Article Text

Identifying indicators sensitive to primary healthcare nurse practitioner practice: a review of systematic reviews protocol
  1. Kelley Kilpatrick1,
  2. Eric Nguemeleu Tchouaket2,
  3. Maud-Christine Chouinard3,
  4. Isabelle Savard4,
  5. Naima Bouabdillah5,
  6. Julie Houle5,
  7. Geneviève St-Louis6,
  8. Mira Jabbour7,
  9. Renee Atallah1
  1. 1Susan E. French Chair in Nursing Research and Innovative Practice, Ingram School of Nursing, Faculty of Medicine, McGill University, Montréal, Québec, Canada
  2. 2Département des sciences infirmières, Université du Québec en Outaouais, Saint Jérôme, Québec, Canada
  3. 3Département des sciences de la santé (Health Sciences Department), Université du Québec à Chicoutimi, Chicoutimi, Québec, Canada
  4. 4Ingram School of Nursing, Faculty of Medicine and Health Sciences, McGill University, Montreal, Quebec, Canada
  5. 5Département des sciences infirmières, Université du Québec à Trois-Rivières, Trois-Rivières, Québec, Canada
  6. 6Support and Development of Professional Practices in Nursing and Assistance Care and Infection Prevention Associate Directorate, Centre intégré universitaire de santé et de services sociaux de la Mauricie-et-du-Centre-du-Québec, Trois-Rivieres, Quebec, Canada
  7. 7Maisonneuve-Rosemont Hospital Site, Centre intégré universitaire de santé et de services sociaux de l'Est-de-l'Île-de-Montréal du Québec, Montreal, Quebec, Canada
  1. Correspondence to Dr Kelley Kilpatrick; kelley.kilpatrick{at}


Introduction Primary healthcare nurse practitioners (PHCNPs) practice in a wide range of clinical settings and with diverse patient populations. Several systematic reviews have examined outcomes of PHCNP roles. However, there is a lack of consistency in the definitions used for the PHCNP role across the reviews. The identification of indicators sensitive to PHCNP practice from the perspective of patients, providers and the healthcare system will allow researchers, clinicians and decision-makers to understand how these providers contribute to outcomes of care.

Methods and analysis A review of systematic reviews is proposed to describe the current state of knowledge about indicators sensitive to PHCNP practice using recognised role definitions. Outcomes of interest include any outcome indicator measuring the effectiveness of PHCNPs. We will limit our search to 2010 onwards to capture the most up-to-date trends. The following electronic databases will be searched: Allied and Complementary Medicine Database, Cumulative Index to Nursing and Allied Health Literature, Cochrane Library Database of Systematic Reviews and Controlled Trials Register, Database of Abstracts of Reviews of Effects, EMBASE, Global Health, Health Economics Evaluation Database, Health Evidence, HealthStar, Health Systems Evidence, Joanna Briggs Institute, Medline, PDQ-Evidence, PubMed and Web of Science. The search strategies will be reviewed by an academic librarian. Reference lists of all relevant publications will be reviewed. Grey literature will be searched from 2010 onwards, and will include: CADTH Information Services, CADTH’s Grey Matters tool, OpenGrey, Organisation for Economic Co-operation and Development, ProQuest Dissertation and Theses and WHO. The PROSPERO International Prospective Register of Systematic Reviews will be searched to identify registered review protocols. The review protocol was developed using Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols recommendations. A narrative synthesis will be used to summarise study findings.

Ethics and dissemination No ethical approval is required for the study. The data used in the study will be abstracted from published systematic reviews. Dissemination strategies will include peer-reviewed publication, conference presentations and presentations to key stakeholders.

PROSPERO registration number CRD42020198182.

  • primary care
  • quality in health care
  • statistics & research methods

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  • Twitter @MaudCChouinard

  • Contributors KK, ENT, M-CC, IS, NB, JH, GS-L, MJ and RA made substantial contributions to study conception and design. All authors were involved in drafting the manuscript and making revisions for critical intellectual content. All authors gave final approval of the version to be published.

  • Funding Le Réseau intersectoriel de recherche en santé de l’Université du Québec (RISUQ) (Project Grant Number: 304168 (30416801); principal investigator: ENT). The funder played no role in: study design and interpretation; development of the manuscript.

  • Competing interests None declared.

  • Patient consent for publication Not required.

  • Supplemental material This content has been supplied by the author(s). It has not been vetted by BMJ Publishing Group Limited (BMJ) and may not have been peer-reviewed. Any opinions or recommendations discussed are solely those of the author(s) and are not endorsed by BMJ. BMJ disclaims all liability and responsibility arising from any reliance placed on the content. Where the content includes any translated material, BMJ does not warrant the accuracy and reliability of the translations (including but not limited to local regulations, clinical guidelines, terminology, drug names and drug dosages), and is not responsible for any error and/or omissions arising from translation and adaptation or otherwise.

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