Ferguson A
Clatterbridge Centre for Oncology, Wirral, England.
J Adv Nurs. 1994 Apr;19(4):640-6. doi: 10.1111/j.1365-2648.1994.tb01133.x.
In the light of increasing emphasis upon mandatory continuing education in nursing, the need for cancer nurses to update and improve their knowledge and skills is heightened. The challenges lie in how to keep nurses up-to-date, broaden their outlook and ensure that patients benefit. In this paper the literature on the purpose and benefits of continuing education is reviewed, and the implications of the Post-Registration Education and Practice Project (PREPP) for cancer nurses are addressed. Arguments about a definition of 'continuing learning' rather than 'continuing education' are discussed, since outcomes vary depending upon the definition adopted. Inconsistencies between the benefits claimed and those measured are highlighted. Attention is drawn to the inconclusive nature of the studies that have measured impact; some of the problems encountered in the provision of adequate education and its accessibility to nurses; and the continuing discrepancy of perceived need between nurse and manager. Specific impact evaluation studies relating to continuing education in cancer nursing are reviewed. Recommendations for providing education with measurable outcomes are drawn from the literature, while a case is made for the alternative perspective of lifelong learning where outcomes are neither specific nor measurable. In conclusion, the questions of who should be responsible for education and the need for further development of impact evaluation tools are addressed.
鉴于对护理领域强制性继续教育的日益重视，癌症护理人员更新和提升自身知识与技能的需求也随之增加。挑战在于如何使护士紧跟时代步伐、拓宽视野并确保患者从中受益。本文回顾了有关继续教育目的和益处的文献，并探讨了注册后教育与实践项目（PREPP）对癌症护理人员的影响。文中讨论了关于“持续学习”而非“继续教育”定义的争论，因为结果会因所采用的定义而有所不同。文中强调了所宣称的益处与实际衡量的益处之间的不一致性。同时也提请注意那些衡量影响的研究的不确定性；在提供充分教育及其对护士的可及性方面遇到的一些问题；以及护士与管理者之间在感知需求上持续存在的差异。本文还回顾了与癌症护理继续教育相关的具体影响评估研究。从文献中得出了关于提供具有可衡量结果的教育的建议，同时也提出了终身学习这一替代视角，其结果既不具体也不可衡量。总之，文中探讨了谁应负责教育以及影响评估工具进一步发展的必要性等问题。
