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.

2025
A comparative study of antimicrobial prescribing practices for common infectious syndromes among physicians and nurse practitioners in a safety-net hospital
Publication: Antimicrobial stewardship & healthcare epidemiology: ASHE
Author/s: Aakash Balaji, Jessica Hua, Ben Pomerantz, Alfredo J. Mena Lora
DOI: 10.1017/ash.2025.10058
Collection: Nurse Practitioner
2025
A Quality Improvement Initiative to Improve First-Case On-Time Starts for Elective Surgeries
Publication: Journal of Doctoral Nursing Practice
Author/s: Elvira L. Nguelewou, Robin M. Lawson
DOI: 10.1891/JDNP-2024-0008
Collection: Nurse Practitioner
2025
A quality improvement project targeting postoperative hospital revisit rates after pediatric appendicitis
Publication: Canadian Journal of Surgery
Author/s: Emily Walser, Jacob Davidson, Robin Wigen, Claire A. Wilson, Natashia M. Seemann, Jennifer Y. Lam
DOI: 10.1503/cjs.009024
Collection: Nurse Practitioner
URL: http://www.canjsurg.ca/lookup/doi/10.1503/cjs.009024
2025
Advance Directives for Adolescents and Young Adults Living With Neuromuscular Disease: A Nurse Practitioner-Driven Intervention
Publication: Journal of hospice and palliative nursing: JHPN: the official journal of the Hospice and Palliative Nurses Association
Author/s: Vanessa Battista, Deborah J. Baker, Tara Trimarchi, Sarah Stoney, Rita D'Aoust
DOI: 10.1097/NJH.0000000000001086
Collection: Nurse Practitioner
2025
An innovative nurse practitioner-led service for children from families living in housing instability
Publication: Primary Health Care Research & Development
Author/s: Alicia Bell, Yvonne K. Parry, Matthew Ankers, Nina Sivertsen, Eileen Willis, Sally Kendall, Huahua Yin
DOI: 10.1017/S1463423625000118
Collection: Nurse Practitioner
2025
Assessing perceptions of patient-centered care during telehealth visits provided via rural county Extension offices: an implementation pilot study
Publication: mHealth
Author/s: Melissa J. Vilaro, Valeria Westring, Anna Hooks, Catucha Morand, Tyler Jordan-Black, William T. Donahoo, Ramzi G. Salloum, Maryam Sattari, Lisa Scarton, Thomas J. George, Halie Corbitt, Imaan Bashir, LaToya J. O’Neal
DOI: 10.21037/mhealth-24-47
Collection: Nurse Practitioner
URL: https://pmc.ncbi.nlm.nih.gov/articles/PMC11811651/
2025
Case management of a patient with botulism by an intensive care nurse practitioner team
Publication: Australian Critical Care: Official Journal of the Confederation of Australian Critical Care Nurses
Author/s: Katie Kelleway, Brett Mace, Jessica Butler, Sarah Webb, Kelly Harbour, Rosalind Elliott
DOI: 10.1016/j.aucc.2025.101291
Collection: Nurse Practitioner
2025
CoCare-CI: A Clinical Innovation to Address Behavioral Symptoms in Hospitalized Older Adults With Cognitive Impairment
Publication: Journal of the American Geriatrics Society
Author/s: David H. Lynch, Elizabeth R. Houston, Anna L. Andrews, Kimberly J. Mournighan, Willow F. Butler, John A. Batsis, Joshua D. Niznik, Jennifer Leeman, Laura C. Hanson
DOI: 10.1111/jgs.19479
Collection: Nurse Practitioner
2025
Compliance and Performance of Hand Hygiene in Dutch General Practice Offices Using Electronic Dispensers
Publication: Journal of Primary Care & Community Health
Author/s: Nataliya Hilt, Matthijs S. Berends, Mariëtte Lokate, Bert Tent, Andreas Voss
DOI: 10.1177/21501319251334218
Collection: Nurse Practitioner
2025
Do Nurse Practitioners Deliver? A Retrospective Self-audit Comparing Nurse Practitioner Care for People With HIV in Australia to Screening and Monitoring Guidelines
Publication: Journal of the Association of Nurses in AIDS Care
Author/s: Shannon Woodward, Donna Tilley, Adam Spinks, El Thompson, Danielle Collins
DOI: 10.1097/JNC.0000000000000523
Collection: Nurse Practitioner
URL: https://journals.lww.com/10.1097/JNC.0000000000000523
2025
Effect of interdisciplinary obesity care on metabolic markers and body weight in people with type 2 diabetes in a rural setting: A randomised controlled trial
Publication: Clinical Obesity
Author/s: Giuliana O. Murfet, Iain K. Robertson, Sharon P. Luccisano, Michelle L. Kilpatrick
DOI: 10.1111/cob.12715
Collection: Nurse Practitioner
URL: https://pmc.ncbi.nlm.nih.gov/articles/PMC11907095/
2025
Effectiveness of a nurse practitioner-led collaborative health care model on self-care, functional status, rehospitalization and medical costs in heart failure patients: A randomized controlled trial
Publication: International Journal of Nursing Studies
Author/s: Chih-Wen Chen, Tsae-Jyy Wang, Chieh-Yu Liu, Yeu-Hui Chuang, Ching-Chuan Su, Shu-Fang Vivienne Wu
DOI: 10.1016/j.ijnurstu.2024.104980
Collection: Nurse Practitioner
URL: https://linkinghub.elsevier.com/retrieve/pii/S0020748924002931
2025
Facilitating Care for Individuals With Complex Medical and Social Needs Through the Nurse Practitioner‐Dentist Integrated Practice Model
Publication: Special Care in Dentistry
Author/s: Elizabeth Alpert, Tara Zhou, Claudia C. Guillen, Michael Friedman, Jane Barrow
DOI: 10.1111/scd.70059
Collection: Nurse Practitioner
URL: https://onlinelibrary.wiley.com/doi/10.1111/scd.70059
2025
Impact of Maryland's 2015 Nurse Practitioner Full Scope of Practice Law on Statewide Rates of Outpatient Potentially Harmful Medication Prescribing to Older Adults
Publication: Medical Care
Author/s: Jessica Lipori, Joshua Thorpe
DOI: 10.1097/MLR.0000000000002163
Collection: Nurse Practitioner
2025
Impact of Nurse Practitioners on Guideline-Directed Medical Therapy at Discharge on Patients with Recent Acute Coronary Syndrome after Coronary Artery Bypass Graft Surgery
Publication: The Heart Surgery Forum
Author/s: Amale Ghandour, Hugo Langlois, Geneviève Lavigne, François-Adrien Duvauchelle, Luc-Étienne Boudrias, Amanda Normand, Ranuka Sivanathan, Millie Firmin, Alain Biron, Dominique Shum-Tim
DOI: 10.59958/hsf.8109
Collection: Nurse Practitioner
URL: https://journal.hsforum.com/index.php/HSF/article/view/8109
2025
Implementation and evaluation of a novel community-based urban mobile health clinic in Toronto, Ontario
Publication: Canadian Journal of Public Health = Revue Canadienne de Santé Publique
Author/s: Meghan O’Neill, Robert J. Redelmeier, Camilla Michalski, Raymond Macaraeg, Maureen Gans, Alice Schoffel, Lori M. Diemert, Luwam Ogbaselassie, Laura C. Rosella, Andrew Boozary
DOI: 10.17269/s41997-024-00962-x
Collection: Nurse Practitioner
URL: https://pmc.ncbi.nlm.nih.gov/articles/PMC12381333/
2025
Improving Blood Pressure in High-Risk Patients With CKD Using an Interdisciplinary Remote Hypertension Program
Publication: Kidney International Reports
Author/s: Molly C. Fisher, Sharon Rikin, Sonali Gupta, Jeremy Awori, Michel Terzibachi, Gracy Sebastian, Allison Stark, Tanya S. Johns
DOI: 10.1016/j.ekir.2025.01.028
Collection: Nurse Practitioner
URL: https://pmc.ncbi.nlm.nih.gov/articles/PMC12034870/
2025
Improving Hospital Resource Utilization and Maintaining Quality of Care through a Nurse Practitioner-Led Pediatric Head Injury Outpatient Clinic
Publication: Journal of Pediatric Health Care
Author/s: Emma K. Hartman, Stefanie R. Hartman, Alfred P. See
DOI: 10.1016/j.pedhc.2025.06.013
Collection: Nurse Practitioner
URL: https://linkinghub.elsevier.com/retrieve/pii/S0891524525001920
2025
Improving Hospital Throughput With a Hospitalist Discharge Nurse Practitioner
Publication: The Journal of Nursing Administration
Author/s: Irene Davis, Eskedar Gizaw, Lianna Ansryan
DOI: 10.1097/NNA.0000000000001567
Collection: Nurse Practitioner
2025
Increasing Goals of Care Review and Fiscal Implications With an Embedded Palliative Care Specialist in the Emergency Department: A Quality Improvement Project at a Community-Based Hospital
Publication: Journal of Hospice & Palliative Nursing
Author/s: Rachel A. Butler, Joy Elwell, Emilee Binette, Mary Jane Bowles
DOI: 10.1097/NJH.0000000000001135
Collection: Nurse Practitioner
URL: https://journals.lww.com/10.1097/NJH.0000000000001135
2025
Integrated access to cancer screening: expanding access for cervical and colorectal cancer screening in rural and remote Northern Alberta, Canada using a mobile service to bring cancer screening closer to home
Publication: BMC health services research
Author/s: Jessica Wiseman, Kara Patterson, Gordon Kliewer, Mary Mueller, Seema Mutti-Packer, James Newsome, Stacy Lockerbie, Joan Hauber, Monica Schwann, Huiming Yang
DOI: 10.1186/s12913-025-12392-7
Collection: Nurse Practitioner
2025
Integrating Palliative Care Consultation Into Inpatient Liver Transplant Evaluations: A Quality Improvement Study
Publication: Journal of hospice and palliative nursing: JHPN: the official journal of the Hospice and Palliative Nurses Association
Author/s: Alissa A. Ulanday, Lindsay B. Waters, Melanie Donovan, Jennifer Do, Fady M. Kaldas
DOI: 10.1097/NJH.0000000000001118
Collection: Nurse Practitioner
2025
Meeting the needs of rural populations through a nurse practitioner-led integrated care program for student health
Publication: Journal of the American Association of Nurse Practitioners
Author/s: Margaret R. Emerson, Melissa Langenberg, Tyler S. Szymanski, Wendy Schardt, Anne Lano, Kiphany Hof
DOI: 10.1097/JXX.0000000000001154
Collection: Nurse Practitioner
2025
Nurse Practitioner-Sensitive Outcome Measures in Older Person Care: A Scoping Review
Publication: Journal of Advanced Nursing
Author/s: Michael Connolly, Anita Duffy, Fiona Lawler, Eileen Furlong, Sara Cosgrave, Christine Dalton, Mary Mullen, Lisa Murphy, Mary Ryder
DOI: 10.1111/jan.16972
Collection: Nurse Practitioner
URL: https://onlinelibrary.wiley.com/doi/abs/10.1111/jan.16972
2025
https://npcurrentjournal.ca/index.php/bios/article/view/46

" target="_blank">Optimizing Surgical Care: Introducing the role of the Perioperative Acute Care Team Nurse Practitioner
Publication: NP Current
Author/s: Sarah Crowe
Collection: Nurse Practitioner
URL: https://npcurrentjournal.ca/index.php/bios/article/view/46