Evidence map›Paper›PMID 41013705›Full record

Observational studyJournal of advanced nursing2026

Evaluating Nurse Practitioners' Peri-Operative Roles and Their Outcomes: A Prospective Observational Study in Surgical Care.

Limor Chen, Ziv Gil, Nasra Idilbi, Dafna Zontag, Efrat Shadmi

Abstract readObservational Study
In one paragraph

Observational study in Journal of advanced nursing, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Observational
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.

Limor ChenRambam Medical Center, Haifa, Israel.ORCID https://orcid.org/0009-0006-6791-0721
Ziv GilHoly Family Hospital, Nazareth, Israel.
Nasra IdilbiDepartment of Nursing, Max Stern Yezreel Valley College, Israel.
Dafna ZontagRambam Medical Center, Haifa, Israel.
Efrat ShadmiThe Cheryl Spencer Department of Nursing, University of Haifa, Haifa, Israel.

Funding

Israel National Institute for Health Policy Research National Institutes of Health 2020/288
6 · The paper itself

Abstract

aimsTo evaluate nurse practitioner (NP) roles during the peri-operative period and their association with healthcare outcomes, including length of stay (LOS), post-operative emergency department (ED) visits and 30-day readmissions.

designA prospective observational study.

methodsThis study, conducted at an Israeli tertiary care centre between 2022 and 2023, included 188 patients from Paediatric Orthopaedics, General Surgery and Breast and Stoma Services. Data on patient demographics, clinical details and outcomes, including LOS, post-operative ED visits and 30-day readmissions, were extracted from medical records. NPs documented interventions they performed across the pre-operative, in-hospital and post-hospital phases. Associations between NP interventions and patient outcomes were analysed using multivariate regression models.

resultsNPs performed an average of 6.7 interventions per patient across the peri-operative phases. A moderate-to-high number of interventions performed during the pre-operative phase was significantly associated with a shorter LOS. Performing a moderate-to-high number of interventions during the post-hospital phase was correlated with fewer ED visits and lower rates of 30-day readmission.

conclusionsInterventions performed by NPs during the pre-operative and post-hospital phases were significantly linked to better patient outcomes, notably shorter hospitalizations and fewer post-discharge complications. IMPLICATIONS: Recognising the role of NPs in peri-operative care may guide healthcare systems in optimising post-surgical care pathways, ultimately minimising preventable emergency visits, reducing hospital LOS and lowering readmission rates. IMPACT: This study underscores the value of NPs as integral providers in peri-operative surgical care. Their involvement in pre-operative preparation and post-discharge coordination contributes meaningfully to patient recovery trajectories. The findings support expanding their role within surgical teams to enhance care continuity and promote better recovery outcomes. REPORTING

methodThe EQUATOR guidelines were used with the STROBE checklist for reporting this study. PATIENT OR PUBLIC CONTRIBUTION: No patient or public contribution.

Indexed as

Nurse PractitionersNurse's RolePerioperative CareAdolescentAdultAgedChildChild, PreschoolEmergency Service, HospitalFemaleHumansInfantIsraelLength of StayMaleMiddle Agednurse practitionersoutcomespre‐operative caresurgery

Identifiers

PMID41013705
PMCPMC13176695

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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.