Evidence map›Paper›PMID 31414993›Full record

ReviewCritical care medicine2019

Nurse Practitioners and Physician Assistants in Acute and Critical Care: A Concise Review of the Literature and Data 2008-2018.

Ruth M Kleinpell, W Robert Grabenkort, April N Kapu, Roy Constantine, Corinna Sicoutris

Abstract readReview
In one paragraph

Review in Critical care medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 49 papers.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

49 citing papers in PubMed.

  1. Article
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  3. Review
  4. Observational
  5. Observational
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  7. Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Availability of Advanced Practice Providers in Adult Intensive Care Units in the United States: A Survey.American journal of critical care : an official publication, American Association of Critical-Care Nurses · 2025
    Article
  14. Review
  15. Article
  16. Article
  17. Article
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  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

Ruth M KleinpellVanderbilt University School of Nursing, Nashville, TN.
W Robert GrabenkortEmory Critical Care Center, Atlanta, GA.
April N KapuVanderbilt University School of Nursing, Nashville, TN.
Roy ConstantineSt. Francis Hospital, The Heart Center, Roslyn, NY.
Corinna SicoutrisHospital of the University of Pennsylvania, Philadelphia, PA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo provide a concise review of the literature and data pertaining to the use of nurse practitioners and physician assistants, collectively called advanced practice providers, in ICU and acute care settings. DATA SOURCES: Detailed search strategy using the databases PubMed, Ovid MEDLINE, and the Cumulative Index of Nursing and Allied Health Literature for the time period from January 2008 to December 2018. STUDY SELECTION: Studies addressing nurse practitioner, physician assistant, or advanced practice provider care in the ICU or acute care setting. DATA EXTRACTION: Relevant studies were reviewed, and the following aspects of each study were identified, abstracted, and analyzed: study population, study design, study aims, methods, results, and relevant implications for critical care practice. DATA SYNTHESIS: Five systematic reviews, four literature reviews, and 44 individual studies were identified, reviewed, and critiqued. Of the research studies, the majority were retrospective with others being observational, quasi-experimental, or quality improvement, along with two randomized control trials. Overall, the studies assessed a variety of effects of advanced practice provider care, including on length of stay, mortality, and quality-related metrics, with a majority demonstrating similar or improved patient care outcomes.

conclusionsOver the past 10 years, the number of studies assessing the impact of advanced practice providers in acute and critical care settings continue to increase. Collectively, these studies identify the value of advanced practice providers in patient care management, continuity of care, improved quality and safety metrics, patient and staff satisfaction, and on new areas of focus including enhanced educational experience of residents and fellows.

Indexed as

Critical CareIntensive Care UnitsNurse PractitionersPhysician AssistantsHumansTime Factors

Identifiers

PMID31414993
PMCPMC6750122

What OpenQuestion holds

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LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.