School of Nursing
Doctor of Nursing Practice (DNP)
Top of License, Nursing Practice, Scope of Practice, Nursing Care Models, License and Nursing Practice
Medicine and Health Sciences | Nursing
Dickerson, Michelle, "Unleashing Top-of-License Registered Nurse Practice: An Integrative Review" (2019). Doctoral Dissertations and Projects. 2021.
In light of a well-renowned report, “The Future of Nursing” released by the Institute of Medicine (2010), recommendations were suggested that nurses should practice at, and to, the full extent of their licensure, also referred to as top-of-license nursing practice. Transforming nursing care models coupled with strong leadership support is critical to fostering an environment where top-of-license practice can be fully achieved and sustained. This integrative review provides a compilation and synthesis of the available published evidence regarding the best practices for fostering environments conducive to top-of-license nursing practice. Results of these studies strongly supports the notion of nurses practicing to the full extent of their education and training.