Thank you for that question.
Ironically, I would suggest that if from a purely scope-of-practice perspective, nurses in remote and rural areas are most likely to be able to work to their full scope because of the shortage of resources. From a scope-of-practice perspective, they have full scope; they are often the only provider in an isolated setting, and they thrive on that kind of practice. It's when we come closer into urban settings that the scope of practice begins to get narrower and narrower.
Again, your focus is scope of practice. I don't think rural remote is an issue that way. I think the issue is why, when that nurse leaves the north setting or the rural remote setting and comes into an urban setting, he or she suddenly experiences these greater constraints. That speaks to the harmonization that my colleagues and I have spoken to this morning.