• J Nurs Adm · May 2012

    Measuring actual scope of nursing practice: a new tool for nurse leaders.

    • Danielle D'Amour, Carl-Ardy Dubois, Johanne Déry, Sean Clarke, Eric Tchouaket, Régis Blais, and Michèle Rivard.
    • University of Montréal, Canada. danielle.damour@umontreal.ca
    • J Nurs Adm. 2012 May 1;42(5):248-55.

    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.

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