{"title":"Nurse Practitioners: Leaders in All Phases of Disaster Management","authors":"Nancy Rudner, Alexis Hodges","doi":"10.1016/j.nurpra.2025.105548","DOIUrl":"10.1016/j.nurpra.2025.105548","url":null,"abstract":"<div><div>This article examines the role of nurse practitioners (NPs) in disaster management in extreme climate events that result from our warming world. The authors describe potential roles and contributions of NPs in each of the four phases of the Federal Emergency Management Agency’s Disaster Response model. Principal results indicate that NPs are critical in enhancing community resilience and health outcomes in disasters. NPs can lead targeted interventions and policies are needed to support vulnerable groups in the face of climate-related disasters.</div></div>","PeriodicalId":101233,"journal":{"name":"The Journal for Nurse Practitioners","volume":"21 10","pages":"Article 105548"},"PeriodicalIF":0.0,"publicationDate":"2025-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145268683","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Design and Implementation of a Global Health Course for Advanced Practice Registered Nurse Students","authors":"Daina M. Worcester, Carol A. Clarke","doi":"10.1016/j.nurpra.2025.105552","DOIUrl":"10.1016/j.nurpra.2025.105552","url":null,"abstract":"<div><div>Exposure to global health increases health care students’ cultural humility, improves interprofessional communication, and deepens empathy. However, graduate nursing programs rarely provide students with international clinical rotations for electives, much less mandate it in the curriculum. This article seeks to provide nursing faculty with guidance on the design and implementation of a global health course for advanced practice registered nurse students based on the development and implementation of a clinical rotation at an outpatient clinic in Belize. The design of the course proposal, the application process, student recruitment, implementation, and evaluation of 2 student cohorts are included, with lessons learned.</div></div>","PeriodicalId":101233,"journal":{"name":"The Journal for Nurse Practitioners","volume":"21 10","pages":"Article 105552"},"PeriodicalIF":0.0,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145268686","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sarah Ann Keil Heinonen, Nancy Cantey Banasiak, Amanda C. Filippelli
{"title":"Firestorm Asthma: Global Climate Change and Pediatric Asthma—A Scoping Review","authors":"Sarah Ann Keil Heinonen, Nancy Cantey Banasiak, Amanda C. Filippelli","doi":"10.1016/j.nurpra.2025.105547","DOIUrl":"10.1016/j.nurpra.2025.105547","url":null,"abstract":"<div><div>This scoping review investigated the impact of climate change-associated wildfires on pediatric asthma outcomes. A secondary objective was to examine current mitigation strategies and provide evidence-informed recommendations for health care providers. Included in the final analysis were 44 studies. Most reported adverse outcomes in children with asthma after wildfire smoke exposure, including increased frequency of exacerbations, higher medication use, elevated rates of emergency department visits and hospitalizations, and declines in lung function. Evidence-based mitigation strategies underscore the critical importance of implementing targeted interventions and proactive clinical management to safeguard vulnerable populations during wildfire smoke events.</div></div>","PeriodicalId":101233,"journal":{"name":"The Journal for Nurse Practitioners","volume":"21 10","pages":"Article 105547"},"PeriodicalIF":0.0,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145268685","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Dorian McCormick Butler, Lilo Fink, Joan Earle Hahn, Alexander Hoon, Mahim Jain
{"title":"Clinical Practice Guideline for the Evaluation of Bone Health in People with Cerebral Palsy","authors":"Dorian McCormick Butler, Lilo Fink, Joan Earle Hahn, Alexander Hoon, Mahim Jain","doi":"10.1016/j.nurpra.2025.105521","DOIUrl":"10.1016/j.nurpra.2025.105521","url":null,"abstract":"<div><div>Osteopenia and osteoporosis, typically age related, are common and underrecognized among people with cerebral palsy. We sought to develop a clinical practice guideline for health care providers to address a gap in their awareness of key evidence-based recommendations for bone health to prompt early referral for evaluation and treatment. The Johns Hopkins evidence-based practice framework served as a guide. A 4-member expert panel rated the clinical practice guideline usability and quality high using AGREE II, with recommendations for implementation across health care settings. Early bone health evaluation is imperative to improving health and quality of life among people with cerebral palsy across the lifespan.</div></div>","PeriodicalId":101233,"journal":{"name":"The Journal for Nurse Practitioners","volume":"21 10","pages":"Article 105521"},"PeriodicalIF":0.0,"publicationDate":"2025-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145268677","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Rescue Breaths: Moving Away from Pressurized Metered Dose Inhalers","authors":"Sheri McPhee, Wanda Martin, Dawn Balsdon","doi":"10.1016/j.nurpra.2025.105546","DOIUrl":"10.1016/j.nurpra.2025.105546","url":null,"abstract":"<div><div>This paper serves as a brief report and practice guide for providers looking to prescribe with consideration of planetary health. Pressurized metered-dose inhalers (pMDIs), which commonly dispense asthma medications such as albuterol (Ventolin, GSK), are major contributors to greenhouse gases. The small hand-held puffers contain harmful propellants that aide in medication delivery. The propellants often contain hydrofluorocarbons, which are powerful greenhouse gases. One handheld pMDI may carry the same carbon footprint as driving a small car for 175 miles. There are alternative prescription practices that can be used to improve planetary health without compromising patient care.</div></div>","PeriodicalId":101233,"journal":{"name":"The Journal for Nurse Practitioners","volume":"21 10","pages":"Article 105546"},"PeriodicalIF":0.0,"publicationDate":"2025-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145268684","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Reframing Latent Tuberculosis Infection Screening and Treatment as a Primary Care Responsibility","authors":"Rachel McInerney","doi":"10.1016/j.nurpra.2025.105557","DOIUrl":"10.1016/j.nurpra.2025.105557","url":null,"abstract":"<div><div>Latent tuberculosis infection (LTBI) affects an estimated 13 million people in the United States and poses a risk for progression to active disease. This article highlights the critical role of primary care providers in LTBI screening, diagnosis, and treatment. It outlines targeted testing recommendations, test interpretation, and evidence-based treatment regimens. Emphasis is placed on patient-centered decision-making, follow-up, and addressing barriers to care. Integrating LTBI management into primary care is essential to reduce tuberculosis transmission and advance national and global elimination goals.</div></div>","PeriodicalId":101233,"journal":{"name":"The Journal for Nurse Practitioners","volume":"21 10","pages":"Article 105557"},"PeriodicalIF":0.0,"publicationDate":"2025-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145268676","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Interpreting Common Rheumatology Laboratory Studies","authors":"Susan Chrostowski","doi":"10.1016/j.nurpra.2025.105551","DOIUrl":"10.1016/j.nurpra.2025.105551","url":null,"abstract":"<div><div>Laboratory investigations for specific rheumatology-related disorders are an effective tool for patient assessment. Nurse practitioners must understand what tests to order and how to interpret those results. Most rheumatology laboratory studies are not sufficiently specific or sensitive to independently establish a diagnosis. This article discusses the most common rheumatology laboratory studies and considerations for how to interpret those test results.</div></div>","PeriodicalId":101233,"journal":{"name":"The Journal for Nurse Practitioners","volume":"21 10","pages":"Article 105551"},"PeriodicalIF":0.0,"publicationDate":"2025-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145221978","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kailyn Elliott, Cynthia Foronda, Mary McKay, Karina A. Gattamorta, Carol Biggs
{"title":"Improving Patient Education to Meet Health Literacy Standards","authors":"Kailyn Elliott, Cynthia Foronda, Mary McKay, Karina A. Gattamorta, Carol Biggs","doi":"10.1016/j.nurpra.2025.105488","DOIUrl":"10.1016/j.nurpra.2025.105488","url":null,"abstract":"<div><h3>Background</h3><div>Health literacy is vital for patient outcomes, especially for vulnerable groups. However, patient education materials (PEMs) often exceed recommended comprehension levels, hindering equitable health care access.</div></div><div><h3>Methods</h3><div>We evaluated 100 PEMs in an academic health care system using readability metrics and the Patient Education Materials Assessment Tool.</div></div><div><h3>Results</h3><div>PEMs were highly understandable (82%) but had low actionability (57%). The Simple Measure of Gobbledygook (SMOG) Index was most effective (<em>r</em> = 0.79, sensitivity = 0.89). Major barriers included complex terms, lack of visuals, and limited cultural responsiveness.</div></div><div><h3>Conclusion</h3><div>Using the SMOG Index, visual aids, standardized templates, and community-informed reviews can enhance PEMs, promoting health equity and better outcomes.</div></div>","PeriodicalId":101233,"journal":{"name":"The Journal for Nurse Practitioners","volume":"21 9","pages":"Article 105488"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145265509","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Leah Spiro, Galen Cook-Wiens, Wei-Ti Chen, Nancy Jo Bush, Margo B. Minissian
{"title":"Nurse Practitioners Driving Virtual Postpartum Care","authors":"Leah Spiro, Galen Cook-Wiens, Wei-Ti Chen, Nancy Jo Bush, Margo B. Minissian","doi":"10.1016/j.nurpra.2025.105476","DOIUrl":"10.1016/j.nurpra.2025.105476","url":null,"abstract":"<div><div>Hypertensive disorders of pregnancy account for 2.5% to 4.6% of readmissions within 6 weeks postpartum (PP). A standardized approach to hypertensive disorders of pregnancy using remote patient monitoring may improve outcomes through optimized PP blood pressure (BP) management. The feasibility of a standardized nurse practitioner (NP)–driven remote patient monitoring protocol was measured to optimize BPs in the immediate PP period and was successfully demonstrated in a pilot sample (n = 30) at 0.767 (CI = 0.577-0.885; <em>P</em> = .0027) using an exact binomial test. Overall participant adherence was 91.23%, and overall satisfaction was 92%. Future work to improve systems innovation for BP optimization in PP patients is needed.</div></div>","PeriodicalId":101233,"journal":{"name":"The Journal for Nurse Practitioners","volume":"21 9","pages":"Article 105476"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145265012","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}