The quality and effectiveness of care provided by nurse practitioners

Julie Stanik-Hutt; Robin P. Newhouse; Kathleen M. White; Meg Johantgen; Eric B. Bass; George Zangaro; Renee Wilson; Lily Fountain; Donald M. Steinwachs; Lou Heindel; Jonathan P. Weiner

doi:10.1016/j.nurpra.2013.07.004

The quality and effectiveness of care provided by nurse practitioners

Julie Stanik-Hutt, Robin P. Newhouse, Kathleen M. White, Meg Johantgen, Eric B. Bass, George Zangaro, Renee Wilson, Lily Fountain, Donald M. Steinwachs, Lou Heindel, Jonathan P. Weiner

Research output: Contribution to journal › Article › peer-review

125 Scopus citations

Abstract

Evidence regarding the impact of nurse practitioners (NPs) compared to physicians (MDs) on health care quality, safety, and effectiveness was systematically reviewed. Data from 37 of 27,993 articles published from 1990-2009 were summarized into 11 aggregated outcomes. Outcomes for NPs compared to MDs (or teams without NPs) are comparable or better for all 11 outcomes reviewed. A high level of evidence indicated better serum lipid levels in patients cared for by NPs in primary care settings. A high level of evidence also indicated that patient outcomes on satisfaction with care, health status, functional status, number of emergency department visits and hospitalizations, blood glucose, blood pressure, and mortality are similar for NPs and MDs.

Original language	English (US)
Pages (from-to)	492-500.e13
Journal	Journal for Nurse Practitioners
Volume	9
Issue number	8
DOIs	https://doi.org/10.1016/j.nurpra.2013.07.004
State	Published - Sep 2013

Keywords

Nurse practitioners
Quality
Systematic review

ASJC Scopus subject areas

Advanced and Specialized Nursing

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10.1016/j.nurpra.2013.07.004

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title = "The quality and effectiveness of care provided by nurse practitioners",

abstract = "Evidence regarding the impact of nurse practitioners (NPs) compared to physicians (MDs) on health care quality, safety, and effectiveness was systematically reviewed. Data from 37 of 27,993 articles published from 1990-2009 were summarized into 11 aggregated outcomes. Outcomes for NPs compared to MDs (or teams without NPs) are comparable or better for all 11 outcomes reviewed. A high level of evidence indicated better serum lipid levels in patients cared for by NPs in primary care settings. A high level of evidence also indicated that patient outcomes on satisfaction with care, health status, functional status, number of emergency department visits and hospitalizations, blood glucose, blood pressure, and mortality are similar for NPs and MDs.",

keywords = "Nurse practitioners, Quality, Systematic review",

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note = "Funding Information: This study was supported by a grant from the Tri-Council for Nursing . The content is solely the responsibility of the authors and does not necessarily represent the official views of the Tri-Council for Nursing. ",

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AU - Newhouse, Robin P.

AU - White, Kathleen M.

AU - Johantgen, Meg

AU - Bass, Eric B.

AU - Zangaro, George

AU - Wilson, Renee

AU - Fountain, Lily

AU - Steinwachs, Donald M.

AU - Heindel, Lou

AU - Weiner, Jonathan P.

N1 - Funding Information: This study was supported by a grant from the Tri-Council for Nursing . The content is solely the responsibility of the authors and does not necessarily represent the official views of the Tri-Council for Nursing.

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N2 - Evidence regarding the impact of nurse practitioners (NPs) compared to physicians (MDs) on health care quality, safety, and effectiveness was systematically reviewed. Data from 37 of 27,993 articles published from 1990-2009 were summarized into 11 aggregated outcomes. Outcomes for NPs compared to MDs (or teams without NPs) are comparable or better for all 11 outcomes reviewed. A high level of evidence indicated better serum lipid levels in patients cared for by NPs in primary care settings. A high level of evidence also indicated that patient outcomes on satisfaction with care, health status, functional status, number of emergency department visits and hospitalizations, blood glucose, blood pressure, and mortality are similar for NPs and MDs.

AB - Evidence regarding the impact of nurse practitioners (NPs) compared to physicians (MDs) on health care quality, safety, and effectiveness was systematically reviewed. Data from 37 of 27,993 articles published from 1990-2009 were summarized into 11 aggregated outcomes. Outcomes for NPs compared to MDs (or teams without NPs) are comparable or better for all 11 outcomes reviewed. A high level of evidence indicated better serum lipid levels in patients cared for by NPs in primary care settings. A high level of evidence also indicated that patient outcomes on satisfaction with care, health status, functional status, number of emergency department visits and hospitalizations, blood glucose, blood pressure, and mortality are similar for NPs and MDs.

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KW - Systematic review

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The quality and effectiveness of care provided by nurse practitioners

Abstract

Keywords

ASJC Scopus subject areas

Access to Document

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