# Advancing Nurse Practitioner Integration in Health Systems: Contextualizing Porat-Dahlerbruch’s Taxonomy for Global Adaptation: Comment on "Development of a Taxonomy of Policy Interventions for Integrating Nurse Practitioners Into Health Systems"

## TL;DR

This paper discusses a framework for integrating nurse practitioners into health systems and suggests ways to improve and apply it globally.

## Contribution

The paper introduces a multi-level taxonomy for NP integration and proposes strategies for its global adaptation.

## Key findings

- The taxonomy aligns with global implementation frameworks and offers a practical tool for health system reform.
- Opportunities for improvement include cross-national validation and digital health integration.
- Strategic integration of NPs is crucial for building equitable health systems.

## Abstract

This commentary examines the contribution of Porat-Dahlerbruch and colleagues’ taxonomy of policy interventions for integrating nurse practitioners (NPs) into health systems. Developed through stakeholder interviews in Israel, the taxonomy proposes a structured, multi-level framework—macro, meso, and micro—for guiding NP integration. It bridges the gap between theory and practice, providing policy-makers, educators, administrators, and researchers with a practical, evidence-informed tool for reform. The commentary highlights the taxonomy’s alignment with global implementation frameworks and identifies opportunities for further development, including cross-national validation, end-user engagement, robust evaluation metrics, digital health integration, and explicit equity strategies. By embracing these opportunities, the taxonomy can evolve into a global resource for strengthening NP roles and advancing interprofessional collaboration. As NPs become increasingly essential to primary and advanced care, especially in underserved settings, strategic integration is imperative for building resilient and equitable health systems.