Abstract
BackgroundAttaining specialty nursing certification promotes improved performance through increased knowledge, skills, and competencies, all resulting in improved performance. Some specialty nurses decide to participate in the certification process while many others do not. This study explored how nurses value being certified and the barriers and organizational supports to certification they experience. MethodsIn this qualitative interpretive study we conducted semi-structured interviews with 11 certified and 10 noncertified specialty nurses. We used a convenience sample of hospital nurses that work in the United States Midwest region and utilized a blended deductive-inductive coding process for data analysis. ResultsA delineation of value between certified and noncertified nurses existed. Certified nurses tended to emphasize the intrinsic value of certification, while noncertified nurses leaned toward extrinsic value, with various contextual factors often discouraging them from becoming certified. ConclusionResults of this study indicated that hospitals that wish to increase their certified nursing staff need to provide financial and organizational support mechanisms to their nurses who tend to use extrinsic value to influence their decisions to become certified or not.
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