Scope creep: when nursing practice moves beyond traditional boundaries: an evidence-based example using procedural...

Area of Science:

• Nursing
• Medical Practice
• Evidence-Based Practice

Background:

• The scope of nursing practice is dynamic, influenced by scientific and technological progress.
• Nursing practice faces challenges from medical partners, time constraints, and reimbursement policies.
• Nurses are increasingly expected to undertake duties traditionally performed by physicians.

Purpose of the Study:

• To review a case example of nurses expanding their scope of practice.
• To evaluate a practice problem using an evidence-based approach.
• To propose strategies for minimizing risk and staff moral distress.

Main Methods:

• Case study review.
• Application of the PICO (population, intervention, comparison, outcome) method for evidence-based evaluation.
• Exploration of risk management and staff support strategies.

Main Results:

• The case study illustrates the expansion of nursing responsibilities into physician-led domains.
• The PICO method provides a framework for evaluating practice changes.
• Strategies for managing risks and moral distress in expanded nursing roles were identified.

Conclusions:

• Expanding nursing practice requires careful evaluation and evidence-based approaches.
• Addressing challenges and supporting staff are crucial for successful role evolution.
• The dynamic nature of healthcare necessitates adaptive nursing roles and practices.