Influences on and outcomes of enacted scope of nursing practice: a new model.
Enacted scope of practice is a major issue for nursing administrators, given the potentially negative effect on accessibility, continuity, safety and quality of care, job satisfaction, and organizational costs of nurses working at reduced scope. Optimal deployment of nurses to a fuller enacted scope of nursing practice holds much promise for addressing all of these larger challenges. In this sense, new model of the Enacted Scope of Nursing Practice presented in this article provides a number of directions for interventions that could improve health system functioning.
Department of Nursing Administration, CHU Sainte-Justine, Montreal, Canada (Dr Déry); Faculty of Nursing (Drs Déry and D'Amour) and Department of Health Administration, Faculty of Medicine (Dr Blais), University of Montreal, Canada; and Connell School of Nursing, Boston College, Chestnut Hill, Massachusetts (Dr Clarke).
Johanne
J
Déry
Danielle
D
DʼAmour
Régis
R
Blais
Sean P
SP
Clarke
D006801:Humans; D007587:Job Description; D007588:Job Satisfaction; D016294:Models, Nursing; D009718:Nurse Administrators; D009723:Nurse-Patient Relations; D057184:Practice Patterns, Nurses'