Unlocking the potential of primary healthcare nurse practitioners globally: A concept analysis of their added value

IF 4.1 2区医学 Q1 NURSING

Nursing Outlook Pub Date : 2025-01-31 DOI:10.1016/j.outlook.2025.102358

Isabelle Savard MSc, MPH, PhD(c) , Gina Sophia Costanzo BscN, eMBA , Colette Henderson MSc, BSc (Hons) NP, DHSCI (c) , Deborah C. Gray MSc, DNP, FNP-C , Melanie Rogers RN, MSc NP, PhD , Kelley Kilpatrick PhD

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引用次数: 0

Abstract

Background

Primary healthcare nurse practitioners (PHCNPs) are expanding globally to meet rising healthcare demands. Despite positive outcomes, their added value remains underexplored.

Purpose

To clarify and refine the added value PHCNPs bring.

Methods

Building on a previous concept analysis of the added value of nurse practitioners, we analyzed 37 systematic reviews focusing on PHCNPs’ roles across various settings, using Rodgers' evolutionary approach.

Findings

Attributes include PHCNPs’ skills and competencies, activities, positive outcomes, and professional autonomy. Antecedents involve PHCNP characteristics and structural and institutional factors, while consequences highlight improved patient outcomes, satisfaction, professional dynamics, and system efficiency.

Discussion

Understanding PHCNPs' added value is crucial for policy development, role implementation, and healthcare optimization. Clear regulatory frameworks and supportive policies are needed to maximize their impact.

Conclusion

This analysis provides and updates the conceptual definition of PHCNPs' added value, offering insights for policy, education, and research to support their critical role in healthcare.

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来源期刊

Nursing Outlook 医学-护理

CiteScore

6.20

自引率

7.00%

发文量

109

审稿时长

25 days

期刊介绍： Nursing Outlook, a bimonthly journal, provides innovative ideas for nursing leaders through peer-reviewed articles and timely reports. Each issue examines current issues and trends in nursing practice, education, and research, offering progressive solutions to the challenges facing the profession. Nursing Outlook is the official journal of the American Academy of Nursing and the Council for the Advancement of Nursing Science and supports their mission to serve the public and the nursing profession by advancing health policy and practice through the generation, synthesis, and dissemination of nursing knowledge. The journal is included in MEDLINE, CINAHL and the Journal Citation Reports published by Clarivate Analytics.