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Record W4409410489 · doi:10.12927/cjnl.2025.27549

Measuring Registered Nurse’s Scope of Practice in Primary Care: A Scoping Review of Available Self-Reported Questionnaires

2025· review· en· W4409410489 on OpenAlexaffvenue
Cynthia Gagnon, Marie-Josée Émond, Marie-Ève Perron, Monica McGraw, Pierre-Henri Roux-Lévy, Marie-Ève Poitras

Bibliographic record

VenueNursing leadership · 2025
Typereview
Languageen
FieldHealth Professions
TopicNursing Roles and Practices
Canadian institutionsUniversité de SherbrookeCentre Intégré Universitaire de Santé et de Services Sociaux du Saguenay–Lac-Saint-Jean
Fundersnot available
KeywordsScope (computer science)NursingScope of practicePrimary carePsychologyMedical educationMedicineHealth careFamily medicinePolitical scienceComputer science

Abstract

fetched live from OpenAlex

Many authors have reported significant variability in the scope of practice of registered nurses (RNs) working in primary care clinics. Existing self-reported questionnaires (SRQs) for evaluating nurses' scope of practice in these settings are poorly documented, and the conditions for using SRQs in primary care settings are not well understood. We conducted a scoping review using the Joanna Briggs Institute methodology and Preferred Reporting Items Systematic reviews and Meta-Analyses extension for Scoping Review (PRISMA-ScR) guidelines to identify, describe and map current knowledge on SRQs assessing the scope of practice of RNs in primary care. We followed a structured process including search strategy, data extraction and result presentation. This paper presents the results of a scoping review of 12 articles on SRQs assessing nurses' scope of practice in primary care, detailing SRQs, their dimensions, conditions of use and development quality. These results support the need to measure primary care nurses' scope of practice in order to identify the needs and assess the effects of existing and future trainings and organizational structures.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame machine prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.

metaresearch head score (Codex)0.077
metaresearch head score (Gemma)0.188
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: none
GenreCandidate signal: Review · Consensus signal: Review
Teacher disagreement score0.077
Threshold uncertainty score0.407

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0770.188
Meta-epidemiology (narrow)0.0010.002
Meta-epidemiology (broad)0.0060.008
Bibliometrics0.0240.025
Science and technology studies0.0010.002
Scholarly communication0.0040.004
Open science0.0020.003
Research integrity0.0020.001
Insufficient payload (model declined to judge)0.0030.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.455
GPT teacher head0.490
Teacher spread0.035 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designNot applicable
Domainnot available
GenreReview

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations2
Published2025
Admission routes2
Has abstractyes

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