Scope-of-practice regulation of nurse practitioners in primary care

Added June 27, 2020

Citation: Xue Y, Ye Z, Brewer C, et al. Impact of state nurse practitioner scope-of-practice regulation on health care delivery: Systematic review. Nursing outlook. 2016 Jan 1;64(1):71-85.

Free to view: No

What is this? The COVID-19 pandemic is placing a strain on healthcare workers. Existing research on expanding the role of nurse practitioners may provide useful information for policy makers.

In this systematic review, the authors searched for studies evaluating the impact of scope-of-practice regulations on the delivery of primary health care by nurse practitioners. They restricted their searches to articles published in English and did the search in January 2015. They included 9 time-series analyses and 6 cross-sectional studies.

What was found: Less restrictive restrictions on nurse practitioners scope-of-practice may improve primary care capacity.

A large supply of nurse practitioners does not increase healthcare use, unless it is combined with scope-of-practice regulation that allow nurse practitioners to function independently.

The relationship between scope-of-practice regulations for nurse practitioners and healthcare costs is uncertain.


Disclaimer: This summary has been written by staff and volunteers of Evidence Aid in order to make the content of the original document accessible to decision makers who are searching for the available evidence on the coronavirus (COVID-19) but may not have the time, initially, to read the original report in full. This summary is not intended as a substitute for the medical advice of physicians, other health workers, professional associations, guideline developers, or national governments and international agencies. If readers of this summary think that the evidence that is presented within it is relevant to their decision-making they should refer to the content and details of the original article, and the advice and guidelines offered by other sources of expertise, before making decisions. Evidence Aid cannot be held responsible for any decisions made about the coronavirus (COVID-19) on the basis of this summary alone.