Measuring Actual Scope of Nursing Practice

D’Amour, Danielle; Dubois, Carl Ardy; Déry, Johanne; Clarke, Sean P.; Tchouaket, Éric; Blais, Régis; Rivard, Mélina

doi:10.1097/nna.0b013e31824337f4

Cited by 62 publications

(136 citation statements)

References 10 publications

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“…The activities selected in each domain were not intended to describe the whole range of nursing activities, but rather to cover the breadth and depth of the nursing work continuum. The development and the psychometric validation of the ASCOP are described in detail in a separate article [35]. Results support the use of the ASCOP as a reliable and valid tool to measure nurses’ actual scope of practice.…”

Section: Methodsmentioning

confidence: 85%

A taxonomy of nursing care organization models in hospitals

Dubois

D’Amour

Tchouaket

et al. 2012

BMC Health Serv Res

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BackgroundOver the last decades, converging forces in hospital care, including cost-containment policies, rising healthcare demands and nursing shortages, have driven the search for new operational models of nursing care delivery that maximize the use of available nursing resources while ensuring safe, high-quality care. Little is known, however, about the distinctive features of these emergent nursing care models. This article contributes to filling this gap by presenting a theoretically and empirically grounded taxonomy of nursing care organization models in the context of acute care units in Quebec and comparing their distinctive features.MethodsThis study was based on a survey of 22 medical units in 11 acute care facilities in Quebec. Data collection methods included questionnaire, interviews, focus groups and administrative data census. The analytical procedures consisted of first generating unit profiles based on qualitative and quantitative data collected at the unit level, then applying hierarchical cluster analysis to the units’ profile data.ResultsThe study identified four models of nursing care organization: two professional models that draw mainly on registered nurses as professionals to deliver nursing services and reflect stronger support to nurses’ professional practice, and two functional models that draw more significantly on licensed practical nurses (LPNs) and assistive staff (orderlies) to deliver nursing services and are characterized by registered nurses’ perceptions that the practice environment is less supportive of their professional work.ConclusionsThis study showed that medical units in acute care hospitals exhibit diverse staff mixes, patterns of skill use, work environment design, and support for innovation. The four models reflect not only distinct approaches to dealing with the numerous constraints in the nursing care environment, but also different degrees of approximations to an “ideal” nursing professional practice model described by some leaders in the contemporary nursing literature. While the two professional models appear closer to this ideal, the two functional models are farther removed.

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Section: Methodsmentioning

confidence: 85%

A taxonomy of nursing care organization models in hospitals

Dubois

D’Amour

Tchouaket

et al. 2012

BMC Health Serv Res

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“…The themes “knowledge updating and utilization” and “communication and care coordination” were not explicitly described in the NCPF and we used them from the instrument of “actual scope of nursing practice” [32]. The indicator “scope of practice” is included in the nursing processes of the NCPF, but there are no explicit underlying subindicators.…”

Section: Discussionmentioning

confidence: 99%

“…A data extraction form was developed based on the NCPF [18] and the dimensions of the actual scope of nursing practice [32]. The data extraction grid was modified during the extraction process by adding dimensions or categories of results.…”

Section: Methodsmentioning

confidence: 99%

Impact of Information and Communication Technologies on Nursing Care: Results of an Overview of Systematic Reviews

et al. 2017

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BackgroundInformation and communication technologies (ICTs) are becoming an impetus for quality health care delivery by nurses. The use of ICTs by nurses can impact their practice, modifying the ways in which they plan, provide, document, and review clinical care.ObjectiveAn overview of systematic reviews was conducted to develop a broad picture of the dimensions and indicators of nursing care that have the potential to be influenced by the use of ICTs.MethodsQuantitative, mixed-method, and qualitative reviews that aimed to evaluate the influence of four eHealth domains (eg, management, computerized decision support systems [CDSSs], communication, and information systems) on nursing care were included. We used the nursing care performance framework (NCPF) as an extraction grid and analytical tool. This model illustrates how the interplay between nursing resources and the nursing services can produce changes in patient conditions. The primary outcomes included nurses’ practice environment, nursing processes, professional satisfaction, and nursing-sensitive outcomes. The secondary outcomes included satisfaction or dissatisfaction with ICTs according to nurses’ and patients’ perspectives. Reviews published in English, French, or Spanish from January 1, 1995 to January 15, 2015, were considered.ResultsA total of 5515 titles or abstracts were assessed for eligibility and full-text papers of 72 articles were retrieved for detailed evaluation. It was found that 22 reviews published between 2002 and 2015 met the eligibility criteria. Many nursing care themes (ie, indicators) were influenced by the use of ICTs, including time management; time spent on patient care; documentation time; information quality and access; quality of documentation; knowledge updating and utilization; nurse autonomy; intra and interprofessional collaboration; nurses’ competencies and skills; nurse-patient relationship; assessment, care planning, and evaluation; teaching of patients and families; communication and care coordination; perspectives of the quality of care provided; nurses and patients satisfaction or dissatisfaction with ICTs; patient comfort and quality of life related to care; empowerment; and functional status.ConclusionsThe findings led to the identification of 19 indicators related to nursing care that are impacted by the use of ICTs. To the best of our knowledge, this was the first attempt to apply NCPF in the ICTs’ context. This broad representation could be kept in mind when it will be the time to plan and to implement emerging ICTs in health care settings.Trial RegistrationPROSPERO International Prospective Register of Systematic Reviews: CRD42014014762; http://www.crd.york.ac.uk/PROSPERO/display_record.asp?ID=CRD42014014762 (Archived by WebCite at http://www.webcitation.org/6pIhMLBZh)

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“…), or more general descriptions of their role and function (D'Amour et al . ). Studies have focused on the degree to which the nursing resource is optimally deployed (Oelke et al .…”

Section: Introductionmentioning

confidence: 97%