Conceptualizing an expanded role for RNs

Abstract

In our changing health care system, the role of registered nurses (RNs) has become indistinguishable from other nursing and health care providers’ roles. The purpose of this research was to explore the perspectives of nurse leaders and direct care RNs about the existing and future RN scope of practice. This research used an interpretive description analysis on data that was garnered from nurse leaders and RNs through separate focus groups. Participants identified existing threats to their roles, examined their scope of practice and proposed changes to the RN scope of practice. Specific areas that were identified included leadership, advocacy and expansion of RNs practices were dominant themes.

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Donnelly, G. and Domm, L. (2014) Conceptualizing an expanded role for RNs. Open Journal of Nursing, 4, 74-84. doi: 10.4236/ojn.2014.42011.

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1] Fry, B. (2013) Get the job done: Straight talk about scope of practice. Canadian Nurse, 109, 32-33.
[2] Canadian Nurses Association (2007) Framework for the practice of registered nurses in Canada. Ottawa.
[3] College of Registered Nurses of Manitoba (2008) Fact sheet determining the scope of practice of an individual registered nurse.
http://www.crnm.mb.ca/memberinfo-scopeofpractice.php
[4] College of Registered Nurses of Manitoba (2010) Understanding scope of practice for licensed practical nurses registered nurses registered nurses in the province of Manitoba. http://cms.tng-secure.com/file_download.php?fFile_id=10231
[5] Baranek, P.M. (2005) A review of scopes of practice of health professions in Canada. A balancing act. Health Council of Canada, Toronto.
[6] West, E.A., Griffith, W.P. and Iphofen, R. (2007) A historical perspective on the nursing shortage. Medsurg Nursing, 16, 124-130.
[7] Yam, B.M.C. (2004) From vocation to profession: The quest for professionalization of nursing. British Journal of Nursing, 13, 978-982.
[8] Schlotfeldt, R.M. (2002) Structuring nursing knowledge: A priority for creating nursing’s future. In: Kenney, J., Ed., Philosophical and Theoretical Perspectives for Advanced Nursing Practice, 3rd Edition, Jones and Bartlett Publishers, Sudbury, 5-9.
[9] Kilstof, K. and Rochetser, S. (2004) Hitting the ground running: Transitional experiences of graduates previously trained as enrolled nurses. Australian Journal of Advanced Nursing, 22, 13-17.
[10] Blais, D. (2007) Frequently asked questions about the RN scope of practice. Vancouver Island Health Authority.
http://www.viha.ca/NR/rdonlyres/6F24A53D-DA92-4D28-9489-8D55163F2194/0/faq_rn_scope_of_practice_faqs_ about_practice_march_21_07.pdf
[11] Board of Registered Nurses of California (1997) An explanation of the scope of nursing practice, including standardized procedures.
http://www.rn.ca.gov/pdfs/regulations/npr-b-03.pdf
[12] Nurses Association of New Brunswick (2009) Working together: A framework for the registered nurse and licensed practical nurse. Author, Fredericton.
[13] College of Registered Nurses of British Columbia (2008) Working together for client safety. Vancouver.
[14] College of Nurses of Ontario (2009) Practice guideline: Utilization of RNs and RPNs. Toronto.
[15] Registered Psychiatric Nurses Association of Saskatchewan, Saskatchewan Association of Licensed Practical Nurses, & Saskatchewan Registered Nurses Association. (2000) Nursing in collaborative environments. Regina.
[16] Canadian Health Services Research Foundation (2006) Staffing for safety: A synthesis of the evidence on nurse staffing and patient safety. Ottawa.
[17] Gaudine, A.P. and Beaton, M.R. (2002) Employed to go against one’s values: Nurse anagers’ accounts of ethical conflict with their organizations. Canadian Journal of Nursing Research, 34, 17-34.
[18] Swan, B.A., Conway-Phillips, R. and Griffin, K.F. (2006) Demonstrating the value of the RN in ambulatory care. Nursing Economics, 24, 315-322.
[19] Ringerman, E. and Ventura, S. (2000) An outcome approach to skill mix change in critical care. Nursing Management, 31, 42-46.
http://dx.doi.org/10.1097/00006247-200010000-00022
[20] Besner, J., Doran, D., McGillis Hall, L., Giovannetti, P., Girard, F., Hill, W., et al. (2005) A systematic approach to maximizing nursing scopes of practice. CIHR, Calgary.
[21] Clarke, S. (2013) From the ground up. Canadian Nurse, 109, 20-24.
[22] Clarke, S. and Aiken, E. (2006) More nursing, fewer deaths. Quality and Safety in Health Care, 15, 2-3.
http://dx.doi.org/10.1136/qshc.2005.017343
[23] Benner, P., Sutphen, M., Leonard, V. and Day, R. (2010) Educating nurses: A call to radical transformation. A Wiley Imprint, San Francisco.
[24] Nelson, S. and Gordon, S. (2006) The complexities of care: Nursing reconsidered. ILR Press, Cornell.
[25] Benner, P. (1984) From novice to expert: Excellence and power in clinical nursing practice. Prentice Hall, Upper Saddle River.
[26] Davidson-Dick (1991) Interview with Sarah Growe. In: Growe, S., Ed., Who Cares? The Crises in Canadian Nursing, McClelland & Stewart, Toronto.
[27] Saskatchewan Union of Nurses (1998) Spectrum: The future of nursing? Regina.
[28] Evans, C., Jones, L., Way, D. and Paes, B. (1997) Is there room for both NPs and MDs. In: Patterson, C., Ed., Visions and Voices: The Nurse Practitioner Today, Lugus Publications, Toronto, 101-149.
[29] College of Registered Nurses of British Columbia (2010) Scope of practice for registered nurses: Standards, limits & conditions. Vancouver.
[30] Saskatchewan Registered Nurses Association (2012) Optimizing scope project. Regina.
[31] Thorne, S. (2008) Interpretive description. Left Coast Press, Walnut Creek.
[32] Fain, T. (2008) Reading, understanding, and applying nursing research. 4th Edition, F. A. Davis, Philadelphia, 182-183.
[33] Garrick, J. (1999) Doubting the philosophical assumptions of interpretive research. Qualitative Studies in Education, 12, 147-156.
http://dx.doi.org/10.1080/095183999236222
[34] Van Manen, M. (1990) Researching the lived experience: Human sciences for an action sensitive pedagogy. The Althouse Press, London, 78-135.

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