Nurses', midwives' and key stakeholders' experiences and perceptions on requirements to demonstrate the maintenance of professional competence

Abstract

Accepted ArticleThis article has been accepted for publication and undergone full peer review but has not been through the copyediting, typesetting, pagination and proofreading process, which may lead to differences between this version and the Version of Record. Please cite this article as doi: 10.1111/jan.13171 This article is protected by copyright. All rights reserved. Conflict of interestNo conflict of interest has been declared by the authors.Aim. To present the qualitative findings from a study on the development of scheme(s) to provide evidence of maintenance of professional competence for nurses and midwives.Background. Key issues in maintenance of professional competence include notions of selfassessment, verification of engagement and practice hours, provision of an evidential record, the role of the employer and articulation of possible consequences for non-adherence with the Accepted ArticleThis article is protected by copyright. All rights reserved.requirements. Schemes to demonstrate the maintenance of professional competence have application to nurses, midwives and regulatory bodies and healthcare employers worldwide.Design. A mixed methods approach was used. This included an online survey of nurses and midwives and focus groups with nurses and midwives and other key stakeholders. The qualitative data are reported in this paper.Methods. Focus groups were conducted among a purposive sample of nurses, midwives and key stakeholders from January -May 2015. A total of thirteen focus groups with 91 participants contributed to the study.  A framework for continuing professional competence should include; self-assessment, specified number of practice hours, a portfolio of evidence, evidence of CPD and evidence of learning through use of reflection How should the findings be used to influence policy/practice/research/education?  Findings will influence policy development in terms of a national framework for monitoring and maintaining continuing professional competence of nurses and midwives to protect the public. Increased professional awareness of the roles of the Regulatory body, the employer and the individual nurse and midwife in developing and maintaining professional competence.

The experiences of the agency registered nurse: An integrative literature review

“…The onus for each nurse in maintaining ongoing professional development includes improving knowledge, skills and attitudes relevant to practice (NMBA, ). Casey et al () highlight that continuous professional development must be grounded in theoretical learning, skill development and application to practice. Choosing to work as an agency RN may prove challenging especially with the variety of allocated clinical settings, but any change in situation provides an opportunity for learning and viewing things from different perspectives (Ross et al, ).…”

Factors Affecting the Professionalism of Midwifery Students

“…Application fields and the extent of these applications are important in the midwives showing constant professional development. Thus, there is a requirement for the students to pass through theoretical learning and practical application during the training period in Turkey (Casey et al, 2017). The success of the healthcare service is dependent on the care providing midwives' going through a quality training process (Merih and Arslan 2012).…”

Clinical Dental Faculty Members’ Perceptions of Diagnostic Errors and How to Avoid Them

“…Although an incident occurred that could have potentially lead to a more harmful event, the participants felt that if no harm came to the patient due to good recovery skills, it did not imply a diagnostic error. 41,42 The breakdown of communication among colleagues or between the provider and the patient is also known to lead to problematic situations. 37 Our interviews found differing perceptions of dental diagnostic errors and suggested that a common language and understanding would be beneficial to the profession.…”

“…The knowledge and skill of the dental professional, such as recognizing one's limitations and succumbing to cognitive biases, 40 are welldocumented factors that may lead to errors. 41,42 The breakdown of communication among colleagues or between the provider and the patient is also known to lead to problematic situations. 43,44 From an organizational perspective, deficiencies may include lack of adequate diagnostic tools and aids such as digital radiography, electronic health records 38 with standardized diagnostic terminology, 45 or working in a rural or isolated setting where a practitioner does not have immediate access to other colleagues or specialists to discuss complicated cases.…”