Institute for Credentialing Research and Quality Management, American Nurses Credentialing Center, Silver Spring, MD.
Indiana University, School of Nursing, Indianapolis, IN.
Nurs Outlook. 2020 Jul-Aug;68(4):484-493. doi: 10.1016/j.outlook.2020.04.003. Epub 2020 Apr 28.
Definitions of nursing certification are lacking in the research literature and research on certification in nursing is remarkably limited.
A six-stage scoping review framework was used to identify the nature, extent, and range of certification within the nursing literature.
Thirty-six articles were included in this scoping review. Most originated in the United States (89%), were classified as research articles (56%), and used a quantitative approach (90%). The majority focused on initial certification (50%), and written examination was the most prevalent approach to certification (39%). Missing and incomplete data were prevalent.
The overall lack of nursing certification origin, focus, methodological rigor, and clear certification mastery criteria have hindered meaningful study of the relationship between nursing certification and patient outcomes. Common data elements, reporting standards, and observational studies linking common data elements and patient outcomes could guide future research and improve the transparency of certification processes and reporting.
护理认证的定义在研究文献中缺乏，护理认证的研究也非常有限。
采用六阶段范围综述框架，确定护理文献中认证的性质、程度和范围。
本范围综述纳入了 36 篇文章。它们主要来自美国（89%），被归类为研究文章（56%），并采用定量方法（90%）。大多数文章侧重于初始认证（50%），书面考试是最常见的认证方法（39%）。数据缺失和不完整的情况很常见。
护理认证的起源、重点、方法严谨性以及明确的认证掌握标准的总体缺乏，阻碍了对护理认证与患者结局之间关系的有意义研究。常见数据元素、报告标准以及将常见数据元素与患者结局联系起来的观察性研究，可以指导未来的研究，并提高认证过程和报告的透明度。
