Continuing professional development - Whooooose responsibility?
Jul
7
Written by:
Amanda Adrian
Wednesday, July 07, 2010 2:33 PM
In talking to a friend recently who was conducting a review of nursing services as part of a routine evaluation process, I was quite alarmed about two things she said.
The first was that the employer organisation (a well respected provider of community health care) did not appear to be committed to supporting their employees (in this case nurses) in their ongoing professional development (CPD) by having a standard policy for providing study leave, or by having scholarships or other funding opportunities for their employees wishing to undertake ongoing education, research or attend relevant conferences. Yes, the staff were expected to attend regular inservice for mandatory education requirements such as manual handling, CPR updates, etc. But there was nothing to encourage nurses to significantly update their clinical knowledge and skills; develop management or education expertise; explore their legal and ethical obligations in greater depth; or get involved in clinical or other aspects of health research. This is an organisation that has few prospects to innovate for the future, thrive and prosper if it does not invest in succession planning and respect and value the precious workforce resources that are already in their employ.
I guess I shouldn't have been surprised at the other thing my friend asked me; and that was: ' Did the mandatory education count towards the 20 hours of CPD that was now being required by the Nursing and Midwifery Board of Australia (NMBA) to maintain their registration when it came to the annual renewal date?' Her concern arose because most of the nurses in that organisation did not believe they should have to invest in their own ongoing professional development; that their employer should be coughing up for anything that was not mandatory, that involved a fee and/or study leave. When I reflected upon this a littel further, I guess it is not really surprising that the nurses have this attitude when the culture of the organisation does not value CPD.
However, it is a critical element of being a professional and now it is embedded into the requirements for being able to maintain one's nursing and midwifery registration. The NMBA registration standard for Continuing professional development (available on their website: www.nursingmidwiferyboard.gov.au) requires the following of every nurse and midwife:
1. Nurses on the nurses’ register will participate in at least 20 hours of continuing nursing professional development per year.
2. Midwives on the midwives’ register will participate in at least 20 hours of continuing midwifery professional development per year.
3. Registered nurses and midwives who hold scheduled medicines endorsements or endorsements as nurse or midwife practitioners under the National Law must complete at least 10 hours per year in education related to their endorsement.
4. One hour of active learning will equal one hour of CPD. It is the nurse or midwife’s responsibility to calculate how many hours of active learning have taken place. If CPD activities are relevant to both nursing and midwifery professions, those activities may be counted in each portfolio of professional development.
5. The CPD must be relevant to the nurse or midwife’s context of practice.
6. Nurses and midwives must keep written documentation of CPD that demonstrates evidence of completion of a minimum of 20 hours of CPD per year.
7. Documentation of self-directed CPD must include dates, a brief description of the outcomes, and the number of hours spent in each activity. All evidence should be verified. It must demonstrate that the nurse or midwife has:
a) identified and prioritised their learning needs, based on an evaluation of their practice against the relevant competency or professional practice standards
b) developed a learning plan based on identified learning needs
c) participated in effective learning activities relevant to their learning needs
d) reflected on the value of the learning activities or the effect that participation will have on their practice.
8. Participation in mandatory skills acquisition may be counted as CPD.
9. The Board’s role includes monitoring the competence of nurses and midwives; the Board will therefore conduct an annual audit of a number of nurses and midwives registered in Australia.
This is not about making life difficult for nurses, midwives and employers. It is about the quality and safety of nursing and midwifery care for people in our community. Competence is about knowledge, skill, experience, judgement, care and attitude and this takes effort and commitment to sustain and develop. In answer to my friend's question - yes mandatory eduction can be included in the 20 hours, but I do have some concerns about the professional attitude of nurses who do not have any commitment to their own ongoing comptence, recognising their responsibility to maintain and develop this for the benefit of people dependent on their care. The Codes of Professional Conduct and Ethics for Nurses and Midwives in Australia and the National Competency Standards are quite explicit about these obligations.
As for the employer? I hope my friend makes some heavy duty recommendations about the obligations of employers to support and nurture employees in meeting their responsibilites to both these people and the people in their care.
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1 comment(s) so far...
Re: Continuing professional development - Whooooose responsibility?
This seems to be an ongoing problem particularly with public employers. I have spent a fortune on my own personal education because I have seen the reprecussions of not keeping up with current trends whilst working at one country hospital. The young RN's working there are so arrogant (and ignorant) of their own practice, that patients suffer from this inexperience and lack of expertise. They often tell me, "Oh its easy, I'll just learn it on the job or online". How do you deal with that. The clinical educator in this workplace also has not updated her qualifications in about 30 years at least and does not know how to prepare a learning program or plan a lesson. (I have recently done my TAE course in assessment and workplace Training). I am also told that I am now overqualified, overexperienced and over educated, if you could ever be this in Health. I am now looking for other avenues and getting out of nursing all together as clearly there is now no longer any career path for 40+ experienced RN's.
By Glynis on
Tuesday, March 08, 2011 10:26 AM
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