Alpha Iota & Xi Alpha, Perioperative Consultant, Competency and Credentialing Institute, Denver, CO, USA.
PhD student and Psychometric Intern, University of Denver, Research Methods and Statistics, Competency and Credentialing Institute, Denver, CO, USA.
J Nurs Scholarsh. 2020 Sep;52(5):536-543. doi: 10.1111/jnu.12579. Epub 2020 Jun 20.
To explore how registered nurses (certified, noncertified, and managers) value certification as determined by the Perceived Value of Certification Tool, review the psychometric properties of the instrument, and ascertain the benefits and barriers to nursing specialty certification.
Systematic review (without meta-analysis) of 18 studies representing 26,534 registered nurses.
Rigorous processes were used to minimize bias; to identify, appraise, and synthesize studies to explore how registered nurses value certification; and to ascertain the benefits and barriers to nursing specialty certification. Psychometric properties of the Perceived Value of Certification Tool were also reviewed and evaluated. Methods and results are presented in accordance with the Preferred Reporting Items for Systematic reviews and Meta-Analyses guidelines.
All studies included in the review were cross-sectional studies with observational, descriptive designs published between 2003 and 2019. The average study participant was a 49-year-old Caucasian woman with a bachelor of science in nursing degree and 20 years of experience working as a staff nurse in a hospital. In accordance with the results reported in all studies included in the systematic review, the highest level of agreement and strong agreement occurred with the intrinsic value statements of enhances feeling of personal accomplishment (n = 16,697; 97.8%), provides personal satisfaction (n = 16,607; 92.7%), and validates specialized knowledge (n = 16,697; 97%). The lowest levels of agreement and strong agreement occurred with the extrinsic value statements of promotes recognition from employers (n = 16,607; 78.6%), increases consumer confidence (n = 16,607; 73.3%), and increases salary (n = 16,607; 41.9%).
The vigorous statistical work completed on the developmental study for the instrument conducted in 2003 has yet to be duplicated in the multiple studies published subsequently. The chiefly descriptive studies detailed in this systematic review are of limited usefulness in guiding future research. The Perceived Value of Certification Tool has proven useful in stimulating interest; however, a revision of the instrument is now required to promote research and patient outcome studies regarding the self-perceived value of certification in nursing specialties.
This report systematically reviews 18 studies that have used the Perceived Value of Certification Tool, a tool that has been widely used since 2003, to measure the perceptions of registered nurses regarding specialty certification. This review provides evidence that the instrument has potential for expanded use in patient outcomes studies and should be revised to better serve the needs of researchers.
利用认证工具的感知价值，探索注册护士（认证、非认证和管理人员）对认证的重视程度，回顾该工具的心理测量学特性，并确定护理专业认证的益处和障碍。
对 18 项研究进行系统评价（无荟萃分析），涉及 26534 名注册护士。
采用严格的流程，以最大程度地减少偏倚；识别、评估和综合研究以探讨注册护士对认证的重视程度；并确定护理专业认证的益处和障碍。还审查和评估了感知价值认证工具的心理测量学特性。方法和结果均按照系统评价和荟萃分析的首选报告项目进行呈现。
本系统评价中包含的所有研究均为 2003 年至 2019 年期间发表的横断面研究，具有观察性、描述性设计。平均研究参与者为一位 49 岁的白人女性，拥有护理学士学位，且拥有 20 年在医院担任注册护士的工作经验。根据系统评价中包含的所有研究报告的结果，对增强个人成就感的内在价值陈述（n = 16697；97.8%）、提供个人满足感（n = 16607；92.7%）和验证专业知识（n = 16697；97.8%）的认同和强烈认同程度最高。对雇主认可（n = 16607；78.6%）、增加消费者信心（n = 16607；73.3%）和增加工资（n = 16607；41.9%）的外在价值陈述的认同和强烈认同程度最低。
该工具在 2003 年进行的仪器开发研究中完成了大量的统计工作，但在随后发表的多项研究中尚未重复进行。本系统评价中详细介绍的主要描述性研究在指导未来研究方面的作用有限。感知价值认证工具在激发兴趣方面非常有用；然而，现在需要对该工具进行修订，以促进有关护理专业认证自我感知价值的研究和患者结果研究。
本报告系统地回顾了 18 项使用感知价值认证工具的研究，该工具自 2003 年以来已被广泛使用，用于衡量注册护士对专业认证的看法。该研究提供了证据，证明该工具具有在患者结局研究中进一步使用的潜力，应进行修订以更好地满足研究人员的需求。
