Peer-Reviewed Journal Details
Mandatory Fields
Kennedy, C,O'Reilly, P,Fealy, G,Casey, M,Brady, AM,McNamara, M,Prizeman, G,Rohde, D,Hegarty, J
2015
August
Journal of advanced nursing
Comparative analysis of nursing and midwifery regulatory and professional bodies' scope of practice and associated decision-making frameworks: a discussion paper
Validated
WOS: 9 ()
Optional Fields
clinical judgement midwifery nurse roles nursing professional regulation CARE EDUCATION
71
1797
1811
AimsTo review, discuss and compare nursing and midwifery regulatory and professional bodies' scope of practice and associated decision-making frameworks.BackgroundScope of practice in professional nursing and midwifery is an evolving process which needs to be responsive to clinical, service, societal, demographic and fiscal changes. Codes and frameworks offer a system of rules and principles by which the nursing and midwifery professions are expected to regulate members and demonstrate responsibility to society.DesignDiscussion paper.Data sourcesTwelve scope of practice and associated decision-making frameworks (January 2000-March 2014).Implications for nursingTwo main approaches to the regulation of the scope of practice and associated decision-making frameworks exist internationally. The first approach is policy and regulation driven and behaviour oriented. The second approach is based on notions of autonomous decision-making, professionalism and accountability. The two approaches are not mutually exclusive, but have similar elements with a different emphasis. Both approaches lack explicit recognition of the aesthetic aspects of care and patient choice, which is a fundamental principle of evidence-based practice.ConclusionNursing organizations, regulatory authorities and nurses should recognize that scope of practice and the associated responsibility for decision-making provides a very public statement about the status of nursing in a given jurisdiction.
10.1111/jan.12660
Grant Details