Mandatory continuing professional development requirements: what does this mean for Australian nurses

BMC Nursing

John Stevens²  Jennieffer Barr¹  Kay Ross¹ 

[1] Gold Coast Campus, School of Health and Human Sciences, Southern Cross University, Locked Mail Bag 4, Coolangatta, QLD 4225, AUSTRALIA;Lismore Campus, Health and Humans Sciences, Southern Cross University, Po Box 157, Lismore, NSW 2480, AUSTRALIA

关键词: Clinical practice;    Education;    Australia;    Nursing registration;    Mandatory continuing professional development;   

Others  :  1091923
DOI  :  10.1186/1472-6955-12-9

 received in 2012-10-08, accepted in 2013-03-14,  发布年份 2013

【 摘 要 】

Background

This paper presents a discussion related to the recent decision in Australia to introduce mandatory Continuing Professional Development (CPD) for nurses. Historically there has been international debate surrounding mandatory CPD requirements; this debate is ongoing as Australian nurses face a diverse range of CPD offerings from a variety of providers.

Discussion

The purpose of this paper is to examine how mandatory CPD requirements for national nursing registration in Australia have evolved and to present an analysis of what this will mean for Australian nurses. What is yet to be determined is how to measure professional development and the effectiveness of professional development education. This is important to the international community with consensus in the literature that professional development is linked to ongoing education. Contradicting arguments are presented about whether this professional development should be mandatory.

Summary

Presenting a contemporary discussion about the current and potential impact of mandatory CPD requirements for nurses, this discussion paper utilises the case of Australia’s current national policy and CPD operation to examine the choices that nurses make in order to fulfil their legislative requirements. Additional arguments are presented about the barriers nurses face in undertaking CPD. The quest for effective CPD is complex and should incorporate different situations for nurses and individual learning styles.

【 授权许可】

   
2013 Ross et al.; licensee BioMed Central Ltd.

【 参考文献 】

• [1]ANMC: Continuing competence framework for nursing and midwives. Canberra: Australian Nursing & Midwifery Council; 2009.
• [2]Bertulis R, Cheeseborough J: The Royal College of Nursing’s information needs survey of nurses and health professionals. Health Info Libr J 2008, 25:186-197.
• [3]Cote DM: A survey of British Columbia Family Physicians’ and Nurses’ expereinces with Continuing Proefessional Development and Technology. Columbia British Columbia University: Simon Fraser University; 2007.
• [4]Davids JM: Continuing Professional Development in Nursing. Stellenbosch: Univeristy of Stellenbosch; 2006.
• [5]Doyle C: Methods of continuing professional education preferred by Irish pediatric nurses. J Spec Pediatr Nurs 2006, 11(2):90-99.
• [6]Drey N, Gould D, Allan T: The relationship between continuing professional education and commitment to nursing. Nurse Educ Today 2009, 29(7):740-745.
• [7]Fleet LJ, Kirby F, Cutler S, Dunikowski L, Nasmith L, Shaughnessy R: Continuing professional development and social accountability: a review of the literature. Journal Of Interprofessional Care 2008, 22:15-29.
• [8]Gould D, Fontenla M: Strategies to recruit and retain the nursing workforce in England: a telephone interview study. J Res Nurs 2006, 11(1):3-17.
• [9]WHO: The World Health Report. Health systems: Improving performance. Geneva: World Health Organisation; 2000.
• [10]Chipchase LS, Johnston V, Long PD: Continuing professional development: The missing link. Man Ther 2012, 17(1):89-91.
• [11]Department of Health: Continued Professional Development – Discussion Paper. Perth, WA: Office of the Chief Health Professions Officer, Department of Health; 2008.
• [12]Dickerson PS: Continuing nursing education: enhancing professional development. J Contin Educ Nurs 2010, 41(3):100-101.
• [13]Dixon D, Takhar J, Macnab J, Eadie J, Lockyer J, Stenerson H, François J, Bell M, Monette C, Campbell C: Controlling quality in CME/CPD by measuring and illuminating bias. J Contin Educ Health Prof 2011, 31(2):109-116.
• [14]Lee N-J: An evaluation of CPD learning and impact upon positive practice change. Nurse Educ Today 2011, 31(4):390-395.
• [15]COAG: National Registration and Accreditation Scheme for the Health Professions. Australia: Council of Australian Government's Meeting; 2008.
• [16]NMBA: Continuing professional development registration standard. Canberra: Nursing and Midwifery Board; 2010.
• [17]Goode W: The theoretical limits of professionalization. New York: The Free Press MacMillan; 1969.
• [18]Illich I: Limits to Medical nemesis: The expropriation of health. Middlesex London: Penguin Books; 1976.
• [19]Friedson E: Professions: The Third Logic. Oxford: Blackwell; 2001.
• [20]Turner C, Hodege M: Occupations and Professions. London: Cambridge University Press; 1970.
• [21]Stevens J, Crouch M: Who cares about care in nursing education? Int J Nurs Stud 1995, 32(3):233-242.
• [22]Hamilton H: Mandatory Education for Nurses. ACT: In. Deakin; 1996.
• [23]Gopee N: Lifelong learning in nursing: perceptions and realities. Nurse Educ Today 2001, 21(8):607-615.
• [24]Thomas S: The implications of mandatory professional development in Australia. British Journal of Midwifery 2012, 20(1):57-61.
• [25]Frustration over new national registration. http://www.nurseuncut.com.au/new-series-frustration-over-new-national-registration/ webcite
• [26]Evans W, Timmins F, Nicholl H, Brown G: The impact of ongoing continuing professional development for nurses in the Republic of Ireland. J Nurs Manag 2007, 15(6):614-625.
• [27]Glasgow M, Robbins H: An evidence-based approach to informing continuing professional development for nurses, midwives and health visitors in Grampian. England: National Health Service; 2004. [NHS Grampian]
• [28]Hayajneh F: Attitudes of Professional Jordanian Nurses Toward Continuing Education. J Contin Educ Nurs 2009, 40(1):43-48.
• [29]Iliffe J: Developing a national continuing professional development framework. African Journal of Midwifery & Women's Health 2011, 5(4):189-194.
• [30]Maas LG: Benchmarking one's health care system: Professional development through an international experience. Nurse Educ Pract 2011, 11(5):293-297.
• [31]Mangione PL, Lally JR, Poole JL, Tuesta A, Paxton AR: Integrating Resources and Strategies Into an Emerging System of Professional Development: The Case of PITC in California. Zero to Three 2011, 32(1):11-17.
• [32]McCarthy G, Cornally N, Courtney M: Role, clinical competence and the professional development of practice nurses in Ireland. Pract Nurs 2011, 22(6):323-329.
• [33]Nair M, Webster P: Education for health professionals in the emerging market economies: a literature review. Medical Education 2010, 44(9):856-863.
• [34]Prater L, Neatherlin JS: Texas nurses respond to mandatory continuing education. J Contin Educ Nurs 2001, 32(3):126-132.
• [35]RCN: Report of Key Findings of RCN's Survey of the Information Needs of Nurses, Health Care Assisitants, Midwives and Health Visitors. England: Royal College of Nursing; 2005.
• [36]Ting V: An assessment of factors influencing Illinois Registered Nurse participation in continuing education PhD. Southern Illinois University; 2007.
• [37]Morgan A, Cullianane J, Pye M: Continuing Professional Development: rhetoric and practice in the NHS Journal of Education and Work.   2008, 21(3):233-246.
• [38]Young P, Glogowska M, Lockyer L, Moule P: An evaluation of the introduction of blended learning to Continuing Professional Development (CPD). Bristol: University of the West of England; 2010. [NHS Southwest]
• [39]Cleary M, Horsfall J, O'Hara-Aarons M, Jackson D, Hunt GE: The views of mental health nurses on continuing professional development. J Clin Nurs 2011, 20(23/24):3561-3566.
• [40]DeLeskey K, Fetzer SJ: Participation in and Satisfaction With Perianesthesia Continuous Professional Development. J Perianesth Nurs 2007, 22(1):21-26.
• [41]Barriball KL, While AE, Norman IJ: Continuing professional education for qualified nurses: a review of the literature. J Adv Nurs 1992, 17(9):1129-1140.
• [42]Beatty RM: Continuing professional education, organizational support, and professional competence: dilemmas of rural nurses. J Contin Educ Nurs 2001, 32(5):203-209.
• [43]Furze G, Pearcey P: Continuing education in nursing: a review of the literature. J Adv Nurs 1999, 29(2):355-363.
• [44]Hogston R: Nurses' perceptions of the impact of continuing professional education on the quality of nursing care. J Adv Nurs 1995, 22(3):586-593.
• [45]Kersaitis C: Attitudes and participation of registered nurses in continuing professional education in New South Wales, Australia. J Contin Educ Nurs 1997, 28(3):135-139.
• [46]Kubsch S, Henniges A, Lorenzoni N, Eckardt S, Oleniczak S: Factors influencing accruement of contact hours for nurses. J Contin Educ Nurs 2003, 34(5):205.
• [47]Lawton S, Wimpenny P: Continuing professional development: a review. Nurs Stand 2003, 17(24):41-44.
• [48]Lazarus JB, Permaloff A, Dickson CJ: Evaluation of Alabama's mandatory continuing education program for reasonableness, access, and value. J Contin Educ Nurs 2002, 33(3):102-111.
• [49]Smith JE: Exploring the efficacy of continuing education mandates. JONA's Healthcare Law, Ethics & Regulation 2004, 6(1):22-31.
• [50]Wood I: The effects of continuing professional education on the clinical practice of nurses: a review of the literature. Int J Nurs Stud 1998, 35(3):125-131.
• [51]McAvoy BR, Fletcher JM, Elwood M: Cancer education and training in primary health care–a national audit of training providers. Aust Fam Physician 2007, 36(11):973-976.
• [52]Koul P: Inservice training of health workers through distance mode. Nurs J India 2003, 94(9):201-203.
• [53]Campbell B: Applying knowledge to generate action: a community-based knowledge translation framework. J Contin Educ Health Prof 2010, 30(1):65-71.
• [54]Charles PA, Mamary EM: New choices for continuing education: a statewide survey of the practices and preferences of nurse practitioners. J Contin Educ Nurs 2002, 33(2):88-91.
• [55]McLaren S, Woods L, Boudioni M, Lemma F, Tavabie A: Implementing a strategy to promote lifelong learning in the primary care workforce: an evaluation of leadership roles, change management approaches, interim challenges and achievements. Qual Prim Care 2008, 16(3):147-155.
• [56]Ryan J: Continuous professional development along the continuum of lifelong learning. Nurse Educ Today 2003, 23(7):498-508.
• [57]Price B: Professional development opportunities in changing times. Nurs Stand 2007, 21(25):29-33.
• [58]Welcome to RCNA’s Professional Development Services. http://www.rcna.org.au/WCM/RCNA/Professional%20Development%20Services/rcna/development/introduction_to_professional_development_services.aspx?hkey=88b9f86e-a9b7-4a2e-8df8-87621e173021 webcite
• [59]ANMC: The Code of Professional Conduct for Nurses in Australia. Canberra: Australian Nursing & Midwifery Council; 2008.
• [60]Richards L, Potgieter E: Perceptions of registered nurses in four state health institutions on continuing formal education. Curations 2010, 33(2):41-50.
• [61]comScore Releases May 2012 U.S. Search Engine Rankings. http://www.comscore.com/Insights/Press_Releases/2012/6/comScore_Releases_May_2012_U.S._Search_Engine_Rankings webcite
• [62]HealthWorkforce Australia: Health Workforce 2025 - Doctors, Nurses and Midwives - Volume 1. Canberra: Workforce Australia; 2012.
• [63]What is a Registered Training Organisation (RTO). http://www.registeredtrainingorganisation.com.au/rto-information.html webcite
• [64]DeSilets LD, Dickerson PS: Recommendations for improving health care through lifelong learning. J Contin Educ Nurs 2008, 39(3):100-101.
• [65]Irving M, Irving R, Sutherland S: E-learning for cancer nurse education. Nurs Times 2007, 103(9):30-31.
• [66]Wound Management and Skin Integrity. https://www.ausmed.com.au/course/registration-1448 webcite
• [67]Professional ONLINE Education for Registered and Enrolled Nurses Australia Wide. http://nursecpd.learnprn.com/it.dll/itpu06?m=111&id264=1 webcite
• [68]Continuing professional develoment. http://www.nursesfornurses.com.au/index.aspx?page=121 webcite
• [69]ICN 25th Quadrennial Congress --- Equity and Access to Health Care. http://www.icn2013.ch/en/registration webcite
• [70]Guardini I, Talamini R, Fiorillo F, Lirutti M, Palese A: The effectiveness of continuing education in postoperative pain management: results from a follow-up study. J Contin Educ Nurs 2008, 39(6):281-288.
• [71]James A, Francis K: Mandatory continuing professional education: What is the prognosis? Collegian 2011, 18(3):131-136.
• [72]Morphet J, Holden K: Get ENERGISED: Professional development for emergency nurses. Australas Emerg Nurs J 2011, 14(3):189-195.
• [73]Penz K, D'Arcy C, Stewart N, Kosteniuk J, Morgan D, Smith B: Barriers to participation in continuing education activities among rural and remote nurses. J Contin Educ Nurs 2007, 38(2):58-68.
• [74]Wood P: Continuing professional development in higher education: a qualitative study of engagement in the field of nursing and midwfiery. Journal for the Enhancement of Learning and Teaching 2008, 4(1):12-21.
• [75]Schweitzer DJ, Krassa TJ: Deterrents to Nurses' Participation in Continuing Professional Development: An Integrative Literature Review. J Contin Educ Nurs 2010, 41(10):441-447.
• [76]Sturrock JBE, Lennie SC: Compulsory continuing professional development: a questionnaire-based survey of the UK dietetic profession. J Hum Nutr Diet 2009, 22(1):12-20.
• [77]Hegney D, Tuckett A, Parker D, Robert E: Access to and support for continuing professional education amongst Queensland nurses: 2004 and 2007. Nurse Educ Today 2010, 30(2):142-149.
• [78]Eley R, Fallon T, Soar J, Buikstra E, Hegney D: The status of training and education in information and computer technology of Australian nurses: a national survey. J Clin Nurs 2008, 17(20):2758-2767.
• [79]Penz K, D'Arcy C, Stewart N, Kosteniuk J, Morgan D, Smith B: Barriers to participation in continuing education activities among rural and remote nurses. J Contin Educ Nurs 2007, 38(2):41-50.
• [80]Nalle MA, Wyatt T, Myers CR: Continuing education needs of nurses in a voluntary continuing nursing education state. J Contin Educ Nurs 2010, 41(3):101-117.
• [81]Richards L, Potgieter E: Perceptions of registered nurses in four state health institutions on continuing formal education. Curationis 2010, 33(2):41-50.
• [82]Kataoka-Yahiro MR, Mobley J: Benefits, barriers, and intentions/desired of nurses related to distance learning in rural island communities. J Contin Educ Nurs 2011, 42(3):127-135.