Continuing Professional Development Activities on Behavior Change and Autonomy among Nurses in a Level II Government Hospital

Abstract

This study examines how Continuing Professional Development (CPD) activities influence professional behavior change and nursing autonomy among 205 staff nurses in a Level II government hospital in Surigao City, Philippines. Utilizing a descriptive-correlational design, the research assessed levels of engagement in lifelong learning and its relationship to clinical independence and professional conduct. Findings revealed that nurses demonstrate a very high level of engagement in CPD, largely driven by a strong internal motivation to improve patient care rather than mere regulatory compliance. Correspondingly, the respondents exhibited a very high extent of professional behavior change particularly in accountability and ethical practice and reported high levels of clinical autonomy. Statistical analysis identified a significant positive relationship between CPD participation and professional autonomy, suggesting that as nurses update their clinical knowledge, they gain the confidence necessary to make independent, evidence-based decisions. While overall professionalism was high, communication was noted as a relative area for development. Based on these findings, a Professional Behavior and Autonomy Enhancement Plan was proposed to institutionalize specialized training and nurse-led case presentations. Ultimately, the study concludes that consistent investment in CPD is vital for empowering an accountable and autonomous nursing workforce in resource-constrained government settings.