The Quality and Effectiveness of Care Provided by Nurse Practitioners

Julie Stanik-Hutt, PhD, ACNP-BC; Robin P. Newhouse, PhD, NEA-BC; Kathleen M; White, PhD, NEA-BC; Meg Johantgen, PhD, RN; Eric B. Bass, MD, MPH; George Zangaro, PhD, RN; Renee Wilson, MS; Lily Fountain, MS, CNM; Donald M. Steinwachs, PhD; Lou Heindel, DNP, CRNA; Jonathan P. Weiner, DrPH


Journal for Nurse Practitioners. 2013;9(8):492-500.e13. 

In This Article


This systematic review of published literature between 1990 and 2009 evaluated the quality, safety, and effectiveness of care provided by master's-prepared NPs. By assessing outcomes with US providers and patients in US settings and using intentionally broad inclusion of outcomes, this work extends previous syntheses of the research evidence about NP outcomes. On selected measures of quality, safety, and effectiveness, patient outcomes from NPs working autonomously or in collaboration with MDs are similar to those obtained from MDs working alone. This provides additional evidence that NPs provide high quality, safe, and effective patient care.