Rural and Remote Licensed Practical Nurses' Perception of Working Below Their Legislated Scope of Practice
| Autor: | Norma J. Stewart, Judith C. Kulig, Martha L. P. MacLeod, Pertice Moffitt, Chandima Karunanayake, Erin C. Wilson, Mary Ellen Labrecque, Davina Banner, Janna Olynick, Leana Garraway, Julie Kosteniuk, Kelly Penz, Sharleen Jahner |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Adult
Male Canada Scope of practice Attitude of Health Personnel media_common.quotation_subject Control (management) 03 medical and health sciences 0302 clinical medicine Nursing Surveys and Questionnaires Perception Humans 030212 general & internal medicine Practical nurses media_common 030504 nursing Scope (project management) Licensed Practical Nurses Licensure Nursing General Medicine Middle Aged Rural Nursing Cross-Sectional Studies Work (electrical) Female 0305 other medical science Psychology Autonomy |
| Zdroj: | Canadian Journal of Nursing Leadership. 32:8-19 |
| ISSN: | 1929-6355 |
| DOI: | 10.12927/cjnl.2019.25852 |
| Popis: | Over the past two decades in Canada, licensed or registered practical nurses (LPNs) have experienced an extension of their educational preparation and scope of practice. Simultaneously, there has been an increase in the number of LPNs employed in rural and remote communities. These changes have influenced the practice environment and LPNs' perceptions of their work. The aim of this article is to examine what factors predict rural and remote LPNs' perceptions of working below their legislated scope of practice and to explore their perceptions of working below scope. The findings arise from a national survey of rural and remote regulated nurses, in which 77.3% and 17.6% of the LPNs reported their practice as within and as below their legislated scope of practice, respectively. Three factors, age, stage of career and job-resources related to autonomy and control, predicted that LPNs would perceive themselves to be working below their scope of practice. These results suggest that new ways to communicate nurses' scope of practice are needed, along with supports to help rural and remote LPNs more consistently practice to their legislated scope of practice. Without such changes, the LPN role cannot be optimized and disharmony within rural and remote settings may be exacerbated. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|