1. Catherine Cannon MSc, BSc (Hons), RGN, RM. Dr Assumpta Ryan PhD, MSc, BSc, PGCTHE, RGN, RMN, RNT. Catherine Cannon, CNME Donegal 2011

2. 1 Background Aim Literature Review Methodology Findings Implications for Practice Recommendations Conclusion

3. 2  Catherine Cannon, CNME Donegal 2011 The report of the Commission on Nursing (DOHC 1998) in the Republic of Ireland provided the major driving force for changes in nursing. The importance of Continuous Professional Development (CPD) for nurses and midwives has been increasingly emphasised over the last decade. The author has chosen the topic as she has a keen interest in the subject and is responsible for co-ordinating post graduate programmes in the centre. From the literature the majority of studies have been conducted in the USA and UK where there is mandatory CPD to maintain registration. There is only a limited number of published studies in the ROI. This combined with a gap in the literature and the authors keen interest provided the impetus for the study.

4. 3  Catherine Cannon, CNME Donegal 2011 The aim of the study was to assess nurses’ perceptions of the impact of CPD on the quality of nursing care.

5. 4  Factors that influence nurses/midwives to undertake CPD Perceived benefits/challenges to nurses and midwives undertaking CPD Identify benefits to patient care as a result of nurses/midwives undertaking CPD. Catherine Cannon, CNME Donegal 2011

6. 5 Primary Care Community Intellectual Disability Acute Hospital Donegal Catchement Area

7. 6 Qualitative -using grounded theory Strauss and Corbin’s 1990,1998 approach Purposeful Sampling Theoretical sampling Semi-structured interviews Constant Comparative Analysis Ethical approval obtained Part of MSc Thesis Catherine Cannon, CNME Donegal 2011

8. 7 Theoretical sampling Theoretical Sensitivity Constant comparative analysis Coding Theoretical Memos and Diagrams Literature as a Source of Data Integration of Theory  (McCann & Clarke 2003, Polit and Beck 2006) Catherine Cannon, CNME Donegal 2011

9. 8 GradeNumber of Participants CNM2’s2 CNM1’s2 Staff Nurses5 Catherine Cannon, CNME Donegal 2011 Data Analysis Constant Comparative Analysis Paradigm Model NVIVO

10. 9 Catherine Cannon, CNME Donegal 2011 (A)CAUSAL CONDITIONS → (B) PHENOMENON → → (C) CONTEXT → (D) INTERVENING CONDITIONS → → (E) ACTION/INTERACTION STRATEGIES → → (F) CONSEQUENCES ( Strauss and Corbin 1990; 1998)

11. 10 Causal Conditions Competence and confidence Career Development Promotional Opportunities Personal and Professional Development Contextual and Intervening Conditions Access to Courses Distance on Travel to Courses Support from Managers Actions / Interactions Selecting a Course Getting Started – Juggling - Home /Work Support from Family Consequences Impact on the Patient – Quality of Care Impact on the Staff – Positive / Negative Impact on the Organisation Core Category Nurses who undertake CPD have a sense of empowerment and of empowering others which can make a difference to the quality of patient care. Catherine Cannon, CNME Donegal 2011 DATA ANALYSIS

12. 11 A theory can be defined as: “A set of well developed concepts related through statements of relationships, which together constitute an integrated framework that can be used to explain phenomena” Strauss and Corbin (1998) The theory that emerged from this study suggests that empowerment was the key factor and that nurses who undertook CPD had a sense of empowerment and of empowering others, which in their belief had a positive impact on patient care. Catherine Cannon, CNME Donegal 2011

13. 12 Acting as a Role Model In Job Satisfaction Gaining Knowledge and Skills Making a difference to Patient Care Part of the Decision Making Process Supported by Managers to undertake CPD Supported in implementing change Successfully completing CPD despite the sense of sacrifice Catherine Cannon, CNME Donegal 2011

14. 13 Empowerment Challenge Practice Decision Making Support from Managers Making a Difference to Patient Care Managing work life and engaging in CPD. Catherine Cannon, CNME Donegal 2011

15. 14 Managers Equitable Provision for all Staff Actively involved with Education Providers in TNA Engage in collaborative work in evaluating CPD and its impact on quality of Care Strategic Approach at National, Regional and Local Level Education Providers Nurses & Midwives Professional responsibility to engage in CPD activities to ensure safe competent nursing care Actively engage in TNA at both unit and organisational level Catherine Cannon, CNME Donegal 2011

16. 15 Managers should continue to support CPD and foster the ethos of Life Long Learning. The findings from this study will influence the planning and delivery of courses locally. Being part of a team, being involved in decision making and being supported to implement change was empowering and had a direct influence on patient care. Education is integral to all components of clinical governance and is crucial to the successful implementation of it (Braine 2006). Hospitals that facilitate educational opportunities for staff promote a culture of excellence (Levett – Jones 2005). Catherine Cannon, CNME Donegal 2011

17. 16 Environments that are conducive to learning and development empower nurses to get involved in decision making and challenge practice. From the study it was perceived that patient care improved as a result of nurses participating in CPD. Managers were regarded as pivotal in ensuring effective access and supporting CPD Catherine Cannon, CNME Donegal 2011

18. 17 “The ability to learn and to convert learning into practice creates value for individuals, teams, organisations and professions” (Ashton and Greene 1996) Catherine Cannon, CNME Donegal 2011

19. 18 Thank you for your attention. Contact Details; Catherine Cannon, Acting Director Centre for Nursing and Midwifery Education Donegal Catherine.Cannon@hse.ie Dr Assumpta Ryan, Reader, Nursing Research Institute. University of Ulster aa.ryan@ulster.ac.uk Dr Assumpta Ryan ; Catherine Cannon, CNME Donegal 2011