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This study aimed to identify evidence of nurse practitioner-led changes to health-care delivery and the outcomes of such changes. Changing health-care delivery is synonymous with the nurse practitioner role. The literature is critical of the lack of research by nurse practitioners, reporting the effects of a change to health-care delivery. This study used a systematic integrative review by using Torraco's approach. Databases Cumulative Index to Nursing and Allied Health Literature, MEDLINE, Web of Science and SCOPUS were searched for peer-reviewed