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Evaluation Of Nurse-led And Student-led Community-based Clinics: A Scoping Review.

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Evaluation Of Nurse-led And Student-led Community-based Clinics: A Scoping Review.

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Evaluation of Nurse-Led and Student-Led Community-Based Clinics: A Scoping Review.

Edward W Li¹, Riana Alli¹, Christine Dennis¹

¹Bachelor of Science in Nursing Program, Faculty of Health Sciences and Wellness, Humber Polytechnic, Toronto, Ontario, Canada.

Journal of Clinical Nursing

|April 29, 2025

View abstract on PubMed

Summary

This summary is machine-generated.

This review synthesized evaluation approaches for nurse-led clinics (NLCs) and student-led clinics (SLCs). Systems of care delivery were most frequently evaluated, highlighting opportunities to improve health equity measurement.

Keywords:

Quadruple Aim Framework community‐based evaluation methods nurse‐led clinics scoping review student‐led clinics

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Area of Science:

Healthcare Management
Primary Care Research
Health Services Evaluation

Background:

Nurse-led clinics (NLCs) and student-led clinics (SLCs) are increasingly vital in community-based primary healthcare.
Evaluating the impact and effectiveness of these clinics is crucial for quality improvement and sustainability.

Purpose of the Study:

To systematically synthesize the diverse approaches used to evaluate NLCs and SLCs.
To identify common themes and gaps in the evaluation of these primary healthcare models.

Main Methods:

A comprehensive scoping review following Joanna Briggs Institute (JBI) guidelines.
Searches conducted across multiple databases (CINAHL, PubMed, Scopus, etc.) and grey literature repositories.
Thematic analysis guided by the Quadruple Aim Framework for health systems quality improvement.

Main Results:

Included 43 articles published between 2013 and 2023, evaluating NLCs, medical SLCs, and interprofessional SLCs.
Evaluations focused on client experience, community health, systems of care delivery, and provider experience.
Systems of care delivery emerged as the most consistently evaluated domain across all clinic types.

Conclusions:

A range of evaluation measures, aligned with the Quadruple Aim Framework, are employed for NLCs and SLCs.
There is a need to expand evaluation methods and indicators to better capture the impact of these clinics on health equity.
Transferable research approaches exist to support the design and improvement of innovative primary healthcare clinics.