This project describes the development and testing of the actual scope of nursing practice questionnaire.
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.
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.
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.
This instrument can help nurse leaders increase the effective use of RN time in carrying out the full scope of their professional practice.
Author Affiliations: Full Professor (Dr D’Amour); Associate Professor (Dr Dubois); Doctoral Candidate (Ms Déry), Faculty of Nursing, University of Montréal, Canada; RBC Chair in Cardiovascular Nursing Research and Deputy Director (Dr Clarke), Nursing Health Services Research Unit, University of Toronto and University Health Network, Canada; Postdoctoral Fellow (Dr Tchouaket), Faculty of Medicine, University of Sherbrooke, Quebec, Canada; Full Professor (Dr Blais), Faculty of Medicine, Department of Health Administration, University of Montreal, Canada; Professor (Dr Rivard), Department of Social and Preventive Medicine, University of Montreal, Quebec, Canada.
The authors declare no conflict of interest.
Funding: This study was funded by the Canadian Institutes of Health Research and by the Quebec Ministry of Health and Social Services.
Correspondence: Dr D’Amour, University of Montreal, 2375 Côte-Ste Catherine, Quebec, Canada H3C3J7 (firstname.lastname@example.org).