Evidence map›Paper›PMID 40745262›Full record

ArticleBMC primary care2025

27 Years of retention outcomes for a nine-university primary health care nurse practitioner program in Ontario, Canada.

Alice Ormiston, Guillaume Semblat, Robyn Gorham, Sandra Carroll, Maher El-Masri, Jean Daniel Jacob, Kristen Jones-Bonofiglio, Claire Mallette, Christina McMillan Boyles, Debbie Sheppard-LeMoine and 2 more

Abstract read
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In one paragraph

Article in BMC primary care, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

12 authors.

Alice OrmistonCouncil of Ontario Universities, 180 Dundas St. W., Suite 1800, Toronto, ON, M5G 1Z8, Canada.
Guillaume SemblatCouncil of Ontario Universities, 180 Dundas St. W., Suite 1800, Toronto, ON, M5G 1Z8, Canada. gsemb@np-education.ca.
Robyn GorhamLaurentian University, 935 Ramsey Lake Road, Sudbury, ON, P3E 2 C6, Canada.
Sandra CarrollMcMaster University, 1280 Main Street, Hamilton, ON, L8S 4 K1, Canada.
Maher El-MasriToronto Metropolitan University, 350 Victoria St, Toronto, ON, M5B 2 K3, Canada.
Jean Daniel JacobUniversity of Ottawa, 200 Lees Ave, Ottawa, ON, K1 N 6 N5, Canada.
Kristen Jones-BonofiglioSchool of Nursing and Centre for Health Care Ethics, Lakehead University, 955 Oliver Road, Thunder Bay, ON, P7B 5E1, Canada.
Claire MalletteYork University, 4700 Keele Street, M3 J1P3, Toronto, ON, N6 A5B9, Canada.
Christina McMillan BoylesLaurentian University, 935 Ramsey Lake Road, Sudbury, ON, P3E 2 C6, Canada.
Debbie Sheppard-LeMoineUniversity of Windsor, 401 Sunset Ave, Windsor, ON, N9B 3P4, Canada.
Victoria SmyeWestern University, FIMS & Nursing Building Rm. 3301 A, 1151 Richmond Street North, London, ON, N6 A5B9, Canada.
Erna Snelgrove-ClarkeQueen's University, 99 University Ave, Kingston, ON, K7L 3 N6, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn this article we present 27 years of graduate retention outcomes for a nine-university consortium education program for Primary Health Care Nurse Practitioners (NPs) in Ontario, Canada. We assessed graduate retention in terms of whether graduates are or were practicing: 1) as an NP in Ontario; and 2) as an NP in the geographic region of Ontario where they graduated. It also looks at the geographic distribution of graduates retained as NPs in the province and measures the percentage of graduate NPs who were working in rural and remote areas.

methodsThe authors mined the Ontario nursing public registry to identify how many graduates were, or had been, registered as an NP in Ontario at any time between 1996 and December 2022. The authors used registry data to identify the agency where these NP graduates were practising in the province, and then used a google map interface to identify what percentage were still practising in the university region where they graduated. The Rurality Index of Ontario (RIO), a tool used to measure the level of rurality of Ontario communities in terms of health care access, was used to assess the percentage of NPs grads practising in rural and remote areas.

results86.7% of NP graduates were registered as practising NPs in Ontario at the time of the study, or had been registered as practising at some time in the past, with a range of 84% to 91% across the universities. 48% to 79% of graduates registered as currently practising NPs in Ontario remained in the region where they had graduated. Geographic maps show a broad distribution of graduates both within university regions and across the province. 8.6% to 38.9% of graduates were working in rural or remote areas. Graduates from universities in northern Ontario had the highest percentage practising in rural and remote areas. Graduate NP rural practice rates in both northern and southern regions reflected the rural demographics of their regions.

conclusionsThe findings show that the university consortium model supports NP recruitment and retention across the province, including in rural and remote areas.

trial registrationNot applicable.

Indexed as

Nurse PractitionersPrimary Health CareFemaleHumansMaleOntarioRural Health ServicesUniversitiesConsortium education programGeographic distributionHealth human resourcesNP employmentNurse practitioner retentionOntario health carePrimary health care nurse practitionersRemote healthRural healthWorkforce distribution

Identifiers

PMID40745262
PMCPMC12312426

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LicenceCC BY-NC-ND
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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.