Education and role title as predictors of enacted (actual) scope of practice in generalist nurses in a pediatric academic health sciences center

Johanne Déry; Sean P. Clarke

doi:10.1097/NNA.0000000000000341

Education and role title as predictors of enacted (actual) scope of practice in generalist nurses in a pediatric academic health sciences center

Johanne Déry, Sean P. Clarke

Nursing

Research output: Contribution to journal › Article › peer-review

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. METHOD: 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. CONCLUSION: 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.

Original language	English (US)
Pages (from-to)	265-269
Number of pages	5
Journal	Journal of Nursing Administration
Volume	46
Issue number	5
DOIs	https://doi.org/10.1097/NNA.0000000000000341
State	Published - May 2016

ASJC Scopus subject areas

Leadership and Management

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10.1097/NNA.0000000000000341

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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{\textquoteright}s degrees in Quebec, Canada. METHOD: 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. CONCLUSION: 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.",

author = "Johanne D{\'e}ry and Clarke, {Sean P.}",

note = "Funding Information: Johanne D{\'e}ry received grants from the Centre for Training and Expertise in Nursing Administration Research and the Quebec Ministry of Education, Recreation and Sports. The authors declare no conflict of interest. Publisher Copyright: Copyright B 2016 Wolters Kluwer Health, Inc. All rights reserved.",

year = "2016",

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doi = "10.1097/NNA.0000000000000341",

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AU - Déry, Johanne

AU - Clarke, Sean P.

N1 - Funding Information: Johanne Déry received grants from the Centre for Training and Expertise in Nursing Administration Research and the Quebec Ministry of Education, Recreation and Sports. The authors declare no conflict of interest. Publisher Copyright: Copyright B 2016 Wolters Kluwer Health, Inc. All rights reserved.

PY - 2016/5

Y1 - 2016/5

N2 - 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. METHOD: 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. CONCLUSION: 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.

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Education and role title as predictors of enacted (actual) scope of practice in generalist nurses in a pediatric academic health sciences center

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