Evidence map›Paper›PMID 32015689›Full record

ArticleBMC nursing2020

A mixed methods quality improvement study to implement nurse practitioner roles and improve care for residents in long-term care facilities.

Kelley Kilpatrick, Éric Tchouaket, Mira Jabbour, Sylvie Hains

Open access · goldAbstract read
In one paragraph

Article in BMC nursing, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
6.7field-weighted citation impact, top 3% of its field
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

23 citing papers in PubMed, 55 citations in OpenAlex.

  1. Trial
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  8. Long-Term Care and the COVID-19 Pandemic: Lessons Learned.The Nursing clinics of North America · 2023
    Review
  9. Article
  10. Nurse Practitioner Integration: Insights Into the Next Generation of Policy and Research.International journal of health policy and management · 2023
    Article
  11. Review
  12. Article
  13. Article
  14. Integrating Nurse Practitioners Into Long-term Care: A Call for Action.The journal for nurse practitioners : JNP · 2022
    Article
  15. The Future Includes Nurse Practitioner Models of Care in the Long-Term Care Sector.Journal of the American Medical Directors Association · 2022
    Article
  16. Review
  17. Review
  18. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 4 institutions in 1 country.

Kelley Kilpatrick1Susan E. French Chair in Nursing Research and Innovative Practice, Ingram School of Nursing, McGill University, Montréal, Canada.ORCID 0000-0003-2137-6560
Éric Tchouaket3Department of Nursing, Université du Québec en Outaouais, Saint-Jérôme, Canada.
Mira JabbourCIUSSS EMTL-HMR, Montréal, Canada.
Sylvie HainsRetired, Ministère de la Santé et des services sociaux du Québec, Québec, Canada.
Centre Intégré Universitaire de Santé et de Services Sociaux du Saguenay–Lac-Saint-Jean · CAHôpital Maisonneuve-Rosemont · CAMinistry of Health and Social Services · CAUniversité du Québec en Outaouais · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo better meet long-term care (LTC) residents' (patients in LTC) needs, nurse practitioners (NPs) were proposed as part of a quality improvement initiative. No research has been conducted in LTC in Québec Canada, where NP roles are new. We collected provider interviews, field notes and resident outcomes to identify how NPs in LTC influence care quality and inform the wider implementation of these roles in Québec. This paper reports on resident outcomes and field notes.

methods

resultsNurse practitioners (

conclusionsThe implementation of NPs in LTC in Québec can improve care quality for residents. Results show that the average number of medications per day per resident, the incidence of polypharmacy, falls, restraint use, and transfers to acute care all decreased during the study, suggesting that a wider implementation of NP roles in LTC is a useful strategy to improve resident care. Although additional studies are needed, the implementation of a consultative model should be favoured as our project provides preliminary evidence of the contributions of these new roles in LTC in Québec.

Indexed as

Advanced practice nursingAnalysis of occurrenceCohort studyInter-professional teamLong-term careMixed methodsModel of careNurse practitionerProspectiveQuality improvement

Identifiers

PMID32015689
PMCPMC6990528
OpenAlexW3005478408

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.