PEDIATRICS Vol. 70 No. 6 December 1982, pp. 875-878
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The Scope of Nursing Practice in Level III Neonatal Intensive Care Units

Rita G. Harper RN, MD1, George A. Little MD1, and Concepcion G. Sia MD1

1 The Departments of Pediatrics and Obstetrics and Gynecology, North Shore University Hospital, Manhasset, New York, and Cornell University Medical College, New York; and Department of Maternal and Child Health, Dartmouth Medical School, Hanover, New Hampshire

A structured, timed, telephone survey to determine the scope of nursing practice in level III neonatal intensive care units revealed that the staff/head nurse and neonatal nurse clinician/specialist now are responsible for a wide variety of sophisticated skills and procedures, which were heretofore usually performed by a physician. This study has broad implications for educational as well as service activities and indicates a need to change physician and nurse expectations and education accordingly.

Key Words: nurse • neonatal nurse clinician • expanded nursing role

Submitted on April 22, 1980
Accepted on January 27, 1982




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