TY - JOUR
T1 - Unlocking the potential of primary healthcare nurse practitioners globally
T2 - A concept analysis of their added value
AU - Savard, Isabelle
AU - Costanzo, Gina S.
AU - Henderson, Colette
AU - Gray, Deborah C.
AU - Rogers, Melanie
AU - Kilpatrick, Kelley
N1 - Funding Information:
This work is supported by a Fonds de Recherche du Quebec \u2013 Sante (FRQS) Doctoral Scholarship and a Canadian Nurses Foundation (CNF) Doctoral Scholarship, both held by I.S. Additionally, this work is supported by the McGill University Faculty of Medicine and Health Sciences and the Newton Foundation via the Susan E. French Chair in Nursing Research and Innovative Practice, and a FRQS Research Scholar Senior salary award (Award Number 298573), both held by K.K.
Publisher Copyright:
© 2025 The Author(s)
PY - 2025/3/1
Y1 - 2025/3/1
N2 - Background: Primary healthcare nurse practitioners (PHCNPs) are expanding globally to meet rising healthcare demands. Despite positive outcomes, their added value remains underexplored. Purpose: To clarify and refine the added value PHCNPs bring. Methods: Building on a previous concept analysis of the added value of nurse practitioners, we analyzed 37 systematic reviews focusing on PHCNPs’ roles across various settings, using Rodgers' evolutionary approach. Findings: Attributes include PHCNPs’ skills and competencies, activities, positive outcomes, and professional autonomy. Antecedents involve PHCNP characteristics and structural and institutional factors, while consequences highlight improved patient outcomes, satisfaction, professional dynamics, and system efficiency. Discussion: Understanding PHCNPs' added value is crucial for policy development, role implementation, and healthcare optimization. Clear regulatory frameworks and supportive policies are needed to maximize their impact. Conclusion: This analysis provides and updates the conceptual definition of PHCNPs' added value, offering insights for policy, education, and research to support their critical role in healthcare.
AB - Background: Primary healthcare nurse practitioners (PHCNPs) are expanding globally to meet rising healthcare demands. Despite positive outcomes, their added value remains underexplored. Purpose: To clarify and refine the added value PHCNPs bring. Methods: Building on a previous concept analysis of the added value of nurse practitioners, we analyzed 37 systematic reviews focusing on PHCNPs’ roles across various settings, using Rodgers' evolutionary approach. Findings: Attributes include PHCNPs’ skills and competencies, activities, positive outcomes, and professional autonomy. Antecedents involve PHCNP characteristics and structural and institutional factors, while consequences highlight improved patient outcomes, satisfaction, professional dynamics, and system efficiency. Discussion: Understanding PHCNPs' added value is crucial for policy development, role implementation, and healthcare optimization. Clear regulatory frameworks and supportive policies are needed to maximize their impact. Conclusion: This analysis provides and updates the conceptual definition of PHCNPs' added value, offering insights for policy, education, and research to support their critical role in healthcare.
KW - Nurse practitioner
KW - Primary healthcare
KW - Advanced practice nursing
KW - Added value
UR - http://www.scopus.com/inward/record.url?scp=85216515049&partnerID=8YFLogxK
U2 - 10.1016/j.outlook.2025.102358
DO - 10.1016/j.outlook.2025.102358
M3 - Article
AN - SCOPUS:85216515049
VL - 73
JO - Nursing Outlook
JF - Nursing Outlook
SN - 0029-6554
IS - 2
M1 - 102358
ER -
