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Optimizing Licensed Practical Nurses in Home Care: Their Role, Scope and Opportunities.

Kimberly Fraser1, Neelam Saleem Punjani2, Beth Wilkey3

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Licensed practical nurses (LPNs) in home care (HC) are exploring new case management roles. This study clarifies their current functions and potential to improve client outcomes and system efficiencies.

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Area of Science:

  • Nursing Practice
  • Healthcare Management
  • Case Management

Background:

  • Case management is an emerging competency for Licensed Practical Nurses (LPNs) in Alberta's home care (HC) sector, introduced in 2015.
  • The specific functions and influencing factors of LPNs in case management roles within HC are not well-defined.

Purpose of the Study:

  • To investigate the current roles LPNs undertake in home care and case management.
  • To explore the potential roles LPNs could fulfill within their scope of practice to enhance client outcomes and system efficiencies in HC.

Main Methods:

  • A mixed methods, multiple case study design was employed.
  • Data were collected from LPNs, managers, and HC leaders across rural, urban, and suburban settings.
  • Methods included semi-structured interviews, participant observation, focus groups, document review, and surveys.

Main Results:

  • Findings will delineate the current scope and specific functions of LPNs in HC case management.
  • The study will identify barriers and facilitators influencing LPNs' case management roles.
  • Analysis will highlight opportunities for expanding LPN involvement to optimize care delivery.

Conclusions:

  • Clarifying LPN roles in HC case management is crucial for leveraging their full potential.
  • Expanding LPN responsibilities can lead to improved client care and healthcare system efficiencies.
  • Further research should explore best practices for integrating LPNs into advanced case management roles.