Competencies and scope of practice of nurse practitioners in primary health care: a scoping review protocol

Schlunegger, Margarithe Charlotte; Aeschlimann, Simona; Palm, Rebecca; Zumstein-Shaha, Maya (2021). Competencies and scope of practice of nurse practitioners in primary health care: a scoping review protocol JBI Evidence Synthesis, 19(4), pp. 899-905. Wolters Kluwer Health 10.11124/JBIES-20-00554

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OBJECTIVE: The objective of this scoping review is to explore existing literature about nurse practitioners' competencies and scope of practice in primary health care in order to examine and conceptually map the evidence and identify gaps in the literature. INTRODUCTION: To meet growing health care needs, current primary health care models have expanded to include nurse practitioners. The integration of nurse practitioners in primary health care is challenging. This is mainly due to the lack of a unified definition of the role, competencies, or clear criteria to determine scope of practice. INCLUSION CRITERIA: This scoping review will consider studies addressing nurse practitioner practice in primary health care. The focus lies on nurse practitioner competencies (eg, core competencies or practice activities) and scope of practice (eg, areas of responsibility or legally defined professional boundaries). Studies that were conducted in primary health care settings in rural, urban, and suburban regions where nurse practitioners are employed will be included. METHODS: Studies published in English, German, or French from 1965 to present will be considered. The databases to be searched include PubMed, CINAHL, Web of Science, and PsycINFO. Sources of unpublished studies and gray literature to be searched will include ProQuest Dissertations and Theses, OpenGrey, and websites of national nurse practitioner organizations. Retrieval of full-text studies and data extraction will be performed independently by two reviewers. The extracted data will be presented in tables or graphs, with an accompanying narrative summary.

Item Type:

Journal Article (Original Article)


School of Health Professions
School of Health Professions > Nursing
School of Health Professions > Nursing > Innovation in the Field of Health Care and Human Resources Development


Schlunegger, Margarithe Charlotte0000-0002-5410-4951;
Aeschlimann, Simona;
Palm, Rebecca and
Zumstein-Shaha, Maya0000-0003-4253-3123


2689-8381 (Electronic) 2689-8381 (Linking)


Wolters Kluwer Health






Margarithe Charlotte Schlunegger

Date Deposited:

19 Jan 2022 11:40

Last Modified:

26 Oct 2022 14:47

Publisher DOI:


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Additional Information:

Notes: Schlunegger, Margarithe Charlotte Aeschlimann, Simona Palm, Rebecca Zumstein-Shaha, Maya eng Research Support, Non-U.S. Gov't JBI Evid Synth. 2021 Apr;19(4):899-905. doi: 10.11124/JBIES-20-00554. Custom 1: 2021/03/16 Date: 2021

Uncontrolled Keywords:

Delivery of Health Care Humans *Nurse Practitioners Primary Health Care Review Literature as Topic *Scope of Practice




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