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    RRL

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    Sabella, John Emerson G. Ms.

    Teves
    BSN 303 Nursing Research 1

    The Relationship Between Continuing Professional Development and Clinical


    Competency Among Registered Nurses in Intensive Care Unit: Exploring the
    Mediating Role of Job Satisfaction and Confidence in Practice.

    Review Related Literature

    Local Literature
    1. Philippine Nurses’ Association (PNA) Reports on Continuing Professional
    Development (CPD)
    The Philippine Nurses’ Association (PNA) has emphasized CPD as a critical
    requirement for improving nurses' competencies. This focus aims to address
    challenges such as high workloads and the need for better clinical skills, especially
    in specialized areas like the ICU. Continuous learning is encouraged as a way to
    keep pace with advances in healthcare and enhance job satisfaction and
    confidence in clinical settings. The PNA’s stance aligns well with the current study
    as it highlights the essential role of CPD in building both clinical competencies and
    confidence among Filipino nurses, particularly those in demanding environments
    like ICUs (PNA, 2021).
    2. Impact of CPD Programs in Philippine Medical Centers
    Studies from various medical centers in the Philippines demonstrate that CPD
    programs have significantly improved nurses' confidence in practice, particularly in
    critical care settings. These programs often cover advanced technical skills and
    patient safety measures, which increase job satisfaction and encourage retention.
    This local perspective reinforces the hypothesis that CPD improves clinical
    competencies while influencing job satisfaction and professional confidence,
    supporting the study’s aim to examine these mediating factors (Domingo, 2022).
    Foreign Literature
    1. United Kingdom’s Emphasis on CPD for ICU Nurses
    In the UK, CPD for ICU nurses is highly prioritized to improve patient care quality
    and nurse competencies. CPD activities have been shown to directly enhance
    nurses’ technical abilities, teamwork, and adaptability in ICU settings. Studies
    reveal that CPD participation correlates with higher job satisfaction and
    confidence, particularly as nurses feel more prepared to meet the rigorous
    demands of critical care. This relationship aligns with the current study by providing
    evidence that CPD positively impacts ICU nurses’ confidence and job satisfaction,
    both significant in their ability to deliver high-quality care (Glasper, 2018; NHS,
    2019).
    2. Systematic Review on CPD and Clinical Competency in ICU
    A review published in the British Journal of Nursing examined factors influencing
    nurses’ engagement with CPD activities, showing that CPD enhances clinical
    competency and supports job satisfaction by equipping nurses with updated
    knowledge and skills in the ICU environment. The study identified that CPD
    engagement improves competency levels and encourages higher confidence, as
    nurses are better prepared to handle complex cases in high-stress environments
    like ICUs. This literature supports the study’s premise that CPD positively affects
    ICU nurses' confidence and job satisfaction, enhancing their competency and
    reducing job-related stress (Liberati et al., 2009)

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