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.

2007
Patient, informal caregiver and care provider acceptance of a hospital in the home program in Ontario, Canada.
Publication: BMC health services research
Author/s: Jacques Lemelin, William E Hogg, Simone Dahrouge, Catherine Deri Armstrong, Carmel M Martin, Wei Zhang, Jo-Anne Dusseault, Joy Parsons-Nicota, Raphael Saginur, Gary Viner
DOI: 10.1186/1472-6963-7-130
Collection: Nurse Practitioner
2007
Provider adherence to JNC 7 guidelines and blood pressure outcomes in African Americans
Publication: Journal of Clinical Outcomes Management
Author/s:
Collection: Nurse Practitioner
2007
Satisfaction with a school-based teen health center: a report card on care.
Publication: Pediatric nursing
Author/s: Ramona Benkert, Nancy George, Clare Tanner, Violet H Barkauskas, Joanne M Pohl, Ann Marszalek
Collection: Nurse Practitioner
2007
The opioid renewal clinic: a primary care, managed approach to opioid therapy in chronic pain patients at risk for substance abuse.
Publication: Pain medicine (Malden, Mass.)
Author/s: Nancy L Wiedemer, Paul S Harden, Isabelle O Arndt, Rollin M Gallagher
DOI: 10.1111/j.1526-4637.2006.00254.x
Collection: Nurse Practitioner
2006
Are older patients satisfied with physician assistants and nurse practitioners?.
Publication: JAAPA : official journal of the American Academy of Physician Assistants
Author/s: Daisha J Cipher, Roderick S Hooker, Edward Sekscenski
DOI: 10.1097/01720610-200601000-00007
Collection: Nurse Practitioner
2006
Comparison of 2 models for managing tracheotomized patients in a subacute medical intensive care unit.
Publication: Respiratory care
Author/s: Leslie A Hoffman, Thomas H Miller, Thomas G Zullo, Michael P Donahoe
Collection: Nurse Practitioner
2006
Cost-effectiveness of nurse practitioner management of hypercholesterolemia following coronary revascularization.
Publication: Journal of the American Academy of Nurse Practitioners
Author/s: Kathryn A Paez, Jerilyn K Allen
DOI: 10.1111/j.1745-7599.2006.00159.x
Collection: Nurse Practitioner
2006
Impact of a nurse practitioner-assisted preoperative assessment program on quality.
Publication: Paediatric anaesthesia
Author/s: Anna M Varughese, Terri L Byczkowski, Eric P Wittkugel, Uma Kotagal, C Dean Kurth
DOI: 10.1111/j.1460-9592.2006.01856.x
Collection: Nurse Practitioner
2006
Pediatric trauma nurse practitioners provide excellent care with superior patient satisfaction for injured children.
Publication: Journal of pediatric surgery
Author/s: Kaaren Fanta, Becky Cook, Richard A Jr Falcone, Crystal Rickets, Lynn Schweer, Rebeccah L Brown, Victor F Garcia
DOI: 10.1016/j.jpedsurg.2005.10.049
Collection: Nurse Practitioner
2006
Practice locations of graduates of family physician residency and nurse practitioner programs: considerations within the context of institutional culture and curricular innovation through Titles VII and VIII.
Publication: The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association
Author/s: Joellen B Edwards, Jim L Wilson, Bruce A Behringer, Patricia L Smith, Kaethe P Ferguson, Reid B Blackwelder, Joseph A Florence, Bruce Bennard, Fred Tudiver
DOI: 10.1111/j.1748-0361.2006.00005.x
Collection: Nurse Practitioner
2006
Results of an asthma disease management program in an urban pediatric community clinic
Publication: Journal for specialists in pediatric nursing : JSPN
Author/s:
DOI: 10.1111/j.1744-6155.2006.00064.x
Collection: Nurse Practitioner
2006
Safety and efficacy of a nurse-led clinic for post-operative coronary artery bypass grafting patients.
Publication: International journal of cardiology
Author/s: Carla Broers, Jeanne Hogeling-Koopman, Cees Burgersdijk, Jan H Cornel, J van der Ploeg, Victor A Umans
DOI: 10.1016/j.ijcard.2005.03.009
Collection: Nurse Practitioner
2006
The effect of a multidisciplinary hospitalist/physician and advanced practice nurse collaboration on hospital costs.
Publication: The Journal of nursing administration
Author/s: Marie J Cowan, Martin Shapiro, Ron D Hays, Abdelmonem Afifi, Sondra Vazirani, Cathy Rodgers Ward, Susan L Ettner
DOI: 10.1097/00005110-200602000-00006
Collection: Nurse Practitioner
2006
The efficacy of a nurse-led preoperative cataract assessment and postoperative care clinic.
Publication: The Medical journal of Australia
Author/s: Bradley J Kirkwood, Konrad Pesudovs, Paul Latimer, Douglas J Coster
DOI: 10.5694/j.1326-5377.2006.tb00237.x
Collection: Nurse Practitioner
2005
A benefit-cost analysis of a worksite nurse practitioner program: first impressions.
Publication: Journal of occupational and environmental medicine
Author/s: David Chenoweth, Nanette Martin, Jared Pankowski, Lawrence W Raymond
DOI: 10.1097/01.jom.0000182093.48440.4c
Collection: Nurse Practitioner
2005
A pilot study: post-acute geriatric rehabilitation versus usual care in skilled nursing facilities.
Publication: Journal of the American Medical Directors Association
Author/s: Bong Kauh, Tracy Polak, Susan Hazelett, Keding Hua, Kyle Allen
DOI: 10.1016/j.jamda.2005.04.008
Collection: Nurse Practitioner
2005
A practitioner-based asthma intervention program with African American inner-city school children.
Publication: Journal of pediatric health care : official publication of National Association of Pediatric Nurse Associates & Practitioners
Author/s: Barbara Velsor-Friedrich, Theresa Pigott, Brenda Srof
DOI: 10.1016/j.pedhc.2004.12.002
Collection: Nurse Practitioner
2005
Barriers to coronary heart disease risk modification in women without prior history of coronary heart disease.
Publication: Journal of the American Academy of Nurse Practitioners
Author/s:
DOI: 10.1111/j.1745-7599.2005.00080.x
Collection: Nurse Practitioner
URL: https://uhn.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cul&AN=106379584&site=ehost-live&scope=site
2005
Cardiovascular surgeon and acute care nurse practitioner: collaboration on postoperative outcomes.
Publication: AACN clinical issues
Author/s: Susan C Meyer, Linda J Miers
DOI: 10.1097/00044067-200504000-00005
Collection: Nurse Practitioner
2005
https://pmc.ncbi.nlm.nih.gov/articles/PMC1464065/

" target="_blank">Clinical and cost-effectiveness of a new nurse-led continence service: a randomised controlled trial
Publication: The British Journal of General Practice
Author/s: Kate S Williams, R Phil Assassa, Nicola J Cooper, David A Turner, Christine Shaw, Keith R Abrams, Christopher Mayne, Carol Jagger, Ruth Matthews, Michael Clarke, Catherine W McGrother
Collection: Nurse Practitioner
URL: https://pmc.ncbi.nlm.nih.gov/articles/PMC1464065/
2005
Effect of a multidisciplinary intervention on communication and collaboration among physicians and nurses.
Publication: American Journal of Critical Care
Author/s:
DOI: 10.4037/ajcc2005.14.1.71
Collection: Nurse Practitioner
URL: https://uhn.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cul&AN=106594155&site=ehost-live&scope=site
2005
Establishing an Australian nurse practitioner-led colorectal cancer screening clinic.
Publication: Gastroenterology nursing : the official journal of the Society of Gastroenterology Nurses and Associates
Author/s: Joylene Morcom, Sandra V Dunn, Yoni Luxford
DOI: 10.1097/00001610-200501000-00008
Collection: Nurse Practitioner
2005
Evaluating the introduction of a paediatric emergency nurse practitioner service.
Publication: Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association
Author/s: Katherine Organ, Pauline Chinnick, Ian Higgison, Ben Stanhope, Rebecca Hoskins, Jonathan Benger
Collection: Nurse Practitioner
2005
Impact of a community-based multiple risk factor intervention on cardiovascular risk in black families with a history of premature coronary disease.
Publication: Circulation
Author/s: Diane M Becker, Lisa R Yanek, Wallace R Jr Johnson, Diane Garrett, Taryn F Moy, Stasia Stott Reynolds, Roger S Blumenthal, Dhananjay Vaidya, Lewis C Becker
DOI: 10.1161/01.CIR.0000157734.97351.B2
Collection: Nurse Practitioner
2005
Implementation and evaluation of an ophthalmic nurse practitioner emergency eye clinic
Publication: Clinical & experimental ophthalmology
Author/s:
DOI: 10.1111/j.1442-9071.2005.01101.x
Collection: Nurse Practitioner