Evidence map›Paper›PMID 34763899›Full record

ArticleNursing outlook

State responses to COVID-19: Potential benefits of continuing full practice authority for primary care nurse practitioners.

Lusine Poghosyan, Joyce Pulcini, Garrett K Chan, Lynne Dunphy, Grant R Martsolf, Karen Greco, Barbara A Todd, Sandra C Brown, Margaret Fitzgerald, Amy L McMenamin and 1 more

Abstract read
In one paragraph

Article in Nursing outlook. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
–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

10 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. 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 & Practitioners
    Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
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

11 authors.

Lusine PoghosyanColumbia University School of Nursing, New York, NY. Electronic address: lp2475@cumc.columbia.edu.
Joyce PulciniGeorge Washington University School of Nursing, Ashburn, VA.
Garrett K ChanUniversity of California, San Francisco, CA.
Lynne DunphyFlorida Atlantic University, Boca Raton, FL.
Grant R MartsolfUniversity of Pittsburgh School Nursing, Pittsburgh, PA.
Karen GrecoNurse Practitioner, Oregon City, OR.
Barbara A ToddHospital University of Pennsylvania, Philadelphia, PA.
Sandra C BrownSouthern University and A&M College, Baton Rouge, LA.
Margaret FitzgeraldFitzgerald Health Education Associates, North Andover, MA.
Amy L McMenaminColumbia University School of Nursing, New York, NY.
P Ann Solari-TwadellLoyola University Chicago Marcella Niehoff School of Nursing, Maywood, IL.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDuring the COVID-19 pandemic, federal and state governments removed the scope of practice restrictions on nurse practitioners (NPs), allowing them to deliver care to patients without restrictions. PURPOSE: To support policy makers' efforts to grant full practice authority to NPs beyond the COVID-19 pandemic, this manuscript summarizes the existing evidence on the benefits of permanently removing state-level scope of practice barriers and outline recommendations for policy, practice, and research.

methodsWe have conducted a thorough review of the existing literature.

findingsNP full scope of practice improves access and quality of care and leads to better patient outcomes. It also has the potential to reduce health care cost. DISCUSSION: The changes to support full practice authority enacted to address COVID-19 are temporary. NP full practice authority could be part of a longer-term plan to address healthcare inequities and deficiencies rather than merely a crisis measure.

Indexed as

Primary Health CareState GovernmentCOVID-19Federal GovernmentHealth Services AccessibilityHumansNurse PractitionersPractice Patterns, Nurses'Scope of PracticeCovid-19Full practice authorityNurse practitionerPrimary careScope of practice

Identifiers

PMID34763899
PMCPMC8346350

What OpenQuestion holds

Textmetadata
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.