{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T18:59:28Z","timestamp":1790708368784,"version":"4.1.0"},"reference-count":18,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"5","license":[{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Since the first orthopaedic nurse certification (ONC) examination in 1988, more than 16,000 nurses have earned the ONC credential, with nearly 5000 currently certified in orthopaedic nursing, advanced practice, or nurse navigation roles. Certification validates expertise in musculoskeletal care and supports improved clinical practice, professional identity, and organizational performance.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>The Orthopaedic Nurses Certification Board survey included a representative sample of over 300 orthopaedic-certified nurses. Survey items were based on the Perceived Value of Certification Tool, a validated instrument measuring intrinsic and extrinsic value. Data were collected anonymously to ensure unbiased responses and allow comparison between 2020 and 2025 survey responses. Orthopaedic-certified nurses were offered the opportunity to provide personal quotes highlighting their opinions and lived experiences as a specialty-certified nurse. Quotes represent the opinions of those individuals specifically.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Findings:<\/jats:title>\n                    <jats:p>Survey results consistently demonstrated high perceived value of certification, including increased confidence, enhanced professional identity, greater autonomy, professional growth, lifelong learning, improved competence, commitment to excellence, increased marketability, additional opportunities for career advancement, and improved recognition from peers, leaders, and patients, versus the experiences of respondents before they were certified. The data collected is explained in context, as well as in comparison to the data collected in 2020 using the same survey and tool.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical Outcomes:<\/jats:title>\n                    <jats:p>Published research was reviewed as a part of this work. Evidence demonstrates that hospitals with higher proportions of certified nurses\u2019 experience lower healthcare-associated infections and patient fall rates, improved patient safety metrics, and reduced mortality and failure-to-rescue rates.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion:<\/jats:title>\n                    <jats:p>Based on available evidence and data gathered through surveys, the role of the specialty certified nurse is discussed in context and comparison. Certification strengthens competency, accountability, and evidence-based practice adoption. Manager perspectives continue to support certified nurses as preferred hires, and health systems increasingly invest in certification support and incentives.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Nursing specialty certification delivers measurable benefits to nurses, healthcare organizations, and patients. Continued support for certification advancement promotes excellence in care delivery, workforce expertise, and patient safety.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1097\/nor.0000000000001237","type":"journal-article","created":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T18:00:13Z","timestamp":1790704813000},"page":"300-306","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Perceived Value of Certification for Nurses and Nurse Managers: Updated 2026 White Paper"],"prefix":"10.1097","volume":"45","author":[{"given":"Tiffany","family":"White","sequence":"first","affiliation":[{"name":"Tiffany White, DNP, APRN, AGCNS-BC, CMSRN, ONC, ONCB Board Member."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amy","family":"Ketchum","sequence":"additional","affiliation":[{"name":"Tiffany White, DNP, APRN, AGCNS-BC, CMSRN, ONC, ONCB Board Member."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amanda","family":"Cullipher","sequence":"additional","affiliation":[{"name":"Tiffany White, DNP, APRN, AGCNS-BC, CMSRN, ONC, ONCB Board Member."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jessica","family":"Alger","sequence":"additional","affiliation":[{"name":"Tiffany White, DNP, APRN, AGCNS-BC, CMSRN, ONC, ONCB Board Member."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura","family":"Arkin","sequence":"additional","affiliation":[{"name":"Tiffany White, DNP, APRN, AGCNS-BC, CMSRN, ONC, ONCB Board Member."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maureen","family":"Cooper","sequence":"additional","affiliation":[{"name":"Tiffany White, DNP, APRN, AGCNS-BC, CMSRN, ONC, ONCB Board Member."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mary","family":"Jo Holloran","sequence":"additional","affiliation":[{"name":"Tiffany White, DNP, APRN, AGCNS-BC, CMSRN, ONC, ONCB Board Member."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alicia","family":"Bannis","sequence":"additional","affiliation":[{"name":"Tiffany White, DNP, APRN, AGCNS-BC, CMSRN, ONC, ONCB Board Member."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eevin","family":"Judkins","sequence":"additional","affiliation":[{"name":"Tiffany White, DNP, APRN, AGCNS-BC, CMSRN, ONC, ONCB Board Member."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Meachin","sequence":"additional","affiliation":[{"name":"Tiffany White, DNP, APRN, AGCNS-BC, CMSRN, ONC, ONCB Board Member."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,9,22]]},"reference":[{"issue":"4","key":"R5-20260929","article-title":"Perceptions of certification value by nurses in an orthopedic hospital.","volume":"39","author":"Bell","year":"2024","journal-title":"Journal of Perianesthesia Nursing"},{"issue":"5","key":"R6-20260929","doi-asserted-by":"crossref","first-page":"439","DOI":"10.1111\/j.1525-1446.2007.00654.x","article-title":"Credentialing for public health nurses: Personally valued...but not well recognized.","volume":"24","author":"Bekemeier","year":"2007","journal-title":"Public Health Nursing"},{"issue":"10","key":"R7-20260929","doi-asserted-by":"crossref","first-page":"50","DOI":"10.1097\/01.NAJ.0000890228.81865.a3","article-title":"Pathway to becoming a progressive care certified nurse.","volume":"122","author":"Benike","year":"2022","journal-title":"American Journal of Nursing"},{"issue":"1","key":"R8-20260929","doi-asserted-by":"crossref","first-page":"E1","DOI":"10.1097\/NCQ.0000000000000397","article-title":"Relationship between nurse certification and clinical patient outcomes: A systematic literature review.","volume":"35","author":"Coelho","year":"2020","journal-title":"Journal of Nursing Care Quality"},{"issue":"5","key":"R9-20260929","doi-asserted-by":"crossref","first-page":"1169","DOI":"10.1093\/jbcr\/irad014","article-title":"Specialty certification for burn nursing: Value, beliefs, and benefits.","volume":"44","author":"Coles","year":"2023","journal-title":"Journal of Burn Care and Research"},{"issue":"5","key":"R10-20260929","doi-asserted-by":"crossref","first-page":"249","DOI":"10.1097\/NNA.0000000000001009","article-title":"Why some nurses obtain specialty certification and others do not.","volume":"51","author":"Dierkes","year":"2021","journal-title":"The Journal of Nursing Administration"},{"issue":"2","key":"R11-20260929","doi-asserted-by":"crossref","first-page":"260","DOI":"10.1016\/j.jopan.2024.05.004","article-title":"Empowering nurses to increase certification rates in a postanesthesia care unit: A collaborative team approach.","volume":"40","author":"Epstein","year":"2025","journal-title":"Journal of Perianesthesia Nursing"},{"issue":"6","key":"R12-20260929","doi-asserted-by":"crossref","first-page":"272","DOI":"10.1016\/j.outlook.2003.09.003","article-title":"The perceived value of certification by certified perioperative nurses.","volume":"51","author":"Gaberson","year":"2003","journal-title":"Nursing Outlook"},{"issue":"2","key":"R13-20260929","doi-asserted-by":"crossref","first-page":"156","DOI":"10.4037\/ajcc2021569","article-title":"Specialty certification: A path to improving outcomes.","volume":"30","author":"Halm","year":"2021","journal-title":"American Journal of Critical Care"},{"issue":"11","key":"R16-20260929","doi-asserted-by":"crossref","first-page":"513","DOI":"10.3928\/00220124-20241011-02","article-title":"How certification exams reflect current practice.","volume":"55","author":"Myers","year":"2024","journal-title":"Journal of Continuing Education in Nursing"},{"issue":"1","key":"R17-20260929","doi-asserted-by":"crossref","first-page":"62","DOI":"10.1186\/s12912-021-00579-2","article-title":"Lifelong learning and nurses' continuing professional development, a metasynthesis of the literature.","volume":"20","author":"Mlambo","year":"2021","journal-title":"BMC Nurs"},{"issue":"4","key":"R18-20260929","doi-asserted-by":"crossref","first-page":"176","DOI":"10.1016\/j.outlook.2007.02.002","article-title":"The value of specialty nursing certification.","volume":"55","author":"Niebuhr","year":"2007","journal-title":"Nursing Outlook"},{"issue":"5","key":"R21-20260929","doi-asserted-by":"crossref","first-page":"301","DOI":"10.1097\/NOR.0000000000000588","article-title":"Orthopaedic nursing certification.","volume":"38","author":"Satusky","year":"2019","journal-title":"Orthopaedic Nursing"},{"issue":"4","key":"R22-20260929","doi-asserted-by":"crossref","first-page":"242","DOI":"10.1016\/j.profnurs.2005.11.001","article-title":"Perceived value of certification among certified, noncertified, and administrative perioperative nurses.","volume":"22","author":"Sechrist","year":"2006","journal-title":"Journal of Professional Nursing"},{"issue":"5","key":"R23-20260929","doi-asserted-by":"crossref","first-page":"36","DOI":"10.1097\/00006247-200505000-00012","article-title":"Specialty certification: More than a title.","volume":"36","author":"Stromborg","year":"2005","journal-title":"Nursing Management"},{"issue":"1","key":"R25-20260929","doi-asserted-by":"crossref","first-page":"22","DOI":"10.1177\/08980101241277050","article-title":"Evaluating the perceived value of holistic certification among nurses: A descriptive survey study.","volume":"44","author":"Vital","year":"2026","journal-title":"Journal of Holistic Nursing"},{"issue":"1","key":"R26-20260929","first-page":"29","article-title":"The Perceived Value of Certification in Nonsurgical Pain Management.","volume":"87","author":"Ward","year":"2019","journal-title":"AANA Journal"},{"issue":"2","key":"R27-20260929","doi-asserted-by":"crossref","first-page":"189","DOI":"10.1016\/j.ijnss.2023.03.003","article-title":"Organizational culture and roles in promoting nurse specialty certifications: A qualitative study in the United States.","volume":"10","author":"Wei","year":"2023","journal-title":"International Journal of Nursing Science"}],"container-title":["Orthopaedic Nursing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.1097\/NOR.0000000000001237","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T18:00:15Z","timestamp":1790704815000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.1097\/NOR.0000000000001237"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9]]},"references-count":18,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.1097\/nor.0000000000001237","relation":{},"ISSN":["0744-6020","1542-538X"],"issn-type":[{"value":"0744-6020","type":"print"},{"value":"1542-538X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9]]}}}