Reducing the Primary Care Gap Through Expanded Nursing Practitioner Scope and Training: A Literature Review

Overview

This literature review examines the feasibility of reducing the primary care gap by expanding the scope of practice for nursing practitioners and evaluating success through patient experience metrics by 2025. The paper synthesizes evidence from three key studies addressing nurses' perceptions of evidence-based practice adoption, projected physician shortages, and sociodemographic data collection methods in primary care settings.

What this literature review covers

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PICOT Question:

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Can the primary care gap be reduced through expanding the working scope of nursing practitioners and training them, and be measured through patient experience to ascertain its success by 2025?

Article 1

Full reference for article (APA Format)

Mohsen, M. M., Safaan, N. A., & Okby, O. M. (2016). Nurses' perceptions and barriers for adoption of evidence-based practice in primary care: Bridging the gap. American Journal of Nursing Research, 4(2), 25-33.

Purpose

To find out the perception of nurses and barriers to adopting the evidence-based practice in their primary care environments.

Evidence Type

Original study

Sample, Sample Size, and Setting

A total sample of 200 consisting of 120 nurse practitioners with a degree and 80 nursing teachers with a minimum of a master's degree was used.

Data Collection

The study used a structured questionnaire to collect the data.

Study Findings

All nurses had a positive attitude toward EBP. More than three quarters of both NPs and tutors reported that they had no time to search and read articles online.

Limitations (State why the limitations)

The sample did not represent all nurses and tutors because it was chosen from one region. It should have been taken from different parts.

Relevance to the PICOT and Implications for Advanced Nursing Practice

The perception of nurses toward EBP is significant in primary care. If the attitude is positive, then it means that NPs are likely to help in bridging the primary care gap that is steadily widening.

Article 2

Full reference for article (APA Format)

Petterson, S. M., Liaw, W. R.

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