The Relationship Between Scope of Practice Laws for Task Delegation and Nurse Turnover in Home Health

Authors: Molly Candon, PhD | Alon Bergman, PhD | Amber Rose, BA | Hummy Song, PhD, MPP | Guy David, PhD | Joanne Spetz, PhD

Topics: Nursing, Staffing

Research Center: UCSF Health Workforce Research Center on Long-Term Care

October 12, 2023

A national survey reported that 1 in 4 nurses left their position in 2021. Nurse turnover can impact the quality and continuity of home health care. Scope of practice laws, which determine the tasks nurses are allowed to perform and delegate, are an important element of autonomy and vary across states. 

This article uses human resource records from a multihome health organization to assess the relationship between nurse turnover and whether nurses delegate tasks to unlicensed aides.

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