2.50
Hdl Handle:
http://hdl.handle.net/10755/335570
Category:
Abstract
Type:
Presentation
Title:
Nurses' Scope of Practice and the Implication for Quality Nursing Care
Author(s):
Roets, Lizeth; Lubbe, Johanna Catharina (Irene)
Lead Author STTI Affiliation:
Tau Lambda-at-Large
Author Details:
Lizeth Roets, PhD, MSocSc (Hons), BSocSc, roetsl@unisa.ac.za; Johanna Catharina (Irene) Lubbe, PhD, MSocSc (CritCrNsg), AdvDipEducMgmt, BSocSc
Abstract:
Session presented on Monday, July 28, 2014: Purpose: The purpose of this presentation is to give an overview of the implications for patients’ health status and care needs when assessments are performed by nurses not licensed or competent to perform this task. The “Waterlow™ scale” scenario is used as a practice example to illustrate this case. Methods: A retrospective quantitative study was utilised. A checklist was used to perform an audit on a random sample of 157 out of an accessible population of 849 patient files. Data was gathered in May 2012 and the analysis was done using frequencies and percentages for categorical data. Reliability and validity were ensured and all ethical principles were adhered to.   Results: Eighty percent of risk assessments were performed by nurses not licensed/enrolled to perform this task unsupervised. Areas such as tissue malnutrition, neurological deficits and medication were inaccurately scored, resulting in fifty percent of the Waterlow™ risk-assessment scales, as an example, being incorrectly interpreted. This has implications for quality nursing care and might put the patient and the institution at risk. Conclusion: Lower-category nurses and student nurses should be allowed to perform only tasks within their scope of practice for which they are licensed or enrolled. Nurses with limited formal theoretical training are not adequately prepared to perform tasks unsupervised, even in the current global nursing shortage scenario. To optimise and ensure safe and quality patient care, risk assessments should be done by a registered professional nurse, who will then coordinate the nursing care of the patient with the assistance of the lower category of nurses.
Keywords:
scope of practice; basic nursing care; risk assessment
Repository Posting Date:
17-Nov-2014
Date of Publication:
17-Nov-2014
Conference Date:
2014
Conference Name:
25th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Hong Kong
Description:
International Nursing Research Congress, 2014 Theme: Engaging Colleagues: Improving Global Health Outcomes. Held at the Hong Kong Convention and Exhibition Centre, Wanchai, Hong Kong
Note:
This is an abstract-only submission. If the author has submitted a full-text item related to this abstract, you may find it by browsing the repository by author. If author contact information is availabe in this abstract, please feel free to contact him or her with your queries regarding this submission.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleNurses' Scope of Practice and the Implication for Quality Nursing Careen_GB
dc.contributor.authorRoets, Lizethen_GB
dc.contributor.authorLubbe, Johanna Catharina (Irene)en_GB
dc.contributor.departmentTau Lambda-at-Largeen_GB
dc.author.detailsLizeth Roets, PhD, MSocSc (Hons), BSocSc, roetsl@unisa.ac.za; Johanna Catharina (Irene) Lubbe, PhD, MSocSc (CritCrNsg), AdvDipEducMgmt, BSocScen_GB
dc.identifier.urihttp://hdl.handle.net/10755/335570-
dc.description.abstractSession presented on Monday, July 28, 2014: Purpose: The purpose of this presentation is to give an overview of the implications for patients’ health status and care needs when assessments are performed by nurses not licensed or competent to perform this task. The “Waterlow™ scale” scenario is used as a practice example to illustrate this case. Methods: A retrospective quantitative study was utilised. A checklist was used to perform an audit on a random sample of 157 out of an accessible population of 849 patient files. Data was gathered in May 2012 and the analysis was done using frequencies and percentages for categorical data. Reliability and validity were ensured and all ethical principles were adhered to.   Results: Eighty percent of risk assessments were performed by nurses not licensed/enrolled to perform this task unsupervised. Areas such as tissue malnutrition, neurological deficits and medication were inaccurately scored, resulting in fifty percent of the Waterlow™ risk-assessment scales, as an example, being incorrectly interpreted. This has implications for quality nursing care and might put the patient and the institution at risk. Conclusion: Lower-category nurses and student nurses should be allowed to perform only tasks within their scope of practice for which they are licensed or enrolled. Nurses with limited formal theoretical training are not adequately prepared to perform tasks unsupervised, even in the current global nursing shortage scenario. To optimise and ensure safe and quality patient care, risk assessments should be done by a registered professional nurse, who will then coordinate the nursing care of the patient with the assistance of the lower category of nurses.en_GB
dc.subjectscope of practiceen_GB
dc.subjectbasic nursing careen_GB
dc.subjectrisk assessmenten_GB
dc.date.available2014-11-17T13:55:07Z-
dc.date.issued2014-11-17-
dc.date.accessioned2014-11-17T13:55:07Z-
dc.conference.date2014en_GB
dc.conference.name25th International Nursing Research Congressen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationHong Kongen_GB
dc.descriptionInternational Nursing Research Congress, 2014 Theme: Engaging Colleagues: Improving Global Health Outcomes. Held at the Hong Kong Convention and Exhibition Centre, Wanchai, Hong Kongen_GB
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item related to this abstract, you may find it by browsing the repository by author. If author contact information is availabe in this abstract, please feel free to contact him or her with your queries regarding this submission.en_GB
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