The Relationship Between Scope of Practice Laws for Task Delegation and Nurse Turnover in Home Health

TitleThe Relationship Between Scope of Practice Laws for Task Delegation and Nurse Turnover in Home Health
Publication TypeJournal Article
Year of Publication2023
AuthorsCandon, M, Bergman, A, Rose, A, Song, H, David, G, Spetz, J
JournalJournal of the American Medical Directors Association
Date Published08/2023
Keywordshome health care, nurse turnover, scope of practice, task delegation
Abstract

Nursing staff turnover can compromise the quality and continuity of home health care. An important driver of job satisfaction among nurses is autonomy, defined as a nurse’s ability to make decisions that are informed by their education and experience. Scope of practice laws, which determine the tasks nurses are allowed to perform and delegate, are a key element of autonomy and vary considerably across states.

Researchers found that more task delegation correlated with lower turnover rates for licensed practical nurses, which may be driven by a different workload for licensed practical nurses when registered nurses can delegate more tasks to unlicensed aides. These results point to a potential and unexplored benefit of expanding scope of practice for nurses.

URLhttps://www.sciencedirect.com/science/article/pii/S1525861023006679
DOI10.1016/j.jamda.2023.07.023