2.50
Hdl Handle:
http://hdl.handle.net/10755/155050
Type:
Presentation
Title:
Evaluating the Scope of Nursing Practice: An Australian Perspective
Abstract:
Evaluating the Scope of Nursing Practice: An Australian Perspective
Conference Sponsor:Sigma Theta Tau International
Conference Year:2010
Author:Mosel Williams, Leonie, PhD, MEd, BN(Ed), DipAppSci
P.I. Institution Name:University of the Sunshine Coast
Title:Senior lecturer
Co-Authors:Margaret Barnes, PhD, RN; Magdelene Hingst, BHMg, CertGerC, RN
21st INRC [Research Presentation] Purpose: In 1995 the Queensland Nursing Council introduced the Scope of Nursing Practice Framework to guide nurses in delegation, assessment of competence and supervision. Two evaluations of the Framework implementation have been conducted but neither explored the Framework's use by nurses in the workplace. The purpose of this study was to evaluate the implementation of the Framework in the daily practice of a sample of the state's 57,000 nurses and midwives across various contexts of practice. Methods: Evaluation methodology was used because of the ascending approach to evaluating policy rather than the "top-down" approach. As such, nurses (N = 88) and midwives (N = 10) were recruited from metropolitan, regional and rural facilities working in government and privately owned hospitals, community and aged care centers. Using focus groups, participants' views on the utility of the Framework were explored. Triangulation was achieved through observation studies of nurses and midwives (N = 6) across contexts and document analysis from participant organizations. Transcripts of focus group data were analyzed using Hyper RESEARCH 2.8 to identify data-rich themes. Observation data was subjected to theoretical analysis and documents were coded and analyzed using content analysis and quasi-statistical methods to identify trends. Results: The data produced 12 significant outcomes including the overt and covert pressure on nurses to work outside of their scope of practice, usually from upper to middle management in most environments. At some sites, institutional policies limited the scope of practice of the registered nurse while expanding the scope of the enrolled (licensed practical) nurse and unlicensed career resulting in worker and workplace tension. Conclusion: The findings suggest that the evaluation method was appropriate for this study and the recommendations highlight the need for further education at all levels of nursing to strengthen the overall understanding of the principles of the Framework.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleEvaluating the Scope of Nursing Practice: An Australian Perspectiveen_GB
dc.identifier.urihttp://hdl.handle.net/10755/155050-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Evaluating the Scope of Nursing Practice: An Australian Perspective</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2010</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Mosel Williams, Leonie, PhD, MEd, BN(Ed), DipAppSci</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of the Sunshine Coast</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Senior lecturer</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">lwillia2@usc.edu.au</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Margaret Barnes, PhD, RN; Magdelene Hingst, BHMg, CertGerC, RN</td></tr><tr><td colspan="2" class="item-abstract">21st INRC [Research Presentation] Purpose: In 1995 the Queensland Nursing Council introduced the Scope of Nursing Practice Framework to guide nurses in delegation, assessment of competence and supervision. Two evaluations of the Framework implementation have been conducted but neither explored the Framework's use by nurses in the workplace. The purpose of this study was to evaluate the implementation of the Framework in the daily practice of a sample of the state's 57,000 nurses and midwives across various contexts of practice. Methods: Evaluation methodology was used because of the ascending approach to evaluating policy rather than the &quot;top-down&quot; approach. As such, nurses (N = 88) and midwives (N = 10) were recruited from metropolitan, regional and rural facilities working in government and privately owned hospitals, community and aged care centers. Using focus groups, participants' views on the utility of the Framework were explored. Triangulation was achieved through observation studies of nurses and midwives (N = 6) across contexts and document analysis from participant organizations. Transcripts of focus group data were analyzed using Hyper RESEARCH 2.8 to identify data-rich themes. Observation data was subjected to theoretical analysis and documents were coded and analyzed using content analysis and quasi-statistical methods to identify trends. Results: The data produced 12 significant outcomes including the overt and covert pressure on nurses to work outside of their scope of practice, usually from upper to middle management in most environments. At some sites, institutional policies limited the scope of practice of the registered nurse while expanding the scope of the enrolled (licensed practical) nurse and unlicensed career resulting in worker and workplace tension. Conclusion: The findings suggest that the evaluation method was appropriate for this study and the recommendations highlight the need for further education at all levels of nursing to strengthen the overall understanding of the principles of the Framework.</td></tr></table>en_GB
dc.date.available2011-10-26T13:29:43Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T13:29:43Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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