Nurse effectiveness open library

Welcome

The RNAO Nurse Effectiveness Library features a comprehensive collection of publications highlighting nurses’ impact on the Quintuple Aim. Explore evidence of nurses driving health system transformation and leading evidence-based change across sectors in Canada and globally.

Nurse effectiveness

Designed to inform research, policy and clinical practice, this library is the result of a comprehensive scoping review (2000–2025). Conducted in 2024–2025, the review assessed nurses’ global impact across settings and sectors, focusing on contributions to health equity, patient experience, provider satisfaction, value of care, and population health, collectively known as the Quintuple Aim. 

Findings informed the creation of the Nurse Effectiveness Open Library, a resource that currently shares data on Nurse Practitioners and will soon expand to include other nursing roles.  Coming Soon: Registered nurses, registered practical nurses/licensed practical nurses, registered psychiatric nurses, clinical nurse specialists, and nurse anesthetists. This library provides accessible evidence to inform decision‑making and strengthen health system performance. RNAO will continue to review and update this project on a two-year cycle to reflect the latest evidence and ensure its continued relevance and impact.

Contribute to the Nurse Effectiveness Library   Contact us

Background & history

This project builds on RNAO’s earlier work showcasing 70 years of nurse effectiveness across clinical outcomes, organizational performance and financial results.

Learn more

References for registered nurse effectiveness are coming soon.

2016
Implementation of an Interdisciplinary, Team-Based Complex Care Support Health Care Model at an Academic Medical Center: Impact on Health Care Utilization and Quality of Life.
Publication: PloS one
Author/s: Christine Ritchie, Robin Andersen, Jessica Eng, Sarah K Garrigues, Gina Intinarelli, Helen Kao, Suzanne Kawahara, Kanan Patel, Lisa Sapiro, Anne Thibault, Erika Tunick, Deborah E Barnes
DOI: 10.1371/journal.pone.0148096
Collection: Nurse Practitioner
2016
Intensive behavioral treatment weight loss program in an adult primary care practice.
Publication: Journal of the American Association of Nurse Practitioners
Author/s: Paulette J Thabault, Pamela J Burke, Philip A Ades
DOI: 10.1002/2327-6924.12319
Collection: Nurse Practitioner
2016
Life after PACE (Program of All-Inclusive Care for the Elderly): A retrospective/prospective, qualitative analysis of the impact of closing a nurse practitioner centered PACE site.
Publication: Journal of the American Association of Nurse Practitioners
Author/s: Miranda J. Meunier, Jeannine M. Brant, Simmy Audet, Dustin Dickerson, Karen Gransbery, Elizabeth L. Ciemins
DOI: 10.1002/2327-6924.12379
Collection: Nurse Practitioner
URL: https://uhn.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cul&AN=119458664&site=ehost-live&scope=site
2016
Low-Income First-Time Mothers: Effects of APN Follow-up Using Mobile Technology on Maternal and Infant Outcomes.
Publication: Global pediatric health
Author/s: Jean Hannan, Dorothy Brooten, Timothy Page, Ali Galindo, Maritza Torres
DOI: 10.1177/2333794X16660234
Collection: Nurse Practitioner
2016
Nurse practitioner coverage is associated with a decrease in length of stay in a pediatric chronic ventilator dependent unit.
Publication: World journal of clinical pediatrics
Author/s: Courtney M Rowan, A Ioana Cristea, Jennifer C Hamilton, Nicole M Taylor, Mara E Nitu, Veda L Ackerman
DOI: 10.5409/wjcp.v5.i2.191
Collection: Nurse Practitioner
2016
Outcomes of Nurse Practitioner-Delivered Critical Care: A Prospective Cohort Study.
Publication: Chest
Author/s: Janna S Landsperger, Matthew W Semler, Li Wang, Daniel W Byrne, Arthur P Wheeler
DOI: 10.1016/j.chest.2015.12.015
Collection: Nurse Practitioner
2016
Outpatient Management of Delayed Graft Function Is Associated With Reduced Length of Stay Without an Increase in Adverse Events.
Publication: American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons
Author/s: B L Muth, B C Astor, J Turk, M Mohamed, S Parajuli, D B Kaufman, D A Mandelbrot, A Djamali
DOI: 10.1111/ajt.13689
Collection: Nurse Practitioner
2016
Parents' Perception of Satisfaction With Pediatric Nurse Practitioners' Care And Parental Intent to Adhere To Recommended Health Care Regimen.
Publication: Pediatric nursing
Author/s: Frances DiAnna Kinder
Collection: Nurse Practitioner
2016
Patient Perception of Enough Time Spent With Provider Is a Mechanism for Improving Women Veterans' Experiences With VA Outpatient Health Care.
Publication: Evaluation & the health professions
Author/s: Mark Trentalange, Mark Bielawski, Terrence E Murphy, Katarzyna Lessard, Cynthia Brandt, Bevanne Bean-Mayberry, Natalya C Maisel, Steven M Wright, Heather Allore, Melissa Skanderson, Evelyn Reyes-Harvey, Vera Gaetano, Sally Haskell, Lori A Bastian
DOI: 10.1177/0163278716629523
Collection: Nurse Practitioner
2016
Postgraduate Nurse Practitioner Education: Impact on Job Satisfaction.
Publication: Journal for Nurse Practitioners
Author/s: Charles T. Bush, Bobby Lowery
DOI: 10.1016/j.nurpra.2015.11.018
Collection: Nurse Practitioner
URL: https://uhn.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cul&AN=126066547&site=ehost-live&scope=site
2016
Reducing Readmissions After Stroke With a Structured Nurse Practitioner/Registered Nurse Transitional Stroke Program.
Publication: Stroke
Author/s: Christina Condon, Sarah Lycan, Pamela Duncan, Cheryl Bushnell
DOI: 10.1161/STROKEAHA.115.012524
Collection: Nurse Practitioner
2016
Reduction of emergency department visits using an urgent clinic for children with established epilepsy.
Publication: Neurology. Clinical practice
Author/s: Anup D Patel, Debbie Terry, Jayne Pacheco Moore, Jacy Sale, Eric G Wood, Zachary M Grinspan, Daniel M Cohen
DOI: 10.1212/CPJ.0000000000000286
Collection: Nurse Practitioner
2016
Role of Geography and Nurse Practitioner Scope-of-Practice in Efforts to Expand Primary Care System Capacity: Health Reform and the Primary Care Workforce.
Publication: Medical care
Author/s: John A Graves, Pranita Mishra, Robert S Dittus, Ravi Parikh, Jennifer Perloff, Peter I Buerhaus
DOI: 10.1097/MLR.0000000000000454
Collection: Nurse Practitioner
2016
Substitution of general practitioners by nurse practitioners in out-of-hours primary care: a quasi-experimental study.
Publication: Journal of advanced nursing
Author/s: Mieke van der Biezen, Lisette Schoonhoven, Nancy Wijers, Regi van der Burgt, Michel Wensing, Miranda Laurant
DOI: 10.1111/jan.12954
Collection: Nurse Practitioner
2016
The effectiveness of a nurse practitioner-led pain management team in long-term care: A mixed methods study.
Publication: International journal of nursing studies
Author/s: Sharon Kaasalainen, Abigail Wickson-Griffiths, Noori Akhtar-Danesh, Kevin Brazil, Faith Donald, Ruth Martin-Misener, Alba DiCenso, Thomas Hadjistavropoulos, Lisa Dolovich
DOI: 10.1016/j.ijnurstu.2016.07.022
Collection: Nurse Practitioner
2016
The impact of substituting general practitioners with nurse practitioners on resource use, production and health-care costs during out-of-hours: a quasi-experimental study.
Publication: BMC family practice
Author/s: Mieke Van Der Biezen, Eddy Adang, Regi Van Der Burgt, Michel Wensing, Miranda Laurant
DOI: 10.1186/s12875-016-0528-6
Collection: Nurse Practitioner
2016
The utilization of video-conference shared medical appointments in rural diabetes care.
Publication: International journal of medical informatics
Author/s: Lisa Tokuda, Lenora Lorenzo, Andre Theriault, Tracey H Taveira, Lynn Marquis, Helene Head, David Edelman, Susan R Kirsh, David C Aron, Wen-Chih Wu
DOI: 10.1016/j.ijmedinf.2016.05.007
Collection: Nurse Practitioner
2016
Who Is Providing the Predominant Care for Older Adults With Dementia?
Publication: Journal of the American Medical Directors Association
Author/s: Mia Yang, Chiang-Hua Chang, Donald Carmichael, Esther S. Oh, Julie P. W. Bynum
DOI: 10.1016/j.jamda.2016.04.026
Collection: Nurse Practitioner
2016
Women-Centered and Culturally Responsive Heart Health Promotion Among Indigenous Women in Canada.
Publication: Health promotion practice
Author/s: Shabnam Ziabakhsh, Ann Pederson, Natasha Prodan-Bhalla, Diane Middagh, Sharon Jinkerson-Brass
DOI: 10.1177/1524839916633238
Collection: Nurse Practitioner
2015
Access to care based on state nurse practitioner practice regulation: secondary data analysis results in the Medicare population.
Publication: Journal of the American Association of Nurse Practitioners
Author/s: Summer Cross, Patricia Kelly
DOI: 10.1002/2327-6924.12191
Collection: Nurse Practitioner
2015
An evaluation of the implementation of Advanced Nurse Practitioner (ANP) roles in an acute hospital setting.
Publication: Journal of advanced nursing
Author/s: Ann McDonnell, Emma Goodwin, Fiona Kennedy, Kay Hawley, Kate Gerrish, Christine Smith
DOI: 10.1111/jan.12558
Collection: Nurse Practitioner
2015
An evaluation of the quality of Emergency Nurse Practitioner services for patients presenting with minor injuries to one rural urgent care centre in the UK: a descriptive study.
Publication: Journal of clinical nursing
Author/s: Joe McDevitt, Vidar Melby
DOI: 10.1111/jocn.12639
Collection: Nurse Practitioner
2015
Assessment of an established dialysis nurse practitioner model of care using mixed methods research.
Publication: Contemporary nurse
Author/s: Melissa Stanley, Linda Worrall-Carter, Muhammad Aziz Rahman, Samantha McEvedy, Robyn Langham
DOI: 10.1080/10376178.2016.1157029
Collection: Nurse Practitioner
2015
Cardiac acute care nurse practitioner and 30-day readmission
Publication: The Journal of cardiovascular nursing
Author/s:
DOI: 10.1097/JCN.0000000000000147
Collection: Nurse Practitioner
2015
Chronic kidney disease in an Aboriginal population: A nurse practitioner‐led approach to management
Publication: Australian Journal of Rural Health
Author/s: Elizabeth Barrett, Lesley Salem, Sue Wilson, Claire O'Neill, Kathleen Davis, Sharif Bagnulo
DOI: 10.1111/ajr.12230
Collection: Nurse Practitioner
URL: https://onlinelibrary.wiley.com/doi/10.1111/ajr.12230