Abstract
BackgroundNurse practitioners (NPs), if utilized to their optimal potential, could play a key role in meeting the growing demand for primary care. PurposeThe purpose of this study was to propose a comprehensive model for maximizing NP contributions to primary care which includes the factors affecting NP care and patient outcomes and explains their interrelated impact. MethodWe synthesized the results of the published literature to develop a model, which emphasizes NP scope of practice regulations, institutional policies, NP practice environment, and NP workforce outcomes as determinants of NP care and patient outcomes. DiscussionOur model provides a framework to help explain how variations in scope of practice regulations at the state-level and institutional policies within organizations directly and indirectly influence the practice environment of NPs, NP workforce outcomes, and patient care and outcomes. ConclusionAligning policy change, organizational innovations, and future research are critical to NP optimal utilization and patient care and outcomes.
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