Publication Date

Spring 2025

Degree Type

Doctoral Project

Degree Name

Doctor of Nursing Practice (DNP)

Department

Nursing

First Advisor

Lisa Walker-Vischer

Keywords

Nurse practitioner, Autonomous practice, Scope of practice

Abstract

This project investigates patients' perceptions of nurse practitioner (NP) care versus physician (MD) care, the factors influencing these perceptions, and patients' understanding of NP scope of practice. A cross-sectional design was used, gathering quantitative data through an anonymous one-time survey distributed via Qualtrics, open for three months. Questions were based on The Watson Caritas Patient Score (WCPS) and the Hospital Consumer Assessment of Healthcare Providers and Systems Survey (HCAHPS). Data were analyzed using Intellectus Statistics software™, with descriptive statistics summarizing the findings. A two-tailed paired samples t-test revealed statistically significant differences in favor of patients' perceptions of NP care versus MD care (p=.009). However, the multiple linear regression model did not find significant predictors for provider choice. Another key finding was patients’ limited understanding of NP scope of practice. These results suggest that while patient perceptions of NP care are more favorable than MD care, other factors beyond the variables assessed may influence provider selection. This project provides valuable insights into how patients perceive different care providers and how these perceptions influence their provider choice.

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