J Neurosci Nurs. 2022 Oct 1;54(5):208-214. doi: 10.1097/JNN.0000000000000667. Epub 2022 Jun 30.
The purpose of this study was to explore the perceived value of certification among those with a neuroscience or stroke nursing certification. METHODS: The Perceived Value of Certification Tool-12 (PVCT-12) consists of 12 value statements related to the benefits of certification, using a 4-point Likert scale ranging from strongly disagree to strongly agree. Descriptive statistics were used to determine the percentage of agreement among respondents with each of the PVCT-12 items. A generalized linear model approach was then used to estimate the associations between age, sex, race, experience, certification, highest degree earned, primary responsibility, and primary work setting with intrinsic and extrinsic values. An exploratory factor analysis was performed to identify factors on which related variables were found. RESULTS: The 632 certificants were predominantly female (90%) with a mean age of 54 years. Approximately 80% were White, followed by Asian (11%), Hispanic (4%), and Black (3%). Certification included certified neuroscience registered nurse (34%), stroke certified registered nurse (47%), or both (20%). Approximately 57% of the certificants work in critical care/medical-surgical units. Work setting included academic (46%) and community (42%). Responses indicated lower levels of agreement with the value statements regarding certification challenges, professional autonomy, being listened to, and monetary gain. Those in administration had statistically significant higher intrinsic and extrinsic value scores ( P = .005) as compared with those in nonadministrative roles. There was no significant difference on perceived intrinsic or extrinsic values for those who work in an academic environment versus those who work in a community environment ( P = .25). After factor analysis, the PVCT-12 was found to have 3 factors that accounted for 53.4% of the total variation in the data: recognition of specialization, personal achievement, and professional accomplishment. CONCLUSION: The PVCT-12 incorporated a Likert-type scale to provide levels of agreement for intrinsic and extrinsic values among stroke certified registered nurses and certified neuroscience registered nurses. To complement these findings, further research using open-ended questions is needed to improve our understanding of participant responses regarding complex values such as "autonomy" and the "extent of being listened to."
本研究旨在探讨具有神经科学或中风护理认证的人员对认证价值的认知。方法：使用李克特 4 点量表（1 表示非常不同意，4 表示非常同意），《认证价值量表 12 项》（PVCT-12）包含 12 项与认证效益相关的价值陈述。采用描述性统计方法确定受访者对 PVCT-12 每一项的认同百分比。然后，采用广义线性模型方法，估算年龄、性别、种族、经验、认证、最高学历、主要职责和主要工作场所与内在和外在价值之间的关联。进行探索性因子分析以确定相关变量所在的因子。结果：632 名认证者主要为女性（90%），平均年龄为 54 岁。大约 80%为白人，其次为亚洲人（11%）、西班牙裔（4%）和黑人（3%）。认证包括认证神经科注册护士（34%）、中风认证注册护士（47%）或两者兼有（20%）。大约 57%的认证者在重症监护/内科-外科病房工作。工作场所包括学术（46%）和社区（42%）。调查结果表明，受访者对认证挑战、职业自主、被倾听和金钱收益等方面的价值陈述认同度较低。与非管理岗位相比，行政人员的内在和外在价值得分具有统计学意义上的显著更高（P=0.005）。在学术环境中工作与在社区环境中工作的人在感知内在或外在价值方面没有显著差异（P=0.25）。经过因子分析，发现 PVCT-12 有 3 个因子，占数据总变异的 53.4%：专业化认可、个人成就和专业成就。结论：PVCT-12 采用李克特量表，为中风认证注册护士和认证神经科学注册护士提供内在和外在价值的认同度。为了补充这些发现，需要使用开放式问题进行进一步研究，以提高我们对参与者关于“自主”和“被倾听程度”等复杂价值观的反应的理解。
