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National Review of Nursing Education

The Scope of Nursing Practice: The Implication for Contemporary Nursing Education and Practice

Margaret McMillan
Jane Conway
Penny Little
Elizabeth Bujack

Faculty of Nursing, The University of Newcastle

November 2001

© Commonwealth of Australia 2001

ISBN 0 642 77249 5  (Online version)
DEST No. 6791.HERC01A

This work is copyright. Apart from any use as permitted under the Copyright Act 1968, no part may be reproduced by any process without permission from AusInfo. Requests and inquiries concerning reproduction and rights should be addressed to the Manager, Legislative Services, AusInfo, GPO Box 84, Canberra ACT 2601.

This report was commissioned by the National Review of Nursing Education.

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Contents

• Acknowledgements
• About the Authors
• Executive Summary
• Recommendations
• Chapter 1 - The Project
  • 1.1 Description of the Project 
  • 1.2 The Submissions 
  • 1.3 An overview of submissions 
• Chapter 2: Discussion
  • 2.1The Scope of Nursing Practice (SONP) 
  • 2.2 The Future Role of the Nurse 
  • 2.3 The Principles Framework 
  • 2.4 Principles for Determining Usual Practice 
  • 2.5 Principles for Determining Extensions of Practice 
  • 2.6 Principles for Determining Nursing Practice in Emergency Situations 
  • 2.7 Delegation of Nursing Work 
  • 2.8 Context Analysis 
• Chapter 3: A Modernising Agenda
  • 3.1 Implications for Education 
  • 3.2 Implications for Health Administration and Nursing Management 
• Conclusion
• References
• Appendix A1 ­ Initial document forwarded to nurses 
• Appendix A2 ­ Questions pro-forma 
• Appendix B: Literature Review from QNC 1995 Project 
• Appendix C: List of Submission Participants 
• Appendix D: An extract from McMillan et al’s report to the QNC on the Scope of Nursing Practice 
• Attachment 1 Workshop Stories: Categorisation against Andersen’s Roles and Functions Framework 
• Glossary of Terms 

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Figures

• Figure 1. A model showing relationships among health care providers 
• Figure 2. Levels of Practice 
• Figure 3. An Adaptation of the Andersen’s roles and functions framework 
• Figure 4. A model depicting similarities between undergraduate preparation and workforce development 
• Figure 5. A conceptual model for nursing education and nursing workforce development 
• Figure 6. Andersen’s original roles and functions framework 
• Figure 7. Levels of practice within the roles and functions framework 

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