ArticleBMC nursing2017
A systematic review of experiences of advanced practice nursing in general practice.
Article in BMC nursing, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
26 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The Patient's Voice in Advanced Practice Nursing: A Qualitative Systematic Review of Lived Experiences.Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing · 2026Pooled it
- Public Attitudes Towards Expanding the Role of Advanced Practice Nurses in Germany: A Cross-Sectional Survey Study.Journal of advanced nursing · 2026Article
- Stakeholders' interpretations and responses to research as a feature of advanced practice: A scoping review.International journal of nursing studies advances · 2026Review
- Organizational Climate, Role Conflict, and Job Esteem Among Registered Nurses in Physician-Delegated Roles in South Korea: A Cross-Sectional Study.Healthcare (Basel, Switzerland) · 2026Article
- How Chinese blood purification specialist nurses show their role in advanced practice: A nationwide cross-sectional survey.International journal of nursing sciences · 2026Article
- Nurses' experiences and perceptions of running nurse-led clinics: A scoping review.International journal of nursing practice · 2024Article
- Professional identity work of nurse practitioners and family physicians in primary care in Quebec and Ontario - a study protocol.BMC primary care · 2024Article
- Developing a career and education framework for advanced clinical practice in midwifery.European journal of midwifery · 2024Article
- Perceptions of general practitioners towards the services provided by advanced practice nurses: a cross-sectional survey in France.BMC health services research · 2023Article
- Implementing advanced practice nursing in France: A country-wide survey 2 years after its introduction.Nursing open · 2023Article
- [Intention to Delegate Clinical Practice of Medical Specialists in Accordance with the Enactment of the Scope of Practice for Advanced Practice Nurses].Journal of Korean Academy of Nursing · 2023Article
- Perception, perceived scope, and potential barriers towards developing nurse practitioners cadre among health care providers and beneficiaries: A pilot study from Northern India.Journal of education and health promotion · 2023Article
- Introducing Advanced Paramedics into the rural general practice team in Ireland - general practitioners attitudes.BMC primary care · 2022Article
- [Transfer of Physicians' Tasks to Nurses in the Care of People with Dementia].Gesundheitswesen (Bundesverband der Arzte des Offentlichen Gesundheitsdienstes (Germany)) · 2022Article
- Role dimensions of practice nurses and interest in introducing advanced nurse practitioners in general practice in Ireland.Health science reports · 2022Article
- Temper the Specialist Nurses Heterogeneity in the Interest of Quality Practice and Mobility-18 EU Countries Study.Healthcare (Basel, Switzerland) · 2022Article
- Characterising the outcomes, impacts and implementation challenges of advanced clinical practice roles in the UK: a scoping review.BMJ open · 2021Article
- Identifying goals, roles and tasks of extended scope physiotherapy in Dutch primary care- an exploratory, qualitative multi-step study.BMC health services research · 2021Review
- Advanced Clinical Practitioners in Primary Care in the UK: A Qualitative Study of Workforce Transformation.International journal of environmental research and public health · 2020Article
- Characterising the evidence base for advanced clinical practice in the UK: a scoping review protocol.BMJ open · 2020Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDespite efforts to achieve conceptual clarity, advanced practice nursing continues to reside in a liminal space, unable to secure ongoing recognition as a viable means of healthcare delivery. This is particularly evident in general practice where advanced practice role development is more fluid and generally less supported by the hierarchical structures evident in the hospital system. This review synthesises published qualitative studies reporting experiences of advanced practice nursing in general practice. The panoramic view provided by patients, nurses and doctors within this novel context, offers a fresh perspective on why advanced practice nurses have struggled to gain acceptance within the healthcare milieu.
methodsWe conducted a systematic review of qualitative studies that explored the experiences of patients, nurses and doctors who had contact with advanced practice nurses working in general practice. Published work from 1990 to June 2016 was located using CINAHL and PubMed. The full text of relevant studies was retrieved after reading the title and abstract. Critical appraisal was undertaken and the findings of included studies were analysed using the constant comparative method. Emergent codes were collapsed into sub-themes and themes.
resultsTwenty articles reporting the experiences of 486 participants were included. We identified one major theme: legitimacy; and three sub-themes: (1) establishing and maintaining confidence in the advanced practice nurse, (2) strengthening and weakening boundaries between general practitioners and advanced practice nurses and (3) establishing and maintaining the value of advanced practice nursing.
conclusionsWe set out to describe experiences of advanced practice nursing in general practice. We discovered that general practitioners and patients continue to have concerns around responsibility, trust and accountability. Additionally, advanced practice nurses struggle to negotiate and clarify scopes of practice while general practitioners have trouble justifying the costs associated with advanced practice nursing roles. Therefore, much work remains to establish and maintain the legitimacy of advanced practice nursing in general practice.
Indexed as
Identifiers
What 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.