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Capturing the added value of nurse practitioners: Development of a conceptual framework to guide policy, practice,
Isabelle Savard1, Rob Whitley2, Kelley Kilpatrick3
1Université du Québec en Outaouais, Saint-Jerome, Quebec, Canada.
Background:
The role of nurse practitioners (NPs) is expanding globally, yet their added value remains poorly defined, limiting evidence-based implementation and sustainability.
Purpose:
To propose a conceptual framework of the added value of NPs.
Methods:
A five-step process was used: (a) initial concept analysis (n = 16 articles); (b) developing an initial framework; (c) testing the initial framework in a descriptive multiple case study, using both deductive and inductive approaches with thematic analysis; (d) concept analysis of primary health care NPs (n = 37 systematic reviews); and (e) updating and revising the framework.
Discussion:
The proposed framework identifies how NP activities, professional development, and team dynamics, grounded in a holistic person-centered approach, constitute the essence of their added value. Structures and outcomes are described at different levels.
Conclusion:
This framework, supported by empirical evidence, offers a foundation for evaluating NP roles and guiding practice, research, policy, and education.
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