Evidence map›Paper›PMID 36947974›Full record

ArticleNursing outlook

DNP preparation of primary care nurse practitioners and clinical outcomes for patients with chronic conditions.

Grant Martsolf, Eleanor Turi, Jianfang Liu, Julius Chen, Lusine Poghosyan

Open access · greenAbstract 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 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
3.9field-weighted citation impact, top 7% 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

2 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
  2. 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

5 authors at 2 institutions in 1 country.

Grant MartsolfSchool of Nursing, University of Pittsburgh, Pittsburgh, PA. Electronic address: GRM32@pitt.edu.
Eleanor TuriSchool of Nursing, Columbia University, New York, NY.
Jianfang LiuSchool of Nursing, Columbia University, New York, NY.
Julius ChenMailman School of Public Health, Columbia University, New York, NY.
Lusine PoghosyanSchool of Nursing, Columbia University, New York, NY; Mailman School of Public Health, Columbia University, New York, NY.
Columbia University · USUniversity of Pittsburgh · US

Funding

Systems Science and Comparative and Cost-Effectiveness Research Training for Nurse Scientists (S2CER2)T32NR014205 · NINR · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI Lusine Poghosyan, Jingjing Shang · 2013 to 2026
$4.2M
Racial and Ethnic Disparities in Chronic Disease Outcomes and Nurse Practitioner PracticeR01MD011514 · NIMHD · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI POGHOSYAN, LUSINE · 2017 to 2020
$3.0M
NIMHD NIH HHS R01 MD011514NINR NIH HHS T32 NR014205
6 · The paper itself

Abstract

backgroundMany professional nursing organizations have proposed that the Doctor of Nursing Practice (DNP) is the most appropriate entry-level degree for nurse practitioners (NPs). There have been no studies to date examining the impact of DNP preparation on quality of care or patient outcomes. PURPOSE: To examine differences in emergency department utilization and hospitalizations among patients with chronic conditions cared for by Master of Science in Nursing (MSN)- and DNP-prepared primary care NPs.

methodsWe use survey data from over 1,000 primary care NPs in 6 states linked to Medicare claims data. Using regression models, we controlled for various patient, NP, and practice characteristics that might confound the relationship. RESULS: We find that patient outcomes are not statistically different between patients attributed to MSN- and DNP-prepared primary care NPs. DISCUSSION: These findings suggest that there remains little evidence that DNP education has led to significant improvements in patient outcomes.

conclusionsFurther empirical analysis related to the clinical outcomes other than health care utilization of the DNP degree is warranted. Future studies might consider examining (a) NPs in settings other than primary care, (b) practice-wide or system-wide outcomes, (c) other measures of care quality, and (d) impact of DNP program content.

Indexed as

Education, Nursing, GraduateNurse PractitionersAgedChronic DiseaseHumansMedicarePrimary Health CareUnited StatesHealth services utilizationNurse practitionerNursing education

Identifiers

PMID36947974
PMCPMC10683711
OpenAlexW4327905185

What OpenQuestion holds

Textmetadata
LicenceTDM
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.