Rural and Remote Registered Nurses' Perception of Working Beyond Their Legislated Scope of Practice

MacLeod, Martha; Stewart, Norma J.; Kosteniuk, Julie; Penz, Kelly; Olynick, Janna; Karunanayake, Chandima; Kilpatrick, Kelley; Kulig, Judith C.; Martin-Misener, Ruth; Koren, Irene; Zimmer, Lela V.; Pelt, Linda Van; Garraway, Leana

doi:10.12927/cjnl.2019.25851

Cited by 20 publications

(39 citation statements)

References 16 publications

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“…The full list is available from the lead author. The selection of regression variables followed the same multistage, iterative process as in MacLeod et al (2019b) to examine the RN scope of practice.…”

Section: Variables Included In the Analysismentioning

confidence: 99%

Rural and Remote Licensed Practical Nurses' Perception of Working Below Their Legislated Scope of Practice

MacLeod

Stewart

Kosteniuk

et al. 2019

cjnl

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Section: Variables Included In the Analysismentioning

confidence: 99%

Rural and Remote Licensed Practical Nurses' Perception of Working Below Their Legislated Scope of Practice

MacLeod

Stewart

Kosteniuk

et al. 2019

cjnl

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“…However, in our study, the level of information literacy of nurses was low; We can see from Table 1 that there are signi cant differences in the educational background, living conditions, marital status, professional titles, learning situation, and the mastery of information retrieval knowledge of nurses among these hospitals (P<0.001). At present, most of the medical hospitals in China have carried on informatization construction [24], but there is a big gap between hospitals of different levels [25], especially primary hospitals and clinics, which are short of the construction of quality management system of medical information, as well as information of medical quality control hardware facilities [26,27]. This was an important reason for the low level of information literacy of nurses…”

Section: Discussionmentioning

confidence: 99%

Information Literacy of Nurses in Shaanxi Province, China: A Cross-sectional Descriptive and Multicentre Survey

Fan

Zhang

Du³

et al. 2020

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Background: With the advent of the information age, rapid progress has been made in Chinese medical and health services. As the main force to give thorough, systematic and integral services for patients, nurses play an important role in the development of information-based medical care. However, there is a lack of research on the information literacy of nurses in the hospitals of different levels in China.Methods: We selected 30 hospitals in Shaanxi Province by convenient sampling method and distributed 3,480 questionnaires from March to July 2020. The self-reported questionnaire included general information of nurses and their information literacy scale which was filled in the form of anonymity on the Internet. We then performed descriptive analyses, univariate analysis and multiple linear regression analysis on the collected data.Results: We obtained 3,011 valid questionnaires, with the response rate of 94.71% (n=3,296). The total score of information literacy of 3,011 nurses was 114.18 ± 18.62, including 115.39 ± 17.66 for tertiary hospital nurses, 114.65 ± 19.02 for secondary hospital nurses and 105.00 ± 18.68 for primary hospital nurses (F=33.755, P=0.000). The nurses who were in primary hospital, with low education background or at older age, could not use database, had not participated in information literacy training, spent less spare time on learning, read less literature, had lower information literacy level (F＝39.687, P＝0.000). Conclusions: There are differences in nurses' information literacy among hospitals of different levels and several factors are associated with the information literacy. Since the information literacy of nurses in primary hospitals is the lowest, we should pay special attention to improving their information literacy, in particular. The government should strengthen information support and organize information literacy training. The hospitals should offer courses, lectures, seminars to improve the information literacy of nurses. Nurses should improve their information skills, read the latest professional literature, and constantly improve themselves.

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“…A report from the larger RRNII study indicates that following protocols or decision support tools to arrive at a plan of care is among the top four practice responsibilities that rural and remote RNs and LPNs reported (ranked by frequency) [17]. This suggests that the use of policies or protocols and clinical practice guidelines is an integral part of practice for both nurse groups.…”

Section: Discussionmentioning

confidence: 99%

“…This analysis has some limitations that should be noted. Our sample was representative of rural Canadian RNs and LPNs [17, 59]; however, our findings might not be generalizable to rural nurses outside of Canada. The survey was administered in 2014–2015, and changes in technology since that time should be taken into account.…”

Section: Discussionmentioning

confidence: 99%

“…In Canada, 10% of RNs [14] and 14% of LPNs [15] practice in rural areas, where 17% of the population lives [16]. Compared to LPNs, RNs report broader responsibilities in their rural nursing practice that require more complex and analytical thinking related to several areas [17]. For instance, a greater proportion of rural RNs than LPNs report responsibility for independently making a nursing diagnosis (66% versus 36%), referring patients to other health care practitioners (48% versus 29%), prescribing medication using protocols (30% versus 12%), interpreting laboratory and diagnostic tests (46% versus 25%), supervising or mentoring nursing colleagues (61% versus 32%), and leading a unit or shift (47% versus 31%).…”

Section: Introductionmentioning

confidence: 99%

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Communication tools and sources of education and information: a national survey of rural and remote nurses

Kosteniuk

Stewart

Wilson

et al. 2019

jmla

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Objective: This study examined accessibility of communication tools in the workplace, use of education to update nursing knowledge, and use of information to make specific decisions in practice among registered nurses (RNs) and licensed practical nurses (LPNs) in rural and remote communities in Canada.Methods: Data were analyzed from the cross-sectional survey, “Nursing Practice in Rural and Remote Canada II,” of regulated nurses practicing in all provinces and territories of Canada. Data were collected from April 2014 to August 2015.Results: The survey was completed by 3,822 of 9,622 nurses (40% response), and the present analysis was conducted with a subsample of 2,827 nurses. High-speed Internet was the most accessible communication tool, and nurses used “online/electronic education” more often than “in-person education” to update their nursing knowledge. Internet searches were used more often than several other online/electronic sources to inform decision making. Compared to LPNs, RNs reported greater workplace access to most communication tools and greater use of online/electronic education as well as information sources in online/electronic and print formats. Compared to nurses in community-based health care and hospital settings, nurses in long-term care settings reported lower access to most communication tools, lower use of online/electronic and in-person education, and lower use of online/electronic information.Conclusions: Access to continuing education and up-to-date information is important for effective patient care. This study points to a need for further research on the continuing education and information needs of rural and remote RNs and LPNs, and on their capacity to incorporate and apply new knowledge in practice.

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Rural and Remote Registered Nurses' Perception of Working Beyond Their Legislated Scope of Practice

Cited by 20 publications

References 16 publications

Rural and Remote Licensed Practical Nurses' Perception of Working Below Their Legislated Scope of Practice

Rural and Remote Licensed Practical Nurses' Perception of Working Below Their Legislated Scope of Practice

Information Literacy of Nurses in Shaanxi Province, China: A Cross-sectional Descriptive and Multicentre Survey

Communication tools and sources of education and information: a national survey of rural and remote nurses

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