Evidence map›Paper›PMID 30059819›Full record

ArticleNurse education today2018

A realist synthesis of effective continuing professional development (CPD): A case study of healthcare practitioners' CPD.

Kim Manley, Anne Martin, Carolyn Jackson, Toni Wright

Abstract read
In one paragraph

Article in Nurse education today, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

30 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Kim ManleyEngland Centre for Practice Development, Faculty of Health and Wellbeing, Canterbury Christ Church University, United Kingdom. Electronic address: kim.manley1@canterbury.ac.uk.
Anne MartinEngland Centre for Practice Development, Faculty of Health and Wellbeing, Canterbury Christ Church University, United Kingdom. Electronic address: anne.martin@canterbury.ac.uk.
Carolyn JacksonEngland Centre for Practice Development, Faculty of Health and Wellbeing, Canterbury Christ Church University, United Kingdom. Electronic address: carolyn.jackson@canterbury.ac.uk.
Toni WrightEngland Centre for Practice Development, Faculty of Health and Wellbeing, Canterbury Christ Church University, United Kingdom. Electronic address: toni.wright@canterbury.ac.uk.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundContinuing professional development (CPD) in healthcare is fundamental for making sure frontline staff practice safely and effectively. This requires practitioners to update knowledge and skills regularly to match the changing complexity of healthcare needs. The drive towards using limited resources effectively for service improvements and the need for a flexible workforce necessitate a review of ad hoc approaches to CPD.

objectiveTo develop strategies for achieving effective CPD in healthcare.

designA case study design drawing on principles of realist synthesis was used during two phases of the study to identify and test what works and in what circumstances.

settingOne National Health Service Trust in South East England.

participantsCPD stakeholders including professional regulatory bodies (n = 8), commissioners of healthcare (n = 15), facilitators of clinical skills development (n = 34), NHS staff in clinical leadership positions (n = 38), NHS staff undertaking skills development post graduate programs (n = 31), service user advocates (n = 8) and an international expert reference group (ERG) (n = 10).

methodsData sources included a review of scholarly and grey literature, an online survey and a consensus workshop. Thematic and content analyses were used during data processing.

resultsThe findings present four interdependent transformation theories comprising transforming individual practice, skills for the changing healthcare contexts, knowledge translation and workplace cultures to optimize learning, development and healthcare performance.

conclusionsThe transformation theories contextualize CPD drivers and identify conditions conducive for effective CPD. Practitioner driven CPD in healthcare is effective within supportive organizations, facilitated workplace learning and effective workplace cultures. Organizations and teams with shared values and purpose enable active generation of knowledge from practice and the use of different types of knowledge for service improvements.

Indexed as

LearningClinical CompetenceConsensus Statements as TopicEnglandHealth Knowledge, Attitudes, PracticeHealth PersonnelHumansNational Health ProgramsOrganizational CultureQualitative ResearchStaff DevelopmentSurveys and QuestionnairesCase studyContinuing professional developmentEducationRealist synthesisTransformation theoriesWorkplace learning

Identifiers

PMID30059819
PMCPMC6278905

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.