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Volume 45, Issue 1, August 2013
Copyright © eContent Management Pty Ltd. Contemporary Nurse (2013) 45(1): 33–45.
I
n 2005, the Council of Australian Governments
(COAG) published their investigation into
the growing pressures on Australia’s health sys-
tem (Productivity Commission, 2005). With
concerns rising about whether all sectors of the
Australian population have, or will continue to
have, equal access to high quality and safe health
care, the Australian government recognised a
range of social and workforce demands including
Australia’s ageing population, changes in health
issues, increased community expectations, an
ageing health workforce, and advances in medi-
cal technology and models of care (Productivity
Commission, 2005).
A number of identified workforce demands
related to the recruitment, education, retraining
and retention of nurses and midwives. For exam-
ple, between 2007–2011 the average age of nurses
and midwives increased from 43.7 to 44.5 years,
with the proportion of nurses and midwives aged
50 years and over rising from 33% to 38.6%
(Australian Institute of Health and Welfare, 2012).
Additionally, the Productivity Commission’s
(2005) report noted increasing workforce short-
ages within the nursing profession.
Continuing professional development in nursing in Australia: Current
awareness, practice and future directions
MARY KATSIKITIS*, MARGARET MCALLISTER
+
, RACHAEL SHARMAN*, LISA RAITH*,
ANNETTE FAITHFULL-BYRNE
!
AND RAE PRIAULX
#
*School of Social Sciences, University of the Sunshine Coast, Sippy Downs, QLD, Australia;
+
School of Nursing, University of the Sunshine Coast, Sippy Downs, QLD, Australia;
!
Sunshine
Coast Hospital and Health Service, QLD, Australia;
#
The Sunshine Coast Private Hospital,
Buderim, QLD, Australia
Abstract: Australian nurses and midwives are expected to compile a professional development portfolio during their
annual registration process. This study aimed to ascertain the current understanding, practice and future continuing
professional development (CPD) needs of nurses and midwives employed in a regional area of Queensland, Australia.
Perceived barriers and incentives for CPD were also measured. 289 public and private hospital nurses and midwives
responded to the survey. Results showed that participants understood the new requirements, valued ongoing learning,
preferred education to occur within work hours, and considered their workplaces as accepting of change. Approximately
two-thirds of participants believed CPD should be shared between them and their employers. Barriers to undertaking
CPD included understaffing, and the concern that CPD would interfere with time outside work. Organisational support
positively influenced attitudes to CPD. This study highlights the importance of supportive management in encouraging
their workforce to embrace ongoing learning and change.
Keywords: nursing, midwifery, education, continuing professional development, organisational change culture
The result of the Productivity Commission’s
research and COAG’s subsequent meetings
was the establishment of the Australian Health
Practitioner Registration Agency (AHPRA) –
a ‘single national agency encompassing both
the registration and accreditation functions,’
(Council of Australian Governments, 2008, p.
2) with 10 health profession-specific boards, one
of which is nursing and midwifery. It was antici-
pated that a national registration scheme, and
the consolidation of the current profession-based
accreditation regimes, would promote a more flex-
ible, responsive, and sustainable health workforce.
Specifically, AHPRA aimed to assist health pro-
fessionals to move around the country more easily
by providing a national registration process, and
improve assurance of professional practice rele-
vance and greater safeguards for Australian health
care consumers by setting a minimum number
of points to be accrued through training annu-
ally (Australia’s Health Workforce Online, 2010).
The transition to the new national regulatory
body, Nursing and Midwifery Board of Australia
(NMBA), which provides the regulations AHPRA
oversees, has resulted in Queensland nurses and