Evidence map›Paper›PMID 38954675›Full record

ReviewPloS one2024

A global perspective of advanced practice nursing research: A review of systematic reviews.

Kelley Kilpatrick, Isabelle Savard, Li-Anne Audet, Gina Costanzo, Mariam Khan, Renée Atallah, Mira Jabbour, Wentao Zhou, Kathy Wheeler, Elissa Ladd and 5 more

Abstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in PloS one, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing 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

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

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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

15 authors.

Kelley KilpatrickSusan E. French Chair in Nursing Research and Innovative Practice, Ingram School of Nursing, Faculty of Medicine and Health Sciences, McGill University, Montréal, Québec, Canada.ORCID 0000-0003-2137-6560
Isabelle SavardIngram School of Nursing, Faculty of Medicine and Health Sciences, McGill University, Montréal, Québec, Canada.
Li-Anne AudetIngram School of Nursing, Faculty of Medicine and Health Sciences, McGill University, Montréal, Québec, Canada.
Gina CostanzoIngram School of Nursing, Faculty of Medicine and Health Sciences, McGill University, Montréal, Québec, Canada.
Mariam KhanIngram School of Nursing, Faculty of Medicine and Health Sciences, McGill University, Montréal, Québec, Canada.
Renée AtallahIngram School of Nursing, Faculty of Medicine and Health Sciences, McGill University, Montréal, Québec, Canada.
Mira JabbourCentre Intégré Universitaire de Santé et de Services sociaux de l'Est-de-l'Île-de-Montréal (CIUSSS-EMTL), Montréal, Québec, Canada.
Wentao ZhouAlice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore; National University Health System, Singapore, Singapore.
Kathy WheelerCollege of Nursing, University of Kentucky, Lexington, Kentucky, United States of America.
Elissa LaddMGH Institute of Health Professions, School of Nursing, Boston, Massachusetts, United States of America.
Deborah C GraySchool of Nursing, Old Dominion University, Virginia Beach, Virginia, United States of America.ORCID 0000-0002-0946-3939
Colette HendersonSchool of Health Sciences, University of Dundee, Dundee, Scotland, United States of America.ORCID 0000-0003-2364-192X
Lori A SpiesLouise Herrington School of Nursing, Baylor University, Dallas, Texas, United States of America.
Heather McGrathSt James Public Health Services, Montego Bay, St James, Jamaica.
Melanie RogersDepartment of Nursing and Midwifery, University of Huddersfield, Queensgate, Huddersfield, United Kingdom.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe World Health Organization (WHO) called for the expansion of all nursing roles, including advanced practice nurses (APNs), nurse practitioners (NPs) and clinical nurse specialists (CNSs). A clearer understanding of the impact of these roles will inform global priorities for advanced practice nursing education, research, and policy.

objectiveTo identify gaps in advanced practice nursing research globally. MATERIALS AND

methodsA review of systematic reviews was conducted. We searched CINAHL, Embase, Global Health, Healthstar, PubMed, Medline, Cochrane Library, DARE, Joanna Briggs Institute EBP, and Web of Science from January 2011 onwards, with no restrictions on jurisdiction or language. Grey literature and hand searches of reference lists were undertaken. Review quality was assessed using the Critical Appraisal Skills Program (CASP). Study selection, data extraction and CASP assessments were done independently by two reviewers. We extracted study characteristics, country and outcome data. Data were summarized using narrative synthesis.

resultsWe screened 5840 articles and retained 117 systematic reviews, representing 38 countries. Most CASP criteria were met. However, study selection by two reviewers was done inconsistently and language and geographical restrictions were applied. We found highly consistent evidence that APN, NP and CNS care was equal or superior to the comparator (e.g., physicians) for 29 indicator categories across a wide range of clinical settings, patient populations and acuity levels. Mixed findings were noted for quality of life, consultations, costs, emergency room visits, and health care service delivery where some studies favoured the control groups. No indicator consistently favoured the control group. There is emerging research related to Artificial Intelligence (AI).

conclusionThere is a large body of advanced practice nursing research globally, but several WHO regions are underrepresented. Identified research gaps include AI, interprofessional team functioning, workload, and patients and families as partners in healthcare. PROSPERO REGISTRATION NUMBER: CRD42021278532.

Indexed as

Advanced Practice NursingGlobal HealthHumansNursing ResearchSystematic Reviews as Topic

Identifiers

PMID38954675
PMCPMC11218965

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.