Trial reportThe British journal of general practice : the journal of the Royal College of General Practitioners2005
Comparison of GP and nurse practitioner consultations: an observational study.
Trial report in The British journal of general practice : the journal of the Royal College of General Practitioners, 2005. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02745236 (The Effect of Nurse Practitioner-Led Care on Health Related Quality Of Life in Adult Patients With Atrial Fibrillation - A Randomized Trial), which is not on this map. Cited by 18 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
The Effect of Nurse Practitioner-Led Care on Health Related Quality Of Life in Adult Patients With Atrial Fibrillation - A Randomized Trial
Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Comparing the cost of nurse practitioners and GPs in primary care: modelling economic data from randomised trials.The British journal of general practice : the journal of the Royal College of General Practitioners · 2006Pooled it
- Trial
- Targeted routine asthma care in general practice using telephone triage.The British journal of general practice : the journal of the Royal College of General Practitioners · 2005Trial
- Registered nurse-patient communication and decision-making in primary care consultations: a scoping review.BMC nursing · 2026Article
- Antibiotic prescribing by non-medical healthcare professionals in primary care: a systematic review of effects on antibiotic use, patient experience, interprofessional relationships and job satisfaction.JAC-antimicrobial resistance · 2026Review
- Nurses' understanding and management of iron deficiency in Australia: a cross-sectional, exploratory study.BMJ open · 2023Article
- Characterising the outcomes, impacts and implementation challenges of advanced clinical practice roles in the UK: a scoping review.BMJ open · 2021Article
- The Role of Perceived Unjust Treatment in Unmet Needs for Primary Care Among Finnish Roma Adults.International journal of environmental research and public health · 2020Article
- Article
- Nurse practitioner consultations in primary health care: patient, carer, and nurse practitioner qualitative interpretations of communication processes.Primary health care research & development · 2018Article
- Nurse practitioner consultations in primary health care: an observational interaction analysis of social interactions and consultation outcomes.Primary health care research & development · 2018Article
- Physician Associate and General Practitioner Consultations: A Comparative Observational Video Study.PloS one · 2016Observational
- Potentially Preventable Hospitalizations in Medicare Patients With Diabetes: A Comparison of Primary Care Provided by Nurse Practitioners Versus Physicians.Medical care · 2015Article
- Roles of nurse practitioners and family physicians in community health centres.Canadian family physician Medecin de famille canadien · 2014Article
- 'In my day …': towards the utilisation of living history?The British journal of general practice : the journal of the Royal College of General Practitioners · 2011Article
- From staff-mix to skill-mix and beyond: towards a systemic approach to health workforce management.Human resources for health · 2009Article
- Impact of the 2004 GMS contract on practice nurses: a qualitative study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2008Article
- Comparing GP and nurse practitioner consultations.The British journal of general practice : the journal of the Royal College of General Practitioners · 2006Article
Corrections and comments
- Commented on by
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundStudies show that satisfaction with nurse practitioner care is high when compared with GPs. Clinical outcomes are similar. Nurse practitioners spend significantly longer on consultations.
aimWe aimed to discover what nurse practitioners do with the extra time, and how their consultations differ from those of GPs. DESIGN OF STUDY: Comparative content analysis of audiotape transcriptions of 18 matched pairs of nurse practitioner and GP consultations.
settingNine general practices in south Wales and south west England.
methodConsultations were taped and clinicians' utterances coded into categories developed inductively from the data, and deductively from the literature review.
resultsNurse practitioners spent twice as long with their patients and both patients and clinicians spoke more in nurse consultations. Nurses talked significantly more than GPs about treatments and, within this, talked significantly more about how to apply or carry out treatments. Weaker evidence was found for differences in the direction of nurses being more likely to: discuss social and emotional aspects of patients' lives; discuss the likely course of the patient's condition and side effects of treatments; and to use humour. Some of the extra time was also spent in getting doctors to approve treatment plans and sign prescriptions.
conclusionsThe provision of more information in the longer nurse consultations may explain differences in patient satisfaction found in other studies. Clinicians need to consider how much information it is appropriate to provide to particular patients.
Indexed as
Identifiers
16378563PMC1570503What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.