An integrative review to identify evidence of nurse practitioner-led changes to health-care delivery and the outcomes of such changes

Journal article

Ryder, Mary, Jacob, Elisabeth and Hendricks, Joyce. (2020). An integrative review to identify evidence of nurse practitioner-led changes to health-care delivery and the outcomes of such changes. International Journal of Nursing Practice. 26(6), p. e12901. https://doi.org/10.1111/ijn.12901
AuthorsRyder, Mary, Jacob, Elisabeth and Hendricks, Joyce
Abstract

Aims
This study aimed to identify evidence of nurse practitioner-led changes to health-care delivery and the outcomes of such changes.

Background
Changing health-care delivery is synonymous with the nurse practitioner role. The literature is critical of the lack of research by nurse practitioners, reporting the effects of a change to health-care delivery.

Design
This study used a systematic integrative review by using Torraco's approach.

Data sources
Databases Cumulative Index to Nursing and Allied Health Literature, MEDLINE, Web of Science and SCOPUS were searched for peer-reviewed publications from 2000 to 2019.

Review Methods
A systematic approach was used to screen and analyse the literature. Inclusion/exclusion criteria were applied, and quality appraisal was undertaken by two reviewers.

Results
Eighteen articles were selected. The research projects were across the community and acute care settings. Research methodologies varied including preintervention and postintervention studies, evaluation of quality improvement projects, randomized controlled trial and descriptive studies. Multiple data collection tools were used. Two major themes were identified including evidence-based practice champions and improved patient outcomes.

Conclusion
The nurse practitioner role is pertinent toward improving evidence-based practice in clinical settings. Positive patient outcomes and praise for clinical leadership are evident in the literature. Research by nurse practitioners to date has focused on individual services.

Keywordsadvanced practice; health care; literature review; nurse practitioner; nursing; outcomes; research
Year2020
JournalInternational Journal of Nursing Practice
Journal citation26 (6), p. e12901
PublisherWiley-Blackwell
ISSN1322-7114
Digital Object Identifier (DOI)https://doi.org/10.1111/ijn.12901
Scopus EID2-s2.0-85097318861
Research or scholarlyResearch
Page range1-16
Publisher's version
License
All rights reserved
File Access Level
Controlled
Output statusPublished
Publication dates
Online08 Dec 2020
Publication process dates
Accepted29 Oct 2020
Deposited01 Jul 2021
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