MacLeod Martha L P, Stewart Norma J, Kosteniuk Julie G, Penz Kelly L, Olynick Janna, Karunanayake Chandima P, Kilpatrick Kelley, Kulig Judith C, Martin-Misener Ruth, Koren Irene, Zimmer Lela V, Pelt Linda Van, Garraway Leana
Professor, and the Northern Health - UNBC Knowledge Mobilization Research Chair, School of Nursing, University of Northern British Columbia, Prince George, BC.
Professor Emerita, College of Nursing, University of Saskatchewan, Saskatoon, SK.
Nurs Leadersh (Tor Ont). 2019 Mar;32(1):20-29. doi: 10.12927/cjnl.2019.25851.
Registered nurses (RNs) enact their scope of practice in everyday practice through the influences of client needs, the practice setting, employer requirements and policies and the nurse's own level of competence (Canadian Nurses Association 2015). A scope of practice is "dynamic and responsive to changing health needs, knowledge development and technological advances" (International Council of Nurses 2013). In Canada, RNs' scope of practice is set out through provincial and territorial legislation and provincial regulatory frameworks, which are broadly consistent, but vary across provinces (Schiller 2015). Provincial and territorial regulatory bodies articulate the RN scope through frameworks that include expected standards as well as, in some jurisdictions, limits and conditions upon practice (British Columbia College of Nursing Professionals 2018), and which are commonly referred to as a licensed or registered scope of practice. Rural and remote practice is starting to be explicitly acknowledged within nurses' legislated scopes of practice through the identification of certified practices for RNs in specific rural and remote practice settings, following approved education (British Columbia College of Nursing Professionals 2018).
注册护士（RN）在日常实践中，通过客户需求、实践环境、雇主要求与政策以及护士自身能力水平的影响来践行其执业范围（加拿大护士协会，2015年）。执业范围“具有动态性，能响应不断变化的健康需求、知识发展和技术进步”（国际护士理事会，2013年）。在加拿大，注册护士的执业范围通过省级和地区立法以及省级监管框架来确定，这些框架大致一致，但各省有所不同（席勒，2015年）。省级和地区监管机构通过框架来阐明注册护士的执业范围，这些框架包括预期标准，在某些司法管辖区还包括执业的限制和条件（不列颠哥伦比亚省护理专业人员学院，2018年），通常被称为许可或注册执业范围。通过确定特定农村和偏远实践环境中注册护士在经过批准的教育后的认证实践，农村和偏远地区的实践开始在护士法定执业范围内得到明确承认（不列颠哥伦比亚省护理专业人员学院，2018年）。
