Nurse practitioner caseload in primary health care: Scoping review

Nurse practitioners as primary care providers with their own patient panels and organizational structures: A cross-sectional study

“…We did find that NPs are more likely to serve as primary care providers and deliver ongoing continuous care to their own patient panel in organizations where NPs receive support for their independent practice. This finding is consistent with the existing evidence showing that having access to organizational resources such as staff support, clinical information, or exam rooms determine NPs’ ability to have their own patient panels (Martin-Misener et al, 2016). Ours and others’ findings indicate that organizational structures in employment settings of NPs affect the NP role in care delivery beyond the regulations.…”

“…In addition, determining patient panels for primary care providers is an important productivity, quality, and outcomes question for policy makers and practice managers (Muldoon et al, 2012). Furthermore, as the NP role is developing globally, attention is shifting towards the productivity of the NP workforce to help health care systems to meet the demand for primary care services, and assigning and determining NP panels is a critical step in achieving that goal (Martin-Misener et al, 2016).…”

“…A recent study suggested that expanding patient panels—the number of patients regularly under the care of the NPs—could substantially mitigate the primary care physician shortages in the U.S. (Auerbach et al, 2013). A 2016 scoping review of 111 peer-reviewed articles and grey literature documents published in the International Journal of Nursing Studies on NP patient panels and caseload found that if NPs have their own patient panel, it leads to improvements in access to care, decreases wait time, promotes chronic disease management, and reduces hospital visits, in addition to improving provider retention (Martin-Misener et al, 2016). Thus, promoting the NP role as primary care providers who deliver continuous ongoing care to their own patient panels could be an effective strategy to increase the capacity of the primary care system.…”

Implementation of integrated geriatric care at a German hospital: a case study to understand when and why beneficial outcomes can be achieved

“…Another question to be addressed concerns how to determine the caseload limit to maximise team functioning and appropriate involvement of team members for individual patient care needs. While answering this question is still work in progress in the practice as well as scientific community [66], a very urgent recommendation would be to listen better to the employees. If all employees indicate that they cannot do their work properly due to the workload, then maybe it is time to make some changes.…”

Implementing primary healthcare nurse practitioners in long‐term care teams: A qualitative descriptive study

“…In the shared care model, NPs share care with physicians, rather than having primary responsibility for a specific group of residents. The consultative model is the preferred model of care because it is more efficient (Martin‐Misener et al., ), allowing timely access to care and decision‐making.…”