Advanced Practice


Evidence of NP’s quality care and patient safety

The Quality and Effectiveness of Care Provided by Nurse Practitioners

Journal for Nurse Practitioners. 2013;9(8):492-500.e13.

A systemic review of Data from 37 of 27,993 articles published form 1990-2009, showed  that NPs are comparable or better to MDs in terms of quality care and patient safety. In the conclusion, the authors suggested the there should be an  interprofessional discussion between NP and MD to understand each role so as to create a better and more collaborative environment for better patient care.   And that health reform can incorporate NPs’ role to fullest extent possible to the need of America.


Advanced practice Nurse Outcomes 1990-2008: A systematic review.

Nursing Economic$/September-October 2011/Vol.29/No.5 p. 1-22.

“A systemic review of published articles between 1990 and 2008 on care provided by APRNs indicates patient outcomes of care provided by NPs and CNMs in collaboration with physicians are similar to and in some ways better than care provided by physicians alone for the populations.”

The authors conclude that the results confirm APRNs provide quality and effective patient care. There is a need for more collaborative models with other health care professionals in today’s health care system.

Developing nurse practitioner associated metrics for outcomes assessment 

Journal of the American Association of Nurse Practitioners, Volume 25, Issue 6, pages 289–296June 2013

abstract: ”Developing metrics that relate to quality of care measures as well as patient outcomes based on the specific practices of an NP can help to specifically identify the impact of NP care in hospital and ambulatory care settings. New opportunities have arisen for highlighting NP outcomes that can be used to structure NP-associated metrics including the Hospital Value-Based Purchasing Program and the Joint Commission’s practice evaluation standards. This manuscript discusses the use of NP-associated metrics for assessing the outcomes of NP care on patient care as well as on quality of care measures.”


doi :10.1111/1745-7599.12001

Overview and Summary: Cornerstone Documents in Healthcare: Our History, Our Future. by Sandra B. Lawenson

OJIN: The Online Journal of Issues in Nursing Vol. 20, No. 2, Overview and Summary.

The author believes that, it is important for nurse to know the nursing history in primary health care in order to “practice effectively and safely in any setting”.

Nurse Practitioner Scope of Practice

Nurse practice laws and regulations are different in each state.  American Association of Nurse Practitioners (AANP) has a quick reference guide for licensure and regulatory requirement, as well as practice environment details of each of the 50 states.

NP position statements and paper

AANP (American Association of Nurse Practitioner) has a useful site for NP to find out where AANP stands on the issues important to NPs. From prescriptive privilege to the value NP bring to primary care.

(for examples:  clinical outcomes, DNP discussion paper, NP cost-effectiveness, NP curriculum, NP prescriptive privilege, quality of NP practice, standards of practice of NP,etc. )

The National Database of Nursing Quality Indicators® (NDNQI®)

The national database of nursing quality indicators (NDNQI). Online Journal of Issues in Nursing ( OJIN) Vol.12, 2007. No 3: Sep /07. by Isis Montalvo.

the article describes the works and research related to NDNQI. NDNQI developed by ANA and “is the only national nursing database that provides quarterly and annual reporting of structure, process, and outcome indicators to evaluate nursing care at the unit level”.

Press Ganey NDNQI


Association of American Medical Colleges (AAMC) develops a webpage on Teaching for Quality.

Teaching for Quality (Te4Q) is a faculty development program that trains clinical faculty how to effectively teach quality improvement and patient safety (QI/PS) to medical students, residents, and other clinicians.”

NP faculty may apply this model in clinical setting or collaborative with AAMC in this faculty development program.

Clinical Practical Guideline websites

1. National guidelines Clearinghouse (NGC)

NGC is the public resource for evidence-based clinical practice guideline.

2. Registered Nurse Association of Ontario (RNAO)

RNAO is the professional association representing registered nurses, nurse practitioners and nursing students in Ontario.  Since 1925, RNAO has advocated for healthy public policy, promoted excellence in nursing practice, increased nurses’ contribution to shaping the health-care system, and influenced decisions that affect nurses and the public they serve.

3. Cincinnati Children’s Hospital

Cincinnati Children’s Medical Center has one of the largest pediatric research facilities in the country. 

4.  Center for Disease Control and Prevention

Provides information on disease and prevention

USF –DNP projects

“Improving the implementation of the acute care nurse practitioner (ACNP) role: development of ACNP implementation guidelines” by Megan Elizabeth Leigo

Results showed positive responses, but the SWOT analysis from the project also indicated the need for standardization and implementation of the other APN roles within the health system

Non Traditional Medicine

Nodaway, more and more people are interested in nontraditional treatment, a good understanding of non traditional medicine is important to answer patients’ questions and provide accurate information. National Center for Complementary and Integrative Health (NCCIH) from NIH provides good information for complimentary, alternatives, or integrative health, safety, herbal medicines side effects and much more.

NIH— National Center for Complementary and Integrative Health is a great resource.

“The mission of NCCIH is to define, through rigorous scientific investigation, the usefulness and safety of complementary and integrative health interventions and their roles in improving health and health care.

NCCIH’s vision is that scientific evidence will inform decisionmaking by the public, by health care professionals, and by health policymakers regarding the use and integration of complementary and integrative health approaches.”

NCCIH site provides information on issues to consider, consumer tips, safety information, choosing a practitioner, about dietary and herbal supplement, and understanding heatlh news.

Herbal and supplements: learn about their effectiveness, usual dosage, and drug interactions.


MedlinePlus—US national library of Medicine.

Natural medicines comprehensive database

Food & Drug AdministrationFDAp provides information on dietary supplement


Integrative Health: A Holistic Approach for Health Professionals

Authors: Cyndie Koopsen & Caroline Young. 2009

(Integrative Health: A Holistic Approach for Health Professionals serves as a comprehensive resource on integrative health modalities. Perfect for both health care professionals and as a textbook for students, this text explores the discipline of integrative health care as a person-centered and person-empowering approach to health care, combining treatments from conventional medicine and clinically proven complementary and alternative medicine to address the body, mind, and spirit, as well as the environment and relationships with others.)

Jones & Bartlett Learning offers good resources for health professionals 


The Role of Nurse Practitioners In Reinventing Primary Care, by Mary Naylor, and Ellen Kurtzman

The authors overview NP value and recommendations to improve the situation. suggestions such as expand nurse-managed centers, and address professional tensions.

doi: 10.1377/hlthaff.2010.0440

Health Aff May 2010 vol. 29 no. 5893-899