The Relationship between Structural and Psychological Empowerment and Participation in Continuing Professional Development in Oncology Nurses

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Deirdre Montgomery
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1 The Relationship between Structural and Psychological Empowerment and Participation in Continuing Professional Development in Oncology Nurses Doreen Tapsall, Distinguished Professor Patsy Yates, Associate Professor Kimberly Alexander

2 Overview Study background Literature review/research gap Theoretical framework Research methodology Research findings Research significance Recommendations

3 Study background Education of nurses Nursing and Midwifery Board of Australia Participation in continuing professional development (CPD) Various reasons identified for participation What are the outcomes of CPD Workplace environment

4 AIM To identify variables influencing registered nurses uptake of CPD in cancer nursing. OBJECTIVES Describe the relationship between structural empowerment and participation in CPD activities of registered nurses in cancer nursing. Describe the relationship between psychological empowerment and participation in CPD activities of registered nurses in cancer nursing.

5 Research question What is the relationship between participation in CPD, structural and psychological empowerment?

6 Literature Review Continuing professional development (CPD) Empowerment

7 Theoretical Framework Theory of Structural Power in Organisations Formal Power Informal Power Access to particular organisational structures Access to information Access to support Access to resources Access to opportunity (Kanter,1977,1993) Psychological Empowerment Theory Meaning Competence Autonomy Impact (Spreitzer,1995)

8 Methodology Stage One Stage Two AIM: Develop a tool to measure the degree of participation in CPD. Participation in Continuing Professional Development Survey AIM: Identify variables influencing registered nurses participation in CPD and outcomes of CPD.

9 Participation in Continuing Professional Development (PCPD) Survey Type of CPD Short courses Research studies In-service education for mandatory competencies In-service education for professional learning specific to cancer nursing Seminars/ Workshops Conferences Visits to other clinical centres for professional development Reflective practice or clinical supervision groups Meetings related to practice improvement Reading the literature Quality improvement projects related to cancer nursing Project work Journal clubs Presentations at conferences

10 Item Expert 1 Expert 2 Expert 3 Expert 4 Expert 5 Expert 6 Number in agreement Item CVI 1 X X X X - X X X X X X X X X X X - X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X - X X X X X X X X X X X X X X X X X X X Mean I-CVI 0.97 S-CVI/UA 0.97 Proportion Relevant: Mean expert proportion 0.97

11 Major demographic findings of study participants Characteristics Percent Gender: Female 98.1 Age: over 40 years old 75.9 Nursing experience: 10 years Cancer nursing experience:10 years Geographical workplace location: Metropolitan 68.7 Workplace type: Public 70.6 Area of practice: Inpatient 16.7 Current role: Senior roles (Clinical Nurse Specialist and above) 77.8 Cancer specialty: Combined modalities 49.7

12 Formal qualifications and current participation in formal education

13 Summary of participation in continuing professional development activities>1 annually

14 Participation in CPD activities and participants years in cancer nursing *P < 0.05, **P < 0.01, ***P <0.001

15 Participation in CPD activities and participants area of practice *P < 0.05, **P < 0.01, ***P <0.001

16 Participation in CPD activities and participants current role *P < 0.05, **P < 0.01, ***P <0.001

17 Participation in CPD activities and participants qualifications *P < 0.05, **P < 0.01, ***P <0.001

18 Structural and Psychological Empowerment Mean Scores *P < 0.05, **P < 0.01, ***P <0.001 Structural empowerment: 6-13 low, moderate, high Psychological empowerment: 4-10 low, moderate, high

19 Psychological Empowerment and participants demographics *P < 0.05, **P < 0.01, ***P <0.001

20 Relationship between participation in CPD, demographics, and empowerment

21 General linear regression predicting participation in continuing professional development

22 Significance and Recommendations Implications for Organisations Empowering workplaces enable registered nurses to invest in innovative behaviours, including engagement in learning This will enhance their ability to respond more effectively to the needs of the public and the requirements of the profession Findings from this study will inform stakeholders of strategies that can assist in increasing the uptake of continuing professional development activities in cancer nursing. Implication for future research Adding to existing literature Gives insight re workplace environments within the Australian context

Continuing Professional Development. FAQs

4 May, 2010. Continuing Professional Development FAQs Q1. What is Continuing Professional Development (CPD)? A. Continuing professional development is the means by which members of the profession maintain,