Measuring Actual Scope of Nursing Practice
- 1 May 2012
- journal article
- Published by Ovid Technologies (Wolters Kluwer Health) in JONA: The Journal of Nursing Administration
- Vol. 42 (5), 248-255
- https://doi.org/10.1097/nna.0b013e31824337f4
Abstract
Objective: This project describes the development and testing of the actual scope of nursing practice questionnaire. Background: Underutilization of the skill sets of registered nurses (RNs) is a widespread concern. Cost-effective, safe, and efficient care requires support by management to facilitate the implementation of nursing practice at the full scope. Methods: Literature review, expert consultation, and face validity testing were used in item development. The instrument was tested with 285 nurses in 22 medical units in 11 hospitals in Canada. Results: The 26-item, 6-dimension questionnaire demonstrated validity and reliability. The responses suggest that nurses practice at less than their optimal scope, with key dimensions of professional practice being implemented infrequently. Conclusions: This instrument can help nurse leaders increase the effective use of RN time in carrying out the full scope of their professional practice.Keywords
This publication has 10 references indexed in Scilit:
- Nursing care quality and adverse events in US hospitalsJournal of Clinical Nursing, 2010
- Nine Structures and Leadership Practices Essential for a Magnetic (Healthy) Work EnvironmentNursing Administration Quarterly, 2010
- Using a Task Analysis to Describe Nursing Work in Acute Care Patient EnvironmentsJONA: The Journal of Nursing Administration, 2009
- Nursing scope of practice: descriptions and challenges.Nursing Leadership, 2008
- Nursing workforce utilization: an examination of facilitators and barriers on scope of practice.Nursing Leadership, 2008
- Value-Added CareJONA: The Journal of Nursing Administration, 2007
- Performance Measurement of Nursing CareMedical Care Research and Review, 2007
- Relationship of RN Role Responsibilities to Job SatisfactionRehabilitation Nursing Journal, 2007
- The role and scope of the clinical nurse consultant in Wentworth area health service, New South Wales, AustraliaJournal of Nursing Management, 2007
- Work Flow AnalysisJONA: The Journal of Nursing Administration, 2004