Identifying indicators sensitive to primary healthcare nurse practitioner practice: a review of systematic reviews protocol.
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.
['Kilpatrick|Kelley|K|0000-0003-2137-6560', 'Tchouaket|Eric Nguemeleu|EN|0000-0002-4309-0478', 'Chouinard|Maud-Christine|MC|', 'Savard|Isabelle|I|', 'Bouabdillah|Naima|N|', 'Houle|Julie|J|', 'St-Louis|Geneviève|G|', 'Jabbour|Mira|M|', 'Atallah|Renee|R|']
D003362:Cost-Benefit Analysis D003695:Delivery of Health Care D006801:Humans D015201:Meta-Analysis as Topic D009722:Nurse Practitioners D011320:Primary Health Care D012107:Research Design D012196:Review Literature as Topic D000078202:Systematic Reviews as Topic
primary care quality in health care statistics & research methods