scope of nursing

Topics: Health care, Nursing, Health care provider Pages: 23 (2215 words) Published: December 5, 2013
Expanding o r
E panding your Scope of N rsing
Nursing
Practice – a practical g
p
guide

Leanne Boase
Deborah Pedron

The Northern Hospital

Panch Health Service

Craigieburn Health Service

Broadmeadows Health Service

Bundoora Extended Care Centre

Scope of Nursing and
p
g
Midwifery Practice
What is it?
Why
Wh is it so
important?
Why is everyone
y
y
talking about it?
Who manages it?
Who is responsible?

The Northern Hospital

Panch Health Service

Craigieburn Health Service

Broadmeadows Health Service

Bundoora Extended Care Centre

Aims of this Presentation
1.

To define what Scope of Practice means for
Nurses and Midwives
Midwives.

2. To present different concepts around Scope of
p
p
p
Practice
3. T
3 To report on findings of a small survey of
t fi di
f
ll
f
nurses and Scope of Practice
4. To discuss expanding Scope of Practice and
provide a framework
5. To relate these concepts to ‘real life’ nursing
roles.
o es.
The Northern Hospital

Panch Health Service

Craigieburn Health Service

Broadmeadows Health Service

Bundoora Extended Care Centre

According to our nurses, Scope Of
Practice
P ti (SOP) is:
i
SO
SOP is Guidelines
G
and Frameworks we
need to abide and
work within

SOP relates
to what I am
allowed and
not allowed
to do within
my
profession

SOP relates to codes of
conduct, ethics and
professional conduct

SOP relates to what a nurse can
do within their skill base

Area of tasks,
procedures and
actions a nurse can
legally and safely
undertake
according to their
training and
education

The scope of which
p
my role as a RN,
specialist or
credentialed DNE
can work within

Maintaining knowledge base and
competency through constant
learning and professional
development
The Northern Hospital

Panch Health Service

Something which I am
taught, qualified,
taught qualified or
competent to do

Craigieburn Health Service

Broadmeadows Health Service

Bundoora Extended Care Centre

What is Scope of Practice?
p
“That which Nurses and

“the range of roles,
functions,
functions responsibilities
& activities, which a registered
nurse or a registered midwife
is educated, competent, and
has the authority to perform ”
perform.
(An Bord Altranais p1)

Midwives
are educated, competent
and authorised to
perform.” (QNC p3)

Scope of p
p
practice is
not defined in many places.
We should define nursing practice
and outline principles to assist with
the expansion of one’s scope
p
p
of practice And/ Or
Require the health professional to
identify restricted activities.
(
(DEST)
)

The Northern Hospital

Panch Health Service

“What health care workers
actually do in the course of
their employment...which
encompasses the full range
of nursing activities.”
An individuals scope refers to
“the activities which that nurse
is educated and authorised
to perform.”
(NSWNA p1)

“A profession's scope of
practice is the full spectrum of roles, functions,
responsibilities, activities and decision-making
capacity which i di id l within th profession are
it hi h individuals ithi the
f
i
educated, competent and authorised to perform”.
“The scope of practice of an individual nurse or midwife may be more specifically defined than the scope of
practice of their profession.”
ti
f th i
f
i ”
(ANMC 2007 p2&23)

Craigieburn Health Service

Broadmeadows Health Service

Bundoora Extended Care Centre

What is Scope of Practice?
p
• Our definition:
Full range of activities that we (nurses and
midwives) have been educated, deemed
competent, and are authorised to do. It is
t t d
th i d t d
i
not just a list of activities and
j
tasks, or a role description.
The Northern Hospital

Panch Health Service

Craigieburn Health Service

Broadmeadows Health Service

Bundoora Extended Care Centre

What Evidence supports your SOP?


From...

References: •
An Bord Altranais (2000), Scope of Nursing and Midwifery Framework
www.nursingboard.ie/
Australian Nursing and Midwifery Council (2007), National framework for the development of decision-making
Australian Nursing Federation (2005), Competency Standards for Nurses in General Practice. Australian Nursing
Federation http://www.anf.org.au/nurses_gp/resource_15.pdf
Commonwealth Department of Education, Science and Training (2001), Selected Review of Nurse Regulation.
Department of Health, Western Australia (2005), Scope of Enrolled Nursing Practice Policy. Perth.
Fox-Young, S. Ashley, (2010),
Fox Young S & Ashley C (2010) Developing and Australian Framework for scope of practice decisions by
Mason, S., Fletcher, A., McCormick, S., Perrin, J. & Rigby, A. (2005), Developing assessment of Emergency Nurse
Practitioner competence – a pilot study
McNamara, S., Giguere, V., St-Louis, L, & Boileau, J. (2009), Development and implementation of the specialized
nurse practitioner role: Use of the PEPPA framework to achieve success
New South Wales Nurses Association (2009), Professional Nursing Practice fact sheet series – Scope of Practice.
http://www.nswnurses.asn.au/
Ohio Board of Nursing (2009), Is it within my Nursing Scope of Practice to…
df
Ohio Board of Nursing (2010), A decision-making guide for determining individual APN scope of practice
U.S.A. http://www.nursing.ohio.gov/PDFS/AdvPractice/APNModel(11-16-10).pdf
Queensland Nursing Council (2008), Scope of practice – framework for nurses and midwives
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