title: Education and Role Title as Predictors of Enacted (Actual) Scope of Practice in Generalist Nurses in a Pediatric Academic Health Sciences Center.
abstract: OBJECTIVE
  The aim of this study is to document the enacted (actual) scope of practice (SOP) of nurses in pediatric settings in relation to education level and position.
  
  
  BACKGROUND
  Baccalaureate-prepared staff nurses routinely carry out only a fraction of the activities essential for quality of care and patient safety they have been educated for. A direct care nurse clinician role exists for nurses with bachelor's degrees in Quebec, Canada.
  
  
  METHODS
  Survey of 301 nurses in a pediatric university hospital in Quebec was conducted.
  
  
  RESULTS
  Enacted (actual) SOP for baccalaureate-educated nurses was significantly broader than that of nurses with junior college diplomas and nurse clinicians (baccalaureate-educated) carried out complex activities more frequently.
  
  
  CONCLUSIONS
  The creation of job titling and role descriptions that reflect the upper range of nursing competencies could be an important tool for promoting broadened SOP for baccalaureate nurses.
authors.affiliation: Author Affiliations: Assistant Director of Nursing (Research Development) (Dr Déry), Department of Nursing Administration, CHU Sainte-Justine, Montreal, Canada; Affiliated Professor, Faculty of Nursing (Dr Déry); Full Professor, Faculty of Nursing (Dr D'Amour); Full Professor, Department of Health Administration, Faculty of Medicine (Dr Blais), University of Montreal, Canada; Professor and Associate Dean (Dr Clarke), Connell School of Nursing, Boston College, Chestnut Hill, Massachusetts.
authors.forename: Johanne
authors.initials: J
authors.lastname: Déry
authors.forename: Sean P
authors.initials: SP
authors.lastname: Clarke
authors.forename: Danielle
authors.initials: D
authors.lastname: D'Amour
authors.forename: Régis
authors.initials: R
authors.lastname: Blais
mesh_terms: D002983:Clinical Competence / Q000592:standards*; D004508:Education, Nursing, Baccalaureate / Q000458:organization & administration / Q000592:standards*; D006776:Hospitals, Pediatric / Q000458:organization & administration / Q000592:standards*; D006801:Humans; D015999:Multivariate Analysis; D009720:Nurse Clinicians / Q000193:education / Q000458:organization & administration / Q000592:standards*; D024802:Nurse's Role; D009741:Nursing Staff, Hospital / Q000193:education / Q000458:organization & administration / Q000592:standards*; D010371:Pediatric Nursing / Q000193:education / Q000458:organization & administration / Q000592:standards*; D011792:Quebec; D011795:Surveys and Questionnaires; D000078329:Workforce