Kilpatrick Kelley, Tchouaket Eric Nguemeleu, Chouinard Maud-Christine, Savard Isabelle, Bouabdillah Naima, Houle Julie, St-Louis Geneviève, Jabbour Mira, Atallah Renee
Susan E. French Chair in Nursing Research and Innovative Practice, Ingram School of Nursing, Faculty of Medicine, McGill University, Montréal, Québec, Canada
Département des sciences infirmières, Université du Québec en Outaouais, Saint Jérôme, Québec, Canada.
BMJ Open. 2021 Jan 6;11(1):e043213. doi: 10.1136/bmjopen-2020-043213.
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.
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.
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.
CRD42020198182.
初级保健护士从业者（PHCNPs）在广泛的临床环境中为不同的患者群体提供服务。已有多项系统评价研究了PHCNP角色的相关结果。然而，各项评价中对PHCNP角色的定义缺乏一致性。从患者、提供者和医疗系统的角度识别对PHCNP实践敏感的指标，将有助于研究人员、临床医生和决策者了解这些提供者如何对护理结果产生影响。
建议对系统评价进行综述，以使用公认的角色定义来描述关于对PHCNP实践敏感指标的当前知识状态。感兴趣的结果包括任何衡量PHCNPs有效性的结果指标。我们将搜索范围限制在2010年以后，以捕捉最新趋势。将检索以下电子数据库：联合与补充医学数据库、护理及联合健康文献累积索引、Cochrane图书馆系统评价数据库和对照试验注册库、效果评价摘要数据库、EMBASE、全球健康、卫生经济学评价数据库、卫生证据、HealthStar、卫生系统证据、乔安娜·布里格斯研究所、Medline、PDQ-Evidence、PubMed和科学引文索引。检索策略将由一位学术图书馆员进行审核。将对所有相关出版物的参考文献列表进行审核。将从2010年起搜索灰色文献，包括：加拿大药物和技术健康局信息服务、加拿大药物和技术健康局的灰色事项工具、OpenGrey、经济合作与发展组织、ProQuest学位论文数据库和世界卫生组织。将检索PROSPERO国际系统评价前瞻性注册库，以识别已注册的综述方案。本综述方案是根据系统评价和Meta分析方案的首选报告项目建议制定的。将采用叙述性综合方法总结研究结果。
本研究无需伦理批准。研究中使用的数据将从已发表的系统评价中提取。传播策略将包括同行评审出版物、会议报告以及向主要利益相关者的汇报。
PROSPERO注册号：CRD42020198182。
