Abstract:
OBJECTIVES:To identify recommendations for determining patient panel/caseload size for nurse practitioners in community-based primary health care settings. DESIGN:Scoping review of the international published and grey literature. DATA SOURCES:The search included electronic databases, international professional and governmental websites, contact with experts, and hand searches of reference lists. Eligible papers had to (a) address caseload or patient panels for nurse practitioners in community-based primary health care settings serving an all-ages population; and (b) be published in English or French between January 2000 and July 2014. Level one testing included title and abstract screening by two team members. Relevant papers were retained for full text review in level two testing, and reviewed by two team members. A third reviewer acted as a tiebreaker. Data were extracted using a structured extraction form by one team member and verified by a second member. Descriptive statistics were estimated. Content analysis was used for qualitative data. RESULTS:We identified 111 peer-reviewed articles and grey literature documents. Most of the papers were published in Canada and the United States after 2010. Current methods to determine panel/caseload size use large administrative databases, provider work hours and the average number of patient visits. Most of the papers addressing the topic of patient panel/caseload size in community-based primary health care were descriptive. The average number of patients seen by nurse practitioners per day varied considerably within and between countries; an average of 9-15 patients per day was common. Patient characteristics (e.g., age, gender) and health conditions (e.g., multiple chronic conditions) appear to influence patient panel/caseload size. Very few studies used validated tools to classify patient acuity levels or disease burden scores. DISCUSSION:The measurement of productivity and the determination of panel/caseload size is complex. Current metrics may not capture activities relevant to community-based primary health care nurse practitioners. Tools to measure all the components of these role are needed when determining panel/caseload size. Outcomes research is absent in the determination of panel/caseload size. CONCLUSION:There are few systems in place to track and measure community-based primary health care nurse practitioner activities. The development of such mechanisms is an important next step to assess community-based primary health care nurse practitioner productivity and determine patient panel/caseload size. Decisions about panel/caseload size must take into account the effects of nurse practitioner activities on outcomes of care.
journal_name
Int J Nurs Studjournal_title
International journal of nursing studiesauthors
Martin-Misener R,Kilpatrick K,Donald F,Bryant-Lukosius D,Rayner J,Valaitis R,Carter N,Miller PA,Landry V,Harbman P,Charbonneau-Smith R,McKinlay RJ,Ziegler E,Boesveld S,Lamb Adoi
10.1016/j.ijnurstu.2016.07.019subject
Has Abstractpub_date
2016-10-01 00:00:00pages
170-82eissn
0020-7489issn
1873-491Xpii
S0020-7489(16)30103-1journal_volume
62pub_type
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journal_title:International journal of nursing studies
pub_type: 杂志文章
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abstract:AIM:This paper reports a study that examined the extent to which nurse researchers internationally disproportionately include females as participants in their research. BACKGROUND:A bias toward predominantly male samples has been well-documented in medical research, but recently a gender bias favoring women in nursing...
journal_title:International journal of nursing studies
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journal_title:International journal of nursing studies
pub_type: 杂志文章,评审
doi:10.1016/j.ijnurstu.2006.02.004
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abstract:BACKGROUND:Parents with young children often worry about whether or not to seek medical help for a sick child. Previous research identified parents' anxieties surrounding help seeking from health services but did not explore or explain the underlying psychosocial processes taking place in families at these times. OBJE...
journal_title:International journal of nursing studies
pub_type: 杂志文章
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journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2013.06.011
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journal_title:International journal of nursing studies
pub_type: 杂志文章,评审
doi:10.1016/j.ijnurstu.2013.07.001
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abstract::The purpose of this study was to reveal the most unforgettable rescue experiences of nurses at the central site of the 9-21 Taiwan earthquake during the crucial early recovery stage-the first 72h. A purposive sample of 46 nurses was obtained (40 women and 6 men, with an average age of 28). Data were collected using se...
journal_title:International journal of nursing studies
pub_type: 杂志文章,评审
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journal_title:International journal of nursing studies
pub_type: 杂志文章
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journal_title:International journal of nursing studies
pub_type: 杂志文章,评审
doi:10.1016/j.ijnurstu.2004.08.002
更新日期:2005-05-01 00:00:00
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journal_title:International journal of nursing studies
pub_type: 杂志文章
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journal_title:International journal of nursing studies
pub_type: 杂志文章,meta分析
doi:10.1016/j.ijnurstu.2015.04.017
更新日期:2015-08-01 00:00:00
abstract:BACKGROUND:Fatigue is a complex phenomenon associated with multiple antecedents and detrimental consequences. Although this symptom is prevalent in the older population, it is not easily recognized by nurses and has been under treated. AIM:The purpose of this review is to describe the existing research on fatigue on o...
journal_title:International journal of nursing studies
pub_type: 杂志文章,评审
doi:10.1016/j.ijnurstu.2009.05.009
更新日期:2010-02-01 00:00:00
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journal_title:International journal of nursing studies
pub_type: 杂志文章,随机对照试验
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更新日期:2015-05-01 00:00:00
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journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2005.06.007
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journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2020.103841
更新日期:2021-01-19 00:00:00
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journal_title:International journal of nursing studies
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.ijnurstu.2013.08.003
更新日期:2014-04-01 00:00:00
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journal_title:International journal of nursing studies
pub_type: 杂志文章,评审
doi:10.1016/j.ijnurstu.2010.11.006
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pub_type: 杂志文章,评审
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journal_title:International journal of nursing studies
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doi:10.1016/j.ijnurstu.2006.03.005
更新日期:2007-08-01 00:00:00
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journal_title:International journal of nursing studies
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pub_type: 杂志文章
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doi:10.1016/j.ijnurstu.2006.05.015
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更新日期:2020-05-01 00:00:00
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journal_title:International journal of nursing studies
pub_type: 杂志文章
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更新日期:1991-01-01 00:00:00
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journal_title:International journal of nursing studies
pub_type: 杂志文章,评审
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更新日期:2004-02-01 00:00:00
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journal_title:International journal of nursing studies
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journal_title:International journal of nursing studies
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journal_title:International journal of nursing studies
pub_type: 杂志文章,meta分析,评审
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更新日期:2017-05-01 00:00:00
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