Outcomes of nurse practitioner‐led care in patients with cardiovascular disease: A systematic review and meta‐analysis

Smigorowsky, Marcie J.; Sebastianski, Meghan; McMurtry, M. Sean; Tsuyuki, Ross T.; Norris, Colleen M.

doi:10.1111/jan.14229

Cited by 39 publications

(51 citation statements)

References 49 publications

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“…Leadership outcome indicators for NPs identified by Elliott et al (2014) include research in the form of research application, evaluation and knowledge generation. Smigorowsky et al (2019) argued that little is known about the outcomes of NP services owing to poor quality research. A similar evaluation has been forthcoming from Masso and Thompson (2017), who criticizes the lack of context in NP research to date, resulting in difficulties related to the transferability of the evidence.…”

Section: Introductionmentioning

confidence: 99%

An integrative review to identify evidence of nurse practitioner‐led changes to health‐care delivery and the outcomes of such changes

Ryder

Jacob

Hendricks

2020

Int J of Nursing Practice

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Aims This study aimed to identify evidence of nurse practitioner‐led changes to health‐care delivery and the outcomes of such changes. Background Changing health‐care delivery is synonymous with the nurse practitioner role. The literature is critical of the lack of research by nurse practitioners, reporting the effects of a change to health‐care delivery. Design This study used a systematic integrative review by using Torraco's approach. Data sources Databases Cumulative Index to Nursing and Allied Health Literature, MEDLINE, Web of Science and SCOPUS were searched for peer‐reviewed publications from 2000 to 2019. Review Methods A systematic approach was used to screen and analyse the literature. Inclusion/exclusion criteria were applied, and quality appraisal was undertaken by two reviewers. Results Eighteen articles were selected. The research projects were across the community and acute care settings. Research methodologies varied including preintervention and postintervention studies, evaluation of quality improvement projects, randomized controlled trial and descriptive studies. Multiple data collection tools were used. Two major themes were identified including evidence‐based practice champions and improved patient outcomes. Conclusion The nurse practitioner role is pertinent toward improving evidence‐based practice in clinical settings. Positive patient outcomes and praise for clinical leadership are evident in the literature. Research by nurse practitioners to date has focused on individual services.

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Section: Introductionmentioning

confidence: 99%

An integrative review to identify evidence of nurse practitioner‐led changes to health‐care delivery and the outcomes of such changes

Ryder

Jacob

Hendricks

2020

Int J of Nursing Practice

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“… Expand research on nursing interventions in pharmaceutical care. Nurses need to extend the available evidence on how they can contribute to improvement of clinical practice [ 75 , 76 , 77 ]. Expand research on interprofessional collaboration in pharmaceutical care.…”

Section: Advices To Strengthen Integrated Evidence-based Pharmaceutical Carementioning

confidence: 99%

“…Nurses need to extend the available evidence on how they can contribute to improvement of clinical practice [ 75 , 76 , 77 ].…”

Section: Advices To Strengthen Integrated Evidence-based Pharmaceutical Carementioning

confidence: 99%

Nurses and Pharmaceutical Care: Interprofessional, Evidence-Based Working to Improve Patient Care and Outcomes

Dilles

Heczková

Tziaferi

et al. 2021

IJERPH

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Pharmaceutical care necessitates significant efforts from patients, informal caregivers, the interprofessional team of health care professionals and health care system administrators. Collaboration, mutual respect and agreement amongst all stakeholders regarding responsibilities throughout the complex process of pharmaceutical care is needed before patients can take full advantage of modern medicine. Based on the literature and policy documents, in this position paper, we reflect on opportunities for integrated evidence-based pharmaceutical care to improve care quality and patient outcomes from a nursing perspective. Despite the consensus that interprofessional collaboration is essential, in clinical practice, research, education and policy-making challenges are often not addressed interprofessionally. This paper concludes with specific advises to move towards the implementation of more interprofessional, evidence-based pharmaceutical care.

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“…As such, NPs play a key role in meeting these challenges and barriers to healthcare. NPs are able to diagnose, prescribe and order treatments, as they are independent practitioners that work collaboratively within a healthcare team (Smigorowsky et al, 2020). NPs are unique, as they use select medicine and advanced nursing skills that may result in greater benefits to patients and the healthcare system.…”

Section: Primary Care Settingmentioning

confidence: 99%

“…NPs are unique, as they use select medicine and advanced nursing skills that may result in greater benefits to patients and the healthcare system. As such, NPs are associated with decreased costs, increased patient engagement with their care, and improved QoL (Smigorowsky et al, 2020). In the context of AF and HF, the NP in primary care are well situated to support patient care and to work alongside specialists, including cardiologists and NPs in the cardiac clinical setting.…”

Section: Primary Care Settingmentioning

confidence: 99%

Management of atrial fibrillation and heart failure in outpatient settings

Law¹

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Atrial fibrillation (AF) and heart failure (HF) have a highly interconnected relationship with similar risk factors and shared pathophysiology. They often occur together and are associated with increased morbidity and mortality. Unfortunately, the presence of one condition has implications for the treatment of the other. Guidelines exist for each disease, however, do not provide clarity when treating the conditions together. Due to the complex nature of the combined diseases, management requires a systematic and collaborative approach in primary care settings. The integrative review seeks to explore the following question, “How can the nurse practitioner (NP) best manage HF patients with AF in outpatient settings to help reduce the burden on the healthcare system?” A comprehensive search of the literature was undertaken and 20 articles were selected based on the inclusion criteria. The review findings provide insight into the diverse treatment options available to persons living with concomitant AF and HF. From the literature, catheter ablation, an invasive and specialized procedure, emerged as a superior treatment strategy for patients with combined AF and HF, particularly when compared the pharmacotherapy of rate and/or rhythm control. The management of AF in the setting of HF requires a collaborative approach between primary care providers (PCP) as well as specialists that are able to help manage the population of interest, such as cardiologist and electrophysiologists. Recommendations for practice, education, research, and policy have been made to support the role of PCPs, including NPs, in the management of AF in the HF population.

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Outcomes of nurse practitioner‐led care in patients with cardiovascular disease: A systematic review and meta‐analysis

Cited by 39 publications

References 49 publications

An integrative review to identify evidence of nurse practitioner‐led changes to health‐care delivery and the outcomes of such changes

An integrative review to identify evidence of nurse practitioner‐led changes to health‐care delivery and the outcomes of such changes

Nurses and Pharmaceutical Care: Interprofessional, Evidence-Based Working to Improve Patient Care and Outcomes

Management of atrial fibrillation and heart failure in outpatient settings

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