Effectiveness of registered nurses on system outcomes in primary care: a systematic review

作者：Julia Lukewich, Shabnam Asghari, Emily Gard Marshall, Maria Mathews, Michelle Swab, Joan E. Tranmer, Denise Bryant‐Lukosius, Ruth Martin‐Misener, Allison A. Norful, Dana Ryan, Marie-Ève Poitras · 发表于：BMC Health Services Research · 年份：2022 · DOI：10.1186/s12913-022-07662-7 · 被引用次数：71 · 研究领域：Nursing Roles and Practices、Nursing education and management、Primary Care and Health Outcomes

BACKGROUND: Internationally, policy-makers and health administrators are seeking evidence to inform further integration and optimal utilization of registered nurses (RNs) within primary care teams. Although existing literature provides some information regarding RN contributions, further evidence on the impact of RNs towards quality and cost of care is necessary to demonstrate the contribution of this role on health system outcomes. In this study we synthesize international evidence on the effectiveness of RNs on care delivery and system-level outcomes in primary care. METHODS: A systematic review was conducted in accordance with Joanna Briggs Institute methodology. Searches were conducted in CINAHL, MEDLINE Complete, PsycINFO, and Embase for published literature and ProQuest Dissertations and Theses and MedNar for unpublished literature between 2019 and 2022 using relevant subject headings and keywords. Additional literature was identified through Google Scholar, websites, and reference lists of included articles. Studies were included if they measured effectiveness of a RN-led intervention (i.e., any care/activity performed by a primary care RN within the context of an independent or interdependent role) and reported outcomes of these interventions. Included studies were published in English; no date or location restrictions were applied. Risk of bias was assessed using the Integrated Quality Criteria for Review of Multiple Study Designs tool. Due to the heterogeneity of in...