ArticleJournal of nursing regulation2022
Supportive Practice Environments Are Associated With Higher Quality Ratings Among Nurse Practitioners Working in Underserved Areas.
Article in Journal of nursing regulation, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 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
21 citing papers in PubMed, 2 syntheses or guidelines pooled it, 22 citations in OpenAlex.
- The International Advanced Practice Nurse Integration Policy Intervention Taxonomy: A 10-Country Nominal Group Consensus Technique Study.International nursing review · 2025Guideline
- 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
- 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
- Practice Environment and Job Outcomes Among Primary Care Nurse Practitioners Caring for Patients With Dementia.Journal of the American Geriatrics Society · 2026Article
- The Influence of Structural Factors and Telemedicine on Missed Appointments Among Medicaid-Insured Patients.Journal of racial and ethnic health disparities · 2026Article
- Establishing the relationship between nurse practitioner integration and reductions in health disparities.BMC nursing · 2025Article
- Factors affecting integration of the nurse practitioner workforce into health systems: a Delphi consensus study.BMC health services research · 2025Article
- Nurse workforce change and metropolitan medically underserved areas in the United States.BMC health services research · 2025Article
- Current Attitudes and Barriers Among Appalachian Patients Towards Orthopaedic Surgery.Journal of Appalachian 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
- A Cross-Sectional Survey of Swedish Primary Healthcare Nurses' Discontent With Their Current Job.Journal of nursing management · 2024Article
- Development of a Taxonomy of Policy Interventions for Integrating Nurse Practitioners into Health Systems.International journal of health policy and management · 2024Article
- 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
- The role of restrictive scope-of-practice regulations on the delivery of nurse practitioner-delivered home-based primary care.Journal of the American Geriatrics Society · 2023Article
- Addressing Barriers to APRN Practice: Policy and Regulatory Implications During COVID-19.Journal of nursing regulation · 2023Article
- Transformational leadership and predictors of resilience among registered nurses: a cross-sectional survey in an underserved area.BMC nursing · 2023Article
- Nurse Practitioner Integration: Insights Into the Next Generation of Policy and Research.International journal of health policy and management · 2023Article
- Adaptation of the Nurse Practitioner Integration Model for older adult primary care models.Geriatric nursing (New York, N.Y.)Article
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
Abstract
Background: Deployment of nurse practitioners (NPs) to health professional shortage areas (HPSA) may help to address challenges in patient access to care. However, restrictive scope of practice imposed by regulatory and state legislative bodies or unsupportive organizational climates in clinical practice settings may constrain NP care delivery and perpetuate lower assessments of quality of care provided in these underserved communities. Purpose: The purpose of this study was to investigate the associations between state NP scope of practice regulations, NP practice environment, and self-reported ratings of quality of care in primary care practices located in HPSAs. Methods: This was a cross-sectional analysis of data from 1,972 participant NPs practicing across 1,711 primary care practices in six states representing full (Arizona and Washington), reduced (Pennsylvania and New Jersey), and restricted (California and Florida) NP scope of practice regulation. Survey data were merged with the Area Health Resource Files to determine practices located in primary care HPSAs. Logistic regression models estimated the relationship between quality ratings, scope of practice regulations, and practice environment scores while accounting for NP and practice characteristics. Results: Among all included NPs, 95.7% rated their practice as having "excellent," "very good," or "good" quality of care. Practice environments with higher scores had higher ratings of quality of care after accounting for NP and practice characteristics (OR = 3.73, 95% CI: 2.84, 4.89). Conclusion: Unsupportive clinical practice environments were associated with lower ratings of quality of care in HPSAs, suggesting that improvements in working conditions may be necessary adjuncts to greater deployment of NPs to improve primary care in shortage areas.
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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.