{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T06:18:03Z","timestamp":1791353883848,"version":"4.3.1"},"reference-count":38,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2025,9,26]],"date-time":"2025-09-26T00:00:00Z","timestamp":1758844800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2025,9,26]],"date-time":"2025-09-26T00:00:00Z","timestamp":1758844800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Advanced Nursing"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>To evaluate nurse practitioner (NP) roles during the peri\u2010operative period and their association with healthcare outcomes, including length of stay (LOS), post\u2010operative emergency department (ED) visits and 30\u2010day readmissions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A prospective observational study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This study, conducted at an Israeli tertiary care centre between 2022 and 2023, included 188 patients from Paediatric Orthopaedics, General Surgery and Breast and Stoma Services. Data on patient demographics, clinical details and outcomes, including LOS, post\u2010operative ED visits and 30\u2010day readmissions, were extracted from medical records. NPs documented interventions they performed across the pre\u2010operative, in\u2010hospital and post\u2010hospital phases. Associations between NP interventions and patient outcomes were analysed using multivariate regression models.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>NPs performed an average of 6.7 interventions per patient across the peri\u2010operative phases. A moderate\u2010to\u2010high number of interventions performed during the pre\u2010operative phase was significantly associated with a shorter LOS. Performing a moderate\u2010to\u2010high number of interventions during the post\u2010hospital phase was correlated with fewer ED visits and lower rates of 30\u2010day readmission.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Interventions performed by NPs during the pre\u2010operative and post\u2010hospital phases were significantly linked to better patient outcomes, notably shorter hospitalizations and fewer post\u2010discharge complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications<\/jats:title>\n                    <jats:p>Recognising the role of NPs in peri\u2010operative care may guide healthcare systems in optimising post\u2010surgical care pathways, ultimately minimising preventable emergency visits, reducing hospital LOS and lowering readmission rates.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Impact<\/jats:title>\n                    <jats:p>This study underscores the value of NPs as integral providers in peri\u2010operative surgical care. Their involvement in pre\u2010operative preparation and post\u2010discharge coordination contributes meaningfully to patient recovery trajectories. The findings support expanding their role within surgical teams to enhance care continuity and promote better recovery outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Reporting Method<\/jats:title>\n                    <jats:p>The EQUATOR guidelines were used with the STROBE checklist for reporting this study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patient or Public Contribution<\/jats:title>\n                    <jats:p>No patient or public contribution.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jan.70253","type":"journal-article","created":{"date-parts":[[2025,9,27]],"date-time":"2025-09-27T04:54:41Z","timestamp":1758948881000},"page":"6072-6081","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Evaluating Nurse Practitioners' Peri\u2010Operative Roles and Their Outcomes: A Prospective Observational Study in Surgical Care"],"prefix":"10.1111","volume":"82","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-6791-0721","authenticated-orcid":false,"given":"Limor","family":"Chen","sequence":"first","affiliation":[{"name":"Rambam Medical Center  Haifa Israel"},{"name":"The Cheryl Spencer Department of Nursing University of Haifa  Haifa Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ziv","family":"Gil","sequence":"additional","affiliation":[{"name":"Holy Family Hospital  Nazareth Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nasra","family":"Idilbi","sequence":"additional","affiliation":[{"name":"Department of Nursing Max Stern Yezreel Valley College  Israel"},{"name":"Galilee Medical Center  Nahariya Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dafna","family":"Zontag","sequence":"additional","affiliation":[{"name":"Rambam Medical Center  Haifa Israel"},{"name":"The Cheryl Spencer Department of Nursing University of Haifa  Haifa Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Efrat","family":"Shadmi","sequence":"additional","affiliation":[{"name":"The Cheryl Spencer Department of Nursing University of Haifa  Haifa Israel"},{"name":"Azrieli Advanced Nursing Center University of Haifa  Haifa Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,9,26]]},"reference":[{"key":"e_1_2_14_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/MLR.0000000000001628"},{"key":"e_1_2_14_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/jan.14692"},{"key":"e_1_2_14_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/scs.12120"},{"key":"e_1_2_14_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.17117"},{"key":"e_1_2_14_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2021.104028"},{"key":"e_1_2_14_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/000313481708300423"},{"key":"e_1_2_14_8_1","doi-asserted-by":"publisher","DOI":"10.1046\/J.1365\u20102648.1997.1997025814.X"},{"key":"e_1_2_14_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/jhm.924"},{"key":"e_1_2_14_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.12401"},{"key":"e_1_2_14_11_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2015.4056"},{"key":"e_1_2_14_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/BOT.0000000000000261"},{"key":"e_1_2_14_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/BOT.0b013e3181bd5863"},{"key":"e_1_2_14_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000004846"},{"key":"e_1_2_14_15_1","unstructured":"Israel Ministry of Health Division of Nursing: Nurse Practitioners.2013.\u201cJerusalem Israel.\u201dhttp:\/\/www.health.gov.il https:\/\/www.health.gov.il\/hozer\/ND112_2015.pdf. 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