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Mobile Medicine in Ukraine 乌克兰的流动医疗
The Journal for Nurse Practitioners Pub Date : 2024-10-24 DOI: 10.1016/j.nurpra.2024.105194
Ryan Anson
{"title":"Mobile Medicine in Ukraine","authors":"Ryan Anson","doi":"10.1016/j.nurpra.2024.105194","DOIUrl":"10.1016/j.nurpra.2024.105194","url":null,"abstract":"<div><div>Global Care Force, an international health nongovernmental organization, sent teams of physicians, physician assistants, nurses, and nurse practitioners every month to Ukraine to provide primary care for war-affected communities. I had the opportunity to partner with GCF in May 2024 during its monthly mission trip to this conflict-ravaged country. I described this medical outreach initiative in a first-person narrative in order to relay to a wider audience the realities of warfare for Ukrainian patients and health care workers. Our team treated chronic diseases in northern as well as southern Ukrainian villages near the front line near Kherson. We set up mobile medical clinics in these regions and delivered medications to patients suffering from blast injuries, hyperglycemia, hypertension, and posttraumatic stress disorder.</div></div>","PeriodicalId":101233,"journal":{"name":"The Journal for Nurse Practitioners","volume":"20 10","pages":"Article 105194"},"PeriodicalIF":0.0,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142527365","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}
引用次数: 0
Improving Opioid Use Disorder Treatment With Buprenorphine: A Quality Improvement Project 用丁丙诺啡改善阿片类药物使用障碍的治疗：质量改进项目
The Journal for Nurse Practitioners Pub Date : 2024-10-24 DOI: 10.1016/j.nurpra.2024.105213
Lemuel Scott, Consuelo Williams, Charles Browning, Gloria McNeil, Sean Convoy
{"title":"Improving Opioid Use Disorder Treatment With Buprenorphine: A Quality Improvement Project","authors":"Lemuel Scott,&nbsp;Consuelo Williams,&nbsp;Charles Browning,&nbsp;Gloria McNeil,&nbsp;Sean Convoy","doi":"10.1016/j.nurpra.2024.105213","DOIUrl":"10.1016/j.nurpra.2024.105213","url":null,"abstract":"<div><div>The intervention described here effectively changed prescriber behavior, increasing the use of evidence-based treatments for opioid withdrawal with minimal adverse events. Standardized protocols led to increased buprenorphine utilization, impacting clinical practice. However, there was no observed improvement in linkage to outpatient MAT services, possibly because of external factors such as insurance limitations and patient preferences. Our findings support the effectiveness of standardized protocols in increasing buprenorphine utilization. Thakrar et al<span><span><sup>1</sup></span></span> similarly observed improved buprenorphine initiation rates after implementing protocols in an emergency department.</div></div>","PeriodicalId":101233,"journal":{"name":"The Journal for Nurse Practitioners","volume":"20 10","pages":"Article 105213"},"PeriodicalIF":0.0,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142527361","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}
引用次数: 0
Medical Science Liaisons: A Guide for Advanced Practice Registered Nurses 医学科学联络员：高级执业注册护士指南
The Journal for Nurse Practitioners Pub Date : 2024-10-23 DOI: 10.1016/j.nurpra.2024.105211
Joyce Chen, Gregory Burns, Crystal Kelly, Dawn Vanderhoef, Jessica Johnson
{"title":"Medical Science Liaisons: A Guide for Advanced Practice Registered Nurses","authors":"Joyce Chen,&nbsp;Gregory Burns,&nbsp;Crystal Kelly,&nbsp;Dawn Vanderhoef,&nbsp;Jessica Johnson","doi":"10.1016/j.nurpra.2024.105211","DOIUrl":"10.1016/j.nurpra.2024.105211","url":null,"abstract":"<div><div>Medical science liaisons (MSLs) are part of the field medical affairs (FMA) department of pharmaceutical companies and are scientific resources for advanced practice registered nurses (APRNs). Following strict regulations and antikickback statutes, MSLs operate differently from sales and engage in unbiased, nonpromotional scientific exchange to provide clinical resources to APRNs. They also collaborate with shareholders like professional organizations, clinical trial sites, and academic institutions. Understanding MSL engagement allows APRNs multiple avenues both externally and within the pharmaceutical industry to leverage their experience to enhance clinical practice.</div></div>","PeriodicalId":101233,"journal":{"name":"The Journal for Nurse Practitioners","volume":"20 10","pages":"Article 105211"},"PeriodicalIF":0.0,"publicationDate":"2024-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142527363","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}
引用次数: 0
Primary Care Considerations for Individuals With Duchenne Muscular Dystrophy 杜兴氏肌肉萎缩症患者的初级保健注意事项
The Journal for Nurse Practitioners Pub Date : 2024-10-23 DOI: 10.1016/j.nurpra.2024.105230
Ashley Derbowka, Ashley Hardy
{"title":"Primary Care Considerations for Individuals With Duchenne Muscular Dystrophy","authors":"Ashley Derbowka,&nbsp;Ashley Hardy","doi":"10.1016/j.nurpra.2024.105230","DOIUrl":"10.1016/j.nurpra.2024.105230","url":null,"abstract":"<div><div>Duchenne muscular dystrophy (DMD) is an uncommon genetic neuromuscular condition manifesting as progressive and irreversible muscular weakness. It is usually diagnosed in childhood, and, unfortunately, individuals living with DMD have a shortened lifespan. DMD has an effect on multiple body systems, leading to complications such as cardiomyopathy, respiratory infections, fragility fractures, and mood disorders. Nurse practitioners working in the primary care setting are in a key position to support the individual by approaching the disease from a multisystem lens, incorporating preventive care to maximize health and well-being at varying stages of the disease process.</div></div>","PeriodicalId":101233,"journal":{"name":"The Journal for Nurse Practitioners","volume":"20 10","pages":"Article 105230"},"PeriodicalIF":0.0,"publicationDate":"2024-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142527359","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}
引用次数: 0
Changes in Motivation, Barriers, and Student Impact on Preceptors Since COVID-19: A Mixed Methods Study 自 COVID-19 以来动机、障碍和学生对戒酒师影响的变化：混合方法研究
The Journal for Nurse Practitioners Pub Date : 2024-10-23 DOI: 10.1016/j.nurpra.2024.105215
Rebecca McCann, Marilou Shreve, Callie Bradley, Martha Butler
{"title":"Changes in Motivation, Barriers, and Student Impact on Preceptors Since COVID-19: A Mixed Methods Study","authors":"Rebecca McCann,&nbsp;Marilou Shreve,&nbsp;Callie Bradley,&nbsp;Martha Butler","doi":"10.1016/j.nurpra.2024.105215","DOIUrl":"10.1016/j.nurpra.2024.105215","url":null,"abstract":"<div><h3>Objective</h3><div>The study aimed to examine factors influencing preceptors’ willingness to precept nurse practitioner students before and after COVID-19.</div></div><div><h3>Design</h3><div>A mixed methods design followed up on an earlier survey exploring preceptor perceptions before the COVID-19 pandemic.</div></div><div><h3>Results</h3><div>Two themes emerged for motivators: altruism and mentorship. Time commitment identified as a barrier was broken down into subthemes: personal time and student preparedness. Most participants reported that COVID-19 no longer had an impact on their willingness to precept students.</div></div><div><h3>Conclusions</h3><div>Many preceptors accept students to give back to the profession. Increased time commitment continues to hinder the experience for preceptors.</div></div>","PeriodicalId":101233,"journal":{"name":"The Journal for Nurse Practitioners","volume":"20 10","pages":"Article 105215"},"PeriodicalIF":0.0,"publicationDate":"2024-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142527362","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}
引用次数: 0
Improving Skin Cancer Knowledge and Screening Among Older Chinese Americans 提高美国华裔老年人的皮肤癌知识和筛查水平
The Journal for Nurse Practitioners Pub Date : 2024-10-22 DOI: 10.1016/j.nurpra.2024.105208
Yan (Olive) Wang, Anne Derouin, Barbara Turner, Hanzhang Xu
{"title":"Improving Skin Cancer Knowledge and Screening Among Older Chinese Americans","authors":"Yan (Olive) Wang,&nbsp;Anne Derouin,&nbsp;Barbara Turner,&nbsp;Hanzhang Xu","doi":"10.1016/j.nurpra.2024.105208","DOIUrl":"10.1016/j.nurpra.2024.105208","url":null,"abstract":"<div><div>Asian Americans often experience delays in skin cancer diagnoses, which may be due to low awareness and limited skin cancer knowledge. Prior evidence has suggested that total body skin examination (TBSE) is a simple yet effective way to identify skin cancer early. This nurse practitioner-led quality improvement project aimed to increase skin cancer knowledge and TBSE uptake among 77 Chinese Americans aged ≥65 years. A culturally tailored skin health education was implemented in a dermatology office and a senior center. After the education session, participants demonstrated a significant increase in skin cancer knowledge and were more willing to receive TBSE.</div></div>","PeriodicalId":101233,"journal":{"name":"The Journal for Nurse Practitioners","volume":"20 10","pages":"Article 105208"},"PeriodicalIF":0.0,"publicationDate":"2024-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142527360","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}
引用次数: 0
Diagnosis and Treatment of Adults with Attention-Deficit/Hyperactivity Disorder (ADHD) 成人注意力缺陷/多动障碍 (ADHD) 的诊断和治疗
The Journal for Nurse Practitioners Pub Date : 2024-10-22 DOI: 10.1016/j.nurpra.2024.105217
Brittany Haskell, Mary Carter-Orbke, Rose Vick, Brandee Madden, LeTizia Smith
{"title":"Diagnosis and Treatment of Adults with Attention-Deficit/Hyperactivity Disorder (ADHD)","authors":"Brittany Haskell,&nbsp;Mary Carter-Orbke,&nbsp;Rose Vick,&nbsp;Brandee Madden,&nbsp;LeTizia Smith","doi":"10.1016/j.nurpra.2024.105217","DOIUrl":"10.1016/j.nurpra.2024.105217","url":null,"abstract":"<div><div>Attention-deficit/hyperactivity disorder (ADHD) is a mental health diagnosis that affects an individual’s brain development and activity, resulting in inattention and/or hyperactivity-impulsivity that interferes with functioning in many aspects of life. A growing number of adults have a diagnosis of ADHD, with approximately one-third of those being diagnosed in adulthood rather than childhood. Symptoms and treatment of adults with ADHD are different than in the pediatric population. Evidence-based practices on identification, diagnosis, and treatment for adults with ADHD will be explored. Clinicians in primary care must be knowledgeable of treatment for adults with ADHD to meet this growing demand.</div></div>","PeriodicalId":101233,"journal":{"name":"The Journal for Nurse Practitioners","volume":"20 10","pages":"Article 105217"},"PeriodicalIF":0.0,"publicationDate":"2024-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142527366","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}
引用次数: 0
Nutrition for Mental Health: Guidance for Clinical Practice 心理健康营养：临床实践指南
The Journal for Nurse Practitioners Pub Date : 2024-10-19 DOI: 10.1016/j.nurpra.2024.105209
Ashley Fenton, Kathryne Neiling, Maureen Ndzi, Colleen King Goode, Katherine G. Humphrey
{"title":"Nutrition for Mental Health: Guidance for Clinical Practice","authors":"Ashley Fenton,&nbsp;Kathryne Neiling,&nbsp;Maureen Ndzi,&nbsp;Colleen King Goode,&nbsp;Katherine G. Humphrey","doi":"10.1016/j.nurpra.2024.105209","DOIUrl":"10.1016/j.nurpra.2024.105209","url":null,"abstract":"<div><div>Nutritional psychiatry is an emerging field that explores the relationship between diet and mental health. Research focuses on dietary patterns, gut microbiome health, and the impact of individual nutrients on mental health. Nutritional and lifestyle interventions can complement psychopharmacology and psychotherapy in clinical practice. This clinical feature article reviews evidence supporting nutritional interventions for mental health and provides clinical guidance.</div></div>","PeriodicalId":101233,"journal":{"name":"The Journal for Nurse Practitioners","volume":"20 10","pages":"Article 105209"},"PeriodicalIF":0.0,"publicationDate":"2024-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142527357","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}
引用次数: 0
Extreme Heat and Chronic Disease: Improving Patient Outcomes 酷热与慢性病：改善患者疗效
The Journal for Nurse Practitioners Pub Date : 2024-10-19 DOI: 10.1016/j.nurpra.2024.105212
Alexis G. Hodges, Joseph Al Hodges
{"title":"Extreme Heat and Chronic Disease: Improving Patient Outcomes","authors":"Alexis G. Hodges,&nbsp;Joseph Al Hodges","doi":"10.1016/j.nurpra.2024.105212","DOIUrl":"10.1016/j.nurpra.2024.105212","url":null,"abstract":"<div><div>Primary care providers play a crucial role in understanding and addressing the impacts of climate change on chronic diseases and patient outcomes. This clinical scenario introduces the concept of climate change impacting care and underscores the importance of understanding social determinants of health. Collaboration with patients, community leaders, and policymakers can bring about change and improve the quality of care all patients need. Providers must be empowered with this knowledge and take responsibility for the health of their patients and the planet.</div></div>","PeriodicalId":101233,"journal":{"name":"The Journal for Nurse Practitioners","volume":"20 10","pages":"Article 105212"},"PeriodicalIF":0.0,"publicationDate":"2024-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142527358","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}
引用次数: 0
Gout or Deep Vein Thrombosis: Expanding Differential Diagnosis and Avoiding Anchoring Bias 痛风或深静脉血栓：扩大鉴别诊断范围，避免锚定偏差
The Journal for Nurse Practitioners Pub Date : 2024-10-19 DOI: 10.1016/j.nurpra.2024.105216
Bhisnauth Churaman
{"title":"Gout or Deep Vein Thrombosis: Expanding Differential Diagnosis and Avoiding Anchoring Bias","authors":"Bhisnauth Churaman","doi":"10.1016/j.nurpra.2024.105216","DOIUrl":"10.1016/j.nurpra.2024.105216","url":null,"abstract":"<div><div>Diagnostic reasoning is a critical skill for a nurse practitioner. Cognitive biases influence nurse practitioner decision making, and anchoring bias is the most common cognitive error. Cognitive error is a systematic deviation from optimal decision making or errors in thinking from reliance on mental shortcuts known as heuristics. Anchoring bias is when initial information dominates decision making, neglecting alternative diagnoses. This case describes a patient with pain, redness, and swelling in the left ankle, attributing it to a gout flare-up. To avoid anchoring on this diagnosis, reflective practice considered alternatives such as deep vein thrombosis. Reflective practice involves examining one’s experiences and adopting a critical perspective toward one’s own methods and practice. The patient was referred to the emergency department where a diagnosis of deep vein thrombosis was confirmed. This case underscores the importance of acknowledging cognitive biases and implementing debiasing strategies.</div></div>","PeriodicalId":101233,"journal":{"name":"The Journal for Nurse Practitioners","volume":"20 10","pages":"Article 105216"},"PeriodicalIF":0.0,"publicationDate":"2024-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142527356","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}
引用次数: 0
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