Nursing Scope of Practice: Descriptions and Challenges

White, Deborah; Oelke, Nelly D.; Besner, Jeanne; Doran, Diane; Hall, Linda M.; Giovannetti, Phyllis

doi:10.12927/cjnl.2008.19690

Cited by 62 publications

(73 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In a context in which nurse shortages and budget cuts have driven a rethinking of care models and experimentation with staff mix in many institutions, and legislated scopes of nursing practice have changed in a number of jurisdictions (White et al, 2008), RNs' roles in interacting with patients must be recognized and strengthened without compromising either quality of care or nurses' well-being and professional satisfaction (Roch, 2008). Finally, optimal organizational climates appear to be those in which not only are workloads lighter but where teamwork is optimal and professional nurses have articulated and embraced a clear role for themselves.…”

Section: Resultsmentioning

confidence: 99%

Organizational Climate and Hospital Nurses' Caring Practices: A Mixed‐Methods Study

Roch

Dubois

Clarke

2014

Research in Nursing & Health

View full text Add to dashboard Cite

Organizational climate in healthcare settings influences patient outcomes, but its effect on nursing care delivery remains poorly understood. In this mixed-methods study, nurse surveys (N = 292) were combined with a qualitative case study of 15 direct-care registered nurses (RNs), nursing personnel, and managers. Organizational climate explained 11% of the variation in RNs' reported frequency of caring practices. Qualitative data suggested that caring practices were affected by the interplay of organizational climate dimensions with patients and nurses characteristics. Workload intensity and role ambiguity led RNs to leave many caring practices to practical nurses and assistive personnel. Systemic interventions are needed to improve organizational climate and to support RNs' involvement in a full range of caring practices.

show abstract

Section: Resultsmentioning

confidence: 99%

Organizational Climate and Hospital Nurses' Caring Practices: A Mixed‐Methods Study

Roch

Dubois

Clarke

2014

Research in Nursing & Health

View full text Add to dashboard Cite

show abstract

“…[36,37] Although not explained by the quantitative data, a strong theme from the qualitative data was the importance of RNs and RPNs working to their full scope of practice as a facilitator of collaboration. Working to a full scope of nursing practice involves the utilization of theoretical knowledge through the application of critical thinking and clinical skills, [38] and the nurses in the study viewed working to full scope as encouraging collaborative practice. In contrast, nurses not working to their full scope of practice, or unwilling to work to full scope was perceived by nurses to contribute to role ambiguity and confusion and this discouraged collaboration.…”

Section: Discussionmentioning

confidence: 99%

A mixed-methods pilot study of the factors that influence collaboration among registered nurses and registered practical nurses in acute care

Moore

Prentice

Salfi

2017

CNS

View full text Add to dashboard Cite

Objective: Staffing models employing registered nurses (RNs) and registered practical nurses (RPN) have created the opportunity for enhanced collaboration in acute care settings. However, little is understood about how these nurses collaborate and the factors that influence their collaboration. The purpose of this pilot study was to examine the factors that influenced collaboration among RNs and RPNs at one acute care hospital in Canada in order to understand and improve nursing collaborative practice. Methods: Using an explanatory, sequential mixed methods design, data were collected over several months in 2016 from the nurses using a questionnaire and individual telephone interviews. Sixty-five RNs and RPNs working on medical, surgical and emergency units completed the "Nurse-Nurse Collaboration Scale" survey and ten RNs and RPNs participated in the telephone interviews. Results: Quantitative analysis showed lower scores among younger nurses across most domains of the survey: conflict management, communication, shared processes, coordination and professionalism. Qualitative analysis revealed working to full scope of practice was a facilitator of RN-RPN collaboration, and older age and poor interpersonal skills were barriers to successful collaboration. Conclusions: The results provide discussion for identification of strategies to improve collaborative practice among nurses such as establishing joint education programs for RNs and RPNs, and the use of models or frameworks to guide collaborative practice in healthcare organizations.

show abstract

“…It has been noted by many scholars that nurses find it difficult to describe what they do, to themselves and the health care field. 54, 74 Benner, Allen, and others' systematic efforts empirically observing, analyzing, and synthesizing the work of nurses make it quite clear that nursing knowledge and skills are not "plug and play capacities, but built up over time and integrated with the surroundings." 54(p137) These capacities drive health care delivery in no small part, yet because they are not well articulated, they remain invisible, and therefore undervalued, to both nurses and other health care professionals.…”

Section: Implications For Nursing Practicementioning

confidence: 99%

Reorienting Esthetic Knowing as an Appropriate “Object” of Scientific Inquiry to Advance Understanding of a Critical Pattern of Nursing Knowledge in Practice

Bender

Elias

2017

Advances in Nursing Science

View full text Add to dashboard Cite

The esthetic pattern of knowing is critical for nursing practice, yet remains weakly defined and understood. This gap has arguably relegated esthetic knowing to an “ineffable” creativity that resists transparency and understanding, which is a barrier to articulating its value for nursing and its importance in producing beneficial health outcomes. Current philosophy of science developments are synthesized to argue that esthetic knowing is an appropriate “object” of scientific inquiry. Examples of empirical scholarship that can be conceived as scientific inquiry into manifestations of esthetic knowing are highlighted. A program of research is outlined to advance a science of esthetic knowing.

show abstract

Nursing Scope of Practice: Descriptions and Challenges

Cited by 62 publications

References 23 publications

Organizational Climate and Hospital Nurses' Caring Practices: A Mixed‐Methods Study

Organizational Climate and Hospital Nurses' Caring Practices: A Mixed‐Methods Study

A mixed-methods pilot study of the factors that influence collaboration among registered nurses and registered practical nurses in acute care

Reorienting Esthetic Knowing as an Appropriate “Object” of Scientific Inquiry to Advance Understanding of a Critical Pattern of Nursing Knowledge in Practice

Contact Info

Product

Resources

About