Am I covered?': an analysis of a national enquiry database on scope of practice

Brady, Anne-Marie, Fealy, Gerard, Casey, Mary, Hegarty, Josephine, Kennedy, Catriona, McNamara, Martin, O’Reilly, Pauline, Prizeman, Geraldine and Rohde, Daniela (2015) Am I covered?': an analysis of a national enquiry database on scope of practice. Journal of Clinical Nursing, 71 10: 2402-2412. doi:10.1111/jan.12711

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Author Brady, Anne-Marie
Fealy, Gerard
Casey, Mary
Hegarty, Josephine
Kennedy, Catriona
McNamara, Martin
O’Reilly, Pauline
Prizeman, Geraldine
Rohde, Daniela
Title Am I covered?': an analysis of a national enquiry database on scope of practice
Journal name Journal of Clinical Nursing   Check publisher's open access policy
ISSN 0962-1067
Publication date 2015-10
Year available 2015
Sub-type Article (original research)
DOI 10.1111/jan.12711
Open Access Status Not Open Access
Volume 71
Issue 10
Start page 2402
End page 2412
Total pages 13
Place of publication Chichester, West Sussex, United Kingdom
Publisher Wiley-Blackwell Publishing
Collection year 2016
Language eng
Formatted abstract
AIM: Analysis of a national database of enquiries to a professional body pertaining to the scope of nursing and midwifery practice.

BACKGROUND: Against a backdrop of healthcare reform is a demand for flexibility in nursing and midwifery roles with unprecedented redefinition of role boundaries and/or expansion. Guidance from professional regulatory bodies is being sought around issues of concern that are arising in practice.

DESIGN: Qualitative thematic analysis.

METHOD: The database of telephone enquiries (n=9818) made by Registered Nurses and midwives to a national regulatory body (2001-2013) was subjected to a cleaning process and examined to detect those concerns that pertained to scope of practice. A total of 978 enquires were subjected to thematic analysis.

FINDINGS: Enquiries were concerned with three main areas: medication management, changing and evolving scope of practice and professional role boundaries. The context was service developments, staff shortages and uncertainty about role expansion and professional accountability. Other concerns related to expectations around responsibility and accountability for other support staff.

CONCLUSION: Efforts by employers to maximize the skill mix of their staff and optimally deploy staff to meet service needs and/or address gaps in service represented the primary service context from which many enquiries arose. The greatest concern for nurses arises around medication management but innovation in healthcare delivery and the demands of service are also creating challenges for nurses and midwives. Maintaining and developing competence is a concern among nurses and midwives particularly in an environment of limited resources and where re-deployment is common.
Keyword Competency
Nursing and midwifery practice
Professional concerns
Professional issues
Role boundaries
Scope of practice
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2016 Collection
School of Nursing, Midwifery and Social Work Publications
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Created: Fri, 25 Sep 2015, 13:25:09 EST by Vicki Percival on behalf of School of Nursing, Midwifery and Social Work