The Evolving Role of Nurses in Hospital Settings—A Scoping Review

ABSTRACT

Aim

To explore existing research regarding how nurses' unclear responsibilities influence their professional role development in hospital settings.

Design

A scoping review was conducted according to Arksey and O'Malley.

Methods

The Population Exposure Outcome framework was used to identify eligible inclusion and exclusion criteria and search terms. The included articles have been thematically analysed in guidance by Braun and Clarke.

Data Sources

Twenty-six studies conducted between 2016 and 2024 were identified in CINAHL, PubMed and Scopus.

Results

The roles of nurses were highly adaptable within hospital settings and healthcare teams, requiring nurses to assess both organisational shortcomings and colleagues' needs. These assessments depended on the nurses' competence and motivation for professional growth.

Conclusion

There was a clear need to strengthen organisational structures and frameworks to support the evolving role of nurses. Basic nursing education must be better at preparing nurses for their upcoming leadership role.

Impact

Increasing complexity and unclear responsibilities contribute to role ambiguity among nurses. The review highlights the importance of recognising nurses as visible and accountable leaders. There is also a need to support nurses' adaptability through improved basic education, which may have implications for both clinical practice and education.

Reporting Method

The PRISMA Scoping Review checklist was used during the review process. The PRISMA flowchart was used to report the database searches.

Patient or Public Contribution

This study did not include patient or public involvement in its design, conduct, or reporting.