title: The impact of state certification of community health workers on team climate among registered nurses in the United States.
abstract: A number of states have adopted certification programs for community health workers (CHWs) to improve recognition of CHWs as members of health care teams, increase oversight, and to provide sustainable funding. There has been little research into the impact of state CHW certification on the diffusion and adoption of CHWs into existing health care systems. This study examined the impact of state CHW certification on the perceptions of team climate among registered nurses (RNs) who work with CHWs in states with and without CHW certification programs. The study recruited RNs using a purposeful sampling method and used an online survey, which included the Team Climate Inventory (TCI), and compared the perceptions of team climate between the two groups. The study found no significant differences in the overall mean TCI score or TCI subscale scores between RNs who work in states with CHW certification programs (n = 81) and those who work in states without CHW certification programs (n = 115). There was a statistically significant difference on one survey question regarding whether RNs believe state certification of CHWs improved the ability of their health care team to deliver quality care. More research is needed to assess impact of state certification of CHWs and other factors that influence the diffusion and adoption of CHWs into the current health care system.
authors: Boise State University School of Nursing, 1910 University Dr., Boise, ID, 83725-1840, USA, marksiemon@boisestate.edu.
authors: Mark
authors: M
authors: Siemon
authors: Geoff
authors: G
authors: Shuster
authors: Blake
authors: B
authors: Boursaw
mesh_terms: D001291:Attitude of Health Personnel; D002568:Certification; D002983:Clinical Competence; D003150:Community Health Workers / Q000523:psychology / Q000592:standards*; D005260:Female; D006801:Humans; D008297:Male; D009726:Nurses / Q000523:psychology*; D010465:Perception; D011787:Quality of Health Care; D012959:Socioeconomic Factors; D014481:United States