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The Chronic Headache: A Case Challenge J. Nurse Pract. (IF 1.0) Pub Date : 2024-03-28 Nahal Rahmanpanah, Bonnie Nickasch
The patient with a history of frequent headaches presents to her primary care provider for evaluation. Although the review of symptoms is consistent with her typical headache, the physical examination leads the nurse practitioner to consider alternative differential diagnoses and reprioritize her plan of care. This case challenge requires the reader to remain vigilant in the examination of patients
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Specific Medication Literacy in Older Adults With Asthma J. Nurse Pract. (IF 1.0) Pub Date : 2024-03-27 Demetra Antimisiaris, Rodney J. Folz, Luz Huntington-Moskos, Barbara Polivka
The aim of this study was to explore specific medication literacy (SML) of older adults and associations of SML strength. This was an observational study. Participants were at least 60 years old with an asthma diagnosis and in good health. Data were collected by a registered nurse researcher. The SML data collection instrument gathered the following information about each medication a participant used:
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Nurse Practitioners Are Doing Their Part in Substance Use Disorder Care J. Nurse Pract. (IF 1.0) Pub Date : 2024-03-26 Randall S. Hudspeth PhD MBA MS APRN-CNP FRE FAANP
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Maximizing Your Experience When Attending a Professional Conference J. Nurse Pract. (IF 1.0) Pub Date : 2024-03-19 Leslie L. Davis PhD ANP-BC FAAN FAANP FACC FAHA
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Supporting Advanced Practice Nursing Clinical Instructors with a Multimedia Guidebook J. Nurse Pract. (IF 1.0) Pub Date : 2024-03-18 Leigh Montejo, Ashley Fenton
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A Case of Red Imported Fire Ant Bites, With Atrial Fibrillation Detected by Wearable Technology J. Nurse Pract. (IF 1.0) Pub Date : 2024-03-16 Deborah Dillon
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Topical Steroid Withdrawal Syndrome Caused by Short-term Steroid Use J. Nurse Pract. (IF 1.0) Pub Date : 2024-03-15 Madeline Sjobeck, Gillian Jackson, Christina Leonard, Paige Thomas, Amie Koch
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Direct Versus “Incident to” Billing for Nurse Practitioners and Physician Associates: Understanding Billing Knowledge and Options J. Nurse Pract. (IF 1.0) Pub Date : 2024-03-15 Maureen Stabile Beck
Nurse practitioner and physician associate numbers have increased; however, in a Medicare setting, their impact can be “invisible” to stakeholders if they bill “incident to” rather than direct. The goal of this quality improvement project was to determine if they would prefer direct billing after reviewing an educational PowerPoint (Microsoft) presentation. Participants completed a pre- and postintervention
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HepCare: A Model for Linkage and Engagement of Patients With Hepatitis C J. Nurse Pract. (IF 1.0) Pub Date : 2024-03-15 Mary C. Olson, Ira M. Jacobson, Chen Lyu, Kristyn Pierce
Hepatitis C is on the rise nationwide despite the goal to eliminate it. Only 17% of patients are linked to care with the standard cascade of care (SOC); therefore, new models of care are needed. This research evaluated a model (HepCare) for linkage and engagement in hepatitis C care using the regular care team. A telemedicine visit was conducted to link people to care. Completing a hepatitis C evaluation
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Social Determinants of Health Screening: Primary Care PRAPARE Tool Implementation J. Nurse Pract. (IF 1.0) Pub Date : 2024-03-14 Shelley Lynch, Nancy W. Street, Leslie Sharpe, Ashley Kellish
Social determinants of health (SDOH) substantially impact health. Evidence-based SDOH screening was implemented in a small urban primary care practice. This quality improvement project aimed to increase SDOH screening from 0% to 50%. The Protocol for Responding to and Assessing Patient Assets, Risks, and Experiences (PRAPARE) tool is a validated SDOH screener administered by a community health care
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Nurse Practitioners’ Knowledge, Attitudes, and Practices Surrounding Adult Hepatitis Vaccination J. Nurse Pract. (IF 1.0) Pub Date : 2024-03-12 Emily K. Horn, Oscar Herrera-Restrepo, Neil P. Huyck, Anna M. Acosta, Andrea J. Harmelink, Jasjit K. Multani, Zifan Zhou, Annie Krishnan, Rifat Tuly, LiuCheng Shi, Chi-Chang Chen
An online survey was conducted to investigate knowledge, attitudes, and practices regarding hepatitis A and hepatitis B vaccination among 409 nurse practitioners (NPs). While most NPs (>80%) were knowledgeable about the Centers for Disease Control and Prevention’s Advisory Committee on Immunization Practices recommendations for adult hepatitis A and hepatitis B vaccination, self-reported adherence
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An EDITOR Approach to Osteoporosis: A Review for Nurse Practitioners J. Nurse Pract. (IF 1.0) Pub Date : 2024-03-12 Mohamed Toufic El Hussein, Dawson S. Sheehan
This article provides a brief overview of the pathophysiology and diagnosis of osteoporosis. A mnemonic is introduced that highlights pharmaceutical treatment options based on the current practice guidelines. This mnemonic will assist nurse practitioners in making evidence-based decisions regarding the most appropriate pharmacotherapy for their patients.
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Mental Health Access to Care: Nurse Practitioner–Led Telehealth Practice J. Nurse Pract. (IF 1.0) Pub Date : 2024-03-12 Ashley Fenton, Katherine G. Humphrey, Colleen King Goode, Lourdes Celius, Amanda Rohde
Expansion of full practice authority for nurse practitioners (NPs), coupled with the evolving use of telemedicine, can improve access to care. This project sought to gain a better understanding of how an NP-led integrated telemedicine practice provides access to mental health care in Maryland. Two hundred seventy-five patient zip codes were compared with Health Resources and Services Administration
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Application of the Centers for Disease Control and Prevention’s Isolation Directives for Patients Exposed to Severe Acute Respiratory Syndrome Coronavirus 2 J. Nurse Pract. (IF 1.0) Pub Date : 2024-03-12 Christopher W. Blackwell
Severe acute respiratory syndrome coronavirus 2 infection and coronavirus disease 2019 (COVID-19) remain an ongoing public health concern. Although directives are subject to change, nurse practitioners must have a strong working knowledge of COVID-19 precaution and isolation directives to counsel patients on proper implementation of precaution and isolation strategies. This article informs clinicians
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When Liver Disease Coincides With Heart Failure: A Diagnostic Case Challenge J. Nurse Pract. (IF 1.0) Pub Date : 2024-03-12 Irena Rozental
This case challenge explores a diagnostic dilemma in a healthy young adult presenting with sudden-onset liver disease and heart failure of an unclear etiology. Because of the complex presentation of this patient, the appropriate diagnostic tests were not initially ordered, delaying diagnosis and treatment. The nurse practitioner must critically analyze the patient’s presentation and consider secondary
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Nurse Practitioners of the Future J. Nurse Pract. (IF 1.0) Pub Date : 2024-03-11 Stephen A. Ferrara DNP FNP FAANP FAAN
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Improving Diabetes Management Screening Adherence in a Free Clinic J. Nurse Pract. (IF 1.0) Pub Date : 2024-03-11 Emily A. Newman, Jeanette M. Olsen, Benjamin D. Bogle, Robin Kranig, Lisa F. Schiller
Uninsured people with diabetes are at-risk for inconsistent disease management and complications that are identifiable through disease management screenings. Electronic point-of-care (POC) tools can improve screening adherence but are not always available in settings with limited resources. This nurse practitioner-led quality improvement project aimed to increase the percentage of free clinic patients
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Integrating Peer Review in an Online Advanced Physical Examination Course J. Nurse Pract. (IF 1.0) Pub Date : 2024-03-11 Emily Barnes, Billie S. Vance
Peer-review assignments provide external comparators against which students make judgments. Evaluative judgment is essential for self-regulated learning. A peer-review assignment was added to an online advanced assessment course. Students’ perceptions were solicited during course evaluation. Students perceived that the assignment enhanced their performance of physical examination skills. The following
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Persistent Methicillin-Resistant Staphylococcus aureus Bacteremia in a Patient With Multiple Cardiovascular Disease Risk Factors J. Nurse Pract. (IF 1.0) Pub Date : 2024-03-09 Sean Kelly, Tiffaney Randolph, Christina Cardy
We present a case report of a 75-year-old man with multiple cardiovascular disease risk factors and a past surgical history of bioprosthetic aortic valve replacement who presented to the emergency department with a 3-day history of weakness, chills, and chest pain. His electrocardiogram showed sinus tachycardia with first-degree AV block, and his laboratory workup revealed methicillin-resistant bacteremia
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Historical Trauma, Health Care Distrust, and the Legacy of Tuskegee: Implications for Nurse Practitioner Practice and Research J. Nurse Pract. (IF 1.0) Pub Date : 2024-03-09 Carolyn M. Dolan, Sha'Meyah Bell
Nurse practitioners (NPs) represent a strong cadre of healers and researchers active in a global quest to eliminate health disparities and create health equity. Barriers to health care result in a disproportionate burden of disease/disability on marginalized groups. Historical trauma results in or contributes to health care distrust manifested as a unique type of barrier with implications for nurse
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Correcting Health Disparities at End-of-Life in Persons of Color J. Nurse Pract. (IF 1.0) Pub Date : 2024-03-06 Leah D. Ward, Anthony Young
Forty years after the creation of the Medicare hospice benefit, low use of hospice and palliative care services in persons of color increases suffering and aggressive care at the end of life related to social determinants of death. A lack of culturally appropriate programs, diversity in hospice personnel, and education for health care personnel, and marginalized populations remain problematic. This
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Home-Based Care as a New Medical Model: An Opportunity for Nurse Practitioners J. Nurse Pract. (IF 1.0) Pub Date : 2024-03-01 Carolyn Jane Bogan, Elizabeth Reifsnider
Much attention has been given to the use of the emergency department (ED) by the uninsured patient, whereas the insured patient actually uses ED more frequently. The focus of this article is how to reduce costs for the geriatric insured chronically ill patient using nurse practitioners in a home-based program. Patients in this category are enrolled and offered scheduled and urgent visits. Patients
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Creating a Win-Win: An Academic-Practice Partnership in Nurse Practitioner Training J. Nurse Pract. (IF 1.0) Pub Date : 2024-02-29 Margaret Bavis, Bridget O’Brien, Emily Hendel, Angela Moss
Schools of nursing are challenged by increasing demand for clinical placements. Free and charitable clinics provide needed primary care to under-resourced populations. Academic–practice partnerships afford schools of nursing the opportunity to develop training programs to address clinical placement shortages. Previous strategies to establish nurse practitioner (NP) clinical training sites for our Midwest-based
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Effectiveness of Internet-Based Health Education in Patients With Functional Constipation Treated With Acupressure J. Nurse Pract. (IF 1.0) Pub Date : 2024-02-27 Lifen Chen, Meidan Shen, Yi Cen, Qian Xu
We tested the effectiveness of internet-based health education in patients with functional constipation treated with acupressure. Sixty patients with functional constipation were assigned to either an intervention or a control group. The intervention group received internet-based health education, acupressure, and routine nursing care. The control group received acupressure and routine nursing care
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Spring Forth J. Nurse Pract. (IF 1.0) Pub Date : 2024-02-20 C, o, u, r, t, n, e, y, , J, ., , P, i, t, t, s, , D, N, P, , M, P, H, , F, N, P, -, B, C, , F, A, A, N, P
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Value of Miller’s Pyramid for Clinical Skills Assessment in the Evaluation of Competency for Nurse Practitioner Students J. Nurse Pract. (IF 1.0) Pub Date : 2024-02-19 Debra Hampton, Sheila Melander, Elizabeth Tovar, Candice Falls, Andrew Makowski, Angela Ballard Grubbs, Holly Chitwood, Leslie Scott
As nursing education transitions to a competency-based focus required by the American Association of Colleges of Nursing’s , Miller’s Pyramid of Clinical Competence provides a beneficial framework for the development and validation of skills needed for competent practice. The purpose of this article is to provide examples of how Miller’s Pyramid can be applied to assess and develop nurse practitioner
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Painless and Nonitchy Rash in the Primary Care Setting J. Nurse Pract. (IF 1.0) Pub Date : 2024-02-19 Nathaniel Albright, Dianne Morrison-Beedy
Patients presenting with dermatologic findings, including rashes, are not uncommon in the primary care setting. Timely diagnosis and efficient clinical management are essential to preventing the spread of infectious causes of rashes. Disproportionate rates of sexually transmitted infections require clinicians to modernize their approach to subjective history collection, including sexual health history
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Achieving Health Equity: To Go Forward We Must Look Back J. Nurse Pract. (IF 1.0) Pub Date : 2024-02-16 Lois Wessel DNP FNP-BC, Carolyn Dolan JD MSN FNP-BC
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Virtual Headache Screening: A Guide for Primary Care J. Nurse Pract. (IF 1.0) Pub Date : 2024-02-16 Britt Ludkiewicz, Elsie Duff
Headache management is among the top presenting concerns for patients in primary care. Accurate diagnosis and treatment of headache disorders are vital to restoring quality of life and recognizing life-threatening conditions. Primary care providers have a critical role in headache assessment for patients’ timely access to care. The COVID-19 pandemic was a challenge for nurse practitioners in the rapid
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Clinical Challenge: Acute Onset of Chest Pain and Dyspnea J. Nurse Pract. (IF 1.0) Pub Date : 2024-02-16 S, t, e, p, h, a, n, i, e, , P, ., , A, r, c, e, n, e, a, u, x
The purpose of this Clinical Challenge is to educate nurse practitioners who are employed in the acute care setting on the diagnosis and management of a spontaneous pneumothorax. A spontaneous pneumothorax affects males more than females and tends to impact the adolescent male population. Evidence-based guidelines from the American College of Chest Physicians and the British Thoracic Society are reviewed
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The Future is Bright for Nurse Practitioners J. Nurse Pract. (IF 1.0) Pub Date : 2024-02-15 S, t, e, p, h, e, n, , A, ., , F, e, r, r, a, r, a, , D, N, P, , F, N, P, , F, A, A, N, P, , F, A, A, N
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Reasons Over Risks: NPs and HIV Prevention for Black Women J. Nurse Pract. (IF 1.0) Pub Date : 2024-02-15 Ragan Johnson, Brenice Duroseau, Schenita Randolph, Rasheeta Chandler
Nurse practitioners (NPs) across specialties are positioned to lead in human immunodeficiency virus (HIV) prevention and care, particularly for Black women, a demographic that continues to be disproportionately burdened by the HIV/AIDS epidemic. This article serves as a call to action to critically examine and challenge the prevailing risk-centric framework that has traditionally guided HIV assessment
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The Implementation of a Clinical Pathway to Improve Child Abuse Screening in Young Children With Fractures: A Quality Improvement Analysis J. Nurse Pract. (IF 1.0) Pub Date : 2024-02-14 Stephanie L. Schaller, Kate K. Chappell, Amanda M. Felder, Alicia K. Ribar
The American Academy of Pediatrics recommends screening children under 2 years of age with a concerning fracture for physical abuse with a skeletal survey (SS). Nationally, 30% to 77% of children are not screened appropriately in emergency department settings. After implementation of an electronic clinical pathway for pediatric emergency department providers, guideline adherence improved from 61% to
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Using Interprofessional Education to Prepare Health Care Professionals for Practice J. Nurse Pract. (IF 1.0) Pub Date : 2024-02-14 Shannon L. David, Heidi Saarinen, Adam Hohman, Nicole German
Multidisciplinary education and team-based care continue to be standard in academia and practice because they have been shown to improve patient care and outcomes. Health care programs offer interprofessional educational experiences to best prepare clinicians for practice. Faculty from advanced practice nursing and athletic training collaborated to create an interprofessional educational experience
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AUDIO: A Mnemonic for Best Practice Considerations in Audio-Only Telehealth J. Nurse Pract. (IF 1.0) Pub Date : 2024-02-12 M, a, h, r, o, k, h, , M, ., , K, o, b, e, i, s, s, i
Audio-only telehealth is essential for equitable access to care for all populations. The expiration of the public health emergency on May 11, 2023, affects audio-only telehealth sustainability. Although recent legislation temporarily extended the continued use and reimbursement parity for audio-only telehealth, these flexibilities expire on December 31, 2024. There are negative implications for health
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Parentification: Identifying Young Caregivers at Risk J. Nurse Pract. (IF 1.0) Pub Date : 2024-02-12 Leslie Sharpe
Young caregivers are an underestimated and vulnerable population in the United States. Nurse practitioners (NPs) are often unaware of the heavy burden of responsibility placed on young caregivers who provide physical care and emotional support to family members with chronic health conditions, mental illness, and substance use disorders, while also assuming household tasks. The phenomenon, known as
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Piperacillin-Tazobactam Drug-Induced Thrombocytopenia: Diagnosis Based on Clinical Criteria J. Nurse Pract. (IF 1.0) Pub Date : 2024-02-10 A, l, -, Z, a, d, a, , A, g, u, i, l, a, r
Drug-induced thrombocytopenia (DITP) is an uncommon but well-documented adverse drug reaction. DITP can be diagnosed based on clinical and laboratory criteria. Clinical criteria include severe acute thrombocytopenia (platelet nadir < 20 × 103/μL within 1 week of culprit drug exposure) with bleeding and exclusion of other causes of thrombocytopenia. Antibiotics such as vancomycin, penicillin derivatives
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Management Strategies for Pediatric Cases of Severe Plastic Bronchitis: Addressing Acute Respiratory Failure in the Context of Human Bocavirus Infection J. Nurse Pract. (IF 1.0) Pub Date : 2024-02-09 Wangfang Xie, Jihua Zhu, Xiaofang Lou, Bin Xu
This report aims to document the rescue and nursing experience in managing a pediatric patient presenting with severe plastic bronchitis accompanied by acute respiratory failure attributed to human bocavirus infection. Emergency bronchoscopy surgery was promptly and effectively performed to address the immediate medical needs. Subsequently, rigorous monitoring of pulmonary signs and optimized airway
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Retropharyngeal Abscess: One Case, An Unusual History J. Nurse Pract. (IF 1.0) Pub Date : 2024-02-09 B, a, r, b, a, r, a, , A, n, n, , J, o, e
Sore throat is a common complaint encountered in the primary care setting. Differential diagnoses include streptococcal pharyngitis, allergic rhinitis, gastroesophageal reflux disease, and even gonococcal pharyngitis. A less often considered diagnosis is a retropharyngeal abscess. Although more common in children under 5 years old due to the immature lymph system, adults can nonetheless be afflicted
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Nurse Practitioners’ Perceptions of Crisis Leadership and Their Readiness for Public Health Emergencies J. Nurse Pract. (IF 1.0) Pub Date : 2024-02-09 Dana Reed, Joyce Fitzpatrick
Disasters and public health emergencies are becoming more intense and frequent. Opportunities to develop nurse leadership equipped to deal with surge capacity, reduced staffing, austere conditions, and decisiveness under stress is now more important than ever. Nurse practitioners (NPs) can be a formidable force in not only responding to public health emergencies but in their mitigation and prevention
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The Role of Nurse Practitioners in Helping Refugees and Asylees Thrive in a New Country J. Nurse Pract. (IF 1.0) Pub Date : 2024-02-05 Lois Wessel, Lesvia Galo Valasquez
More than 1 billion people globally are immigrants, refugees, and migrants. Newcomers experience uncertainty regarding work, housing, social isolation, concerns for family members back home, trauma, and economic hardships. Language and literacy issues add to the daily stress. The nurse practitioner (NP) approach to client-centered care and integration of social determinants of health into comprehensive
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Legislators Must Act to Address Primary Care Workforce Shortages J. Nurse Pract. (IF 1.0) Pub Date : 2024-02-03 A, t, h, e, n, a, , T, h, e, o, d, o, r, a, , S, a, m, a, r, a, s
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Rural Access to a Psychiatric Pharmacist for Seniors J. Nurse Pract. (IF 1.0) Pub Date : 2024-02-03 Margaret Hammersla, Stacey Pascoe, Lou Fogg
Medication therapy management is a patient-centered process that involves assessment and evaluation of a patient’s complete medication regimen by a pharmacist to prevent medication-related morbidity and mortality. This pilot study evaluated the feasibility of rural access to a psychiatric pharmacist for seniors to reduce adverse drug reactions, inappropriate use of antipsychotic medications, and anticholinergic
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Development and Accreditation of an Advanced Practice Provider Fellowship at an Acute Care Pediatric Hospital J. Nurse Pract. (IF 1.0) Pub Date : 2024-02-01 Johannah H. Crogan, Ronna K. Smith, Emily F. Moore
Advanced practice providers (APPs) are essential to the care of patients in a complex health care system. There are a multitude of graduate education programs available for advanced practice in the field of pediatrics. Newly graduated APPs often have a long lead time to full productivity and limited exposure to subspecialties before practice entry. This requires onboarding and training to introductory
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Intermittent Fasting: Exploring Approaches, Benefits, and Implications for Health and Weight Management J. Nurse Pract. (IF 1.0) Pub Date : 2024-02-01 Kathleen Nye, Craig Cherrin, Jan Meires
Intermittent fasting is an eating pattern that restricts food intake for specific periods. Studies have shown that intermittent fasting can be an effective method for weight loss because it reduces overall calorie intake and increases metabolism. However, consulting a health care professional before starting any new diet or exercise regimen is recommended. This article presents an overview of intermittent
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Hepatic Abscess in a Previously Healthy Adolescent Female J. Nurse Pract. (IF 1.0) Pub Date : 2024-01-30 Cinthya Sotelo DNP APRN FNP-C ENP-C, Ayman Tailakh PhD RN
Hepatic abscesses in the adolescent population are uncommon. A hepatic abscess is an intra-abdominal infection usually disseminated from the bile duct or portal circulation. Early diagnosis and treatment can prevent serious complications and reduce mortality. This case report focuses on an adolescent patient who presented to a telemedicine urgent care with ongoing episodes of fever, chills, and body
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“You Do More Difficult Things Than This”: A National Study of Nurse Practitioner Buprenorphine Prescribing J. Nurse Pract. (IF 1.0) Pub Date : 2024-01-30 Chandra Speight, Jennifer Perry, Olga Smirnova
Nearly 300 Americans die every day from unintentional drug overdoses, most involving opioids. Buprenorphine is an effective but underused treatment for opioid use disorder. This quantitative, descriptive study used data from a national survey to explore nurse practitioner buprenorphine prescribing. The study finds associations between full practice authority environments and buprenorphine prescribing
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A Cross-sectional Study of Opioid Agonist Therapy Barriers and Facilitators J. Nurse Pract. (IF 1.0) Pub Date : 2024-01-30 Elsie Duff, Cindy Fehr, Shahid Shams, Steven Wintoniw, Ashley Devenney, Diana Ashfield, Tammy O'Rourke
Canadians face steep barriers to access treatment for opioid use disorder, including limitations in entry points due to clinical capacity issues. Nurse practitioners (NPs) are well-positioned to ease some of the backlog, given that they prescribe all classes of drugs, including opioid agonist therapy (OAT) medication. In this study, we conducted a cross-sectional online survey of NP respondents (N =
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Evaluating a Scribe Program in Reducing Provider Burnout J. Nurse Pract. (IF 1.0) Pub Date : 2024-01-22 Lisa Abbondanza, Patricia White
Burnout causes decreased job satisfaction, mental health issues, and leads to poor patient care. A large contributor is the electronic health record. Primary care providers from a medical group completed the Professional Fulfillment and Burnout Index survey showing high rates of burnout, and a scribe program was initiated. This quality improvement project evaluated the scribe program and its effects
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Suicide Education to Improve Knowledge and Confidence of Nurse Practitioners J. Nurse Pract. (IF 1.0) Pub Date : 2024-01-19 Holly Langster, Kimberly Sartain, Loi Booher
A focused educational session on suicide prevention was implemented after a gap identifying a gap in suicide training in the curriculum. Knowledge, confidence, and attitudes about identifying and managing suicide risk before and after an educational session were measured using a self-reporting questionnaire. The same questionnaire was given to a comparison group who did not attend the focused educational
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Management of Frostbite Injury in Primary Care J. Nurse Pract. (IF 1.0) Pub Date : 2024-01-18 YuWa Wu, Elsie Duff
Frostbite is cold-related tissue ischemia and damage that occurs after exposure to freezing temperatures. Appropriate classification of frostbite injury allows for timely diagnosis and early intervention, which can affect long-term sequelae, function, and overall well-being. Severe frostbite injury is irreversible and requires in-hospital interventions to maximize tissue salvage. Superficial frostbite
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How Will You Leap Into 2024? J. Nurse Pract. (IF 1.0) Pub Date : 2024-01-16 Leslie L. Davis
Abstract not available
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The Masquerading Disseminated Gonococcal Infection: A Case Report J. Nurse Pract. (IF 1.0) Pub Date : 2024-01-16 Nicole Martinez
Disseminated gonococcal infection is a rare disorder that can occur at any age. Diagnosis is typically delayed given the vague presentation and asymptomatic mucosal infection. This case report describes a patient presenting to the emergency department complaining of fever, myalgia, sore throat, and arthralgia for 7 days. The patient presented during a global pandemic and was concerned about COVID-19
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