ArticleBMC family practice2021
Patient and family views of team functioning in primary healthcare teams with nurse practitioners: a survey of patient-reported experience and outcomes.
Article in BMC family practice, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.
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Who cites it
9 citing papers in PubMed, 2 syntheses or guidelines pooled it, 27 citations in OpenAlex.
- Towards a Quality Care Climate Perspective: A Systematic Review of Associations Among Patient Experience, Patient Outcomes, and Organisational Climate Factors in Hospitals.International journal of environmental research and public health · 2026Pooled it
- Patient-reported experiences and patient-reported experience measures in primary care, home care, and community settings. A scoping review.Frontiers in rehabilitation sciences · 2026Pooled it
- Effectiveness, feasibility, and acceptance of a general practice-based supportive intervention for dementia caregivers: the AD HOC trial.European geriatric medicine · 2026Trial
- Influence of Practice Environment and Manager Leadership Style on Interprofessional Collaboration and Quality of Care in Acute Care Nurse Practitioners.The journal of nursing research : JNR · 2026Article
- Factors that support home deaths for patients receiving at-home palliative and end-of-life care: a sequential mixed-methods explanatory study.BMC palliative care · 2025Article
- Translation, Cross-Cultural Adaptation, and Psychometric Properties of the Arabic Consumer Assessment of Healthcare Providers and Systems-Clinician and Group Survey (CG-CAHPS): A Cross-Sectional Study.Patient preference and adherence · 2025Article
- A global perspective of advanced practice nursing research: A review of systematic reviews.PloS one · 2024Review
- Identifying indicators sensitive to primary healthcare nurse practitioner practice: A review of systematic reviews.PloS one · 2023Review
- Chronic Disease Management in a Nurse Practitioner-Led Clinic: An Interpretive Description Study.SAGE open nursingArticle
Corrections and comments
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Authors and funding
9 authors at 5 institutions in 1 country.
Funding
Abstract
backgroundNurse practitioners (NPs) have been added to primary healthcare teams to improve access to care. Team processes, including communication and decision-making, explicate how patients and families view team functioning. Yet, important gaps exist in our understanding of patient-reported experience and outcomes at the level of the healthcare team. We aimed to examine the influence of individual, team, and organizational characteristics, and role clarity on outcomes of care mediated by team processes in primary healthcare teams that include NPs.
methodsA cross-sectional survey across six sites representing practices with NPs in Québec, Canada, was conducted between March 2018 and April 2019 as part of a multiple-case study. Patients and families (n = 485; response rate: 53%) completed a validated questionnaire, which included a patient-reported experience measure (PREM) and a patient-reported outcome measure (PROM) of team functioning (Cronbach alpha: 0.771 (PROM) to 0.877 (PREM)). We performed logistic regression and mediation analyses to examine relationships between the individual, team, and organizational characteristics, role clarity, and outcomes of care mediated by team processes.
resultsPatients and families expressed positive perceptions of team functioning (mean 4.97/6 [SD 0.68]) and outcomes of care (5.08/6 [0.74]). Also, high team processes (adjusted odds ratio [AOR] 14.92 [95% CI 8.11 to 27.44]) was a significant predictor of high outcomes of care. Role clarity (indirect effect coefficient ab = 6.48 [95% CI 3.79 to 9.56]), living in an urban area (-1.32 [-2.59 to -0.13]), patient as respondent (-1.43 [-2.80 to -0.14]), and income (1.73 [0.14 to 3.45]) were significant predictors of outcomes of care mediated by team processes.
conclusionsThis study provides key insights on how primary healthcare teams with NPs contribute to team functioning, using a validated instrument consistent with a conceptual framework. Results highlight that high role clarity, living in a non urban area, family as respondent, and adequate income were significant predictors of high outcomes of care mediated by high team processes. Additional research is needed to compare teams with and without NPs in different settings, to further explicate the relationships identified in our study.
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