Hughes Elaine
Edge Hill College of Higher Education, Faculty of Health, Liverpool.
Nurs Stand. 2005;19(43):41-9. doi: 10.7748/ns2005.07.19.43.41.c3904.
To investigate NHS and private sector nurses' perceptions of the value of continuing professional development (CPD), and to analyse the factors that influence these perceptions and any potential barriers to successful CPD.
Questionnaires were sent to 200 staff working in two NHS trusts and 13 nursing homes. Following analysis of the questionnaires, interviews took place with eight self-selecting respondents to explore certain issues further. Each interview was taped and lasted 30-45 minutes. The venue for the interview was arranged to suit the respondent, either in a private office in the work environment or at home. Written consent was sought before taping the interview.
From the results of the postal questionnaires a largely positive perception of CPD was determined. However, it was shown that there were some barriers to professional development that have not previously been reported in the literature. Managers' leadership styles were found to influence nurses' perceptions of the value of CPD, as well as their ability to reflect, which affected the application of learning to practice.
Influencing factors included managers' leadership styles and their responsiveness to change, as well as a reduced ability for nurses to reflect. A disassociation between post-registration education and practice (PREP) and CPD in terms of understanding the purpose of PREP was also discovered among nurses.
调查国民保健制度（NHS）和私立部门护士对持续专业发展（CPD）价值的看法，并分析影响这些看法的因素以及成功开展持续专业发展的任何潜在障碍。
向在两个国民保健制度信托机构和13家养老院工作的200名员工发放问卷。在对问卷进行分析之后，与八名自行选择的受访者进行了访谈，以进一步探讨某些问题。每次访谈都进行了录音，时长为30 - 45分钟。访谈地点根据受访者的情况安排，要么在工作环境中的私人办公室，要么在家里。在对访谈进行录音之前征求了书面同意。
从邮寄问卷的结果来看，对持续专业发展的看法总体上是积极的。然而，结果表明存在一些专业发展的障碍，这些障碍在以往文献中未曾报道过。研究发现管理者的领导风格会影响护士对持续专业发展价值的看法，以及他们的反思能力，而反思能力又会影响将所学应用于实践的能力。
影响因素包括管理者的领导风格及其对变革的响应能力，以及护士反思能力的下降。在护士中还发现，在理解注册后教育与实践（PREP）的目的方面，注册后教育与实践和持续专业发展之间存在脱节。
