nurses and nurse administrators.

Permission to use the PVCT was obtained by the Competency and Credentialing Institute and all requirements of this permission adhered to throughout the project. The tool contains eighteen questions that use a five point Likert rating scale, and was modified to include basic demographic questions. The PVCT questions and demographic questions were placed into Research Electronic Data Capture (REDCap), a secure web application for building and managing surveys and databases.

The survey was sent via email to a nurse director distribution list, the directors then deployed the survey using their staff distribution lists. Reminder emails were sent twice at week two and week four using the same method. Participants were given six weeks to complete the survey.

Data Analysis

Data collection is currently in progress for this project. The survey’s response rate will be determined by calculating the number of nurses the survey was sent to and the number of surveys that were completed, reported as a percent. Descriptive statistics will also be used to summarize survey results, and chi-square analysis will be used to make comparisons.

Ethical Considerations

Institutional review board (IRB) approval by the hospital and university were obtained prior to project implementation.

Implications for Practice

Having staff nurses’ baseline perception of certification will help guide intervention efforts to increase the number of certified nurses. Negative perception outcome data can reveal the barriers to certification that require intervention. Sharing this data with administration and staff nurses could lead to removal of these barriers. Additionally, positive perception outcome data can offer tools that administration and staff nurses can use for education and support of certification for nurses.

Keywords:
Certification; Staff Nurse; Value
Repository Posting Date:
12-Jun-2017
Date of Publication:
12-Jun-2017
Other Identifiers:
INRC17PST198
Conference Date:
2017
Conference Name:
28th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International
Conference Location:
Dublin, Ireland
Description:
Event Theme: Influencing Global Health Through the Advancement of Nursing Scholarship

Full metadata record

DC FieldValue Language
dc.language.isoen_USen
dc.type.categoryFull-texten
dc.formatText-based Documenten
dc.typePosteren
dc.evidence.levelN/Aen
dc.research.approachN/Aen
dc.titleExploring Staff Nurses' Perceptions of Specialty Certification at a Large Urban Academic Medical Centeren_US
dc.contributor.authorClair, Jennifer J.en
dc.contributor.departmentAlpha Chien
dc.author.detailsJennifer J. Clair, MS, RN, CNS-BC, Professional Experience: 2008-2013--staff nurse on general medicine unit at Massachusetts General Hospital, Boston, MA 2012-2013--clinical instructor for Boston College undergraduate nursing students at Massachusetts General Hospital, Boston, MA 2013-present--clinical nurse specialist on solid organ transplant unit at Massachusetts General Hospital, Boston, MA Poster presentations at National Association for Clinical Nurse Specialists and International Transplant Nurses Society conferences Author Summary: Jennifer Clair is a clinical nurse specialist (CNS) at Massachusetts General Hospital where she works between the three spheres of influence of the CNS-patients, staff, and organization. She has a special interest in advancing the practice of her nursing staff and sees certification as a way to do this. This scholarly project was done as part of Jennifer's doctoral work for her Doctor of Nursing Practice degree from Northeastern University.en
dc.identifier.urihttp://hdl.handle.net/10755/621472-
dc.description.abstract<p align="center"><strong>Background</strong></p> <p>The Institute of Medicine’s study on medical errors, <em>To Err is Human: Building a Safer Health System, </em>recommends that health professions implement periodic reexaminations and relicensing of providers (Institute of Medicine, 2000). While Registered Nurse (RN) licensure provides entry-level competence, specialty certification provides a platform to consistently validate specialty experience, knowledge, experience, and skills (Altman, 2011).</p> <p>Certification of staff nurses is also an important component of Magnet designation. Magnet status indicates that a hospital is recognized by the American Nurses Credentialing Center (ANCC) for demonstrating excellence in patient care across the organization (American Nurses Credentialing Center, 2016). The large, urban academic medical center in this study is a Magnet hospital and supports and encourages nurses to become certified. However, nurse leaders express challenges getting staff to sit for specialty certification exams.</p> <p>The Perceived Value of Certification Tool© (PVCT) is an existing valid and reliable survey tool that assesses nurses’ perceived value of certification. The PVCT has been used in seventeen studies since 2003, totaling over 25,000 respondents.</p> <p>Reliability of the tool has been shown through three psychometric studies. Sechrist, Valentine, & Carter (2006) performed factor analysis of the tool and found a two factor analysis, labeled intrinsic and extrinsic value, that explained 59.2% of the total variance; Cronbach’s alpha was .94 for the measure as a whole, suggesting high inter-correlation between the subscales (Sechrist et al., 2006).</p> <p align="center"><strong>Aims</strong></p> <p>The purpose of this scholarly project is to assess staff nurses’ perceived value of specialty certification at a large urban academic medical center; with a goal to better educate nursing leadership on potential facilitators and barriers that could in turn affect the number of nurses that obtain specialty certification.</p> <p align="center"><strong>Methods</strong></p> <p><strong>Design</strong></p> <p>A quantitative descriptive design method was used.</p> <p><strong>Sample and Setting</strong></p> <p>A convenience sample was obtained by administering the web-based survey to approximately 4,000 staff nurses via email. Inclusion criteria was English-speaking staff nurses with access to hospital email that are able to read and complete an online survey. Exclusion criteria included advanced practice nurses and nurse administrators.</p> <p>Permission to use the PVCT was obtained by the Competency and Credentialing Institute and all requirements of this permission adhered to throughout the project. The tool contains eighteen questions that use a five point Likert rating scale, and was modified to include basic demographic questions. The PVCT questions and demographic questions were placed into Research Electronic Data Capture (REDCap), a secure web application for building and managing surveys and databases.</p> <p>The survey was sent via email to a nurse director distribution list, the directors then deployed the survey using their staff distribution lists. Reminder emails were sent twice at week two and week four using the same method. Participants were given six weeks to complete the survey.</p> <p><strong>Data Analysis</strong></p> <p>Data collection is currently in progress for this project. The survey’s response rate will be determined by calculating the number of nurses the survey was sent to and the number of surveys that were completed, reported as a percent. Descriptive statistics will also be used to summarize survey results, and chi-square analysis will be used to make comparisons.</p> <p align="center"><strong>Ethical Considerations</strong></p> <p>Institutional review board (IRB) approval by the hospital and university were obtained prior to project implementation.</p> <p align="center"><strong>Implications for Practice</strong></p> <p>Having staff nurses’ baseline perception of certification will help guide intervention efforts to increase the number of certified nurses. Negative perception outcome data can reveal the barriers to certification that require intervention. Sharing this data with administration and staff nurses could lead to removal of these barriers. Additionally, positive perception outcome data can offer tools that administration and staff nurses can use for education and support of certification for nurses.</p>en
dc.subjectCertificationen
dc.subjectStaff Nurseen
dc.subjectValueen
dc.date.available2017-06-12T19:28:04Z-
dc.date.issued2017-06-12-
dc.date.accessioned2017-06-12T19:28:04Z-
dc.conference.date2017en
dc.conference.name28th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau Internationalen
dc.conference.locationDublin, Irelanden
dc.descriptionEvent Theme: Influencing Global Health Through the Advancement of Nursing Scholarshipen
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