护士对社区/公共卫生护理资质的使用及认知。
Nurses' utilization and perception of the community/public health nursing credential.
作者信息
Bekemeier Betty
机构信息
School of Public Health & Community Medicine, University of Washington, Seattle, WA 98195-7263, USA.
出版信息
Am J Public Health. 2009 May;99(5):944-9. doi: 10.2105/AJPH.2008.150029. Epub 2009 Mar 19.
OBJECTIVES
I explored the underutilization of the community/public health nursing (C/PHN) credential by examining the individual characteristics of public health nurses, the value these nurses perceive for certification, the barriers they perceive to obtaining or maintaining a C/PHN credential, and their credential status.
METHODS
I surveyed a national sample of 655 public health nurses regarding this more than 20-year-old credential. I analyzed variables related to perceived value, barriers, and characteristics of public health nurses.
RESULTS
The perceived value of credentialing did not differ among public health nurses relative to whether they had ever had a C/PHN credential. The C/PHN credential, however, was obtained significantly more often by public health nurses in academic settings than by those working in practice settings.
CONCLUSIONS
The C/PHN credential appears to be disproportionately underutilized and unknown to public health nurses in the practice community. Findings suggest, however, that utilization could be improved by increasing the credential's visibility outside of academic environments and by establishing system-level changes that provide external recognition, such as salary increases and career advancement, for specialty credentials.
目标
通过考察公共卫生护士的个体特征、这些护士对认证的认知价值、他们所感知到的获得或维持社区/公共卫生护理（C/PHN）证书的障碍以及他们的证书状态，我探究了C/PHN证书未得到充分利用的情况。
方法
我就这一已有20多年历史的证书，对全国范围内655名公共卫生护士进行了抽样调查。我分析了与公共卫生护士的感知价值、障碍及特征相关的变量。
结果
就公共卫生护士是否拥有过C/PHN证书而言，他们对认证的感知价值并无差异。然而，学术环境中的公共卫生护士获得C/PHN证书的比例明显高于实际工作环境中的护士。
结论
在实际工作领域，C/PHN证书似乎未得到充分利用，且公共卫生护士对此了解不足。不过，研究结果表明，通过提高该证书在学术环境之外的知名度，并建立系统层面的变革，为专业证书提供外部认可，如薪资增加和职业晋升，可以提高其利用率。
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