title: Certification, empowerment, and intent to leave current position and the profession among critical care nurses.
abstract: BACKGROUND
  This study was based on the American Association of Critical-Care Nurses' (AACNs') interest in determining the value and influence of specialty certification.
  
  
  OBJECTIVE
  To examine relationships between AACN specialty certification and empowerment, and, secondarily, to examine these variables as related to intent to leave the current position and the nursing profession.
  
  
  METHODS
  AACN members were asked to participate in a Web-based survey; 6589 AACN members completed the surveys.
  
  
  RESULTS
  Perceptions of empowerment differed significantly among nurses certified by AACN and nurses without such certification. Additional analyses revealed significant differences in empowerment related to position, education, salary, ethnicity, sex, intent to leave the current position, and intent to leave the profession. Forty-one percent of the participants indicated intent to leave their current position in the next year; only 6.9% indicated their intent to leave the profession in the next year. Intent to leave current position differed significantly according to age, sex, years of experience, ethnicity, educational level, and certification.
  
  
  CONCLUSIONS
  The value of specialty certification and the importance of empowerment among critical care nurses are affirmed. The next step in the continued journey toward increasing retention of critical care nurses, and thereby improving patient care, is to evaluate existing programs focused on retention and identify needed enhancements.
authors.affiliation: Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, Ohio 44106-4904, USA. jjf4@case.edu
authors.forename: Joyce J
authors.initials: JJ
authors.lastname: Fitzpatrick
authors.forename: Theresa M
authors.initials: TM
authors.lastname: Campo
authors.forename: Gregory
authors.initials: G
authors.lastname: Graham
authors.forename: Ramón
authors.initials: R
authors.lastname: Lavandero
mesh_terms: D000328:Adult; D000368:Aged; D001291:Attitude of Health Personnel; D002322:Career Mobility; D002568:Certification; D003422:Critical Care / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D007362:Intensive Care Units; D033182:Intention; D007588:Job Satisfaction; D008297:Male; D008875:Middle Aged; D009741:Nursing Staff, Hospital; D010563:Personnel Turnover / Q000706:statistics & numerical data*; D011209:Power, Psychological; D013041:Specialties, Nursing / Q000193:education / Q000592:standards* / Q000706:statistics & numerical data*; D011795:Surveys and Questionnaires; D014481:United States; D055815:Young Adult