Registered Nurses’ Attitude and Practice Regarding Nursing License Renewal Process: A Systematic Review

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DOI: 10.21522./TAJMHR.2016.05.01.Art011

Authors : Herona Bute- Black, Joseph Jeganathan

Abstract:

Nurses and midwives contribute close to 50% of the global healthcare workforce and are at the frontline of providing nursing care to the public. Hence, nurses must maintain their practice by renewing their license. This systematic review examines the attitude and practice of registered nurses regarding nurse license renewal, and identifies barriers experienced during the renewal process. The search strategy utilized were Google, Google Scholar, PubMed, and EBSCOHost databases using search terms nurse, license, and renewal. Inclusion Criteria include articles published within 10 years, full text, peer reviewed, and in English. Results revealed a total of 10 articles that fit the Criteria. Majority of articles revealed nurses had an overall positive attitude and practice due to the importance of mandatory continuing education as a requirement for license renewal, and a significant relationship between knowledge and practice of checking license status (p<0.05). Barriers were identified as “time constraint”, “lack of support” in the workplace, “financial contains” and “lack of access”. Evidence relating to license renewal by payment of fees only was very limited, and further research is needed to develop to better support for registered nurses during the renewal process. Limitations of the review include no access CINAHAL database, and articles with Abstract only, which would have enriched the review. In conclusion, majority of nurses had a positive attitude and practice regarding the renewal of license, and experienced barriers the process.

References:

[1].   World Health Organization, 2024, Strengthening the nursing and midwifery agenda globally. https://www.who.int/activities/strengthening-the-nursing-and-midwifery-agenda-globally

[2].   International Council of Nurses [ICN], 2021, The ICN code of ethics for nurses. https://www.icn.ch/sites/default/files/2023-06/ICN_Code-of-Ethics_EN_Web.pdf

[3].   Caribbean Community, 2024, Regional Nursing Body focuses on Enhancing Nursing Education and Practice for Better Health Outcomes. https://caricom.org/regional-nursing-body-focuses-on-enhancing-nursing-education-and-practice-for-better-health-outcomes/

[4].   Caribbean Examination Council, 2014, Preparation guide. https://www.cxc.org/ SiteAssets/RENR/ RENR%20Prep%20Guide%20with%20Sample%20Test_5September2014.pdf

[5].   National Council of State Boards of Nursing [NCSBN]., 2024. About U. S. nursing regulatory bodies. https://www.ncsbn.org/nursing-regulation/about-nursing-regulatory-bodies.page

[6].   Morris, G., 2024, Registered nursing requirements by state. https://nursejournal.org/registered-nursing/rn-licensing-requirements-by-state/

[7].   National Council of State Boards of Nursing [NCSBN]. (Eds)., 2024, A global profile of nursing regulation, education, and practice. Journal of Nursing Regulation, 10, 1-116. https://www.ncsbn.org/public-files/JNR0120SE_GlobalProfile.pdf#page=3.41

[8].   Canadian Nurses Association., 2024, Renewal eligibility. https://www.cna-aiic.ca/en/certification/renewing-your-certification/renewal-eligibility

[9].   Nursing and Midwifery Council., 2021, Guidance and information. https://www.nmc.org.uk/revalidation/ Resources /guidance-and-information/

[10].  Palma, J. A. F. S., Oducado, R. M. F., Palma, B. S., 2020, Continuing professional development: Awareness, attitude, facilitators and barriers among nurses in the Philippines. Nursing Practice Today, 7(3), 198-207.https://doi.org/10.18502/npt.v7i3.3348

[11].  Mlambo, M., Silén, C., & McGrath, C., 2021, Lifelong learning and nurses’ continuing professional development, a metasynthesis of literature. BMC Nursing, 20(62) https://doi.org/10.1186/s12912-021-00579-2

[12].  Varghese, L. S., Packialakshmi, K., Tharani, P., Suvetha, S., Swathi, S., & Vanishree, M., 2021, Knowledge and practice regarding renewal of license among staff nurses. International Journal of Science & Healthcare Research, 6(3): 189-192. https://doi.org/10.52403/ijshr.2021073

[13].  Mosol, P. J., 2018, Factors influencing continuing professional development for nurses in Western Kenya. Kenyan Journal of Nursing and Midwifery, 3(1). https://www.kjnm.co.ke/index.php/kjnm/article/view/110/pdf

[14].  Bindon, S. L., 2017, Professional development strategies to enhance nurses’ knowledge and practice. Association of Perioperative Journal, 106 (2), 99-110. http://dx.doi.org/10.1016/j.aorn.2017.06.002

[15].  Brannock, M. K., & Bradford, N. A., 2021, Barriers to licensure for military spouse registered nurses. Journal of Nursing Regulation, 11(4); 4-14. https://doi.org/10.1016/S2155-8256(20)30170-8

[16].  Shahhosseini, Z., & Hamzehgardeshi, Z., 2014, The facilitators and barriers to nurses' participation in continuing education programs: a mixed method explanatory sequential study. Global journal of health science7(3), 184–193. https://doi.org/10.5539/gjhs.v7n3p184

[17].  Baloyi, O. B., & Jarvis, M., 2020, Continuing professional development status in the World Health Organization, Afro-region member states. International Journal of Africa Nursing Sciences, 13. https://doi.org/10.1016/j.ijans.2020.100258.

[18].  Gakwerere, M., Ndayisenga, J. P., Ngabonzima, A., Uhawenimana, T. C., Yamuragiye, A., Harindimana, F., & Rwabufigiri, B. Ngabo., 2024, Access to continuous professional development for capacity building among nurses and midwives providing emergency obstetric and neonatal care. in Rwanda. BMC Health Services Research, 24, 394. http://dx.doi.org/10.1186/s12913-023-10440-8

[19].  Nyiringango, G., Byungura, J. C., Fors, U., Forsberg, E., & Tumusiime, D., 2023, Online learning needs, facilitators, and barriers for continuous professional development among nurses, midwives, and physicians in Rwanda. International Journal of Africa Nursing Sciences, 18. https://doi.org/10.1186/s12913-023-10440-8

[20].  Makali, H. J., & Mutalemwa, D., 2024., The role of nursing guidelines on successful license renewal for nurses and midwives in Ubungo District public hospitals in Tanzania. African Journal of Empirical Research, 5 (4); 276-286. https://doi.org/10.51867/ajernet.5.4.23

[21].  Alexander, S., & Frith, K. H., 2021, Using Nursys as a primary source for licensure information. Nursing Education Perspectives, 42 (3); 200–201. https ://doi. Org/10.1097/01.NEP.0000000000000821

[22].  PRISMA., 2024, PRISMA flow diagram. https://www.prisma-statement.org/prisma-2020-flow-diagram

[23].  Polit, D. F., & Beck, C. T., 2022, Essentials of nursing research: Appraising evidence for nursing practice. (10th ed.). Wolters Kluwer.

[24].  Joanna Briggs Institute., 2024, Critical appraisal tools. https://jbi.global/critical-appraisal-tools

[25].  Hong, Q. N., Pluye, P., Fàbregues, S., Bartlett, G., Boardman, F., Cargo, M., Dagenais, P., Gagnon, M. P., Griffiths, F., Nicolau, B., O’Cathain, A., Rousseau, M. C., Vedel, I., 2018, Mixed Methods Appraisal Tool (MMAT) Version 2018 User Guide. https://www.nccmt.ca/ knowledgerepositories/search/232#: ~:text=Improving%20the%20usefulness%20of%20a,3)%2C%20459%2D467.

[26].  American Nurses Credentialing Centre [ANCC].,2024, Certification. https://www.nursingworld.org/certification /renewals/

[27].  Moloney, W., Fieldes, J., & Jacobs, S., 2020, An integrative review of how healthcare organizations can support hospital nurses to thrive at work. International Journal of Environmental Research and Public Health17(23), 8757. https://doi.org/10.3390/ijerph17238757