ArticleMedical care2018
Nurse Practitioner Practice Environments in Primary Care and Quality of Care for Chronic Diseases.
Article in Medical care, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 3 of them syntheses 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
28 citing papers in PubMed, 3 syntheses or guidelines pooled it, 107 citations in OpenAlex.
- An examination of primary health care nursing service evaluation using the Donabedian model: A systematic review.Research in nursing & health · 2023Pooled it
- Measures of Organizational Culture and Climate in Primary Care: a Systematic Review.Journal of general internal medicine · 2021Pooled it
- Facilitators and Barriers to Pediatric Nurse Practitioner Practice in the United States: A Systematic Review.Journal of pediatric health care : official publication of National Association of Pediatric Nurse Associates & PractitionersPooled it
- Practice Environment and Job Outcomes Among Primary Care Nurse Practitioners Caring for Patients With Dementia.Journal of the American Geriatrics Society · 2026Article
- Expanding Kidney Care: How Nonphysician Health Workers Can Address the Global CKD Crisis.Kidney international reports · 2026Review
- Job preference of nurse practitioners: A simulation approach.International journal of nursing studies advances · 2025Article
- Consensus Guidelines for the Follow-Up Care of Long-Term Cancer Survivors and Their Families for Primary Care Nurses in Spain: A Modified Delphi Study.Nursing & health sciences · 2025Article
- Nurse Practitioner Care Environments and Provider Shortages Among Patients With Multiple Chronic Conditions.Research in nursing & health · 2025Article
- Nurse Practitioner Work Environment and Rural Primary Care for Substance Use.The journal for nurse practitioners : JNP · 2024Article
- Primary care nurse practitioner work environments and emergency department utilization among older adults with substance use disorders in rural areas.Journal of substance use and addiction treatment · 2024Article
- Nurse Practitioner Care Environments and Racial and Ethnic Disparities in Hospitalization Among Medicare Beneficiaries with Coronary Heart Disease.Journal of general internal medicine · 2024Observational
- Organizational Learning and Primary Care Nurses' Work Performance and Well-Being: A Multilevel Linear Analysis in a Developing Country.Journal of nursing management · 2024Article
- Pre-post analysis of the impact of British Columbia nurse practitioner primary care clinics on patient health and care experience.BMJ open · 2023Article
- Racial Disparities in Lipid Screening Among Patients With Coronary Artery Disease Narrowed in Primary Care Settings Supportive of Nurse Practitioners.Journal of nursing regulation · 2023Article
- Cape York Kidney Care: service description and baseline characteristics of a client-centred multidisciplinary specialist kidney health service in remote Australia.BMC health services research · 2023Article
- Nurse Practitioner Integration: Insights Into the Next Generation of Policy and Research.International journal of health policy and management · 2023Article
- State-level scope of practice regulations for nurse practitioners impact work environments: Six state investigation.Research in nursing & health · 2022Article
- Advanced practice nurse work environments and job satisfaction and intent to leave: Six-state cross sectional and observational study.Journal of advanced nursing · 2022Observational
- Supportive Practice Environments Are Associated With Higher Quality Ratings Among Nurse Practitioners Working in Underserved Areas.Journal of nursing regulation · 2022Article
- Thematic Analysis of Organizational Characteristics in NCI Community Oncology Research Program Cancer Care Delivery Research.JNCI cancer spectrum · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundThe chronic disease burden in the United States represents a significant challenge for the primary care system. The nurse practitioner (NP) workforce can help meet the demand for care; however, organizational barriers such as poor practice environments prevent NPs from delivering high quality care.
objectivesWe investigated the relationship between NP practice environments and quality of care for chronic diseases. RESEARCH
designWe fit regression models to assess cross-sectional associations between claims-based quality measure performance and survey data on NP practice environments in Massachusetts. SUBJECTS: We used survey data from 221 primary care NPs from 118 practices. We obtained quality of care data for patients with asthma, diabetes, and cardiovascular disease. MEASURES: The Nurse Practitioner Primary Care Organizational Climate Questionnaire was used to measure practice environments with its following 4 subscales: NP-Physician Relations, Independent Practice and Support, Professional Visibility, and NP-Administration Relations. Three Healthcare Effectiveness Data and Information Set measures were used to evaluate the quality of care.
resultsA 1-SD increase in the organizational-level NP-Administration Relations subscale score was associated with a near doubling of the odds of receiving medication management for asthma. A 1-SD increase in the organizational-level Independent Practice and Support subscale score was associated with a 60% increase in the odds of receiving recommended screening for cardiovascular disease. There was no impact on diabetes care measure.
conclusionsNP practice environment affected the quality of care for 2 chronic conditions. Efforts should be implemented to improve NP practice environment to potentially improve care quality.
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.