Improving Rural Nurse Practitioner Knowledge About Polycystic Ovary Syndrome Through Continuing Education

Carron, R; Simon, Nellie; Gilman-Kehrer, Esther; Boyle, Diane K.

doi:10.3928/00220124-20180320-06

Cited by 5 publications

(14 citation statements)

References 15 publications

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“…4 Many previous studies have shown evidence of CME effectiveness in improving healthcare workers' knowledge, capacities or performance and patients' health outcomes. [5][6][7][8][9] However, the CME system also faces challenges, such as various needs or expectations from healthcare workers. [10][11][12][13][14][15] In China, unlike the USA, 16 Australia 17 18 and European countries, 19 there is not a complete CME system for healthcare workers, 2 20 21 let alone for rural healthcare workers (RHWs).…”

Section: Strengths and Limitations Of This Studymentioning

confidence: 99%

Continuing medical education and work commitment among rural healthcare workers: a cross-sectional study in 11 western provinces in China

Liu

2020

BMJ Open

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ObjectivesContinuing medical education (CME) and work commitment are important for rural healthcare workers (RHWs) and rural medical work. The significant association between continuing education and work commitment has been reported in many studies from several different industries. However, very few studies have analysed the association of CME with work commitment among healthcare workers, let alone among RHWs. This study aimed to identify the significance of CME for the work commitment of RHWs (doctors and nurses) in China.Design and settingThe cross-sectional study interviewed RHWs from 11 western provinces in China.ParticipantsIn total, 4118 RHWs, consisting of 2490 doctors and 1628 nurses who were working clinically, were included in the study.Primary outcome measuresWork commitment (ie, the relative importance of work to one’s sense of self) focussing on the affective component was the dependent variable, and it included four subdomains: pride, concern, and dedication, extracted by exploratory factor analysis of a 5-point Likert scale, and turnover intent, measured by a dichotomous question. CME (ie, a variety of educational and training activities to maintain, develop or increase knowledge, skills and professional performance and relationships) was the independent variable, including three subdomains: opportunity, participation and expectation, measured by three dichotomous questions.ResultsOf the 4118 respondents, 91.2% reported insufficient opportunities for CME, 21.3% had never participated in CME and 83.3% had a high expectation of CME. The mean scores of pride in, concern for and dedication to work were 3.54, 3.81 and 3.61 (out of a maximum of 5), respectively, and 30.6% presented turnover intent. After adjusting for gender, age, marriage, education, technical title, income and type of rural healthcare organisation, the multivariate analyses suggested that there was a significant positive association between CME and work commitment among RHWs. RHWs who had a significant high-level work commitment were those who reported a sufficient opportunity for CME (β and 95% CI for pride in, concern for and dedication to work: 0.33, 0.23 to 0.43; 0.19, 0.09 to 0.28; and 0.25, 0.15 to 0.35), had participated in CME (β and 95% CI for pride in, concern for and dedication to work: 0.11, 0.04 to 0.19; 0.09, 0.02 to 0.15; and 0.10, 0.03 to 0.17) and had a high expectation of CME (β and 95% CI for pride in, concern for and dedication to work: 0.22, 0.15 to 0.30; 0.21, 0.13 to 0.28; and 0.28, 0.20 to 0.36), and having sufficient opportunities for CME significantly increased the odds of having no turnover intent (OR and 95% CI: 1.70, 1.26 to 2.28). Age, marriage, education, technical title, income and type of rural healthcare organisation were significantly associated with the work commitment of RHWs. Differences were observed between rural doctors and nurses in the association of CME with work commitment.ConclusionsCME has a significant positive association with the work commitment of RHWs in China. RHWs’ work commitment should be further improved in future rural health workforce management. In addition, governments, healthcare organisations and professional associations should establish a professional and complete CME system in China to provide sufficient opportunities for CME for RHWs, encourage them to participate and meet their expectations.

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Section: Strengths and Limitations Of This Studymentioning

confidence: 99%

Continuing medical education and work commitment among rural healthcare workers: a cross-sectional study in 11 western provinces in China

Liu

2020

BMJ Open

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“…While around 95% of physicians surveyed in the United States and Europe are aware of type 2 diabetes risk with PCOS, 9 40 examination of rural nurse practitioners in the United States observed that only ∼40% of the nurse practitioners recognized PCOS as a risk factor for type 2 diabetes mellitus. 48 Given their common clinical setting in family practice, internal medicine, and women's health, continued education for nurse practitioners on the diagnosis and comorbidities of PCOS may greatly reduce diagnostic delays and prevent comorbidities of PCOS. 48 A survey of 200 young nurses in Pakistan found that 40% had poor or no knowledge of PCOS.…”

Section: Resultsmentioning

confidence: 99%

“…48 Given their common clinical setting in family practice, internal medicine, and women's health, continued education for nurse practitioners on the diagnosis and comorbidities of PCOS may greatly reduce diagnostic delays and prevent comorbidities of PCOS. 48 A survey of 200 young nurses in Pakistan found that 40% had poor or no knowledge of PCOS. 49 A recent qualitative study in allied health professionals (dietitians, physical therapists, and psychologists) from Australia explored their experience with the implementation of lifestyle recommendations since the 2018 International PCOS Guideline recommendations came into effect.…”

Section: Resultsmentioning

confidence: 99%

Bridging the Information Gap in Polycystic Ovary Syndrome: A Narrative Review with Systematic Approach

Tay,

Williams,

Mousa

et al. 2023

Semin Reprod Med

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Polycystic ovary syndrome (PCOS) is a complex endocrinopathy with wide-ranging implications for affected individuals. Literature has shown that patients with PCOS are dissatisfied with the health information provided to them and that healthcare professionals lack adequate knowledge. In this narrative review with systematic approach, we explored the unmet information needs in PCOS care for both patients and healthcare professionals. A comprehensive search of databases yielded 41 relevant studies, predominantly of observational and qualitative design. Adults and adolescents with PCOS desire wide ranging health information and express a keen desire for weight management guidance. Importantly, discussions surrounding weight should be addressed knowledgeably and without weight bias. Therefore, healthcare professionals should facilitate access to comprehensive evidence-based resources. Lack of information drives PCOS-related online searches. Referral to support groups that promote individual agency in the self-management aspects of PCOS can furthermore guide patient resource acquisition. Patients prefer guidance from professionals that understand the psychosocial complexity of PCOS and can empathize with experiences of stigmatization or even marginalization depending on the cultural context of the individual. The findings informed the 2023 International Evidence-Based PCOS Guideline, recommending patient-centered communication, evidence-based information resources, and culturally sensitive approaches to optimize PCOS care.

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“…In addition, evaluation questions were used in the studies conducted by Anderson (2014), Bednarczyk et al (2022), Johnson (2014), and Klein and Bindler (2022. Improved knowledge about continuing education topics was evident in participants of all intervention studies (Anderson, 2014;Bednarczyk et al, 2022;Boesl & Saarinen, 2016;Buriak et al, 2015;Carron et al, 2018;Choma & McKeever, 2015;Claiborne, 2016;Hessler, 2015;Hoffmann et al, 2018;Johnson, 2014;Klein & Bindler, 2022;Pietras et al, 2023;Roberts et al, 2022;Roberts et al, 2023). While some continuing education interventions were found to be high quality and usable (e.g.…”

Section: Continuing Education Interventions For Apn Rolesmentioning

confidence: 96%

Continuing education for advanced practice nurses: A scoping review

Wright,

Kvist,

Imeläinen

et al. 2023

Journal of Advanced Nursing

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AimThe aim of the study was to identify the nature and extent of scientific research addressing continuing education for advanced practice nurses.DesignA scoping review.Review MethodsThe Joanna Briggs Institute's methodology for scoping reviews.Data SourcesElectronic search was conducted on 17 September 2023 via CINAHL, PsycINFO, PubMed, Scopus, Web of Science, Cochrane Library and the Joanna Briggs Institute's Evidence‐Based Practice Database for research articles published between 2012 and 2023.ResultsNineteen papers were included in this review. Scientific research on continuing education for advanced practice nursing roles (i.e. nurse practitioner, clinical nurse specialist) has primarily been conducted in the United States and mostly addresses online‐delivered continuing education interventions for clinical care competency. Most of the interventions targeted nurse practitioners.ConclusionContinuing education has a pivotal role in supporting advanced practice nursing competency development. In addition to clinical care, future continuing education research should focus on other advanced practice nursing competencies, such as education, leadership, supporting organizational strategies, research and evidence implementation.Implications for the Profession and/or Patient CareContinuing education programmes for advanced practice nurses should be rigorously developed, implemented and evaluated to support the quality and effectiveness of patient care.ImpactContinuing education for advanced practice nursing roles is an understudied phenomenon. This review highlights future research priorities and may inform the development of continuing education programmes.Reporting MethodPRISMA‐ScR.

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Improving Rural Nurse Practitioner Knowledge About Polycystic Ovary Syndrome Through Continuing Education

Abstract: Continuing education presentations have the potential to increase rural NPs' knowledge about PCOS so they can provide evidence-based care to rural women with PCOS. J Contin Educ Nurs. 2018;49(4):164-170.

Cited by 5 publications

References 15 publications

Continuing medical education and work commitment among rural healthcare workers: a cross-sectional study in 11 western provinces in China

Continuing medical education and work commitment among rural healthcare workers: a cross-sectional study in 11 western provinces in China

Bridging the Information Gap in Polycystic Ovary Syndrome: A Narrative Review with Systematic Approach

Continuing education for advanced practice nurses: A scoping review

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