Variables Influencing the Likelihood of Practice Change after Continuing Education

2.50
Hdl Handle:
http://hdl.handle.net/10755/158597
Type:
Presentation
Title:
Variables Influencing the Likelihood of Practice Change after Continuing Education
Abstract:
Variables Influencing the Likelihood of Practice Change after Continuing Education
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2002
Author:Farrah, Shirley
P.I. Institution Name:University of Missouri-Columbia
Title:Assistant Professor
Contact Address:Sinclair School of Nursing, S266 Nursing Building, Columbia, MO, 65211, USA
Contact Telephone:573.882.0215
Continual learning is an accepted responsibility of the nurse. Nurses must make sound decisions based on their knowledge and skills, and demonstrate ability to translate knowledge into practice. This is challenging as the half-life of professional knowledge is estimated to be fewer than three years. Traditional models to determine implementation of learning after continuing education (CE) participation focus almost solely on the nature of the CE program. Cervero suggests this overly simplistic approach may contribute to the conflicting empirical findings concerning the link between CE and nursing practice. This study was conducted to identify and measure the variables nurses believed were most likely to influence their practice, and to examine Cervero's comprehensive model of continuing professional education. The sample consisted of 344 randomly selected hospital-based staff nurses, all of whom had been an RN for at least three years. Salant and Dillman's Total Survey Design method, whereby four individually stamped first class mailings sent at explicit intervals, was used. Using a researcher-developed 37-item instrument (r=.90), 12 items were identified as most important in influencing practice change. The top three items were potential benefit to the patient, perceived value of the proposed change, and extent to which the change addressed a relevant practice problem. A unifying theme among the three items was their strong practice orientation. All four of Cervero's categories (learner, CNE program, proposed change, and social system) were represented in the top 12 items with items related to proposed change and social system rated highest. A Principal Components Analysis with Varimax rotation resulted in five subscales and accounted for 47 % of the explained variance. The findings provide early evidence of the instrument's usefulness to measure likelihood of practice change, and reinforce the usefulness of Cervero's notion of a multivariate framework when studying the CE-practice change relationship.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Midwest Nursing Research Society

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleVariables Influencing the Likelihood of Practice Change after Continuing Educationen_GB
dc.identifier.urihttp://hdl.handle.net/10755/158597-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Variables Influencing the Likelihood of Practice Change after Continuing Education</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Midwest Nursing Research Society</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2002</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Farrah, Shirley</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Missouri-Columbia</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Assistant Professor</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">Sinclair School of Nursing, S266 Nursing Building, Columbia, MO, 65211, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">573.882.0215</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">FarrahS@missouri.edu</td></tr><tr><td colspan="2" class="item-abstract">Continual learning is an accepted responsibility of the nurse. Nurses must make sound decisions based on their knowledge and skills, and demonstrate ability to translate knowledge into practice. This is challenging as the half-life of professional knowledge is estimated to be fewer than three years. Traditional models to determine implementation of learning after continuing education (CE) participation focus almost solely on the nature of the CE program. Cervero suggests this overly simplistic approach may contribute to the conflicting empirical findings concerning the link between CE and nursing practice. This study was conducted to identify and measure the variables nurses believed were most likely to influence their practice, and to examine Cervero's comprehensive model of continuing professional education. The sample consisted of 344 randomly selected hospital-based staff nurses, all of whom had been an RN for at least three years. Salant and Dillman's Total Survey Design method, whereby four individually stamped first class mailings sent at explicit intervals, was used. Using a researcher-developed 37-item instrument (r=.90), 12 items were identified as most important in influencing practice change. The top three items were potential benefit to the patient, perceived value of the proposed change, and extent to which the change addressed a relevant practice problem. A unifying theme among the three items was their strong practice orientation. All four of Cervero's categories (learner, CNE program, proposed change, and social system) were represented in the top 12 items with items related to proposed change and social system rated highest. A Principal Components Analysis with Varimax rotation resulted in five subscales and accounted for 47 % of the explained variance. The findings provide early evidence of the instrument's usefulness to measure likelihood of practice change, and reinforce the usefulness of Cervero's notion of a multivariate framework when studying the CE-practice change relationship.</td></tr></table>en_GB
dc.date.available2011-10-26T21:12:44Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T21:12:44Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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