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

IF 3.7 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.

查看原文本刊更多论文

释放全球初级保健护士从业人员的潜力：其附加价值的概念分析。

背景：初级保健护士从业人员（PHCNPs）正在全球范围内扩大，以满足不断增长的医疗保健需求。尽管取得了积极成果，但它们的附加值仍未得到充分发掘。目的：阐明和细化PHCNPs带来的附加价值。方法：基于先前对护士从业人员附加值的概念分析，我们使用Rodgers的进化方法分析了37篇系统综述，重点关注phcnp在不同环境中的作用。发现：属性包括PHCNPs的技能和能力、活动、积极成果和专业自主权。前因涉及到PHCNP的特征、结构和制度因素，而结果则强调患者预后、满意度、专业动态和系统效率的改善。讨论：了解PHCNPs的附加价值对于政策制定、角色实施和医疗保健优化至关重要。需要明确的监管框架和支持性政策，以最大限度地发挥其影响。结论：该分析提供并更新了phcnp附加价值的概念定义，为政策、教育和研究提供了见解，以支持其在医疗保健中的关键作用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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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.