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A scoping review of Advanced Practice Registered Nurses Consensus Model outcomes

Part four of a four-part series on critical topics identified by the 2015 Nurse Practitioner Research Agenda

Litchman, Michelle L. PhD, FNP-BC, FAANP1; Schlepko, Thomas DNP, APRN, FNP-BC2; Rowley, Tom BSN, RN1; McFarland, Mary BS3; Fiander, Michelle MA, MLIS4

Journal of the American Association of Nurse Practitioners: December 2018 - Volume 30 - Issue 12 - p 710–723
doi: 10.1097/JXX.0000000000000111
Literature Review

Background and purpose: The Advanced Practice Registered Nurses (APRN) Consensus Model was produced by the APRN Joint Dialogue Group in 2008. The aim of the Consensus Model is to guide state boards on the implementation of APRN practice components, including licensure, accreditation, certification, and education and to clarify the legal scope of practice and APRN roles. The purpose of this scoping review and gap analysis was to appraise the evidence related to patient, nurse practitioner (NP) and organizational outcomes resulting from the Consensus Model.

Methods: A scoping review of research studies and grey literature reports was conducted and focused on the outcomes and key concepts related to the Consensus Model. Areas of foci included patients, NPs, and organizations. A subsequent gap analysis was conducted.

Conclusions: Several positive findings related to the Consensus Model, or components thereof, were identified for patient, NP, and organizational outcomes on various levels. Research gaps exist. Additional research is needed to fully evaluate the health outcomes on a broader scale.

Implications for practice: Existing evidence may support NPs and supporting organizations to further legislative efforts to more fully implement the Consensus Model nationwide.

1College of Nursing, University of Utah, Salt Lake City, Utah,

2School of Nursing and Health Science, University of Miami, Coral Gables, Florida,

3Eccles Health Sciences Library, University of Utah, Salt Lake City, Utah,

4School of Pharmacy, University of Utah, Salt Lake City, Utah

Correspondence: Michelle L. Litchman, PhD, FNP-BC, FAANP, College of Nursing, University of Utah, 10 South 2000 East, Salt Lake City, UT 84112. Tel: +1 (801) 558-9984; E-mail:

Competing interests: The authors report no conflicts of interest.

Supplemental digital content is available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal's Web site (

Received March 14, 2018

Accepted July 09, 2018

© 2018 American Association of Nurse Practitioners
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