Evidence map›Paper›PMID 39972600›Full record

ArticleInternational nursing review2025

Registered nurses' perspective of nurse practitioners: A mixed-methods study.

Tatyana Miller, Joshua Porat-Dahlerbruch, Shoshana Ratz, Moriah E Ellen

Abstract read
In one paragraph

Article in International nursing review, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

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

  1. Guideline
  2. Methods and lessons from conducting a national study of primary care nurse practitioners.Journal of the American Association of Nurse Practitioners · 2025
    Article
  3. 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

4 authors.

Tatyana MillerDepartment of Health Policy and Management, Faculty of Health Sciences & Guilford Glazer Faculty of Business, Ben-Gurion University of the Negev, Beer-Sheva, Israel.ORCID https://orcid.org/0009-0001-8347-2251
Joshua Porat-DahlerbruchDepartment of Acute & Tertiary Care, School of Nursing, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.ORCID https://orcid.org/0000-0002-8273-9399
Shoshana RatzDepartment of Health Policy and Management, Faculty of Health Sciences & Guilford Glazer Faculty of Business, Ben-Gurion University of the Negev, Beer-Sheva, Israel.
Moriah E EllenDepartment of Health Policy and Management, Faculty of Health Sciences & Guilford Glazer Faculty of Business, Ben-Gurion University of the Negev, Beer-Sheva, Israel.ORCID https://orcid.org/0000-0001-7127-7283

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo understand what registered nurses (RNs) know about the nurse practitioner (NP) role, and factors affecting RN perspectives toward NPs. BACKGROUND/

introductionOne issue hindering the integration of NPs into healthcare systems is poor RN-NP relationships. This relationship has been understudied where the NP role has been recently introduced.

methodsThis study used an explanatory sequential design. A cross-sectional survey was disseminated to RNs to identify knowledge and feelings regarding NPs and factors influencing their perspectives. Based on survey results, semistructured interviews were conducted and analyzed using thematic analysis. Quantitative and qualitative results were integrated to identify converging, diverging, and complementary results. This study adheres to the Checklist of Mixed-Methods Elements in a Submission to Advance the Methodology of Mixed-Methods Research.

resultsThere were 277 survey respondents. The factors impacting perspectives toward NPs were age, exposure to NPs, years of experience, and level of education. Seven themes arose from the qualitative data: exposure to NPs, delineation of NP scope of practice, characterizations of NPs, acceptance of the role, advantages of NPs, cultural aspects, and effects of higher education. Quantitative and qualitative results converged in nearly all instances. DISCUSSION: To improve the RN-NP relationship, RNs must understand the NP role. RNs who have worked directly with NPs usually express the benefits of NP care for patients and care team members.

conclusionTo promote the integration of NPs into care teams, it is important to expose RNs to the NP role through education or work experience. IMPLICATIONS FOR NURSING POLICY: Upstream approaches to improve the RN-NP relationship include educating students about the NP role, offering clinical rotations with NPs, and organizational messaging promoting the RN-NP collaboration.

Indexed as

Attitude of Health PersonnelNurse PractitionersNurse's RoleAdultCross-Sectional StudiesFemaleHumansMaleMiddle AgedQualitative ResearchSurveys and QuestionnairesAttitude of health personnelhealthcare workforcehealth policyinterprofessional relationshipsnurse practitionersorganizational policyregistered nurses

Identifiers

PMID39972600
PMCPMC11921077

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.