Continuing education will survive and prosper in the NHS market-place, the author argues, if it is seen to be the 'fittest' for its purpose--the delivery of effective quality care demonstrated through the enhanced performance of nurses. She proposes that evidence of such fitness can be gained through a multidimensional evaluation framework that allows the interaction of relevant factors to be mapped; estimated and used as a performance indicator.
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Shirley Sunter (1993) studied this question.
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