Lifelong learning and nurses’ continuing professional development, a metasynthesis of the literature

BMC Nursing - Tập 20 Số 1 - 2021
Mandlenkosi Mlambo1, Charlotte Silén2, Cormac McGrath2
1Jersey General Hospital, St Helier, Jersey
2Department of LIME, Karolinska Institutet, Stockholm, Sweden

Tóm tắt

AbstractBackgroundContinuing professional development (CPD) is central to nurses’ lifelong learning and constitutes a vital aspect for keeping nurses’ knowledge and skills up-to-date. While we know about the need for nurses’ continuing professional development, less is known about how nurses experience and perceive continuing professional development. A metasynthesis of how nurses experience and view continuing professional development may provide a basis for planning future continuing professional development interventions more effectively and take advantage of examples from different contexts. The aim of this paper is to conduct such a metasynthesis, investigating the qualitative research on nurses’ experiences of continuing professional development.MethodsA metasynthesis of the qualitative literature was conducted. A total of 25 articles fulfilled the inclusion criteria and were reviewed.ResultsWe determined five overarching themes, Organisational culture shapes the conditions, Supportive environment as a prerequisite, Attitudes and motivation reflect nurse’s professional values, Nurses’ perceptions of barriers and Perceived impact on practice as a core value. This metasynthesis highlights that nurses value continuing professional development and believe that it is fundamental to professionalism and lifelong learning. Moreover CPD is identified as important in improving patient care standards.ConclusionsBased on the metasynthesis, we argue that access to continuing professional development could be made more attainable, realistic and relevant. Expediently, organizations should adequately fund and make continuing professional development accessible. In turn, nurses should continue to actively engage in continuing professional development to maintain high standards of nursing care through competent practice. This paper highlights the perceived benefits and challenges of continuing professional development that nurses face and offers advice and understanding in relation to continuing professional development. We believe that this metasynthesis contributes with insights and suggestions that would be valuable for nurses and policy makers and others who are involved in nurse education and continuing professional development.

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Tài liệu tham khảo

Pool IA, Poell RF, Berings MGMC, Ten Cate O. Motives and activities for continuing professional development: An exploration of their relationships by integrating literature and interview data. Nurse Educ Today. 2016;38:22–8 Available from: http://ovidsp.ovid.com/ovidweb.cgi? T=JS&PAGE=reference&D=med12&NEWS=N&AN=26833276.

Ross K, Barr J, Stevens J. Mandatory continuing professional development requirements: what does this mean for Australian nurses. BMC Nurs. 2013;12(1):9. https://doi.org/10.1186/1472-6955-12-9.

Brekelmans G, Poell RF, van Wijk K. Factors influencing continuing professional development. Eur J Train Dev. 2013;37(3):313–25 DOI: 10.1108/03090591311312769.

James A, Francis K. Mandatory continuing professional education: what is the prognosis? Collegian. 2011;18(3):131–6. https://doi.org/10.1016/j.colegn.2011.03.001.

Govranos M, Newton JM. Exploring ward nurses’ perceptions of continuing education in clinical settings. Nurse Educ Today. 2014;34(4):655–60 Available from: http://ovidsp.ovid.com/ovidweb.cgi? T=JS&PAGE=reference&D=med10&NEWS=N&AN=23891123.

Pool IA, Poell RF, Berings M, ten Cate O. Motives and activities for continuing professional development: an exploration of their relationships by integrating literature and interview data. Nurse Educ Today. 2016;38:22–8 DOI: 10.1016/j.nedt.2016.01.004.

Gallagher L. Continuing education in nursing: a concept analysis. Nurse Educ Today. 2007;27(5):466–73. https://doi.org/10.1016/j.nedt.2006.08.007.

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):142–9 Available from: http://ovidsp.ovid.com/ovidweb.cgi? T=JS&PAGE=reference&D=med7&NEWS=N&AN=19646799.

Astin F, Closs SJ, Hughes N. The self-reported learning style preferences of female Macmillan clinical nurse specialists. Nurse Educ Today. 2006;26(6):475–83. https://doi.org/10.1016/j.nedt.2005.12.007.

Frankel A. Nurses’ learning styles: promoting better integration of theory into practice. Nurs Times. 2009;105(2):24–7.

Vinales JJ. The learning environment and learning styles: a guide for mentors. Br J Nurs. 2015;24(8):454–7. https://doi.org/10.12968/bjon.2015.24.8.454.

Bradshaw W. Importance of nursing leadership in advancing evidence-based nursing practice. Neonatal Netw. 2010;29(2):117–22. https://doi.org/10.1891/0730-0832.29.2.117.

Baumann SL. The limitations of evidenced-based practice. Nurs Sci Q. 2010;23(3):226–30. https://doi.org/10.1177/0894318410371833.

Barker J. Evidence-based practice for nurses: SAGE publications. Sage; 2013.

Brekelmans G, Poell RF, van Wijk K. Factors influencing continuing professional development: a Delphi study among nursing experts. Eur J Train Dev. 2013;37(3):313–25. Available from: http://proxy.kib.ki.se/docview/1413415361?accountid=11794. https://doi.org/10.1108/03090591311312769.

Noe RA, Tews MJ, Marand AD. Individual differences and informal learning in the workplace. J Vocat Behav. 2013;83(3):327–35. https://doi.org/10.1016/j.jvb.2013.06.009.

van Rijn MB, Yang H, Sanders K. Understanding employees’ informal workplace learning: the joint influence of career motivation and self-construal. Career Dev Int. 2013;18(6):610-28. https://doi.org/10.1108/CDI-12-2012-0124.

Tews MJ, Michel JW, Noe RA. Does fun promote learning? The relationship between fun in the workplace and informal learning. J Vocat Behav. 2017;98:46–55. https://doi.org/10.1016/j.jvb.2016.09.006.

Lammintakanen J, Kivinen T. Continuing professional development in nursing: does age matter? J Work Learn. 2012;24(1):34–47. Available from: http://proxy.kib.ki.se/docview/964181952?accountid=11794. https://doi.org/10.1108/13665621211191096.

Zaleska KJ, De Menezes LM. Human resources development practices and their association with employee attitudes: between traditional and new careers. Hum Relations. 2007;60(7):987–1017. https://doi.org/10.1177/0018726707081155.

Clarke N. Workplace learning environment and its relationship with learning outcomes in healthcare organizations. Hum Resour Dev Int. 2005;8(2):185–205. https://doi.org/10.1080/13678860500100228.

Griffith R, Tengnah C. Law and professional issues in nursing (second ed.). Exeter: Learning Matters; 2020.

Ryan J. Continuing professional development along the continuum of lifelong learning. Nurse Educ Today. 2003;23(7):498–508. https://doi.org/10.1016/S0260-6917(03)00074-1.

Rowe JA. Accountability: a fundamental component of nursing practice. Br J Nurs. 2000;9(9):549–52. https://doi.org/10.12968/bjon.2000.9.9.6289.

Gould D, Berridge E-J, Kelly D. The National Health Service Knowledge and skills framework and its implications for continuing professional development in nursing. Nurse Educ Today. 2007;27(1):26–34. https://doi.org/10.1016/j.nedt.2006.02.006.

Griffith R. Nursing professionalism and NMC revalidation. Br J Card Nurs. 2016;11(7):344–5. https://doi.org/10.12968/bjca.2016.11.7.344.

Buchan J, Charlesworth A, Gershlick B, Seccombe I. A critical moment: NHS staffing trends, retention and attrition. London: Health Foundation; 2019.

House of Commons Health Committee. The nursing workforce, second report of session 2017–19. London: House of Commons; 2018. https://publications.parliament.uk/pa/cm201719/cmselect/cmhealth/353/353.pdf

Royal College of Nursing. Improving continuing professional development: how reps can make a difference in the workplace. London: Royal College of Nursing; 2018. https://www.rcn.org.uk/professional-development/publications/pub-007215

Zimmer L. Qualitative meta-synthesis: a question of dialoguing with texts. J Adv Nurs. 2006;53(3):311–8. https://doi.org/10.1111/j.1365-2648.2006.03721.x.

Finlayson KW, Dixon A. Qualitative meta-synthesis: a guide for the novice. Nurse Res. 2008;15(2):59-71.

Walsh D, Downe S. Meta-synthesis method for qualitative research: a literature review. J Adv Nurs. 2005;50(2):204–11. https://doi.org/10.1111/j.1365-2648.2005.03380.x.

Finfgeld-Connett D. Generalizability and transferability of meta-synthesis research findings. J Adv Nurs. 2010;66(2):246–54. https://doi.org/10.1111/j.1365-2648.2009.05250.x.

Suri H. Purposeful sampling in qualitative research synthesis. Qual Res J. 2011;11(2):63–75. https://doi.org/10.3316/QRJ1102063.

Korhonen A, Hakulinen-Viitanen T, Jylhä V, Holopainen A. Meta-synthesis and evidence-based health care–a method for systematic review. Scand J Caring Sci. 2013;27(4):1027–34. https://doi.org/10.1111/scs.12003.

Lachal J, Revah-Levy A, Orri M, Moro MR. Metasynthesis: an original method to synthesize qualitative literature in psychiatry. Front psychiatry. 2017;8:269. https://doi.org/10.3389/fpsyt.2017.00269.

Sandelowski M, Barroso J. Finding the findings in qualitative studies. J Nurs Scholarsh. 2002;34(3):213–9. https://doi.org/10.1111/j.1547-5069.2002.00213.x.

Barroso J, Powell-Cope GM. Metasynthesis of qualitative research on living with HIV infection. Qual Health Res. 2000;10(3):340–53. https://doi.org/10.1177/104973200129118480.

Goudreau J, Pepin J, Larue C, Dubois S, Descôteaux R, Lavoie P, et al. A competency-based approach to nurses’ continuing education for clinical reasoning and leadership through reflective practice in a care situation. Nurse Educ Pract. 2015;15(6):572–8. https://doi.org/10.1016/j.nepr.2015.10.013.

Balls P. What are the factors that affect band 5 nurses’ career development and progression? Nurs Times. 2010;106(15):10–3.

Tame SL. Secret study: a new concept in continuing professional education. Nurse Educ Today. 2011;31(5):482–7. https://doi.org/10.1016/j.nedt.2010.09.007.

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):3561–6. https://doi.org/10.1111/j.1365-2702.2011.03745.x.

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):3561–6 Available from: http://ovidsp.ovid.com/ovidweb.cgi? T=JS&PAGE=reference&D=med7&NEWS=N&AN=21722221.

Shrestha GK, Bhandari N, Singh B. Nurses’ views on need for professional development in Nepal. JNMA J Nepal Med Assoc. 2010;49(179):209–15 Available from: http://ovidsp.ovid.com/ovidweb.cgi? T=JS&PAGE=reference&D=med7&NEWS=N&AN=22049825.

Lee N-J. An evaluation of CPD learning and impact upon positive practice change. Nurse Educ Today. 2011;31(4):390–5. https://doi.org/10.1016/j.nedt.2010.07.012.

Draper J, Clark L. Managers’ role in maximising investment in continuing professional education. Nurs Manag. 2016;22(9):30–6 Available from: http://proxy.kib.ki.se/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=112667810&site=ehost-live.

Averlid G. Norwegian Nurse Anesthetist Perceptions of Professional Development and the Influence of Production Pressure. AANA J. 2017;85(5):345–51 Available from: http://ovidsp.ovid.com/ovidweb.cgi? T=JS&PAGE=reference&D=prem&NEWS=N&AN=31566534.

Pool IA, Poell RF, Berings MGMC, ten Cate O. Strategies for continuing professional development among younger, middle-aged, and older nurses: a biographical approach. Int J Nurs Stud. 2015;52(5):939–50 Available from: http://ovidsp.ovid.com/ovidweb.cgi? T=JS&PAGE=reference&D=med11&NEWS=N&AN=25766265.

Pool I, Poell R, ten Cate O. Nurses’ and managers’ perceptions of continuing professional development for older and younger nurses: a focus group study. Int J Nurs Stud. 2013;50(1):34–43 Available from: http://ovidsp.ovid.com/ovidweb.cgi? T=JS&PAGE=reference&D=med9&NEWS=N&AN=22944285.

Clark E, Draper J, Rogers J. Illuminating the process: enhancing the impact of continuing professional education on practice. Nurse Educ Today. 2015;35(2):388–94. Available from: http://proxy.kib.ki.se/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=103880632&site=ehost-live. https://doi.org/10.1016/j.nedt.2014.10.014.

Jantzen D. Refining nursing practice through workplace learning: A grounded theory. J Clin Nurs. 2019;28(13–14):2565–76 Available from: http://ovidsp.ovid.com/ovidweb.cgi? T=JS&PAGE=reference&D=medl&NEWS=N&AN=30807678.

Green JK, Huntington AD. Online professional development for digitally differentiated nurses: An action research perspective. Nurse Educ Pract. 2017;22:55–62 Available from: http://ovidsp.ovid.com/ovidweb.cgi? T=JS&PAGE=reference&D=medc1&NEWS=N&AN=27940391.

Jho MY, Kang Y. Perceptions of Continuing Nursing Education in Korea. J Contin Educ Nurs. 2016;47(12):566–72 Available from: http://ovidsp.ovid.com/ovidweb.cgi? T=JS&PAGE=reference&D=med12&NEWS=N&AN=27893920.

Kyrkjebø D, Søvde BE, Råholm M-B. Nursing competence in the municipal health service: can professional development be accommodated? Nor J Clin Nurs Sykepl Forsk. 2017;12:64027. Available from: http://proxy.kib.ki.se/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=126914658&site=ehost-live.

Ennis G, Happell B, Reid-Searl K. Enabling professional development in mental health nursing: the role of clinical leadership. J Psychiatr Ment Health Nurs. 2015;22(8):616–22 Available from: http://ovidsp.ovid.com/ovidweb.cgi? T=JS&PAGE=reference&D=med11&NEWS=N&AN=26010165.

Price S, Reichert C. The Importance of Continuing Professional Development to Career Satisfaction and Patient Care: Meeting the Needs of Novice to Mid- to Late-Career Nurses throughout Their Career Span. Adm Sci. 2017;7(2):17.

Thurgate C. Supporting those who work and learn: A phenomenological research study. Nurse Educ Today. 2018;61:83–8 Available from: http://proxy.kib.ki.se/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=127701702&site=ehost-live.

Stanford PE. How can a competency framework for advanced practice support care? Br J Nurs. 2016;25(20):1117–22 Available from: http://ovidsp.ovid.com/ovidweb.cgi? T=JS&PAGE=reference&D=med12&NEWS=N&AN=27834515.

Gray M, Rowe J, Barnes M. Continuing professional development and changed re-registration requirements: midwives’ reflections. Nurse Educ Today. 2014;34(5):860–5 Available from: http://ovidsp.ovid.com/ovidweb.cgi? T=JS&PAGE=reference&D=med10&NEWS=N&AN=24219922.

Goudreau J, Pepin J, Larue C, Dubois S, Descôteaux R, Lavoie P, et al. A competency-based approach to nurses’ continuing education for clinical reasoning and leadership through reflective practice in a care situation. Nurse Educ Pract. 2015;15(6):572–8. Available from: http://proxy.kib.ki.se/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=111488515&site=ehost-live. https://doi.org/10.1016/j.nepr.2015.10.013.

Hayes C. Approaches to continuing professional development: putting theory into practice. Br J Nurs. 2016;25(15):860–4. https://doi.org/10.12968/bjon.2016.25.15.860.

Fitzgerald CE, Townsend RP. Assessing the continuing education needs and preferences of rural nurses. J Contin Educ Nurs. 2012;43(9):420–7 Available from: http://ovidsp.ovid.com/ovidweb.cgi? T=JS&PAGE=reference&D=med8&NEWS=N&AN=22715876.

Katsikitis M, McAllister M, Sharman R, Raith L, Faithfull-Byrne A, Priaulx R. Continuing professional development in nursing in Australia: current awareness, practice and future directions. Contemp Nurse. 2013;45(1):33–45 Available from: http://ovidsp.ovid.com/ovidweb.cgi? T=JS&PAGE=reference&D=med9&NEWS=N&AN=24099224.

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