American Journal of Nursing Research
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American Journal of Nursing Research. 2020, 8(2), 227-244
DOI: 10.12691/ajnr-8-2-12
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Evaluating the Impact of Continuing Professional Development within Intensive Care Unit Nurses in the UK

Hamad Hussain Alshahrani1,

1Science in Nursing, University of Salford

Pub. Date: February 04, 2020

Cite this paper:
Hamad Hussain Alshahrani. Evaluating the Impact of Continuing Professional Development within Intensive Care Unit Nurses in the UK. American Journal of Nursing Research. 2020; 8(2):227-244. doi: 10.12691/ajnr-8-2-12


Background: Continuing Professional Development (CPD) within a nursing context is the process by which nurses engage in ongoing activities and reflection that may eventually result in a complete control over an individual’s personal leaning and development. Such course of action actualises working context and acts as a source of inspiration and a motivation towards the achievement of goals and objectives within the Intensive Care Unit (ICU) nursing context. Objective: The aim of this systematic literature review is to find out the impact of CPD among ICU nurses in the United Kingdom (UK). Methods: To achieve this aim, an online investigation for literature related to CPD in the UK is done using databases and internet search engines. In total, five academic databases proved to be important in isolation of materials for use in addressing the CPD of ICU nurses in the UK. These academic databases included MEDLINE, Cochrane, PubMed, CINAHL, and ProQuest, all of which provided multilingual academic sources of both primary and secondary data about CPD and associated programmes. The search strategy also employed the use of five academic search engines, which included Google, Yahoo, Bing,, and Baidu, again, all of which provided multilingual data regarding the selected topic. The inclusion and exclusion criterion is employed to outline in this paper. Results: Eight academic sources is selected to discuss the provision of CPD in the UK, outline the views of ICU nurses regarding CPD and to address the various barriers facing CPD programmes in the UK. Conclusion: The research concluded that CPD programmes are very beneficial to practicing nurses since they keep the nurses’ knowledge and skills up to date considering the changing nursing practice. The overall view of nurses regarding CPD is that the programmes should be retained and continued for a better nursing workforce. Certain barriers were identified as key to interfering with the provision of CPD among ICU nurses including financial constraints, nursing shortage and lack of adequate time due to improper scheduling.

continuing professional development intensive care unit practicing nurses

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[1]  Bjørk, I. T., Tørstad, S., Hansen, B. S., & Samdal, G. B. (2009). Estimating the cost of professional developmental activities in health organizations. Nursing Economics, 27(4), 239.
[2]  Brekelmans, G., Poell, R. F., & Kees, v. W. (2013). Factors influencing continuing professional development. European Journal of Training and Development, 37(3), 313-325.
[3]  Addicott, R. (2012). Delivering better end-of-life care in England: Barriers to access for patients with a non-cancer diagnosis. Health Economics, Policy and Law, 7(4), 441-54.
[4]  Diehi-Oplinger, L., & Kaminski, M. F. (2000). Need critical care nurses? Inquire within. Nurs Manage, 31(3). Retrieved from
[5]  Friedman, A. L. (2013). Continuing professional development.
[6]  Harriss, A. (2014). What nursing and midwifery council revalidation means for OH nurses. Occupational Health, 66(9), 27-29.
[7]  Mizuno-Lewis, S., Kono, K., Lewis, D. R., Gotoh, Y., Hagi, N., Sato, M., … Kondo, N. (2014). Barriers to continuing education and continuing professional development among occupational health nurses in Japan. Workplace Health & Safety, 62(5), 198–205.
[8]  Lammintakanen, J., & Kivinen, T. (2012). Continuing professional development in nursing: does age matter? Journal of workplace learning, 24(1), 34-47.
[9]  Laschinger, H. K. S., Leiter, M., Day, A., & Gilin, D. (2009). Workplace empowerment, incivility, and burnout: Impact on staff nurse recruitment and retention outcomes. Journal of Nursing Management, 17(3), 302-311.
[10]  Walston, S. L., Chou, A. F., Khaliq, A. A., & Terrell, G. L., (2010). Factors affecting the continuing education of hospital CEOs and their senior Managers/practitioner application. Journal of Healthcare Management, 55(6), 413-27; discussion 427-8.
[11]  Harber, P., Alongi, G., & Su, J. (2014). Professional activities of experienced occupational health nurses. Workplace Health & Safety, 62(6), 233-242.
[12]  Chope, R. C. (2008). Practice and research in career counseling and development-2007. The Career Development Quarterly, 57(2), 98-173.
[13]  Umble, K. E., & Dooley, L. M. (2004). Planning human resource development and continuing professional education programs that use educational technologies: Voices that must be heard. Advances in Developing Human Resources, 6(1), 86-100.
[14]  Murphy, C., Cross, C., & McGuire, D. (2006). The motivation of nurses to participate in continuing professional education in Ireland. Journal of European Industrial Training, 30(5), 365-384.
[15]  Khalifa, R. (2013). Intra-professional hierarchies: The gendering of accounting specialisms in UK accountancy. Accounting, Auditing & Accountability Journal, 26(8), 1212-1245.
[16]  Allnutt, J., Allnutt, N., McMaster, R., O'Connell, J., Middleton, S., Hillege, S., & Gardner, A. (2010). Clients' understanding of the role of nurse practitioners. Australian Health Review, 34(1), 59-65.
[17]  McNamara, R., Robling, M., Hood, K., Bennert, K., Channon, S., Cohen, D., . . . Gregory, J. W. (2010). Development and evaluation of a psychosocial intervention for children and teenagers experiencing diabetes (DEPICTED): A protocol for a cluster randomised controlled trial of the effectiveness of a communication skills training programme for healthcare professionals working with young people with type 1 diabetes. BMC Health Services Research, 10, 36.
[18]  Briggs, D., Cruickshank, M., & Paliadelis, P. (2012). Health managers and health reform. Journal of Management and Organization, 18(5), 641-658.
[19]  Ebenezer, C. (2015). Nurses' and midwives' information behaviour: A review of literature from 1998 to 2014. New Library World, 116(3), 155-172.
[20]  Urquhart, C. J., Cox, A. M., & Spink, S. (2007). Collaboration on procurement of e-content between the National Health Service and higher education in the UK. Interlending & Document Supply, 35(3), 164-170.
[21]  Hernández, R.A., Jenkinson, D., Vale, L., & Cuthbertson, B. H. (2014). Economic evaluation of nurse-led intensive care follow-up programmes compared with standard care: The practical trial. The European Journal of Health Economics: HEPAC, 15(3), 243-52.
[22]  Bennett, C. L., Burke, S. E., Burton, H., & Farndon, P. A. (2010). A toolkit for incorporating genetics into mainstream medical services: Learning from service development pilots in England. BMC Health Services Research, 10, 125.
[23]  Bingham, C., Clarke, L., Michielsens, E., & Van, d. M. (2013). Towards a social model approach? Personnel Review, 42(5), 613-637.
[24]  Bamford, R. (2014). Ethical review of health systems research: Vulnerability and the need for philosophy in research ethics. The American Journal of Bioethics, 14(2), 38-39.
[25]  Bamber, M. (2014). What motivates Chinese women to study in the UK and how do they perceive their experience? Higher Education, 68(1), 47-68.
[26]  Dadich, A., & Hosseinzadeh, H. (2013). Healthcare reform: Implications for knowledge translation in primary care. BMC Health Services Research, 13, 490.
[27]  Reader, T. W., Flin, R., Mearns, K & Cuthbertson, B. H. (2007). Interdisciplinary communication in the intensive care unit. British Journal of Anesthesia, 98(3), 347-352.
[28]  Cable, C., Dickson, C., & Morris, G. (2015). Inspiring undergraduates towards a career in community nursing. Nursing Management (2014+), 22(6), 18.
[29]  Hutten, R., Parry, G. D., Ricketts, T., & Cooke, J. (2015). Squaring the circle: A priority-setting method for evidence-based service development, reconciling research with multiple stakeholder views. BMC Health Services Research, 15.
[30]  Matthews, D. (2010). The changing face of public sector employment 1999-2009. Economic & Labour Market Review, 4(7), 28-35.
[31]  Newham, A. (2015). Gender changes. Occupational Health, 67(7), 27-29.
[32]  Alleyne, J., & Bonner, A. (2009). Occupational health nurses' roles, credentials, and continuing education in Ontario, Canada. AAOHN Journal, 57(9), 389-95.
[33]  Coulson-Thomas, C. (2010). Transforming productivity and performance in healthcare and other public services: How training and development could make a more strategic contribution. Industrial and Commercial Training, 42(5), 251-259.
[34]  Kelsey, C. (2015). Training practice teachers in OH. Occupational Health, 67(9), 21-23.
[35]  Lakanmaa, R., Suominen, T., Ritmala-Castrén, M., Vahlberg, T. & Leino-Kilpi, H. (2015). Basic Competence of Intensive Care Unit Nurses: Cross-Sectional Survey Study. Journal of BioMed Research International, 1-12.
[36]  Younger, P. (2010). Internet-based information-seeking amongst doctors and nurses: a short review of the literature. Health Information and Libraries Journal, 27(1), 2-10.
[37]  Meyer, E., Lees, A., Humphris, D. & Connell, N. A. D. (2007). Opportunities and barriers to successful learning transfer: impact of critical care skills training. Journal of Advanced Nursing, 60(3), 308-316.
[38]  Joyce, P. & Cowman, S. (2007). Continuing professional development: investment or expectation? Journal of Nursing Management, 15(6), 626-633.
[39]  Hunter, J. D., Goddard, C., Rothwell, M., Ketharaju, S. & Cooper, H. (2010). A survey of intensive care unit visiting policies in the United Kingdom. Journal of the Association of Anesthetists of Great Britain and Ireland, 65(11), 1101-1105.
[40]  Cooper, E., (2009). Creating a culture of professional development: A milestone pathway tool for registered nurses. The Journal of Continuing Education in Nursing, 40(11), 501-508.
[41]  Lannon, S. L. (2007). Leadership Skills beyond the bedside: Professional development classes for the staff nurse. The Journal of Continuing Education in Nursing, 38(1), 17-21.
[42]  Carlisle, J., Bhanugopan, R., & Fish, A. (2011). Training needs of nurses in public hospitals in Australia. Journal of European Industrial Training, 35(7), 687-701.
[43]  Romano-Woodward, D. (2011). Fitness protection scheme. Occupational Health, 63(9), 16-18.
[44]  Horan, S. (2007). Ring in the old. Occupational Health, 59(2), 12-14.
[45]  Friese, T., & Ailey, S. (2015). Specific standards of care for adults with intellectual disabilities. Nursing Management (2014+), 22(1), 32.
[46]  Dadich, A., & Hosseinzadeh, H. (2013). Healthcare reform: Implications for knowledge translation in primary care. BMC Health Services Research, 13, 490.
[47]  Davies, N. (2015). Lessons from school: What nurse leaders can learn from education. Nursing Management (2014+), 22(4), 34.
[48]  Johnson, G. (2012). Learn to stay up to date. Occupational Health, 64(9), 16-18.
[49]  Tien, H. S. (2007). Practice and research in career counseling and development-2006. The Career Development Quarterly, 56(2), 98-140.
[50]  Woolnough, H. M., & Fielden, S. L. (2014). The impact of a career development and mentoring programme on female mental health nurses. Gender in Management, 29(2), 108-122.
[51]  Fragar, L. J., & Depczynski, J. C. (2011). Beyond 50. Challenges at work for older nurses and allied health workers in rural australia: A thematic analysis of focus group discussions. BMC Health Services Research, 11, 42.
[52]  Bell, L. (2007). Training managers constructing their identities in English health and care agencies. Equal Opportunities International, 26(4), 287-304.
[53]  Butterworth, C., Henderson, J., & Minshell, C. (2008). Be a VIP. Occupational Health, 60(8), 32-33.
[54]  Wright, S. G. (2007). Developing nursing: The contribution to quality. International Journal of Health Care Quality Assurance, 20(1), 53-60.
[55]  Black, G. S., & Bahl, A. (2010). Lack of optimism among marketing students vs. other students. Management & Marketing, 5(4), 29-66.
[56]  Vachon, B., Désorcy, B., Camirand, M., Rodrigue, J., Quesnel, L., Guimond, C., . . . Grimshaw, J. (2013). Engaging primary care practitioners in quality improvement: Making explicit the program theory of an interprofessional education intervention. BMC Health Services Research, 13, 106.
[57]  Berg, E. B., Jim J. J., & John J. (2008). New public management and social work in Sweden and England. The International Journal of Sociology and Social Policy, 28(3), 114-128.
[58]  Broady-Preston, J. (2010). The information professional of the future: Polymath or dinosaur? Library Management, 31(1), 66-78.
[59]  Burgess, T., Young, M., Crawford, G., Brooksbank, M., & Brown, M. (2013). Best-practice care for people with advanced chronic obstructive pulmonary disease: The potential role of a chronic obstructive pulmonary disease care co-ordinator. Australian Health Review, 37(4), 1-81.
[60]  Occupational health awards 2013. (2014). Occupational Health, 66(2), 14-16.
[61]  Pati, A. (2014). Recruits from outside Europe face tick-box exercises to work. Nursing Management (2014+), 21(6), 10.
[62]  Ogunleye, J. (2013). Workplace learning as a linchpin of europe's lifelong learning policy. Higher Education, Skills and Work - Based Learning, 3(3), 180-195.
[63]  O'Connor, K. (2007). Make sure OH doesn't lose out to NMC. Occupational Health, 59(12), 12.
[64]  Humphrey, C., & Miller, P. (2012). Rethinking impact and redefining responsibility. Accounting,Auditing & Accountability Journal, 25(2), 295-327.
[65]  Dalheim, A., Harthug, S., Nilsen, R. M., & Nortvedt, M. W. (2012). Factors influencing the development of evidence-based practice among nurses: A self-report survey. BMC Health Services Research, 12(1).
[66]  Sambrook, S. (2007). Exploring HRD in two welsh NHS trusts. Journal of Health Organization and Management, 21(4), 418.
[67]  Hannes, K., Lockw ood, C., & Pearson, A. (2010). A comparative analysis of three online appraisal instruments’ ability to assess validity in qualitative research. Qualitative Health Research, 20(12), 1736-1743. doi:10.1177/1049732310378656
[68]  Parkes, J., & O'Dell, C. (2015). Introducing students to clinical audit. Nursing Management (2014+), 22(7), 22.
[69]  Stuckey, H. L., & Nobel, J. (2010). The connection between art, healing, and public health: A review of current literature. American Journal of Public Health, 100(2), 254-63.
[70]  Middleton, L., Ryley, N., & Llewellyn, D. (2015). Revalidation: A university health board's learning from pilot partner engagement. Nursing Management (2014+), 22(5), 24.
[71]  Edmonstone, J. (2009). Evaluating clinical leadership: A case study. Leadership in Health Services, 22(3), 210-224.
[72]  Jackson, B., & Hancock, P. (2007). Master piece. Occupational Health, 59(4), 22-24.
[73]  Johnson, L., & Campbell-Stephens, R. (2013). Developing the next generation of black and global majority leaders for London schools. Journal of Educational Administration, 51(1), 24-39.
[74]  Poon, J. (2012). Use of blended learning to enhance the student learning experience and engagement in property education. Property Management, 30(2), 129-156.
[75]  Bar-Zeev, S., Kruske, S. G., Barclay, L. M., Bar-Zeev, N., & Kildea, S. V. (2013). Adherence to management guidelines for growth faltering and anaemia in remote dwelling Australian aboriginal infants and barriers to health service delivery. BMC Health Services Research, 13, 250.
[76]  de Castro, A B, Shapleigh, E., Bruck, A., & Salazar, M. (2015). Developing blended online and classroom strategies to deliver an occupational health nursing overview course in a multi-state region in the United States. Workplace Health & Safety, 63(3), 121-126.
[77]  McCray, J., & Palmer, A. (2009). Developing a work-based leadership programme in the UK social care sector. Journal of Workplace Learning, 21(6), 465-476.