Re: Should Continuing Education for Nurses be mandatory in all states?
I voted "No" for a couple of reasons.
1. I believe that the state should not enact expensive requirements unless there is reasonable evidence to support that those requirements actually result in better practice, improved patient outcomes, etc. I have followed this issue off-and-on over the years and I am not aware of a sufficient amount of research having been done on the topic to justify the government to add such a requirement.
2. There is very little evidence that shows that a nurse who sleeps in the back of a conference room or copies the answers from a friend of a mailed in CEU test from a journal etc. actually learns anything that improves her practice. Until the CEU system includes more legitimate methods to evaluate actual learning, it is not a suuitable to use as a basis for increased government regulation and increased expensed for everyone involved.
3. There is virtually NO regulation of the relevance of the educational content to a nurse's practice in the current system. For example, if a nurse completes a CE program (i.e. copies her friend's answers from a post test in a journal) on a topic that has
absolutely nothing to do with her field of practice, she still gets the CEU's -- even though no one in their right mind would believe that activity had made her a better nurse in any way.
So ... the current system of "earning" CEU's does virtually nothing to assure the quality or relevance of the education provided by the programs. People are free to buy CEU's without actually learning anything -- or improving their knowledge base or actual practice in any way. There is also no check to assure that the content of the CE programs is at all relevant to the nurse's field of practice. And there is no solid evidence to support that people who buy CEU's actually give better care than people who don't.
Until the above-mentioned problems in the CEU system are addressed ... the state cannot justify making the purchase of CEU's mandatory. So, I voted "No." However, if the currently broken system were to be "fixed," I would probably change my vote.
llg, PhD, RN (Someone who works in staff developed and actually served on committees that approved CEU's for credit.)
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