Evidence-Based Practice Poster Session (Posters #11-#20)
14 - Bringing Certification into Focus
Description: Clinical Significance: Mercy Medical Center's (MMC) Nursing Strategic Plan is to increase nursing certification among eligible nurses by 20% per department by fiscal year 2021. Currently, 29% of eligible nurses who work in B6 main OR, B1 ortho/neuro OR, and Foot and Ankle OR are certified.
Background: MMC's perioperative division has encouraged nurses to get certified. The common barrier among staff is the lack of time and resources in preparing for the certification exam.Question: Does an in-house cost effective certification prep course, with organizational support, increase the nurses' motivation to take the certification exam compared to no organizational support among eligible OR nurses?Description of EBP: CINAHL Plus with Full Text data base was used to search the literature. Search terms were certification, nurses OR nursing, professional development, and organizational culture yielded 26 articles. Twelve articles were reviewed and 2 appraised using the Johns Hopkins EBP model. The 2 articles rated Level 3B. Synthesis of literature indicated that cost, organizational support, review materials and time were barriers to certification. This project addressed the nurses' barriers in taking the certification exam. Implementation of EBP: MMC offered a 2 day, weekend prep course from an outside vendor. The normal cost for early registration was $245. Participants were asked to pay $100 out-of-pocket for the cost of the course that could be reimbursed at the end of the course. The remainder of the original $245 was subsidized by the hospital. The hospital paid the vendor directly.
Results: A convenience sample of eligible nurses was surveyed regarding interest in becoming certified prior to a course being offered. A pre and post class survey was given to the participants that attended the course. 75% of intraoperative nurses convenience surveyed agreed or strongly agreed that "Having a certification course on-site will motivate me to achieve my goal of becoming certified."87% of class participants in the pre class survey plan on taking the CNOR exam within 3 months.93% of class participants in the post class survey plan on taking the CNOR exam within 3 months. The end outcome data of taking the certification exam and pass rate will be gathered. Conclusion/
Discussion: Three quarters of the 28 nurses surveyed believed having an on-site certification course would motivate them to take the exam. Thirteen nurses signed up for the on-site CNOR prep course. Twelve showed up for the first day and 11 showed up the 2nd day. There was a 6% increase in the number of nurses who plan to take the certification exam within 3 months. Conclusion an on-site certification course motivates nurses to get their certification. In the future this data can be used to support additional research in end outcome patient quality measures.Implications: Certification show acquisition of specialize knowledge required to provide complex care to patients.