Haywood Hannah, Pain Helen, Ryan Sarah, Adams Jo
Faculty of Health Sciences, University of Southampton, Highfield, UK.
Musculoskeletal Care. 2013 Jun;11(2):63-70. doi: 10.1002/msc.1032. Epub 2012 Sep 7.
To explore the current UK status of continuing professional development (CPD) for nurses and allied health professionals (AHPs) working in musculoskeletal (MSK) services in the UK.
A web-based survey was developed and used to collect data from service managers, nurses and AHPs who work with people who have MSK conditions, recruited through professional interest groups via email and website notices. The questionnaire was designed following focus groups and telephone conference calls with managers and AHPs from MSK services to ensure content validity. Results were collected online and analysed in SPSS PASW 17 using frequency data and χ² analyses.
A total of 354 responses were analysed. The most frequently reported reason for undertaking CPD was to improve patient care. The level of staff experience made no significant difference to the CPD activities undertaken. The majority of respondents reported that their organization was supportive of CPD activities and in applying new knowledge to practice, but lack of funding and having too many other tasks to complete at work were the most frequently reported barriers to CPD. Many commented about the difficulty in accessing CPD in the face of increasing workload pressure and tightened budgets.
The results indicate that despite the organizational support for CPD, respondents faced substantial challenges in accessing CPD when under pressure to achieve productivity targets, with little assistance in terms of funding. This discrepancy may indicate that greater support is required to meet MSK nurses' and AHPs' CPD needs.
探讨英国从事肌肉骨骼疾病（MSK）服务的护士及专职医疗人员（AHPs）持续专业发展（CPD）的现状。
开展了一项基于网络的调查，用于收集服务经理、护士以及为患有肌肉骨骼疾病的患者提供服务的专职医疗人员的数据，通过专业兴趣小组，利用电子邮件和网站公告进行招募。问卷是在与肌肉骨骼疾病服务部门的经理和专职医疗人员进行焦点小组讨论和电话会议之后设计的，以确保内容效度。结果通过在线收集，并使用频率数据和χ²分析在SPSS PASW 17中进行分析。
共分析了354份回复。开展持续专业发展最常提及的原因是改善患者护理。员工经验水平对所开展的持续专业发展活动没有显著影响。大多数受访者表示他们的组织支持持续专业发展活动，并支持将新知识应用于实践，但资金短缺和工作中要完成的其他任务过多是持续专业发展最常提及的障碍。许多人提到，面对工作量压力增加和预算收紧，参加持续专业发展存在困难。
结果表明，尽管组织支持持续专业发展，但受访者在面临实现生产率目标的压力时，在参加持续专业发展方面面临重大挑战，而且在资金方面几乎没有援助。这种差异可能表明需要更多支持来满足肌肉骨骼疾病护士和专职医疗人员的持续专业发展需求。
