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Licensed Nurse Responsibilities in Nursing Homes: A Scope-of-Practice Issue

Publication ,  Journal Article
Mueller, C; Anderson, RA; McConnell, ES; Corazzini, K
Published in: Journal of Nursing Regulation
April 1, 2012

A mailed survey of licensed practical nurses (LPNs) employed in nursing homes in Minnesota and North Carolina examined their role and responsibilities as well as barriers to and facilitators for working within their scope of practice. The study focused on the nursing practice domains of assessment, care planning, evaluation, delegation, and supervision. The respondents reported they were actively engaged in these domains. Factors that made staying within their legal scope of practice challenging were not having registered nurses (RNs) available to help with direct care, having RNs spend time on administrative work, and having an inadequate number of licensed nurses in the facility. Factors that helped LPNs stay within their scope of practice were having sufficient RNs involved in direct care and having a supportive director of nursing. This study underscores the need for further investigation on the delivery and organization of care by licensed nurses in nursing homes, including the development and testing of RN-LPN practice models that reflect RN and LPN competencies and scopes of practice. Boards of nursing are encouraged to provide guidance to nurses and their nursing home employers who interpret RN and LPN scopes of practice as a means of promoting accountable, safe, quality care for nursing home residents.

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Published In

Journal of Nursing Regulation

DOI

EISSN

2155-8264

ISSN

2155-8256

Publication Date

April 1, 2012

Volume

3

Issue

1

Start / End Page

13 / 20

Related Subject Headings

  • 1110 Nursing
 

Citation

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ICMJE
MLA
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Mueller, C., Anderson, R. A., McConnell, E. S., & Corazzini, K. (2012). Licensed Nurse Responsibilities in Nursing Homes: A Scope-of-Practice Issue. Journal of Nursing Regulation, 3(1), 13–20. https://doi.org/10.1016/S2155-8256(15)30229-5
Mueller, C., R. A. Anderson, E. S. McConnell, and K. Corazzini. “Licensed Nurse Responsibilities in Nursing Homes: A Scope-of-Practice Issue.” Journal of Nursing Regulation 3, no. 1 (April 1, 2012): 13–20. https://doi.org/10.1016/S2155-8256(15)30229-5.
Mueller C, Anderson RA, McConnell ES, Corazzini K. Licensed Nurse Responsibilities in Nursing Homes: A Scope-of-Practice Issue. Journal of Nursing Regulation. 2012 Apr 1;3(1):13–20.
Mueller, C., et al. “Licensed Nurse Responsibilities in Nursing Homes: A Scope-of-Practice Issue.” Journal of Nursing Regulation, vol. 3, no. 1, Apr. 2012, pp. 13–20. Scopus, doi:10.1016/S2155-8256(15)30229-5.
Mueller C, Anderson RA, McConnell ES, Corazzini K. Licensed Nurse Responsibilities in Nursing Homes: A Scope-of-Practice Issue. Journal of Nursing Regulation. 2012 Apr 1;3(1):13–20.
Journal cover image

Published In

Journal of Nursing Regulation

DOI

EISSN

2155-8264

ISSN

2155-8256

Publication Date

April 1, 2012

Volume

3

Issue

1

Start / End Page

13 / 20

Related Subject Headings

  • 1110 Nursing