Title | The Relationship Between Scope of Practice Laws for Task Delegation and Nurse Turnover in Home Health |
Publication Type | Journal Article |
Year of Publication | 2023 |
Authors | Candon, M, Bergman, A, Rose, A, Song, H, David, G, Spetz, J |
Journal | Journal of the American Medical Directors Association |
Date Published | 08/2023 |
Keywords | home 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. |
URL | https://www.sciencedirect.com/science/article/pii/S1525861023006679 |
DOI | 10.1016/j.jamda.2023.07.023 |