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Related Experiment Videos

Rural and Remote Licensed Practical Nurses' Perceptions of Working Below Their Legislated Scope of Practice.

Martha L P MacLeod1, Norma J Stewart2, Julie G Kosteniuk3

  • 1Professor and Northern Health - UNBC Knowledge Mobilization Research Chair, School of Nursing, University of Northern British Columbia, Prince George, BC.

Nursing Leadership (Toronto, Ont.)
|June 23, 2019
PubMed
Summary

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Many registered practical nurses (RPNs) in rural Canada feel they work below their authorized scope. Factors like age, career stage, and job autonomy influence these perceptions, highlighting a need for better support and communication.

Area of Science:

  • Nursing Practice
  • Rural Health
  • Healthcare Policy

Background:

  • Licensed or registered practical nurses (LPNs) in Canada have seen expanded education and scope of practice over 20 years.
  • There's a growing number of LPNs in rural and remote areas, impacting their work environments.
  • Changes in LPN roles and practice settings necessitate understanding their experiences.

Purpose of the Study:

  • To identify factors predicting rural and remote LPNs' perceptions of working below their legislated scope of practice.
  • To explore the experiences and perceptions of LPNs working below their scope.

Main Methods:

  • A national survey of regulated nurses in rural and remote settings was conducted.
  • Data were analyzed to determine predictors of perceived practice below scope among LPNs.

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Main Results:

  • 77.3% of LPNs reported practicing within their legislated scope, while 17.6% reported practicing below scope.
  • Age, career stage, and job resources (autonomy, control) predicted perceptions of working below scope.
  • These factors are crucial in understanding the challenges faced by rural and remote LPNs.

Conclusions:

  • New communication strategies for nursing scope of practice are required.
  • Enhanced support is needed for rural and remote LPNs to practice consistently within their legislated scope.
  • Optimizing the LPN role is essential to prevent exacerbating disharmony in rural and remote healthcare settings.