Impact of individual and job characteristics on nurses' scope of practice in spanish hospital units

Saralegui Gainza, Amaia; Escalada Hernández, Paula; García Vivar, Cristina; San Martín Rodríguez, Leticia; Soto Ruiz, María Nelia

Impact of individual and job characteristics on nurses' scope of practice in spanish hospital units

dc.contributor.author	Saralegui Gainza, Amaia
dc.contributor.author	Escalada Hernández, Paula
dc.contributor.author	García Vivar, Cristina
dc.contributor.author	San Martín Rodríguez, Leticia
dc.contributor.author	Soto Ruiz, María Nelia
dc.contributor.department	Ciencias de la Salud	es_ES
dc.contributor.department	Osasun Zientziak	eu
dc.date.accessioned	2024-09-02T18:20:26Z
dc.date.available	2024-09-02T18:20:26Z
dc.date.issued	2024
dc.date.updated	2024-09-02T18:07:07Z
dc.description.abstract	Background. Nurses are one of the largest and costliest groups in healthcare organizations; therefore, it is important to comprehend their scope of practice. Aim. To contribute to the improvement of nursing resource management in medical-surgical and Intensive Care Units by identifying factors that influence the scope of nursing practice. The hypothesis was that the activities carried out by nurses in medical-surgical units and intensive care units are influenced by individual and job-related factors, with job characteristics having an additive and moderating effect on individual characteristics. Materials and Methods. Cross-sectional correlational design to test the relationship between the individual and job characteristics on the nursing scope of practice measured by the Actual Scope of Nursing Practice (ASCOP) questionnaire. The sample consisted of 270 nurses. Linear mixed effects models analysis (LME) was used with the aleatory effect of the intensive care unit (ICU). Results. Belonging to the ICU decreased the scope of practice of nurses. We found a statistically significant effect of psychological demand, practice environment, role ambiguity, and growth need strength on the scope of nursing practice. The models explained a variance up to 24%. Conclusions. Although the survey results revealed the existence of broader scope of practice levels in Spanish hospital units than in the original Canadian study, the use of scope of nursing practice remains suboptimal. Higher levels on the psychological demand, the practice environment and in the individual growth need strength were related with a broader scope of practice. Otherwise, role ambiguity negatively affected the scope of practice. Implications for Nursing Management. This article provides an analysis of the impact of individual and job-related characteristics on the nursing scope of practice. It serves as a valuable resource for both managers and nurses, offering insights to improve nurses' working conditions and obtain more efficient workforces.	en
dc.description.sponsorship	This work was supported by the Spanish Association of Deans of Nursing Faculties (CNDE).
dc.format.mimetype	application/pdf	en
dc.format.mimetype	application/msword	en
dc.identifier.citation	Saralegui-Gainza, A., Escalada-Hernandez, P., García-Vivar, C., San Martín-Rodríguez, L., Soto-Ruiz, N. (2024) Impact of individual and job characteristics on nurses' scope of practice in spanish hospital units. Journal of Nursing Management, 2024. https://doi.org/10.1155/2024/4796716.
dc.identifier.doi	10.1155/2024/4796716
dc.identifier.issn	0966-0429
dc.identifier.uri	https://academica-e.unavarra.es/handle/2454/51528
dc.language.iso	eng
dc.publisher	Wiley
dc.relation.ispartof	Journal of Nursing Management 2024, 4796716
dc.relation.publisherversion	https://doi.org/10.1155/2024/4796716
dc.rights	Copyright © 2024 Amaia Saralegui-Gainza et al. This is an open access article distributed under the Creative Commons Attribution License.
dc.rights.accessRights	info:eu-repo/semantics/openAccess
dc.rights.uri	https://creativecommons.org/licenses/by/4.0/
dc.subject	Nursing Scope of Practice	en
dc.subject	Intensive Care Units	en
dc.subject	Psychological Demand	en
dc.subject	Practice Environment	en
dc.subject	Role Ambiguity	en
dc.subject	Growth Need Strength	en
dc.title	Impact of individual and job characteristics on nurses' scope of practice in spanish hospital units	en
dc.type	info:eu-repo/semantics/article
dc.type.version	info:eu-repo/semantics/publishedVersion
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