Report on the expanded role nurse project

Based on increasing patient acuity, shortage of adequately prepared nurses, universal funding cutbacks as well as reduction in the numbers of medical residents in Ontario, University Hospital in London embarked on a project to develop and expand the role of the nurse in 1988. Utilizing the project objectives as a framework, this paper summarizes the status after three years by describing the extent to which the objectives have been or are being met. Factors which support and factors which impede success are identified and plans for action are presented.