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UBC Theses and Dissertations
Nurses' experiences of full scope LPN practice in acute care McTaggart, Elizabeth Sarah
Abstract
The practice of licensed practical nurses (LPNs) in acute care in British Columbia (BC) is undergoing a shift to incorporate the enhanced range of entry-level competencies introduced by the College of LPNs of British Columbia in 2000. The full range of new LPN competencies, which now constitute full scope, became a requirement for practical nurse licensure in BC in 2007 and are challenging LPNs and Registered Nurses (RNs) alike to reexamine and redefine the LPN role and LPN/RN relations in acute care. Research exploring the experiences of RNs and LPNs, in their own words, with full scope LPN practice in acute care staff mixes has not previously been conducted in BC. This qualitative descriptive study explored the perceptions of 5 RNs and 4 LPNs working in RN/LPN skill mixes, in various Lower Mainland acute care settings where the LPNs work to full scope. Conventional qualitative content analysis was used to analyze the data from one in-depth interview and 8 short-answer surveys. Analysis of one in-depth interview with an LPN yielded 3 categories: professionalism, receptivity, and appropriateness. Analysis of the 8 survey responses from RNs and LPNs yielded 3 categories as well, namely: defining the role, determining the impact and determining the fit of the role. Findings in this study indicate that overall, both RNs and LPNs report that clear communication, LPN role clarity, experience working together over time, and a supportive work environment contribute to positive experiences of the RN/LPN skill mix. Feelings of burden, inconsistent teamwork, lack of respect, concerns about patient acuity levels, and varied perceptions of the ability of LPNs and RNs to assume responsibility for patient care present areas of challenge in the workplace.
Item Metadata
Title |
Nurses' experiences of full scope LPN practice in acute care
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Creator | |
Publisher |
University of British Columbia
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Date Issued |
2007
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Description |
The practice of licensed practical nurses (LPNs) in acute care in British
Columbia (BC) is undergoing a shift to incorporate the enhanced range of entry-level
competencies introduced by the College of LPNs of British Columbia in
2000. The full range of new LPN competencies, which now constitute full scope,
became a requirement for practical nurse licensure in BC in 2007 and are
challenging LPNs and Registered Nurses (RNs) alike to reexamine and redefine
the LPN role and LPN/RN relations in acute care. Research exploring the
experiences of RNs and LPNs, in their own words, with full scope LPN practice in
acute care staff mixes has not previously been conducted in BC.
This qualitative descriptive study explored the perceptions of 5 RNs and 4
LPNs working in RN/LPN skill mixes, in various Lower Mainland acute care
settings where the LPNs work to full scope. Conventional qualitative content
analysis was used to analyze the data from one in-depth interview and 8 short-answer
surveys. Analysis of one in-depth interview with an LPN yielded 3
categories: professionalism, receptivity, and appropriateness. Analysis of the 8
survey responses from RNs and LPNs yielded 3 categories as well, namely:
defining the role, determining the impact and determining the fit of the role.
Findings in this study indicate that overall, both RNs and LPNs report that clear
communication, LPN role clarity, experience working together over time, and a
supportive work environment contribute to positive experiences of the RN/LPN
skill mix. Feelings of burden, inconsistent teamwork, lack of respect, concerns about
patient acuity levels, and varied perceptions of the ability of LPNs and RNs to
assume responsibility for patient care present areas of challenge in the
workplace.
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Genre | |
Type | |
Language |
eng
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Date Available |
2011-03-04
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Provider |
Vancouver : University of British Columbia Library
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Rights |
For non-commercial purposes only, such as research, private study and education. Additional conditions apply, see Terms of Use https://open.library.ubc.ca/terms_of_use.
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DOI |
10.14288/1.0101132
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URI | |
Degree | |
Program | |
Affiliation | |
Degree Grantor |
University of British Columbia
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Campus | |
Scholarly Level |
Graduate
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Aggregated Source Repository |
DSpace
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Rights
For non-commercial purposes only, such as research, private study and education. Additional conditions apply, see Terms of Use https://open.library.ubc.ca/terms_of_use.