AI Article Synopsis
- The study aimed to understand how ADN and BSN nurses view top-of-license (TOL) nursing practices differently.
- There was a lack of previous research on this topic, prompting a qualitative pilot study using focus groups.
- Findings revealed distinct perceptions related to critical thinking, communication, and patient education, as well as specific nursing responsibilities, suggesting that these differences could impact nursing staff optimization and highlighting the need for further research.
Article Abstract
Objective: The aim of this study was to describe differences in associate degree (ADN) and baccalaureate degree-prepared (BSN) nurses' perceptions of top-of-license (TOL) practice.
Background: To date, no empirical work has examined whether ADN and BSN nurses approach TOL practice nursing activities differently.
Methods: We conducted a qualitative pilot study with focus groups to explore the perceptions of a group of ADN- and BSN-prepared nurses concerning nursing activities and their relation to TOL practice.
Results: Subthemes emerged differentiating how ADN and BSN nurses perceived their responsibilities related to critical thinking, communication, and patient education. For professional nursing care, 5 subthemes further emerged: (a) approaches to assessment, (b) chart review, (c) psychosocial patient care, (d) documentation, and (e) handoff.
Conclusions: The differences identified in approaches to TOL practice activities by educational preparation have implications for staffing patterns that can optimize the contribution of ADN- and BSN-prepared nurses. Further research is indicated.
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| http://dx.doi.org/10.1097/NNA.0000000000000623 | DOI Listing |
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Article Synopsis
- The study aimed to understand how ADN and BSN nurses view top-of-license (TOL) nursing practices differently.
- There was a lack of previous research on this topic, prompting a qualitative pilot study using focus groups.
- Findings revealed distinct perceptions related to critical thinking, communication, and patient education, as well as specific nursing responsibilities, suggesting that these differences could impact nursing staff optimization and highlighting the need for further research.
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Objective: The aims of this study were to describe nurses' perceptions of nursing activities and analyze for consistency with top-of-license (TOL) practice.
Background: The Advisory Board Company expert panel proposed 8 TOL core nursing responsibilities representing practice at its potential. Thus far, no empirical work has examined nursing practices relative to TOL, from staff nurses' points of view.
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