Measuring actual scope of nursing practice: A new tool for nurse leaders

Danielle D'Amour, Carl Ardy Dubois, Johanne Déry, Sean Clarke, Éric Tchouaket, Régis Blais, Michèle Rivard

Research output: Contribution to journalReview articlepeer-review


Objective: This project describes the development and testing of the actual scope of nursing practice questionnaire. Background: Underutilization of the skill sets of registered nurses (RNs) is a widespread concern. Cost-effective, safe, and efficient care requires support by management to facilitate the implementation of nursing practice at the full scope. Methods: Literature review, expert consultation, and face validity testing were used in item development. The instrument was tested with 285 nurses in 22 medical units in 11 hospitals in Canada. Results: The 26-item, 6-dimension questionnaire demonstrated validity and reliability. The responses suggest that nurses practice at less than their optimal scope, with key dimensions of professional practice being implemented infrequently. Conclusions: This instrument can help nurse leaders increase the effective use of RN time in carrying out the full scope of their professional practice.

Original languageEnglish (US)
Pages (from-to)248-255
Number of pages8
JournalJournal of Nursing Administration
Issue number5
StatePublished - May 2012

ASJC Scopus subject areas

  • Leadership and Management


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