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Journal of the American Association of Nurse Practitioners

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https://read.qxmd.com/read/30681654/facilitators-and-barriers-to-the-novice-nurse-practitioner-workforce-transition-in-primary-care
#1
Asefeh Faraz
BACKGROUND AND PURPOSE: Little is known about the facilitators and barriers to the workforce transition of novice nurse practitioners (NPs) in primary care. This research aimed to identify factors contributing and detracting from a successful initial workforce transition for novice NPs in the primary care setting. METHODS: A descriptive, cross-sectional study was conducted via online survey administered to a national sample of 177 NPs who graduated from an accredited NP program and were practicing in a primary care setting for 3-12 months...
January 11, 2019: Journal of the American Association of Nurse Practitioners
https://read.qxmd.com/read/30681653/practice-patterns-of-nurse-practitioners-related-to-weight-management-in-primary-care-a-systematic-literature-review
#2
Suzanne Hyer
BACKGROUND AND OBJECTIVES: Obesity prevalence rates for adults are at an all-time high. This systematic review of the literature aimed to examine the practice patterns of nurse practitioners (NPs) related to weight management in primary care and recommend future areas of research as it relates to the diagnosis and management of patients with obesity by NPs. DATA SOURCES: The databases CINAHL PLUS with Full Text, Cochrane Central Register of Controlled Trials, ERIC, MEDLINE, PsycINFO, and SPORTDiscuss were searched...
January 11, 2019: Journal of the American Association of Nurse Practitioners
https://read.qxmd.com/read/30681652/mediating-effect-of-sleep-behaviors-when-predicting-weight-related-behaviors-in-nursing-students
#3
Heather Owens, Barbara Polivka, Becky Christian, Kristi King, Stanley Lee Ridner
BACKGROUND AND PURPOSE: The purpose of this study was to identify whether or not sleep behaviors mediated bioecological predictors of weight-related behaviors among college students. METHODS: This descriptive, quantitative, cross-sectional study, guided by Bronfenbrenner's bioecological model, examined bioecological characteristics and path analysis to assess model fit. CONCLUSIONS: The fit indices indicated excellent fit of the final model to the data (χ (24) = 30...
January 11, 2019: Journal of the American Association of Nurse Practitioners
https://read.qxmd.com/read/30681651/policy-support-for-expanding-the-adolescent-vaccine-school-mandate-in-pennsylvania-to-include-the-human-papillomavirus-hpv-vaccine
#4
Rachel B Falik, Susan A Albrecht, Brenda L Cassidy
Approximately 27,000 men and women are affected by human papillomavirus (HPV)-related cancer every year. The Advisory Committee for Immunization Practices and the Centers for Disease Control and Prevention (CDC) routinely recommend that adolescents receive HPV, tetanus, diphtheria, and acellular pertussis (tetanus-diphtheria-acellular pertussis [Tdap]) and meningococcal (MCV) vaccines at age 11-12 years. Although the CDC and professional organizations such as the American Academy of Pediatrics make national vaccine recommendations, according to the National Vaccine Information Center, it is the responsibility of "state health departments to make and enforce vaccine mandates for school entry...
January 11, 2019: Journal of the American Association of Nurse Practitioners
https://read.qxmd.com/read/30681650/evaluation-of-early-wound-leakage-as-a-risk-factor-for-prosthetic-joint-infection
#5
Keetie Kremers, Borg Leijtens, Simone Camps, Alma Tostmann, Sander Koëter, Andreas Voss
BACKGROUND AND PURPOSE: Prosthetic joint infection (PJI) is a serious complication resulting from total knee arthroplasty (TKA) or total hip arthroplasty (THA). In this study, patients with a PJI are compared with patients with an uncomplicated postoperative course to identify relevant risk factors for PJI. METHODS: A matched case-control study was performed with patients undergoing fast-track, elective unilateral TKA or THA. The following data were collected: demographics, surgery-related characteristics (perioperative blood loss, use of cement, body temperature), and postoperative characteristics (hematoma formation, wound leakage, blood transfusion, length of stay [LOS])...
January 11, 2019: Journal of the American Association of Nurse Practitioners
https://read.qxmd.com/read/30681649/a-mixed-methods-study-of-coping-and-depression-in-adolescent-girls-with-polycystic-ovary-syndrome
#6
Casey S Hopkins, Laura P Kimble, Helen F Hodges, Anne F Koci, Benjie B Mills
BACKGROUND AND PURPOSE: Polycystic ovary syndrome (PCOS) is a complex metabolic disorder associated with clinical manifestations that could be psychologically distressing to adolescent girls considering the concern of body image during the developmental stage of adolescence. Poor psychological functioning is related to increased mortality, higher health care costs, and negative health outcomes. Coping has been identified as impacting health and adaptation to illness; therefore, the purpose was to examine coping and depression in adolescent girls with PCOS...
January 11, 2019: Journal of the American Association of Nurse Practitioners
https://read.qxmd.com/read/30624337/implementation-of-pulmonary-ultrasound-training-for-critical-care-advanced-practice-providers
#7
Emily Leibenguth, Kathy Magdic, Vicki Loeslie, Hemang Yadav, Jane Guttendorf
BACKGROUND AND PURPOSE: The use of pulmonary ultrasound (US) in the critical care setting has been increasing over the past 2 decades. The use of advanced practice providers (APPs) in the critical care setting is also increasing. Limited data exist regarding the clinical and educational impact of a formal pulmonary US training course for APPs working in critical care settings. METHODS: A preimplementation and postimplementation comparative design focused on the development and implementation of a formal pulmonary US course for novice critical care APPs...
January 4, 2019: Journal of the American Association of Nurse Practitioners
https://read.qxmd.com/read/30624336/implementation-of-alcohol-and-drug-screening-brief-intervention-and-referral-to-treatment-nurse-practitioner-learner-perspectives-on-a-mobile-app
#8
Alexa C Curtis, Derek D Satre, Khanh Ly, Maria Wamsley, Jason Satterfield
BACKGROUND AND PURPOSE: Screening, brief Intervention, and referral to treatment (SBIRT) is a widely trained evidence-based strategy to identify and address alcohol and drug use problems. The purpose of this qualitative study was to explore the experience of family nurse practitioner (FNP) learners in the implementation of SBIRT and the perceived clinical utility of an SBIRT mobile app. METHODS: Twenty-two FNP learners completed didactic SBIRT training and orientation to an SBIRT mobile app...
January 4, 2019: Journal of the American Association of Nurse Practitioners
https://read.qxmd.com/read/30624335/the-transformation-of-health-care-for-patients-information-and-communication-technology-digiceuticals-and-digitally-enabled-care
#9
Elizabeth Downes, Ann Horigan, Patrick Teixeira
The way patients access care and interact with health care systems is rapidly changing through the use of information and communication technology (ICT). Health care is being transformed through digital innovations, such as wearable technology, remote monitoring, patient portals, mobile applications (apps), and new service models such as telemedicine and virtual visits. Through a review of the current literature, this article presents the use of digitally enabled tools and ICT, including electronic health records, telehealth, remote patient monitoring, and mobile health apps...
January 4, 2019: Journal of the American Association of Nurse Practitioners
https://read.qxmd.com/read/30624334/challenges-faced-by-canadian-primary-health-care-nurse-practitioners-in-chronic-disease-management-a-qualitative-study-among-key-informants
#10
Jérôme Pelletier, Sarah Vermette, Sophie Lauzier, Mathieu Bujold, Louise Bujold, Élisabeth Martin, Laurence Guillaumie
BACKGROUND AND PURPOSE: The increasing prevalence of chronic diseases is driving health care systems to rethink their operations. Despite numerous studies supporting the advantages of primary health care nurse practitioners (PHCNPs) in chronic disease management, implementing practices that fully use the skills of these practitioners seems impeded in the Canadian province of Québec. This study explores the views of leaders involved in primary health care regarding the contributions PHCNPs can make in chronic disease management and the challenges they face in doing so...
January 4, 2019: Journal of the American Association of Nurse Practitioners
https://read.qxmd.com/read/30589757/predictors-of-gastrointestinal-bleeding-in-older-persons-taking-nonsteroidal-anti-inflammatory-drugs-results-from-the-fda-adverse-events-reporting-system
#11
Deborah Dillon McDonald
BACKGROUND AND PURPOSE: Older adults continue to take nonsteroidal anti-inflammatory drugs (NSAIDs) to manage chronic pain. The study's purpose was to identify predictors of gastrointestinal (GI) bleeding in older adults taking NSAIDs. METHODS: A secondary analysis of the 2016 Food and Drug Administration's Adverse Events Reporting System data was conducted with 1,347 cases aged 65 years and older with an NSAID as the primary suspect for an adverse drug event (ADE)...
December 26, 2018: Journal of the American Association of Nurse Practitioners
https://read.qxmd.com/read/30589756/lesbian-gay-bisexual-and-transgender-health-creating-safe-spaces-and-caring-for-patients-with-cultural-humility
#12
Elizabeth K Kuzma, Michelle Pardee, Cynthia S Darling-Fisher
BACKGROUND AND PURPOSE: To provide foundational information about 1) the significant health disparities LGBT individuals face, which are associated with persistent discrimination, oppression, and stigmatization in both societal and healthcare settings; and 2) how cultural humility can help nurses to create safe spaces and provide optimal care for all patients. METHODS: CINAHL, Medline, PsychInfo, and GoogleScholar databases were searched to identify theoretical and empirical literature regarding LGBT health, health disparities, barriers to accessing care, unconscious bias, cultural humility, and creating safe spaces to better meet the healthcare needs of the LGBT population...
December 26, 2018: Journal of the American Association of Nurse Practitioners
https://read.qxmd.com/read/30589755/a-model-of-successful-dnp-and-phd-collaboration
#13
Linda Cowan, Tonja Hartjes, Shannon Munro
BACKGROUND AND PURPOSE: Within nursing education, the existence of two graduate-level programs has created some challenges. Role confusion between the practice-focused Doctor of Nursing Practice (DNP) and the research-focused Doctor of Philosophy (PhD) is compounded by competition for similar positions. Collaboration between DNP and PhD nurses, however, benefits the health care system and patients. METHODS: The complementary skills of these two groups of nurses are detailed, and a model for building PhD-DNP partnerships is presented based on a collaborative PhD-DNP project that resolved a negative trend in outcomes from cardiac surgery...
December 26, 2018: Journal of the American Association of Nurse Practitioners
https://read.qxmd.com/read/30589754/implementation-of-an-obstructive-sleep-apnea-screening-tool-with-hypertensive-patients-in-the-primary-care-clinic
#14
Laura Showalter, Catherine OʼKeefe
BACKGROUND AND PURPOSE: Patients with severe obstructive sleep apnea (OSA) have an almost 4-fold higher odds of resistant hypertension than those with less severe OSA. Obstructive sleep apnea screening practices in primary care are deficient. Additional study is needed regarding the value of OSA screening in hypertensive adults who present to the primary care clinic. METHODS: This was a convenience sample of adults with hypertension from a rural primary care clinic in Iowa...
December 26, 2018: Journal of the American Association of Nurse Practitioners
https://read.qxmd.com/read/30550391/a-model-for-trauma-informed-primary-care
#15
Susan Jo Roberts, Genevieve E Chandler, Karen Kalmakis
Childhood trauma has been associated with negative health behaviors and conditions in adulthood. However, few primary care providers screen for trauma or alter their care to accommodate the multiple effects of trauma on patient health. The purposes of this article were to discuss the health consequences of childhood trauma and to offer a model for trauma-informed primary care (TIPC). The TIPC model provides a guide for primary care providers to screen for adverse childhood experiences and personalize the care of patients with a history of childhood trauma...
December 12, 2018: Journal of the American Association of Nurse Practitioners
https://read.qxmd.com/read/30550390/can-a-smartphone-app-help-manage-wounds-in-primary-care
#16
Pavel S Kulikov, Prabjot K Sandhu, Karen A Van Leuven
BACKGROUND AND PURPOSE: Although wound care guidelines are available for primary care providers, barriers to assessment and treatment remain. This article examines current evidence supporting wound management, wound guidelines, and provider comfort with wound management in primary care and discusses the need for improved training, education, and the development of a simplified approach to wound management in primary care. METHODS: This review of evidence examines knowledge of wound care, wound curriculum, and the current availability of guidelines for health care providers at the frontlines...
December 12, 2018: Journal of the American Association of Nurse Practitioners
https://read.qxmd.com/read/30550389/analysis-of-nurse-practitioner-scope-of-practice-in-taiwan-using-the-longest-policy-cycle-model
#17
Shiow-Luan Tsay, Shwu-Feng Tsay, Chia-Yen Ke, Ching-Mei Chen, Heng-Hsin Tung
BACKGROUND AND PURPOSE: To date, there has been no policy analysis or review of the effectiveness of the current nurse practitioner (NP) scope of practice regulations in Taiwan. The purpose is of this article was to provide a policy analysis of the NP scope of practice regulations in Taiwan. METHODS: The Longest policy cycle model was used to analyze the NP scope of practice regulations. Policy formation, policy implementation, and policy modification are three steps in this model...
December 12, 2018: Journal of the American Association of Nurse Practitioners
https://read.qxmd.com/read/30507761/evaluating-health-warning-messages-specific-to-waterpipe-smoking-among-university-students-in-jordan
#18
Muhammad W Darawad, Ramzi Salloum, Mahmoud Alhussami, Mahmoud Maharmeh
BACKGROUND AND PURPOSE: Health warning messages specific to waterpipe smoking (WPS) have not been tested enough in literature. This study evaluated university students' response to such messages. Specifically, this study (1) assessed the extent to which certain warning messages and pictorial signs motivate participants to quit WPS smoking; (2) identified the best location to place the warning signs of waterpipe as perceived by participants; and (3) assessed participants' intention to quit WPS...
November 29, 2018: Journal of the American Association of Nurse Practitioners
https://read.qxmd.com/read/30747809/educational-preparation-for-the-emergency-nurse-practitioner
#19
Jennifer Wilbeck
No abstract text is available yet for this article.
February 2019: Journal of the American Association of Nurse Practitioners
https://read.qxmd.com/read/30747808/educational-preparation-for-the-emergency-nurse-practitioner
#20
Lesia A Aungst
Following the recent JAANP article on Emergency Nurse Practitioner educational standards, one of our readers engaged with the authors to discuss the relationship between the urgent care setting and the emergency care setting. They provided this commentary to further enhance the understanding of this specialty area.
February 2019: Journal of the American Association of Nurse Practitioners
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