Buck Jacalyn, Loversidge Jacqueline, Chipps Esther, Gallagher-Ford Lynn, Genter Lynne, Yen Po-Yin
Author Affiliations: Administrator of Health System Nursing Quality, Research, Education & EBP (Dr Buck), The Ohio State University Wexner Medical Center; Assistant Professor of Clinical Nursing (Dr Loversidge), The Ohio State University College of Nursing; Clinical Nurse Scientist and Associate Professor of Clinical Nursing (Dr Chipps), The Ohio State University Wexner Medical Center and The Ohio State University College of Nursing; Director of Center for Transdisciplinary Evidence-based Practice, Senior Director of Helene Fuld Health Trust National Institute for EBP in Nursing and Healthcare, and Clinical Associate Professor (Dr Gallagher-Ford), The Ohio State University College of Nursing; Associate Director of Nursing (Ms Genter), The Ohio State University Wexner Medical Center; and Assistant Clinical Professor and Director of BMI Summer Internship Program (Dr Yen), Department of Biomedical Informatics, The Ohio State University College of Medicine, Columbus.
J Nurs Adm. 2018 May;48(5):266-271. doi: 10.1097/NNA.0000000000000611.
The aims of this study were to describe nurses' perceptions of nursing activities and analyze for consistency with top-of-license (TOL) practice.
The Advisory Board Company expert panel proposed 8 TOL core nursing responsibilities representing practice at its potential. Thus far, no empirical work has examined nursing practices relative to TOL, from staff nurses' points of view.
This qualitative study used focus groups to explore perceptions of typical nursing activities. We analyzed activities for themes that described nurses' work during typical shifts.
Nurses' full scope of work included TOL-consistent categories, as well as categories that did not exemplify TOL practice, such as nonnursing care. A proposed model was developed, which depicts nurses' total scope of work, inclusive of all activity categories. In addition, hindrances to TOL practice were also identified.
Findings from this study can inform leadership imperatives and the development of innovative, sustainable nursing practice models that support nursing practice at TOL.
本研究旨在描述护士对护理活动的认知，并分析其与最高执业许可（TOL）实践的一致性。
咨询委员会公司专家小组提出了8项TOL核心护理职责，代表了护理实践的潜力。到目前为止，还没有实证研究从护士的角度考察与TOL相关的护理实践。
本定性研究采用焦点小组来探索对典型护理活动的认知。我们分析了活动中描述护士在典型班次工作的主题。
护士的全部工作范围包括与TOL一致的类别，以及不属于TOL实践范畴的类别，如非护理性照料。开发了一个模型，描绘了护士的全部工作范围，包括所有活动类别。此外，还确定了TOL实践的障碍。
本研究结果可为领导要务提供参考，并为支持TOL护理实践的创新、可持续护理实践模式的发展提供依据。
