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Review ArticleOpen Access

Nursing Leadership Strategies for Implementing Nursing Full Scope of Practice into Acute Care Team-Led Healthcare Settings

Volume 3 - Issue 5

Alexandra Jean Hamilton1, Elke Huber2, Ayah Shakshuki3and Andrea LO Hebb*2,4

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    • 1Saint Francis Xavier School of Nursing, St Francis Xavier University, USA
    • 2Dalhousie University School of Nursing, University Avenue, USA
    • 3Dalhousie University College of pharmacy, College of pharmacy, USA
    • 4Dalhousie University, Division of Neurosurgery, USA

    *Corresponding author: Andrea LO Hebb, Saint Francis Xavier School of Nursing 2340 Notre Dame Avenue St Francis Xavier University, Antigonish, Dalhousie University, Division of Neurosurgery, Nova Scotia Health Authority, Halifax, Canada, USA, Email:

Received: MMarch 26, 2018;   Published: April 12, 2018

DOI: 10.26717/BJSTR.2018.03.000953

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The nursing new model of care was introduced in Nova Scotia as an innovative cost-efficient measure to integrate registered nurses (RN) and licensed practical nurses (LPN) in a unified strategy as a team-led holistic initiative to produce best patient outcomes. Such an approach to reorganizing nursing practice necessitates RNs to work to their full scope of practice. Working to full scope has been interpreted by tasks nurses perform and not what professional regulatory bodies dictate. There is increased RN-LPN tension when LPNs are working to full scope and tasks overlap, a pay differential still occurs. Working to full scope has implications for nursing leadership to sustain healthy work environments. The incentive driving creation of innovative nursing practice models is to contain costs as well as promote retention and recruitment of nurses in acute care [1]. Research has only recently addressed the question of the impact of the models’ effects on patient outcomes [2].

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