Scope of Nursing Practice Decision-Making Framework

To Err Is Human, Just Culture, Practice, and Liability in the Face of Nursing Error

“…In an effort to support CNOs, and other executivelevel nursing leaders responsible for sustaining a culture of safety, a brief presentation was given to the Senior Nursing Leadership Council revisiting the system just culture decision guide, as well as introducing the nursing scope of practice decision-making framework and regulatory decision pathways. 24,25 The nursing scope of practice decision-making framework was developed by a team of national leaders and serves as a tool for determining what duties a nurse can safely perform within the scope and accountability of practice as defined by laws, regulations, evidence, scope, policies/procedures, education, training, and competence. 25 Similarly, and in an effort to support an understanding of how boards of nursing address violations of state practice acts and subsequent discipline, the Regulatory Decision Pathway was examined.…”

“…24,25 The nursing scope of practice decision-making framework was developed by a team of national leaders and serves as a tool for determining what duties a nurse can safely perform within the scope and accountability of practice as defined by laws, regulations, evidence, scope, policies/procedures, education, training, and competence. 25 Similarly, and in an effort to support an understanding of how boards of nursing address violations of state practice acts and subsequent discipline, the Regulatory Decision Pathway was examined. 26 This pathway assists board of nursing members in determining disciplinary decisions (education, reprimand, suspension of license, etc.)…”

Clinical Issues—March 2022

“…For situations in which none of the previously listed resources address whether a specific skill falls within the nursing scope of practice, nurses may use the scope of nursing practice decision‐making framework to guide practice decisions (Figure 1). Members of four nursing organizations created this framework to assist nurses across all practice settings in determining if performing a particular intervention or activity is appropriate for their nursing practice 6 …”

“…Occasionally, there may be a question about whether an unlicensed individual can perform a specific task. If no guidance is identified after exhausting all other resources, leaders may consider using the concepts in the scope of nursing practice decision‐making framework 15 . Although this resource was created for nursing scope of practice questions, it may provide leaders with a logical framework for determining if the unlicensed individual in question should perform a particular task.…”

Development and validation of an instrument to measure scope of practice in school nurses

“…Scope of practice, according to the International Council of Nurses (ICN) (2013), reflects the parameters or boundaries of nursing practice and should describe what is distinctly nursing. The boundaries of nursing scope of practice are dynamic (Ballard et al, 2016). There is a well-documented gap between nursing's full potential and actual nursing practice, as well as concern that regulations do not keep pace with needed changes (Buck et al, 2018;Buerhaus et al, 2017;Dery et al, 2015;IOM, 2011).…”