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The Scope of Nursing Practice Decision-making Framework: A Picture of Practice in Aged Care
Thesis   Open access

The Scope of Nursing Practice Decision-making Framework: A Picture of Practice in Aged Care

Magdalene Hingst
University of the Sunshine Coast, Queensland
Master of Science, University of the Sunshine Coast
2011
DOI:
https://doi.org/10.25907/00392
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Abstract

scope of practice decision-making framework residential aged care
The introduction of the Scope of Nursing Decision Making Framework by the Queensland Nursing Council in 1998 was cutting-edge reform in confirming the role of the Australian nurse. The Scope of Practice Framework, now called the Decision Making Framework, is a decision-making tool designed to assist nurses with decisions about scope of practice, delegation, assessment of competence and supervision. The application of the Framework by nurses in the aged care environment in Queensland is largely unknown. This study evaluated the implementation of the Framework in daily practice by nurse managers, registered and enrolled nurses working in residential aged care in Queensland. The methodological approach for this study was evaluation research. This approach is often aligned with organisational or community research that aims to inform policy development. Fifteen (15) nurses were recruited from two residential aged care facilities located in different regions of South East Queensland and their views were explored through focus groups and semi-structured interviews. Further insight into participants' perspectives was gained through direct observation and documents were sought in order to achieve triangulation. Transcripts from focus groups and interviews and observational data were converted to word documents and thematically analysed to identify data-rich concepts and themes. Data were managed and analysed with the assistance of Nvivo 8 and documents were subjected to content analysis.

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