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Nurse Practitioner Care for Hospitalized Children: A Scoping Review Protocol.

Juliana Choueiry¹, Catherine Chong¹, Stephanie Lemay¹

¹Children's Hospital of Eastern Ontario, Ottawa, ON K1H 8L1, Canada.

Nursing Reports (Pavia, Italy)

|June 25, 2026

Summary

This review synthesizes international literature on Nurse Practitioner (NP) roles in pediatric inpatient settings. It identifies key factors influencing NP implementation to guide future integration and evaluation.

Keywords:

acute care advanced practice nursing hospitalized children inpatient nurse practitioner pediatrics role implementation role operationalization scoping review

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Area of Science:

Advanced Practice Nursing
Pediatric Healthcare Delivery
Healthcare Workforce Integration

Background:

Nurse Practitioners (NPs) are increasingly vital in pediatric inpatient care due to healthcare demands.
Current evidence on NP role operationalization in general pediatric wards is fragmented.
Understanding NP integration is crucial for effective healthcare delivery.

Purpose of the Study:

To conduct a scoping review of international literature on NP roles in general pediatric inpatient settings.
To focus on the determinants of NP role implementation, guided by the PEPPA framework.
To examine implementation strategies, outcomes, facilitators, barriers, and resources for NP integration.

Main Methods:

Scoping review adhering to Joanna Briggs Institute (JBI) methodology.
PRISMA-ScR guidelines for reporting.
Comprehensive search of multiple databases (Scopus, MEDLINE, etc.) and grey literature from 2016 onwards.
Data extraction and synthesis using the PEPPA framework's implementation domain.

Main Results:

Synthesis of international literature on NP roles in general pediatric wards.
Identification of factors influencing NP role implementation.
Analysis of strategies, outcomes, timelines, facilitators, barriers, and resources.

Conclusions:

A focused synthesis on NP role implementation determinants in pediatric inpatient settings is necessary.
This review clarifies NP integration in pediatric wards and highlights enabling/constraining factors.
Identifies gaps to inform future research, practice redesign, and policy development.