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Journal of Nursing Administration:
doi: 10.1097/NNA.0b013e31824337f4

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

D’Amour, Danielle PhD, RN; Dubois, Carl-Ardy PhD; Déry, Johanne MSN, PhD(c), RN; Clarke, Sean PhD, RN, FAAN; Tchouaket, Éric PhD; Blais, Régis PhD; Rivard, Michèle PhD

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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.

© 2012 Lippincott Williams & Wilkins, Inc.



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