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Nursing Times Research
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What's this?

The impact of Scope-practitioners' views on its relevance and potential for service development

Sandra Jowett, PhD, MLitt, BSc

Institute for Health Services Research at the University of Luton

Mark Peters, BSc

Public Attitude Surveys

Heidi Reynolds, BN, RGN

King's College, London

Jenifer Wilson-Barnett, PhD, SRN, FRCN

Florence Nightingale division of nursing and midwifery at King's College, London

The United Kingdom Central Council for Nursing, Midwifery and Health Visiting (UKCC) published The Scope of Professional Practice (Scope) in 1992. The research reported here is one strand of a large study commissioned by the UKCC to investigate the document's impact. This stage involved interviews with 53 practitioners, selected because they had reported that Scope had had an impact on their work. It focused on the nature of this impact on service delivery, how it operated in a multi-professional setting, how the Scope principles were viewed and what support was required to implement them effectively.

It was clear that the practitioners interviewed had a great deal to say about how Scope was influencing their practice and about how it could enhance their work in the future. Their attitudes towards, and perceptions of, Scope were overwhelmingly positive. A small number detailed precisely how it was having an impact on their work and on the ways they were able to deliver care. Others were aware of the principles and were exploring what their potential might be. Scope, it was felt, could empower practitioners, facilitate personal and professional development and result in constructive levels of accountability. It could encourage innovation and provide safeguards for service development.

Key Words: Scope • Expanding roles • Accountability • Nurse-led • services

Nursing Times Research, Vol. 4, No. 6, 422-431 (1999)
DOI: 10.1177/136140969900400604


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