Nurses’ scope of practice and fundamental care in relation to older people: An exploratory home-based study

We are among the first to explore nurses' scope of practice in home-based care using the Fundamentals of Care Framework as a conceptual foundation. We have underscored the complexity and multifaceted nature of nurses' scope of practice, including clinical decision-making, the activities' functional and performance levels, and the presence of contextual modulators. Task-shifting from registered nurses to non-registered nurses was evident in clinical decision-making. We suggest that future Models of Care grounded in the Framework and tailored to the specific contextual conditions of home-based care may support nurses in delivering high-quality fundamental care.