The effectiveness of nurse practitioner care for patients with mental health conditions in primary care settings: A systematic review

Turi, Eleanor; McMenamin, Amy; Kueakomoldej, Supakorn; Kurtzman, Ellen T.; Poghosyan, Lusine

doi:10.1016/j.outlook.2023.101995

Cited by 12 publications

(18 citation statements)

References 45 publications

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“…Clinical/Mental health outcomes were reported in eight reviews [ 12 , 27 , 34 , 39 , 44 , 52 , 55 , 57 ]. Significant reductions were noted in the NP group in anxiety rehabilitation (p < 0.0001) [ 27 ], psychological stress [ 55 ], uncertainty for depressed women with cancer [ 55 ], depression (p = 0.0005) [ 55 ], and illicit drug use (p = 0.029, p = 0.046) [ 44 ]. NP-delivered motivational interviewing led to a significant increase in patient depression self managemen in one review (p ˂ 0.001) [ 44 ].…”

Section: Resultsmentioning

confidence: 99%

“…Disagreements between reviewers were noted for some elements of the AMSTAR 2 assessment tool (see Discussion). Nineteen studies were assessed to be at low risk of bias with four or fewer criteria that were not met and no critical domains missing [11,[27][28][29][30][31][32][33][34][35][36][37][38][39][40][41][42][43][44][45]. Four studies were deemed to be at high risk of bias [46][47][48][49].…”

Section: Risk Of Bias Assessmentmentioning

confidence: 99%

“…alcohol use disorder identification test scores [44]. Schadewaldt et al [39] cautioned against a risk of a cross-over effect in the control group at 4 year with decreased odds for depression (p = 0.001).…”

Section: Plos Onementioning

confidence: 99%

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Identifying indicators sensitive to primary healthcare nurse practitioner practice: A review of systematic reviews

Kilpatrick,

Tchouaket,

Savard

et al. 2023

PLoS ONE

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Aim To identify indicators sensitive to the practice of primary healthcare nurse practitioners (PHCNPs). Materials and methods A review of systematic reviews was undertaken to identify indicators sensitive to PHCNP practice. Published and grey literature was searched from January 1, 2010 to December 2, 2022. Titles/abstracts (n = 4251) and full texts (n = 365) were screened independently by two reviewers, with a third acting as a tie-breaker. Reference lists of relevant publications were reviewed. Risk of bias was examined independently by two reviewers using AMSTAR-2. Data were extracted by one reviewer and verified by a second reviewer to describe study characteristics, indicators, and results. Indicators were recoded into categories. Findings were summarized using narrative synthesis. Results Forty-four systematic reviews were retained including 271 indicators that were recoded into 26 indicator categories at the patient, provider and health system levels. Nineteen reviews were assessed to be at low risk of bias. Patient indicator categories included activities of daily living, adaptation to health conditions, clinical conditions, diagnosis, education-patient, mortality, patient adherence, quality of life, satisfaction, and signs and symptoms. Provider indicator categories included adherence to best practice-providers, education-providers, illness prevention, interprofessional team functioning, and prescribing. Health system indicator categories included access to care, consultations, costs, emergency room visits, healthcare service delivery, hospitalizations, length of stay, patient safety, quality of care, scope of practice, and wait times. Discussion Equal to improved care for almost all indicators was found consistently for the PHCNP group. Very few indicators favoured the control group. No indicator was identified for high/low fidelity simulation, cultural safety and cultural sensitivity with people in vulnerable situations or Indigenous Peoples. Conclusion This review of systematic reviews identified patient, provider and health system indicators sensitive to PHCNP practice. The findings help clarify how PHCNPs contribute to care outcomes. PROSPERO registration number CRD42020198182.

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Section: Resultsmentioning

confidence: 99%

Section: Risk Of Bias Assessmentmentioning

confidence: 99%

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Identifying indicators sensitive to primary healthcare nurse practitioner practice: A review of systematic reviews

Kilpatrick,

Tchouaket,

Savard

et al. 2023

PLoS ONE

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“…(4) Educate patients and families by providing information on stroke conditions, warning symptoms, actions to be taken, instructions on lifestyle changes, diet, and recommended exercise (Williamson et al ., 2021; Sim and Shin, 2024). (5) Mental health support by assessing the mental health support needs of patients and families (Turi et al ., 2023) as well as spiritual support (Yousofvand et al ., 2023) and reference to mental health services or psychosocial support if necessary. (6) Advanced care is determined by determining whether a patient needs advanced care or follow-up by a particular health professional.…”

Section: Resultsmentioning

confidence: 99%

Discharge Planning Patient Stroke a Nursing Science Philosophy: Systematic Review

Retnaningsih,

Pandin,

Nursalam

et al. 2023

Preprint

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ObjectivesThe quality of life and health of the patient are strongly influenced by the high incidence of stroke in a particular community or population. After the early recovery phase, recovery planning is crucial, as individuals who have suffered a stroke face uncertainty about the long-term recovery process as well as adjustments in everyday life. The objective of the research is to discuss the philosophical review of discharge planning for stroke patients from the points of view of ontology, epistemology, and axiology, with a focus on the philosophy of nursing science.Materials and methodsIn accordance with PRISMA (2017–2023) criteria, the study is a review of the literature. Keyword searches for “discharge planning,” “stroke,” “patients,” and “RCT” were conducted in the databases of Scopus, Science Direct, and ProQuest. The inclusion criteria encompassed quantitative research design, English-language publications, studies involving adult stroke patients, interventions related to discharge planning, and analysis evaluating discharge planning for stroke patients, yielding 281 identified papers. The Rayyan application is used in the selection process. PICO synthesis and grouping, which are based on the Cochrane Handbook for Systematic Review, are used in the analysis. Using the Joanna Briggs Institute Critical Assessment methodology, methodological quality assessment demonstrates that a multidisciplinary approach through ontological, epistemological, and axiological investigations offers a solid basis for enhancing health information systems and clinical practice.ResultsThere are twenty-two quantitative research findings that show the features of the respondents, who were family caregivers and stroke patients. Ensuring that stroke victims receive the best care possible when they leave the hospital is the aim of recovery planning. In the process, families, patients, and health care providers collaborate. Patient assessment, treatment planning, medication scheduling, patient and family education, advanced care planning, mental and spiritual health support, health service coordination, medical recordkeeping, and monitoring are all essential elements of recovery planning.ConclusionThorough recovery planning guarantees effective monitoring of medical records and coordination of treatment, improving the post-hospital experience for stroke patients. With an emphasis on the best possible recovery, this planning aims to offer focused and well-coordinated treatment. Stroke patients should anticipate comprehensive and well-coordinated post-hospital treatment, which will benefit both patients and families, thanks to the cooperation of health care professionals, patients, and families.

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“…Research shows that NPs and PAs are underutilized resources in mental health disorder treatment 60 . According to a study by Turi and colleagues, 61 NPs provide depression treatment that is equally as effective as PCP treatment. They also provide similar rates of prescription medications, providing further evidence that NPs can serve as an asset in treating post-MI depression.…”

Section: Discussionmentioning

confidence: 99%

Mental Health Is Heart Health: Adjusting Clinical Guidelines for Depression After Myocardial Infarction

Hardoy,

Shipley,

Kramer

et al. 2023

Harv Rev Psychiatry

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The effectiveness of nurse practitioner care for patients with mental health conditions in primary care settings: A systematic review

Cited by 12 publications

References 45 publications

Identifying indicators sensitive to primary healthcare nurse practitioner practice: A review of systematic reviews

Identifying indicators sensitive to primary healthcare nurse practitioner practice: A review of systematic reviews

Discharge Planning Patient Stroke a Nursing Science Philosophy: Systematic Review

Mental Health Is Heart Health: Adjusting Clinical Guidelines for Depression After Myocardial Infarction

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