ArticleJournal of advanced nursing2014
Evaluating newly acquired authority of nurse practitioners and physician assistants for reserved medical procedures in the Netherlands: a study protocol.
Article in Journal of advanced nursing, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed, 32 citations in OpenAlex.
- The impact of substituting general practitioners with nurse practitioners on resource use, production and health-care costs during out-of-hours: a quasi-experimental study.BMC family practice · 2016Trial
- Prescribing variation across Europe: Insights into prescribing practices and educational needs.British journal of clinical pharmacology · 2026Article
- Evaluating task shifting to the clinical technologist in Dutch healthcare: A mixed methods study.PloS one · 2023Article
- A survey of the current nurse practitioner and physician assistant workforce in Dutch ambulance care.International journal of nursing studies advances · 2022Article
- Nurse prescribing of medicines in 13 European countries.Human resources for health · 2019Article
- Health technology assessment (HTA) of optoelectronic biosensors for oncology by analytic hierarchy process (AHP) and Likert scale.BMC medical research methodology · 2019Article
- Article
- Skill mix change between general practitioners, nurse practitioners, physician assistants and nurses in primary healthcare for older people: a qualitative study.BMC family practice · 2018Article
- Article
- Collaboration in teams with nurse practitioners and general practitioners during out-of-hours and implications for patient care; a qualitative study.BMC health services research · 2017Article
- The involvement of physician assistants in inpatient care in hospitals in the Netherlands: a cost-effectiveness analysis.BMJ open · 2017Observational
- Article
- Factors influencing decision of general practitioners and managers to train and employ a nurse practitioner or physician assistant in primary care: a qualitative study.BMC family practice · 2017Article
- The impact of the implementation of physician assistants in inpatient care: A multicenter matched-controlled study.PloS one · 2017Article
- Determinants of the sustained employment of physician assistants in hospitals: a qualitative study.BMJ open · 2016Article
Corrections and comments
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Authors and funding
3 authors at 3 institutions in 4 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimThe study protocol is designed to evaluate the effects of granting independent authorization for medical procedures to nurse practitioners and physician assistants on processes and outcomes of health care.
backgroundRecent (temporarily) enacted legislation in Dutch health care authorizes nurse practitioners and physician assistants to indicate and perform specified medical procedures, i.e. catheterization, cardioversion, defibrillation, endoscopy, injection, puncture, prescribing and simple surgical procedures, independently. Formerly, these procedures were exclusively reserved to physicians, dentists and midwives.
designA triangulation mixed method design is used to collect quantitative (surveys) and qualitative (interviews) data.
methodsOutcomes are selected from evidence-based frameworks and models for assessing the impact of advanced nursing on quality of health care. Data are collected in various manners. Surveys are structured around the domains: (i) quality of care; (ii) costs; (iii) healthcare resource use; and (iv) patient centredness. Focus group and expert interviews aim to ascertain facilitators and barriers to the implementation process. Data are collected before the amendment of the law, 1 and 2·5 years thereafter. Groups of patients, nurse practitioners, physician assistants, supervising physicians and policy makers all participate in this national study. The study is supported by a grant from the Dutch Ministry of Health, Welfare and Sport in March 2011. Research Ethics Committee approval was obtained in July 2011.
conclusionThis study will provide information about the effects of granting independent authorization for medical procedures to nurse practitioners and physician assistants on processes and outcomes of health care. Study findings aim to support policy makers and other stakeholders in making related decisions. The study design enables a cross-national comparative analysis.
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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.