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Measuring Actual Scope of Nursing Practice: A New Tool for Nurse Leaders

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 facilitat...

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Bibliographic Details
Published in:The Journal of nursing administration 2012-05, Vol.42 (5), p.248-255
Main Authors: D'Amour, Danielle, Dubois, Carl-Ardy, Déry, Johanne, Clarke, Sean, Tchouaket, Éric, Blais, Régis, Rivard, Michèle
Format: Article
Language:English
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Summary: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.
ISSN:0002-0443
1539-0721
DOI:10.1097/NNA.0b013e31824337f4