CPD.pptx

 “ Let us never consider ourselves as finished nurses
….. we must be learning all our lives” ……
Florence Nightingale

Different names for the same thing
 CPD : Continuing Professional Development
 CNE : Continuing Nursing Education
 CPE : Continuing Professional Education
 CME : Continuing Medical Education
 CE : Continuing Education
 LLL : Life Long Learning
 ISE : In-Service Education
 SD : Staff Development

DEFINITION
Continuing professional development (CPD)
is a commitment by members to continually
update their skills and knowledge in order to
remain professionally competent..

 A process that assists individuals in an
agency or organization in attaining new skills
and knowledge, gaining increasing levels of
competence and growing professionally. The
process may include such programs as
orientation, in-service education and
continuing education.
 It includes all the training and education
undertaken by the employer to improve
professional and personal knowledge, skill
and attitude of the employees.

 From employees point of view:
It is defined as the process of
providing opportunities for employees to
improve their knowledge, skills and
performance in line with the goals and values
of the organization and in relation to the
interests and needs of the employees.

 To keep pace with the rapid extension and
advancement of science and technology.
 To fill the gap between capabilities of staff
 To fulfill the demand of nurse administrators of
high qualification and caliber to manage high
tech nursing.
 To assist the staff to be research oriented and
practice evidence based nursing.
 To improve staff morale and job satisfaction.
 To increase the quality of care and efficiency of
the organization.
 For the progressive growth and development of
the organization.

 employers (public or private)
 regulatory bodies
 professional associations
 governments
 individuals

 INDUCTION TRAINING
 ORIENTATION
 IN SERVICE EDUCATION
 CONTINUING EDUCATION

 CPD is a continuous process and actively seeks
to improve skills, knowledge and performance.
 Learning needs should be defined and agreed in
collaboration with line manager but owned and
managed by the individual learner.
 CPD should be based on a rigorous and
continuous analysis of professional learning
needs.
 CPD activities should be planned in advance
through a personal development plan, and
should reflect and be relevant to current
and future professional practice and
performance.

 CPD acknowledges varying learning styles
and includes a wide range of formal and
informal learning activities.
 The key principle of CPD is that it is self-
directed.
 CPD requires professionals to identify their
learning needs based on an evaluation of their
practice against recognized professional
standards; develop a learning plan based on
the needs identified; participate in CPD
activities which meet these learning needs;
and reflect on the value of these activities to
their practice.

 relevant,
 current,
 available,
 accessible, and
 affordable
 adult learning principles
 evidence-based

 INDIA BOASTS OF HAVING THE LARGEST NUMBER
OF MEDICAL SCHOOLS IN THE WORLD
 BUT CPD IN RUDIMENTARY STAGE ONLY
 THE LEGISLATION TO MAKE CME MANDATORY
HAS LITTLE PROGRESS
 EACH STATE HAS ITS OWN INDIVIDUAL NORMS ,
NO NATIONAL GUIDELINE
 10 STATE MEDICAL COUNCILS HAVE MADE RE-
REGISTRATION OF LICENSE TO PRACTISE
MANDATORY, BASED ON REPORTING CME CREDIT
HOURS – KERALA, GOA, GUJARAT, PUNJAB, TN, UP
etc…

 For nurses also, there is no mandatory national
legislation
 TNAI conducts programs at various regions.
 Skill Lab started at head quarters of TNAI
 Different states are having different norms
 Delhi, Maharashtra, Tamilnadu, Andhra Pradesh
and Kerala Nursing and Midwifery Councils have
made it mandatory to have minimum 30 credit
hours per year, like that 150 for 5 years for
renewal of registration.
 Also these nursing councils give guidelines for
conducting CNE Programs, approved CNE
providers, approved credit hours.

What is Nursing & Midwifery Portal?
The Nursing and Midwifery Portal is an initiative of
Ministry of health and Family welfare. The mission of
this online resource center is to provide a platform that
connects the nurses, midwives state nursing councils,
Indian nursing council, ministry of health and family
welfare at state and central level (MOHFW), and other
stake holders.
The portal was launched by Smt. Anuradha Gupta
(Additional Secretary & Mission Director) on 14th
February, 2013 through a national meeting attended by
almost 200 participants from Ministry of Health &
Family Welfare, Indian Nursing Council, State Nursing
Councils, State Medical Directorates and Development
Partners.

What is the aim of the portal?
This portal aims to improve the nursing & midwifery services by
providing comprehensive, valid and useful information concerned
with nursing and midwifery in the country, to all the stakeholders.
e-Learning Modules
The in-service education provides new areas of knowledge
related to nursing to the registered nursing professionals through
e-learning mode. The various modules listed and linked in the
section are selective list of e-learning modules on various health
problems in India as available on the major health sector
organizations provided in user friendly manner. The forthcoming
plan is to add more courses on the portal which will enhance the
knowledge base of the nursing and midwifery professionals in the
country , categorized according to the specific needs based on
various nursing qualifications/Licenses/Avenues.

 In service education for new staff
 Phase 1- orientation
 Phase 2- induction training
 Phase 3- test for evaluation
 Continuing education
 General Nursing skills- every Tuesday
 Specialized Nursing skills- every Friday in
special units
 In charge- Nurse Educator

Nurses Training Program 2016
CNE July 2016
Sl.No. Topic Date Time venue Speaker
1 NABH 05-07-16
12.15 pm to 1.30. pm
&
03.00pm to 4.45pm
Auditorium Br.Siju & Ms.Jaya
2 IP Documentation 07-07-16
12.15 pm to 1.30. pm
&
03.00pm to 4.45pm
Auditorium DNS
3 Care of Neuro patients 12-07-16
12.15 pm to 1.30. pm
&
03.00pm to 4.45pm
Auditorium Br.Sibin
4 Tracheostomy care and
suctioning 14-07-16
12.15 pm to 1.30. pm
&
03.00pm to 4.45pm
Auditorium Br.Vishnu
5 Care of cardiac patients
(CAG,PPI, PTCA etc.)
19-07-16
12.15 pm to 1.30 pm
&
03.00pm to 4.45pm
Auditorium Sr.Renju
6 Care of patients at ER/triage 21-07-16
12.15 pm to 1.30pm
&
03.00pm to 4.45pm
Auditorium Br.Ashlee
7 DM and care of DM patient 26-07-16
12.15 pm to 1.30pm
&
03.00pm to 4.45pm
Auditorium NS
8 NGT 28-07-16
12.15 pm to 1.30pm
&
03.00pm to 4.45pm
Auditorium Sr.Jiby

 On all working days
 Topics related to
 General information
 Professional standards
 Infection control
 Management of medication
 Nursing Procedures
 Protocols
 Communication
 Workplace safety
 Biomedical equipments

 College of Nursing, CMC Vellore has well
established Department for CNE
 Ph.D. Consortium
 Well scheduled CNE Programs for all qualified
nurses – workshops, conferences and training
modules
 Research methodology courses
 Prepare educational CD’s and DVD’s
 INDIAN JOURNAL OF CONTINUING NURSING
EDUCATION, published biannually

 CNE classes are arranged on every Saturday
 Topics will be given priorly to senior staff
and in charges who prepare the classes and
present for others

 Working in US for 18 years
 Works in a tertiary level Neonatal Unit, DALLAS, TEXAS
 To maintain RN , need to have total 20 CEU every 2 years
 CEU can be from the area you are practicing , out of it 4 from
ethical/legal areas.
 Also a certified low risk neonatal nurse, which means got the certification from
National Certification Corporation . It needs renewal every 3 years which
requires 15-50 CEU for renewal.CEU depends on how good you take the timed
assessment test every time after renewal. Test determines how many CEU
needed for renewal.
 NRP & BLS Certificates have to be renewed every 2 years.
 Many hospitals have changed BLS to RQI (Resuscitation Quality Improvement )
where realistic eSimulation is used and has to be renewed every 3 months.
 STABLE CERTIFICATE has to be renewed every 2 years
 In baby friendly hospital, so it is require to take 3 CEU on breast feeding every
year
 Lots of online classes every year like basic fire hazards, ethical issues etc..
 2-3 skills check off every year like blood transfusion. Also requires to do
community work of at least 8 hours per year


 Started her career as a Nurse
Educator with Indian Red Cross Society
 Previously worked as staff nurse, charge
nurse and resource nurse for various units
 Current Post: Nursing Supervisor at
Bakersfield Memorial Hospital and Health
Centre, California

 Current Role and Responsibilities:
 General nursing staffing and administrative
responsibilities
 Clinical education for staff members
 Scheduling of surgeries and other procedures with
doctors
 Sepsis education and implementation of sepsis
protocol
 Resource person for transformational care
 Develop structured in service program for staff
nurses
 Conducting research
 Conduct competency assessment for staff nurses
 Mentorship of new nurses

 MSN(Ed) from University of Phoenix(2008)
 Currently finishing up Post Masters Family Nurse
Practitioner’s Program
 CNE
 Emerging infectious diseases
 Charting your course to an academic career
 Assessment and management of pain in the end of life
 Bridging the generation gap
 Basic life support
 Preventing violence in health care setting
 Diabetes care and patient education
 Food allergies
 Health issues distinctive to women
 Opiate abuse and dependence
 Diagnosing and treating overweight and obese patients
 Medical Error Prevention and Root Cause Analysis

 SIMULATION EDUCATOR at Mohammed Bin
Rashid University of Medicine and Health
Sciences, UAE
 TCC(Training Centre Coordinator) of the
American Heart Association International Training Centre at
MBRU
 Instructor for Basic and Advanced AHA Life Support Courses
 International committee member at the Association of
Standardized Patient Educators (ASPE)
 Reviewer for ASPE 2017
 She has a passion for Standardized Patient Recruitment and
training
 Instrumental in setting up a Standardized Patient bank at
UAEU & MBRU

 BSc Nursing from MG University, Kerala
 MSc Nursing from RGUHS, Karnataka
 MBA from Sikkim Manipal University
 Clinical Simulation Instructor Course from
King Abdul Aziz University
 Acute Life Threatening Emergencies
Recognition And Treatment (ALERT) Instructor
Course from UK
 Advanced Casualty Simulation Course, UK
 Clinical Simulation Certificate Program,
University of southern Indiana, UK

 Governments, regulatory bodies,
employers, and professional associations
all have a responsibility to ensure services
Provided are safe and protect the public.
They have to demonstrate accountability.
 Individuals have an ethical
responsibility to their patients and
clients, their professions, and
themselves to practice competently
and safely. CPD should be an integral
part of their professional life whether
voluntary or mandatory.

 There should be a minimum
requirement, but there is no maximum.
 Requirements for health professionals
vary globally from the equivalent of 20
hours annually to 50 hours annually
sometimes spread over 2-3 years.
 CPD requirements must be: reasonable,
achievable, fair, accessible to all (includes
cost considerations), transparent, flexible,
and inclusive (avoid monopoly).

 Awarding CPD points for learning
activities requires the development of a
formal process which involves
personnel, time and cost.
 Specifying a minimum number of hours of
CPD activity is a satisfactory first step. In
some programs, one hour of active learning
= one CPD point. In other programs,
different types of CPD activities have
different values eg one hour of formal
learning might attract 3 points whereas one
hour of informal learning might only attract
one point.

Continuing Nursing Educational programme & Credit points.
It is proposed that Andhra Pradesh Nurses and Midwives Council will issue credit
hours/points to the registered nurses who participate in CNE as per the Council
guidelines. A.P. Nurses and Midwives Council will periodically review the criteria
/guidelines / Norms to have uniformity with INC criteria and may update them in
the interest of nurses and patients at large.
A Nurse/Midwife/MPHW (F) should participate in continuing Nursing Education
programs to gain 30 hours per year up to 150 credit hours over a period of every 5
years.
Modes of Continuing Nursing Education
a) Combination of theory and practicum 30 hours = 15 credits
b) Exclusive Theory based CNE
c) Exclusive clinical / practicum CNE
Eligible organizations for CNE
1. CNE organized by APNMC
2. Registered professional bodies/ Associations (TNAI)
3. CNE/ Training Programme / online CNE conducted by Government/UGC
recognized University/ Govt. Recognized organization.
4. Central Government and State Government Hospitals (including districts
hospitals) and training centres in health field including Ministry of Health and FW,
Defense, Railways.
5. Any other approved organization/Association / Institution at the discretion of the
A.P.Nurses and Midwives Council.

(Guidelines for issuing credit hours for published Nursing textbook
/chapter in text book / research papers in International & national Index
nursing journals.)
Sr. No. Publication of Nursing Text Book Credit hrs
01 Author of Nursing Text Book (author & co-author only) 30 hrs
02 Author of Chapter in Nursing Text Book 10 hrs
Sr. No Papers Published in International national Index Journals Credit hrs
01 Original Article (Author & Co- author only) 10 hrs
02 Case Study (up to 2nd author only) 10 hrs
Sr. No. Publication of Nursing Journal Credit hrs
01 Chief Editor/Executive Editor 30 hrs
02 Contributory Editor / Sub Editor/ Editorial Board Member 10 hrs
International/National
conference/Workshop(one day)
min -8 hrs
State / local conference /
workshop (one day) min 8
Chairperson (or) moderator
per a session
4 hrs 2 hrs
Resource person/ Presenter 10 hrs /hours 5 hrs / 1 hr session
Participant 6 hrs 3 hrs
Co-ordinator (or) Organizer 10 hrs 5 hrs

 What evidence should each nurse and
midwife provide?
 In what form? Log book, diary,
professional portfolio

TAMILNADU NURSES AND MIDWIVES COUNCIL, CHENNAI 600 004.
CONTINUING NURSING EDUCATION
CREDIT HOURS PASSBOOK
(Sample copy)
NAME : ……………………………………………………..
TAMILNADU NURSES AND MIDWIVES COUNCIL’S
(RN/RM/RANM/RLHV)NO. : ……………………………………………………..
DATE OF REGISTRATION OF RN / RM / RANM / RLHV : …………………………..………………………….
ADDRESS : …………………………………………………......
……………………………………………………..
……………………………………………………..
………………………………………………………
MOBILE No. : …………………………..………………………….
Email ID : …………………………..………………………….
NOTE:
• CNE TO BE COMPLETED 30 HOURS PER ANNUM and in toto 150
HOURS FOR 5 YEARS FOR RENEWAL OF LICENSE.
• CNE Credit Hours Pass Book may be purchased from the Council.
Sl. No. Date Title and Venue of the
programme
No. of Credit
hours
awarded by
the TNNMC
Signature and seal of
the
Organizing Secretary of
the
CNE

Certificate of Attendance
Presented to
Participant Name
For attending the
Event Name
Organized by ________________________
On Date
At Venue
This activity was awarded (...) CNE Credit hours (Delhi Nursing Council
Accreditation No......)
Signature Signature
Name Name
Course Director Course Coordinator
Post/Organization Post/ Organization

COMMONWEALTH NURSES FEDERATION

 formal educational programs
 short courses (face to face or online)
 experiential (presenting at or attending
conferences; seminars or workshops;
supervised practice for skills development;
conducting research; developing policies,
protocols or guidelines; acting as a mentor or
preceptor; participating in committees eg quality
improvement, occupational health and safety)
 self-directed (reading professional journals
and books; keeping a self reflection journal;
publishing articles)

 It would be difficult to accredit all CPD
activity as CPD activities should embrace
both formal and informal (self-directed and
experiential) learning.
 Accepting only accredited CPD activities
diminishes the value of self-directed
(reading journals, presenting at
conferences, publishing articles) and
experiential learning that takes place in the
workplace (supervised clinical learning).
 Both accredited and non-accredited
CPD activities should be encouraged
and valued.

 Accreditation of CPD content requires the
development of a formal process,
establishing accreditation criteria and
ongoing evaluation of applications which
involves personnel, time and cost.
 Likewise, the accreditation of providers of
CPD learning activities requires the
development of a similar formal process.
 Is it the responsibility of a regulatory body
to accredit CPD activities or encourage the
development of an external body to
undertake this function?

Nurses undertaking formal undergraduate or
postgraduate education (FL) at a school of nursing,
college or university (either face to face, distance or
online) leading to the award of a certificate, diploma,
advanced diploma, degree, post graduate certificate,
post graduate diploma, masters or PhD, may claim CPD
points in each year they are undertaking the course.
Documentary evidence should be provided in the form
of a transcript of subjects undertaken and successfully
completed or any other relevant documentation which
verifies the number of hours of active learning,
including clinical learning.

A short course face to face (SF) is one with a duration of between 3-6 months
with a minimum of fifteen hours of active learning in each week and may
consist of theory and clinical components.
A short course distance or online (SDO) is one with a minimum of three hours of
active learning in each week and may consist of theory and clinical components.
Documentary evidence must be kept in the log book outlining:
• Learning objectives,
• Course content,
• Relevance to current or future work,
• Hours of active learning,
• Brief description of what has been learned.
Documentary evidence must be verified by the CPD course provider by
supplying their name, designation, contact details and signature.

To claim CPD points for seminars, workshops and in-service education (SWI),
the activity must be of at least one hour of continuous active learning.
• Course content,
Documentary evidence must be verified by the CPD provider by supplying
their name, designation, contact details and signature.

Experiential learning (EX) is learning that occurs by active
participation in a practical activity either in or outside the
workplace and which is not a part of the usual job
description.
Documentary evidence, verified by the employer,
supervisor, manager, educator or other relevant person,
must be provided in the log book outlining:
• Description of activity,
Documentary evidence must be verified by the CPD provider
by their supplying name, designation, contact details and
signature.

Self-directed learning (SD) is when the individual takes initiative to participate
in an active learning activity which is not part of the usual job description.
Self-directed learning usually takes place outside the workplace.
• Description of activity,
Some self-directed learning may be verified by the employer, supervisor,
manager, educator or other relevant person (eg sharing with your employer
a journal article you have just read and what you learned from it). Such
verification must include their name, designation, contact details and
signature.
Self directed learning which cannot be verified by an external person
must not comprise more than 25% of the minimum required CPD points
each year.

Providers and facilitators of CPD (short course face to face; short course distance
or online; seminars, workshops or in-service) are required to meet the following
quality standards:
• Be familiar with and adhere to the CPD framework.
• Ensure CPD is provided by teachers who use effective teaching and
learning strategies matched to content and the level and type of learners.
• Use valid and reliable assessment methods that provide feedback on
whether the learning objectives have been met.
• Document and retain information about program design and content;
number of contact hours; names and contact details of participants; and
evaluation outcomes. Secure storage must be provided for this
documentation.
• Understand the need to minimise any conflicts of interest related to
commercial supporters and willingly disclose any conflicts of interest to
participants at the beginning of the CPD activity.

 To improve knowledge, skill and attitude of nurses of
each level.
 To broaden the outlook of nurse administrators in
relation to job functions, responsibilities, policies,
objectives etc
 To develop future nurse managers and administrators
so that they will continue to grow and prosper
 To change the attitude of nursing personnel and
motivate them to work whole heartily.
 More scope for delegation of authority
 Quick and smooth take over by new nursing staff
 Keep all the nursing personnel up to date with new
nursing technology and thus improves the professional
standards.

1
Develop a
policy for staff
development
2
Formulate goals
and objectives
3
Plan staff
development
program
4
Implement
planned program
5
Evaluate the
program and take
remedial action

 RPTIM MODEL
Phase V
Maintenance
Phase 1
Readiness
Professional
development
Phase IV
Implementation
Phase III
Training
Phase II
Planning

Know teaching learning
principles
Identify
needs
Formulate
objectives
Define
topics
Design/plan
learning
experiences Implementation
Teaching plan
Time schedule
Staff assignment
Evaluation

PATIENT RELATED
 Better patient care
 More knowledge
 Skilled practitioner
 Improved information
PERSONAL
 Sense of achievement
 Personal development
 confidence, assertive, creative, enquiring
 research oriented
PROFESSIONAL
 Increased career opportunity
 Lifelong learner
 Enhanced status
 Increased recognition
 Exchange of ideas
 Motivation
 Improved interdisciplinary working
ORGANIZATIONAL
 Meet organizational objectives
 Motivation

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