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Identifying indicators sensitive to primary healthcare nurse practitioner practice: A review of systematic reviews

AIM: To identify indicators sensitive to the practice of primary healthcare nurse practitioners (PHCNPs). MATERIALS AND METHODS: A review of systematic reviews was undertaken to identify indicators sensitive to PHCNP practice. Published and grey literature was searched from January 1, 2010 to Decemb...

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Autores principales: Kilpatrick, Kelley, Tchouaket, Eric, Savard, Isabelle, Chouinard, Maud-Christine, Bouabdillah, Naima, Provost-Bazinet, Bruno, Costanzo, Gina, Houle, Julie, St-Louis, Geneviève, Jabbour, Mira, Atallah, Renée
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10484467/
https://www.ncbi.nlm.nih.gov/pubmed/37676878
http://dx.doi.org/10.1371/journal.pone.0290977
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author Kilpatrick, Kelley
Tchouaket, Eric
Savard, Isabelle
Chouinard, Maud-Christine
Bouabdillah, Naima
Provost-Bazinet, Bruno
Costanzo, Gina
Houle, Julie
St-Louis, Geneviève
Jabbour, Mira
Atallah, Renée
author_facet Kilpatrick, Kelley
Tchouaket, Eric
Savard, Isabelle
Chouinard, Maud-Christine
Bouabdillah, Naima
Provost-Bazinet, Bruno
Costanzo, Gina
Houle, Julie
St-Louis, Geneviève
Jabbour, Mira
Atallah, Renée
author_sort Kilpatrick, Kelley
collection PubMed
description AIM: To identify indicators sensitive to the practice of primary healthcare nurse practitioners (PHCNPs). MATERIALS AND METHODS: A review of systematic reviews was undertaken to identify indicators sensitive to PHCNP practice. Published and grey literature was searched from January 1, 2010 to December 2, 2022. Titles/abstracts (n = 4251) and full texts (n = 365) were screened independently by two reviewers, with a third acting as a tie-breaker. Reference lists of relevant publications were reviewed. Risk of bias was examined independently by two reviewers using AMSTAR-2. Data were extracted by one reviewer and verified by a second reviewer to describe study characteristics, indicators, and results. Indicators were recoded into categories. Findings were summarized using narrative synthesis. RESULTS: Forty-four systematic reviews were retained including 271 indicators that were recoded into 26 indicator categories at the patient, provider and health system levels. Nineteen reviews were assessed to be at low risk of bias. Patient indicator categories included activities of daily living, adaptation to health conditions, clinical conditions, diagnosis, education-patient, mortality, patient adherence, quality of life, satisfaction, and signs and symptoms. Provider indicator categories included adherence to best practice-providers, education-providers, illness prevention, interprofessional team functioning, and prescribing. Health system indicator categories included access to care, consultations, costs, emergency room visits, healthcare service delivery, hospitalizations, length of stay, patient safety, quality of care, scope of practice, and wait times. DISCUSSION: Equal to improved care for almost all indicators was found consistently for the PHCNP group. Very few indicators favoured the control group. No indicator was identified for high/low fidelity simulation, cultural safety and cultural sensitivity with people in vulnerable situations or Indigenous Peoples. CONCLUSION: This review of systematic reviews identified patient, provider and health system indicators sensitive to PHCNP practice. The findings help clarify how PHCNPs contribute to care outcomes. PROSPERO REGISTRATION NUMBER: CRD42020198182.
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spelling pubmed-104844672023-09-08 Identifying indicators sensitive to primary healthcare nurse practitioner practice: A review of systematic reviews Kilpatrick, Kelley Tchouaket, Eric Savard, Isabelle Chouinard, Maud-Christine Bouabdillah, Naima Provost-Bazinet, Bruno Costanzo, Gina Houle, Julie St-Louis, Geneviève Jabbour, Mira Atallah, Renée PLoS One Research Article AIM: To identify indicators sensitive to the practice of primary healthcare nurse practitioners (PHCNPs). MATERIALS AND METHODS: A review of systematic reviews was undertaken to identify indicators sensitive to PHCNP practice. Published and grey literature was searched from January 1, 2010 to December 2, 2022. Titles/abstracts (n = 4251) and full texts (n = 365) were screened independently by two reviewers, with a third acting as a tie-breaker. Reference lists of relevant publications were reviewed. Risk of bias was examined independently by two reviewers using AMSTAR-2. Data were extracted by one reviewer and verified by a second reviewer to describe study characteristics, indicators, and results. Indicators were recoded into categories. Findings were summarized using narrative synthesis. RESULTS: Forty-four systematic reviews were retained including 271 indicators that were recoded into 26 indicator categories at the patient, provider and health system levels. Nineteen reviews were assessed to be at low risk of bias. Patient indicator categories included activities of daily living, adaptation to health conditions, clinical conditions, diagnosis, education-patient, mortality, patient adherence, quality of life, satisfaction, and signs and symptoms. Provider indicator categories included adherence to best practice-providers, education-providers, illness prevention, interprofessional team functioning, and prescribing. Health system indicator categories included access to care, consultations, costs, emergency room visits, healthcare service delivery, hospitalizations, length of stay, patient safety, quality of care, scope of practice, and wait times. DISCUSSION: Equal to improved care for almost all indicators was found consistently for the PHCNP group. Very few indicators favoured the control group. No indicator was identified for high/low fidelity simulation, cultural safety and cultural sensitivity with people in vulnerable situations or Indigenous Peoples. CONCLUSION: This review of systematic reviews identified patient, provider and health system indicators sensitive to PHCNP practice. The findings help clarify how PHCNPs contribute to care outcomes. PROSPERO REGISTRATION NUMBER: CRD42020198182. Public Library of Science 2023-09-07 /pmc/articles/PMC10484467/ /pubmed/37676878 http://dx.doi.org/10.1371/journal.pone.0290977 Text en © 2023 Kilpatrick et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Kilpatrick, Kelley
Tchouaket, Eric
Savard, Isabelle
Chouinard, Maud-Christine
Bouabdillah, Naima
Provost-Bazinet, Bruno
Costanzo, Gina
Houle, Julie
St-Louis, Geneviève
Jabbour, Mira
Atallah, Renée
Identifying indicators sensitive to primary healthcare nurse practitioner practice: A review of systematic reviews
title Identifying indicators sensitive to primary healthcare nurse practitioner practice: A review of systematic reviews
title_full Identifying indicators sensitive to primary healthcare nurse practitioner practice: A review of systematic reviews
title_fullStr Identifying indicators sensitive to primary healthcare nurse practitioner practice: A review of systematic reviews
title_full_unstemmed Identifying indicators sensitive to primary healthcare nurse practitioner practice: A review of systematic reviews
title_short Identifying indicators sensitive to primary healthcare nurse practitioner practice: A review of systematic reviews
title_sort identifying indicators sensitive to primary healthcare nurse practitioner practice: a review of systematic reviews
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10484467/
https://www.ncbi.nlm.nih.gov/pubmed/37676878
http://dx.doi.org/10.1371/journal.pone.0290977
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