Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, Ohio 44106-4904, USA.
Am J Crit Care. 2010 May;19(3):218-26. doi: 10.4037/ajcc2010442. Epub 2010 Feb 22.
This study was based on the American Association of Critical-Care Nurses' (AACNs') interest in determining the value and influence of specialty certification.
To examine relationships between AACN specialty certification and empowerment, and, secondarily, to examine these variables as related to intent to leave the current position and the nursing profession.
AACN members were asked to participate in a Web-based survey; 6589 AACN members completed the surveys.
Perceptions of empowerment differed significantly among nurses certified by AACN and nurses without such certification. Additional analyses revealed significant differences in empowerment related to position, education, salary, ethnicity, sex, intent to leave the current position, and intent to leave the profession. Forty-one percent of the participants indicated intent to leave their current position in the next year; only 6.9% indicated their intent to leave the profession in the next year. Intent to leave current position differed significantly according to age, sex, years of experience, ethnicity, educational level, and certification.
The value of specialty certification and the importance of empowerment among critical care nurses are affirmed. The next step in the continued journey toward increasing retention of critical care nurses, and thereby improving patient care, is to evaluate existing programs focused on retention and identify needed enhancements.
本研究基于美国危重病护理协会（AACN）对确定专业认证的价值和影响的兴趣。
检验 AACN 专业认证与赋权之间的关系，其次检验这些变量与离职意愿和护理行业的关系。
邀请 AACN 成员参与一项基于网络的调查；共有 6589 名 AACN 成员完成了调查。
在接受 AACN 认证的护士和未接受认证的护士之间，对赋权的看法存在显著差异。进一步的分析显示，在与职位、教育、薪酬、种族、性别、离职意愿和离职意愿有关的赋权方面存在显著差异。41%的参与者表示打算在明年离开目前的职位；只有 6.9%的人表示打算在明年离开这个行业。离职意愿根据年龄、性别、工作年限、种族、教育水平和认证情况而有显著差异。
专业认证的价值和危重病护理护士赋权的重要性得到了肯定。在继续努力增加危重病护理护士的留任率、从而改善患者护理的过程中，下一步是评估现有的留任重点计划，并确定需要改进的地方。
