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Nurses’ Scope of Practice and the Implication for Quality Nursing

Show simple item record Lubbe, Irene Roets, Lizeth 2019-01-22T08:30:21Z 2019-01-22T08:30:21Z 2013
dc.identifier.citation J.C. (Irene) Lubbe, Lizeth Roets(2013)Nurses’ Scope of Practice and the Implication for Quality Nursing,Journal of Nursing Scholarship, 2014; 46:1, 58–64. en
dc.identifier.uri doi: 10.1111/jnu.12058
dc.description.abstract Purpose: This article provides an overview of the implications for patients’ health status and care needs when assessments are performed by nurses not licensed or competent to perform this task. TheWaterlowTM scale (Judy Waterlow, The Nook, Stroke Road, Henlade, TAUNTON, TA3 5LX) scenario is used as a practice example to illustrate this case. Organizational Construct: The international nursing regulatory bodies, in South Africa called the South African Nursing Council, set the scope of practice wherein nurses are allowed to practice. Different categories of nurses are allowed to practice according to specified competencies, in alignment with their scope of practice. Methods: A retrospective quantitative study was utilized. A checklist was used to perform an audit on a random sample of 157 out of an accessible population of 849 patient files. Data were gathered in May 2012, and the analysis was done using frequencies and percentages for categorical data. Reliability and validity were ensured, and all ethical principles were adhered to. Findings: Eighty percent of risk assessments were performed by nurses not licensed or enrolled to perform this task unsupervised. Areas such as tissue malnutrition, neurological deficits, and medication were inaccurately scored, resulting in 50% of the WaterlowTM risk-assessment scales, as an example, being incorrectly interpreted. This has implications for quality nursing care and might put the patient and the institution at risk. Conclusions: Lower-category nurses and student nurses should be allowed to perform only tasks within their scope of practice for which they are licensed or enrolled. Nurses with limited formal theoretical training are not adequately prepared to perform tasks unsupervised, even in the current global nursing shortage scenario. Clinical Relevance: To optimize and ensure safe and quality patient care, risk assessments should be done by a registered professional nurse, who will then coordinate the nursing care of the patient with the assistance of the lower category of nurses. en
dc.language.iso en en
dc.publisher Wiley Periodicals en
dc.subject Risk assessment en
dc.subject basic nursing care en
dc.subject WaterlowTM scale en
dc.subject scope of practice en
dc.title Nurses’ Scope of Practice and the Implication for Quality Nursing en
dc.type Article en
dc.description.department Health Studies en

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