Registered general nurses’ perceptions of the factors that influence the nurse’s frequency of engagement in activities for the ongoing maintenance of professional competence in Ireland

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Date
2017
Authors
Heffernan, Elizabeth
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University College Cork
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Abstract
Introduction: Under the Nurses and Midwives Act 2011 registered nurses and midwives will be required to demonstrate ongoing professional competence through a professional competence scheme to be developed by the NMBI. Aims: To establish perceptions of registered general nurses in relation to 1) factors that influence the nurse’s frequency of engagement in activities for ongoing maintenance of professional competence, and 2) potential processes and components of a professional competence scheme. Method: A descriptive correlational cross-sectional survey design was employed. RGNs (n=585) working in acute, primary and continuing care settings completed an online multi-section, multi item questionnaire incorporating CWEQ-II Empowerment Scale (Laschinger et al. 2001). Results: There was variation in the frequency of nurses’ engagement in activities for the ongoing maintenance of professional competence over the previous 3 years, and nurses were moderately empowered. In the final multiple linear regression model, having more than one registration (p=0.008), being male (p=0.048), access to support (p<0.001), and greater perceived informal power (p=0.017) were associated with greater frequency of engagement in activities. A perception of more barriers was associated with less frequent engagement in activities (p=0.003). Higher perceptions of engagement in future activities was associated with greater frequency of engagement in activities (p<0.001). Cumulatively, independent variables accounted for 43.56% (R2 adjusted) variance in the frequency of engagement in activities. In relation to the potential processes and components of a professional competence scheme, nurses articulated a preference for: engaging in CPD with credits, working in a role where a general qualification is required, maintaining a professional portfolio, developing a learning plan, informal reflection, and self-assessment of competence. Conclusion: Study contributes to increasing understanding of factors linked to augmentation of the activities that nurses engage in. A large proportion of the nurses did not engage frequently in activities for the ongoing maintenance of professional competence. The barriers need to be addressed to ensure that all nurses have the opportunity to engage in a range of activities for their ongoing professional competence.
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Registered nurses , Ongoing professional competence , Engagement in activities , Level of empowerment , Facilitators and barriers , Processes and components of a professional competence scheme
Citation
Heffernan, E. A. 2017. Registered general nurses’ perceptions of the factors that influence the nurse’s frequency of engagement in activities for the ongoing maintenance of professional competence in Ireland. PhD Thesis, University College Cork.
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