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Journal of the American Association of Nurse Practitioners

https://read.qxmd.com/read/38530156/standardized-order-set-for-the-management-of-infective-endocarditis
#1
JOURNAL ARTICLE
Kerneisha Murphy, Emily Eiswirth
BACKGROUND: Infective endocarditis (IE) is a potentially life-threatening infection that affects the inner lining of the heart, particularly the heart valves. Patients with preexisting heart conditions, damaged heart valves, or a history of intravenous drug use are at a higher risk of acquiring IE. LOCAL PROBLEM: A rural acute care facility reported that 68.75% of patients who had a methicillin-resistant Staphylococcus aureus infection were diagnosed with IE. Review of medical records showed that 65% of patients with IE did not have antibiotic start/stop dates and 51% were discharged before the 6-week completion date...
March 26, 2024: Journal of the American Association of Nurse Practitioners
https://read.qxmd.com/read/38512119/integration-of-a-nurse-practitioner-and-physician-associate-leadership-structure-within-an-academic-cancer-center
#2
JOURNAL ARTICLE
Heather J Jackson, Olivia West, Shelton Harrell, Emily Skotte, Karen Hande
BACKGROUND: Nurse practitioners and physician associates are an essential part of the multidisciplinary cancer care team with expanding and evolving roles within cancer specialties. LOCAL PROBLEM: As these clinicians flourish, a parallel need for leadership rises to optimize scope of practice, mentor, and retain this crucial workforce. The purpose of this quality improvement project was to development a nurse practitioner and physician associate leadership structure within an academic cancer center...
March 21, 2024: Journal of the American Association of Nurse Practitioners
https://read.qxmd.com/read/38421277/effect-of-telemonitoring-and-as-needed-patient-support-on-positive-airway-pressure-therapy-adherence
#3
JOURNAL ARTICLE
Saoirse Owens, Karl Doghramji
BACKGROUND: Obstructive sleep apnea (OSA) affects patient health and public welfare. Positive airway pressure (PAP) therapy is the preferred treatment of OSA, but therapy adherence rates remain suboptimal. Current literature demonstrates telemonitoring interventions to support improved PAP therapy adherence. PURPOSE: To evaluate the effect of interval telemonitoring of PAP therapy data at 2 and 4 weeks after treatment initiation in patients with moderate-to-severe obstructive sleep apnea with as-needed patient support and troubleshooting by telephone consultation...
February 29, 2024: Journal of the American Association of Nurse Practitioners
https://read.qxmd.com/read/38408228/adherence-to-a-reproductive-health-intervention-for-young-adults-with-sickle-cell
#4
JOURNAL ARTICLE
Nyema T Eades-Brown, Anne O Oguntoye, Dalal Aldossary, Miriam O Ezenwa, Laurie Duckworth, Duane Dede, Versie Johnson-Mallard, Yingwei Yao, Agatha Gallo, Diana J Wilkie
BACKGROUND: The CHOICES intervention is tailored specifically for young adults with sickle cell disease (SCD) or sickle cell trait (SCT). The face-to-face (F2F) delivery format is feasible with efficacy for improving knowledge about reproductive health for those with SCD or SCT. PURPOSE: The purpose of the study was to compare the participant adherence to a remote online CHOICES intervention study (N = 107) and a F2F CHOICES intervention study (N = 234). METHODOLOGY: In both studies, participants with SCD or SCT were randomized into experimental or usual care control groups...
February 22, 2024: Journal of the American Association of Nurse Practitioners
https://read.qxmd.com/read/38381085/bridging-the-gap-implementing-a-pilot-radiology-focused-curriculum-in-an-acute-care-nurse-practitioner-program
#5
JOURNAL ARTICLE
Danielle Zuma, Mara Zink, Nhani Tran, Leon Chen
Knowledge in diagnostic radiology and performance of point-of-care ultrasound are integral to acute care nurse practitioners (ACNPs) in the inpatient settings, especially true in specialty areas such as interventional radiology and critical care. However, existing ACNP training programs, including at our institution, often lack robust relevant course content. To address this educational gap, we designed and implemented a pilot acute care radiology course, incorporating a flipped classroom approach and hands-on simulation activities led by expert faculty...
February 21, 2024: Journal of the American Association of Nurse Practitioners
https://read.qxmd.com/read/38377385/evidence-based-simulation-fostering-competency-through-structured-and-multisource-feedback
#6
JOURNAL ARTICLE
Leah Burt, Sarah Fitz, Bob Kiser
Preclinical simulation is an evidence-based method for nurse practitioner (NP) students to improve clinical communication and disease management competency. During simulation, students may receive feedback from multiple sources, including standardized patients (SPs), faculty, peers, and themselves. Although evidence supports simulation with multisource feedback, its impact on clinical knowledge and communication has yet to be evaluated among NP students. We designed, implemented, and evaluated a preclinical simulation program with structured multisource feedback integrated into a disease management course within a Doctor of Nursing Practice curriculum...
February 20, 2024: Journal of the American Association of Nurse Practitioners
https://read.qxmd.com/read/38330235/ethical-considerations-and-decision-making-in-opioid-prescribing-for-chronic-pain-a-case-study-in-rheumatology-practice
#7
JOURNAL ARTICLE
Lisa Carnago, Mitchell R Knisely, Janet Malek
Dilemmas regarding opioid prescribing for chronic pain frequently occur within health care settings. The ethical principles of autonomy, beneficence, nonmaleficence, and justice, as well as the principles of care ethics, can assist in addressing these opioid-related dilemmas. The purpose of this clinical case study is to provide a case study highlighting an opioid prescribing dilemma and then identify opioid-related transition considerations; address ethical questions that nurse practitioners (NPs) may encounter in clinical practice when providing care for individuals living with chronic pain who may need or use a prescribed opioid medication; and draw on the ethical principles and care ethics to provide guidance for NPs who face these challenging issues...
February 8, 2024: Journal of the American Association of Nurse Practitioners
https://read.qxmd.com/read/38330227/enhancing-foot-care-education-and-support-strategies-in-adults-with-type-2-diabetes-a-qualitative-study
#8
JOURNAL ARTICLE
Hsiao-Hui Ju, Madelene Ottosen, Jeffery Alford, Jed Jularbal, Constance Johnson
BACKGROUND: People with diabetes are susceptible to serious and disabling foot complications, which increase their morbidity and mortality rates. Examining the perspectives of people with diabetes on their foot care routines could help elucidate their beliefs and offer practical ways to prevent foot problems. PURPOSE: We explored the perspectives of adults with diabetes on their foot care practices to identify and enhance foot care education and support strategies...
February 8, 2024: Journal of the American Association of Nurse Practitioners
https://read.qxmd.com/read/38320261/navigating-the-pathway-to-advanced-practice-a-grounded-theory-of-nurse-practitioner-role-transition-in-a-fellowship
#9
JOURNAL ARTICLE
Karen Hande, Heather Jackson
BACKGROUND: Greater attention to the transitional period for advanced practice nurses has urged health care organizations and employers to implement fellowships. Currently, the theoretical process of nurse practitioner (NP) role transition from the essential perspectives of NP fellows does not exist. PURPOSE: The purpose of this study was to construct a middle-range theory grounded in reality of an NP fellowship environment that explains how NPs transition to their new role...
February 6, 2024: Journal of the American Association of Nurse Practitioners
https://read.qxmd.com/read/38320258/beyond-competence-and-retention-developing-a-comprehensive-evaluation-framework-for-a-rural-primary-care-nurse-practitioner-residency-program
#10
JOURNAL ARTICLE
JoAnna L Hillman, Janelle C Gowgiel, Paula S Price, Bethany Robertson
With the rise in nurse practitioner (NP) residency programs, evaluations have largely focused on retention and competency completion for residents. There is a need for expanded evaluation to ensure the sustainability of NP residency programs, to ensure timely adaptations to address resident satisfaction, and to solidify a long-term pathway of NPs well prepared for rural practice. We created a family nurse practitioner (FNP) residency program with a comprehensive evaluation framework to prepare residents for practice in rural settings...
February 6, 2024: Journal of the American Association of Nurse Practitioners
https://read.qxmd.com/read/38294289/implementing-mobile-text-messaging-on-glycemic-control-in-patients-with-diabetes-mellitus
#11
JOURNAL ARTICLE
Jan Tuzon, David C Mulkey
BACKGROUND: Uncontrolled blood glucose may lead to serious complications in patients with type two diabetes mellitus (T2DM). Patients may not have the support, motivation, or encouragement to adhere to the lifestyle changes necessary to control their T2DM. LOCAL PROBLEM: More than 75% of the primary care clinic's patients are diagnosed with T2DM, with most patients at the practice site having an average hemoglobin A1c (HbA1c) level of 8.5%. The primary care clinic did not use text messaging to disseminate diabetes self-management education and support (DSMES) as outlined in Standard 4 of the American Diabetic Association's (ADA) clinical practice guideline...
January 31, 2024: Journal of the American Association of Nurse Practitioners
https://read.qxmd.com/read/38294277/gaining-experience-in-the-provider-role-exploration-of-a-novel-simulation-intervention-to-prepare-nurse-practitioner-students-to-detect-and-manage-skin-cancer
#12
JOURNAL ARTICLE
Kelly Powers, Katherine D Shue-McGuffin
BACKGROUND: The high prevalence and negative outcomes associated with skin cancer demand effective strategies to prepare nurse practitioner students to detect cancerous lesions and manage patient care. However, few studies have examined dermatologic simulations to prepare nurse practitioner students to detect and manage skin cancer. PURPOSE: An exploratory-descriptive qualitative approach was used to examine nurse practitioner students' experiences with simulations involving standardized patients wearing three-dimensional (3-D) prosthetic skin lesions, perceptions of ability to apply the simulations to clinical practice, and preferences for learning dermatologic care...
January 31, 2024: Journal of the American Association of Nurse Practitioners
https://read.qxmd.com/read/38270505/confronting-mental-health-stigma-in-haitian-americans-suffering-from-mental-health-challenges
#13
JOURNAL ARTICLE
Marie M Moreau, Rene A Love, Dany Fanfan
BACKGROUND: Haitian Americans have been disproportionately exposed to risk factors known to play a significant role in the development of mental illness. Yet despite the documented effectiveness of mental health treatment, a high proportion of Haitian Americans with mental health disorders have not received care. LOCAL PROBLEM: Internalized stigma of mental illness (ISMI) was reported as one of the primary reasons Haitian Americans do not seek help for mental illnesses, resulting in poor long-term outcomes for individuals and families in this community...
January 25, 2024: Journal of the American Association of Nurse Practitioners
https://read.qxmd.com/read/38236128/implementing-an-evidence-based-guideline-to-decrease-opioids-after-cardiac-surgery
#14
JOURNAL ARTICLE
Roberto Galao-Malo, Alison Davidson, Rita D'Aoust, Deborah Baker, Mackenzy Scott, Julie Swain
BACKGROUND: Deaths related to overdoses continue growing in the United States. The overprescription of opioids after surgical procedures may contribute to this problem. LOCAL PROBLEM: There is inconsistency in the prescription of opioids in cardiovascular surgery patients. Recommendations regarding the reduction of opioids at discharge are not fully implemented. METHODS: This is a single-center, pre-post quality improvement project in adult patients after elective cardiac surgery through sternotomy...
January 18, 2024: Journal of the American Association of Nurse Practitioners
https://read.qxmd.com/read/38236127/the-psychiatric-mental-health-nurse-practitioner-as-coordinating-practitioner-in-the-netherlands-a-multiple-case-study
#15
JOURNAL ARTICLE
Enzio R K Boeijen, Jan E Sitvast, Nynke Boonstra, Wim Houtjes, Berno van Meijel, Miranda G H Laurant, Anneke J A H van Vught
BACKGROUND: Psychiatric-mental health nurse practitioners (PMHNPs) in the Netherlands have been allowed to perform the role of coordinating practitioner (CP) since 2018. This role is reserved for mental health care specialists who are trained and qualified at the master's degree level. Earlier studies have not addressed how PMHNPs perform that role and what mechanisms and contextual factors determine their performance. This understanding could help optimize their performance in this role and promote effective deployment of PMHNPs in mental health care...
January 17, 2024: Journal of the American Association of Nurse Practitioners
https://read.qxmd.com/read/38227679/characteristics-of-late-preterm-infant-readmissions-a-systematic-review
#16
JOURNAL ARTICLE
Jennifer A Joyner, Amy E Papermaster, Jane Dimmitt Champion
BACKGROUND: Prematurity represents a critical health disparity. It is important to note that late preterm (LPT) infants comprise the majority of preterm births, yet they are the least studied within the premature population. Evidence-based practice guidelines are now a decade old, indicating the potential need for review and revision. OBJECTIVES: This systematic review proposed the assessment of sociodemographic characteristics of LPT infants, clinical practice standards, and associated hospital readmission rates, mortality, and morbidity to determine the need for revision of evidence-based practice guidelines for these infants...
January 16, 2024: Journal of the American Association of Nurse Practitioners
https://read.qxmd.com/read/38214679/experiences-of-bias-in-a-multidisciplinary-hospital-medicine-group
#17
JOURNAL ARTICLE
Gabrielle Kis Bromberg, Jessica R Berwick, Nora K Horick, Sherri-Ann M Burnett-Bowie
Clinicians report experiencing bias at work. Although previous studies have characterized these experiences among trainees and clinical faculty, ours is the first to describe experiences of bias within a multidisciplinary hospital medicine group. In our study, 82.5% of surveyed nurse practitioners (NPs), physician assistants (PAs), and physicians reported experiencing gender, racial, or other forms of bias in the workplace. In addition to women reporting higher rates of gender bias and Asian/Black/Latinx/multiracial/other race respondents reporting higher rates of racial bias, half of participants reported experiencing other forms of bias related to gender expression, perceived sexual orientation, body habitus, age, accent, country of origin, or perceived socioeconomic status...
January 12, 2024: Journal of the American Association of Nurse Practitioners
https://read.qxmd.com/read/38206112/development-and-evaluation-of-a-neonatal-nurse-practitioner-mentoring-workshop
#18
JOURNAL ARTICLE
Colleen Reilly Moss
New graduate neonatal nurse practitioners (NNPs) need more than an orientation; they need mentoring to facilitate successful role transition and enhance job satisfaction. A gap exists in the literature about mentoring participant training and launching of successful programs for NNPs. This article provides an overview of the development and evaluation of a nurse practitioner (NP) mentoring workshop before the start of a formalized mentoring program. Workshop participants attended a half-day education event with an emphasis on mentoring program expectations, mentor and mentee roles, and effective communication...
January 11, 2024: Journal of the American Association of Nurse Practitioners
https://read.qxmd.com/read/38206106/medical-aid-in-dying-the-role-of-the-nurse-practitioner
#19
JOURNAL ARTICLE
Kathryn A Harrawood
Medical aid in dying (MAID) is a practice that has been expanding in the United States over the past few decades. As it becomes a viable option for a growing portion of the American population, nurse practitioners (NPs) need to be prepared to engage in conversation with patients about the practice. Although historically only physicians were able to participate in MAID, the role has recently expanded to include additional advanced practice providers, including NPs. Reviewing the history of MAID and examining how current legislation affects clinical practice can support the NP's ability to educate and counsel patients about the option...
January 11, 2024: Journal of the American Association of Nurse Practitioners
https://read.qxmd.com/read/38197789/nurse-practitioner-faculty-attitudes-about-interprofessional-education
#20
JOURNAL ARTICLE
Kimberly Posey, Lori Prol
BACKGROUND: Nurse practitioner (NP) faculty attitudes toward interprofessional education (IPE) can be barriers to the shift in culture and successful implementation of IPE into nursing curricula. A paucity of studies exist comparing faculty attitudes of IPE with different educational modalities. PURPOSE: The purpose of this research is to compare NP faculty attitudes toward IPE between IPE experiences and educational modalities in NP academic programs. METHODOLOGY: A quantitative cross-sectional comparative design was used...
January 9, 2024: Journal of the American Association of Nurse Practitioners
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