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ACCESS Enabled: More Equitable Telehealth for People with Disabilities 无障碍：为残疾人提供更公平的远程医疗
The Journal for Nurse Practitioners Pub Date : 2025-06-17 DOI: 10.1016/j.nurpra.2025.105451
Mahrokh M. Kobeissi, Colleen A. Manning
{"title":"ACCESS Enabled: More Equitable Telehealth for People with Disabilities","authors":"Mahrokh M. Kobeissi,&nbsp;Colleen A. Manning","doi":"10.1016/j.nurpra.2025.105451","DOIUrl":"10.1016/j.nurpra.2025.105451","url":null,"abstract":"<div><div>Telehealth accessibility remains a significant challenge affecting many of the 70 million Americans with disabilities. Although telehealth <em>access</em> refers to service availability, <em>accessibility</em> involves intentional design enabling meaningful participation in remote care. This review presents the ACCESS framework (Accommodations, Communication, Customization, Education, Support, and Security) as a systematic approach to addressing fragmented accessibility guidance. Developed through an analysis of regulations, empirical studies, and established guidelines, ACCESS presents disability-specific strategies across ambulatory, cognitive, hearing, and visual impairments. This framework offers health care organizations actionable steps for implementing accessible telehealth while supporting compliance with legal and ethical requirements to advance health equity for all.</div></div>","PeriodicalId":101233,"journal":{"name":"The Journal for Nurse Practitioners","volume":"21 8","pages":"Article 105451"},"PeriodicalIF":0.0,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144307433","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
A Systematic Review of Transitional Care Visits After Critical Illness 危重疾病后过渡性护理访视的系统回顾
The Journal for Nurse Practitioners Pub Date : 2025-06-17 DOI: 10.1016/j.nurpra.2025.105439
Johnny Isenberger, Dawn Carpenter, Alexander Menard, Gregg A. Stevens, Danielle Hebert
{"title":"A Systematic Review of Transitional Care Visits After Critical Illness","authors":"Johnny Isenberger,&nbsp;Dawn Carpenter,&nbsp;Alexander Menard,&nbsp;Gregg A. Stevens,&nbsp;Danielle Hebert","doi":"10.1016/j.nurpra.2025.105439","DOIUrl":"10.1016/j.nurpra.2025.105439","url":null,"abstract":"<div><h3>Objective</h3><div>To conduct a systematic review of the evidence regarding assessment and interventions to assist intensive care unit (ICU) survivors’ transition back into the community.</div></div><div><h3>Data Sources</h3><div>Ovid Medline, CINAHL, Scopus, Cochrane Central Register of Controlled Trials, and Cochrane Reviews were searched for publications about post–intensive care syndrome (PICS), transition of care, and intensive care survivors.</div></div><div><h3>Results</h3><div>Of the 17,191 articles 65 were included. Four themes emerged: comorbidity management, medication management, PICS assessment, and adequate communication</div></div><div><h3>Conclusions</h3><div>Clear communication, managing comorbidities and PICS, and medication management can help the transition.</div></div><div><h3>Implications</h3><div>A standardized care pathway, communication tool, ICU medication stewardship programs, and PICS interventions should be studied.</div></div>","PeriodicalId":101233,"journal":{"name":"The Journal for Nurse Practitioners","volume":"21 8","pages":"Article 105439"},"PeriodicalIF":0.0,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144298109","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
Letter to the Editor “A Mentoring Zoom at Age 102” 致编辑的信《102岁时的师徒放大》
The Journal for Nurse Practitioners Pub Date : 2025-06-16 DOI: 10.1016/j.nurpra.2025.105420
Cathy J. Peters RN, MS, ANP-R, PMHNP-BC
{"title":"Letter to the Editor “A Mentoring Zoom at Age 102”","authors":"Cathy J. Peters RN, MS, ANP-R, PMHNP-BC","doi":"10.1016/j.nurpra.2025.105420","DOIUrl":"10.1016/j.nurpra.2025.105420","url":null,"abstract":"","PeriodicalId":101233,"journal":{"name":"The Journal for Nurse Practitioners","volume":"21 7","pages":"Article 105420"},"PeriodicalIF":0.0,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144291640","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
Clinical Champions in Primary Care Opioid Use Disorder Treatment 初级保健阿片类药物使用障碍治疗的临床冠军
The Journal for Nurse Practitioners Pub Date : 2025-06-16 DOI: 10.1016/j.nurpra.2025.105434
Meaghan Mugleston, Denise Ogorek, Anina Terry
{"title":"Clinical Champions in Primary Care Opioid Use Disorder Treatment","authors":"Meaghan Mugleston,&nbsp;Denise Ogorek,&nbsp;Anina Terry","doi":"10.1016/j.nurpra.2025.105434","DOIUrl":"10.1016/j.nurpra.2025.105434","url":null,"abstract":"<div><div>Programs that coach primary care providers, particularly nurse practitioners, to prescribe buprenorphine for opioid use disorder (OUD) may aid in reducing treatment shortages. This program evaluation explored the impact a buprenorphine clinical champion (CC) had on provider prescribing behaviors, and attitudes toward OUD treatment. Deidentified data reports measured buprenorphine prescribing, and a survey investigated provider perceptions. Prescribing rates increased significantly from 43% to 62% (<em>P</em> &lt; .0001). Satisfaction with the CC was strongly associated with OUD management self-efficacy among new prescribers (<em>P</em> = .002). CC programs may improve provider engagement in OUD treatment in primary care settings.</div></div>","PeriodicalId":101233,"journal":{"name":"The Journal for Nurse Practitioners","volume":"21 7","pages":"Article 105434"},"PeriodicalIF":0.0,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144291641","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
Towards a Model of Advanced Nursing Practice inMorocco 迈向摩洛哥高级护理实践模式
The Journal for Nurse Practitioners Pub Date : 2025-06-14 DOI: 10.1016/j.nurpra.2025.105424
Nadia Ouzennou, Mohamed Aboufaras, Salma Ait Bouighoulidne, Abderraouf Hilali
{"title":"Towards a Model of Advanced Nursing Practice inMorocco","authors":"Nadia Ouzennou,&nbsp;Mohamed Aboufaras,&nbsp;Salma Ait Bouighoulidne,&nbsp;Abderraouf Hilali","doi":"10.1016/j.nurpra.2025.105424","DOIUrl":"10.1016/j.nurpra.2025.105424","url":null,"abstract":"<div><div>Faced with changes in the Moroccan health care system, it becomes imperative to develop advanced nursing practice and to establish new regulations for the implementation of advanced nursing roles. This research study explored the current state of advanced nursing practices in Morocco and evaluated the knowledge of nurses on this subject. The data analysis revealed that some nurses are not familiar with the concept of advanced nursing but show an interest in this field. Some of the nurses surveyed already perform at an advanced level and perform tasks traditionally thought to belong solely to medical professionals.</div></div>","PeriodicalId":101233,"journal":{"name":"The Journal for Nurse Practitioners","volume":"21 7","pages":"Article 105424"},"PeriodicalIF":0.0,"publicationDate":"2025-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144279656","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
Advanced Practice Provider Fellowship—An Effective Approach to Onboarding and Retention in High Acuity Trauma, Critical Care, and Emergency General Surgery Programs 高级执业医师奖学金——在高急性创伤、重症监护和紧急普通外科项目中，一种有效的入职和保留方法
The Journal for Nurse Practitioners Pub Date : 2025-06-14 DOI: 10.1016/j.nurpra.2025.105438
Kerri Thongvanh, Ashley L. Viere, Nicholas J. Larson, David J. Dries, Dakota Disher, Claire Conner, Dan McNamara, Benoit Blondeau, Frederick B. Rogers
{"title":"Advanced Practice Provider Fellowship—An Effective Approach to Onboarding and Retention in High Acuity Trauma, Critical Care, and Emergency General Surgery Programs","authors":"Kerri Thongvanh,&nbsp;Ashley L. Viere,&nbsp;Nicholas J. Larson,&nbsp;David J. Dries,&nbsp;Dakota Disher,&nbsp;Claire Conner,&nbsp;Dan McNamara,&nbsp;Benoit Blondeau,&nbsp;Frederick B. Rogers","doi":"10.1016/j.nurpra.2025.105438","DOIUrl":"10.1016/j.nurpra.2025.105438","url":null,"abstract":"<div><div>Because of the steep learning curve, advanced practice provider (APP) attrition within acute care surgery (ACS) is high, resulting in low morale and a substantial financial burden on institutions. We created a comprehensive, 1-year ACS APP fellowship to provide training for new APPs to reduce attrition and improve morale. The fellowship consisted of weekly lectures and simulation sessions, structured rotations on ACS and subspecialty services, and assigned mentoring on each service to fellows. To date, 3 ACS APP fellow classes have graduated the program with 80% accepting full-time positions. APP fellowships provide specialized training while eliminating financial burdens preventing adequate training for new providers.</div></div>","PeriodicalId":101233,"journal":{"name":"The Journal for Nurse Practitioners","volume":"21 7","pages":"Article 105438"},"PeriodicalIF":0.0,"publicationDate":"2025-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144279655","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
Using Clinical Staff-Initiated Protocols in the Urgent Care Setting 在紧急护理环境中使用临床工作人员发起的协议
The Journal for Nurse Practitioners Pub Date : 2025-06-13 DOI: 10.1016/j.nurpra.2025.105435
Holly S. Mason, Holly A. Buchanan
{"title":"Using Clinical Staff-Initiated Protocols in the Urgent Care Setting","authors":"Holly S. Mason,&nbsp;Holly A. Buchanan","doi":"10.1016/j.nurpra.2025.105435","DOIUrl":"10.1016/j.nurpra.2025.105435","url":null,"abstract":"<div><div>Increased health care burden has led to increased patient use of urgent care centers, causing longer waiting times. This project aimed to improve patient throughput and assess feasibility and staff acceptability. Clinical staff-initiated protocols for various conditions were implemented. Patient length of stay (LOS) was recorded and compared with preimplementation data. From January to March 2023, the sore throat protocol significantly reduced LOS by 18 minutes (28.7%, <em>P</em> &lt; .001). Dysuria and upper respiratory symptoms without fever protocols showed practically significant reductions. Clinical staff-initiated protocols can improve patient LOS in urgent care centers, benefiting patients, practice, and providers.</div></div>","PeriodicalId":101233,"journal":{"name":"The Journal for Nurse Practitioners","volume":"21 7","pages":"Article 105435"},"PeriodicalIF":0.0,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144272286","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
Nurse Practitioner Management of Sepsis In Rural Hospitals: A Case Review 乡村医院脓毒症的执业护士管理：一个案例回顾
The Journal for Nurse Practitioners Pub Date : 2025-06-13 DOI: 10.1016/j.nurpra.2025.105419
Kylie Carter, Natasha Jennings, Grainne Lowe, Kathleen Tori
{"title":"Nurse Practitioner Management of Sepsis In Rural Hospitals: A Case Review","authors":"Kylie Carter,&nbsp;Natasha Jennings,&nbsp;Grainne Lowe,&nbsp;Kathleen Tori","doi":"10.1016/j.nurpra.2025.105419","DOIUrl":"10.1016/j.nurpra.2025.105419","url":null,"abstract":"<div><div>Nurse practitioners are integral to reducing sepsis-related morbidity and mortality in rural and remote communities. Through evidence-based patient care, advanced clinical expertise, and leadership, they contribute significantly to improving health outcomes and supporting other health care professionals in resource-limited settings. This case review focuses on a rural health service urgent care centre located in Victoria, Australia. It examines the clinical decision-making process of a nurse practitioner, emphasizing the importance of early implementation of evidence-based sepsis clinical decision-making pathways. The review also highlights the challenges and key issues involved in recognizing and managing sepsis within an isolated health care setting.</div></div>","PeriodicalId":101233,"journal":{"name":"The Journal for Nurse Practitioners","volume":"21 7","pages":"Article 105419"},"PeriodicalIF":0.0,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144272288","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
Building Blocks for Advanced Practice Nurse–Led Clinical Practice Management 构建模块先进的实践护士领导的临床实践管理
The Journal for Nurse Practitioners Pub Date : 2025-06-13 DOI: 10.1016/j.nurpra.2025.105430
Mahrokh M. Kobeissi, Kala A. Christopherson, Leissa A. Roberts, Susan D. Ruppert
{"title":"Building Blocks for Advanced Practice Nurse–Led Clinical Practice Management","authors":"Mahrokh M. Kobeissi,&nbsp;Kala A. Christopherson,&nbsp;Leissa A. Roberts,&nbsp;Susan D. Ruppert","doi":"10.1016/j.nurpra.2025.105430","DOIUrl":"10.1016/j.nurpra.2025.105430","url":null,"abstract":"<div><div>The LORETTA FORD Framework for advanced practice nurse (APN)–led clinical practice management honors the pioneering legacy of Dr. Loretta Ford while providing a contemporary guide for APNs in practice management leadership roles. The framework outlines 11 leadership traits—Leadership Proficiency, Operational Intelligence, Relationship Building, Evidence Integration, Team Development, Transformational Thinking, Advocacy Excellence, Fiscal Stewardship, Outcomes Focus, Resilience, Decision-making Expertise—aligning with 11 comprehensive building blocks for successful clinical practice management. This integrated approach equips APNs with the traits and competencies needed to navigate complex health care environments while addressing the evolving challenges of modern health care systems.</div></div>","PeriodicalId":101233,"journal":{"name":"The Journal for Nurse Practitioners","volume":"21 7","pages":"Article 105430"},"PeriodicalIF":0.0,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144279659","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
Embolization and Subsequent Percutaneous Retrieval of a Left Atrial Appendage Closure Device 左心房附件封闭装置的栓塞和随后的经皮取出
The Journal for Nurse Practitioners Pub Date : 2025-06-13 DOI: 10.1016/j.nurpra.2025.105429
Cashawna Schlossnagle, Christina Cardy
{"title":"Embolization and Subsequent Percutaneous Retrieval of a Left Atrial Appendage Closure Device","authors":"Cashawna Schlossnagle,&nbsp;Christina Cardy","doi":"10.1016/j.nurpra.2025.105429","DOIUrl":"10.1016/j.nurpra.2025.105429","url":null,"abstract":"<div><div>Left atrial appendage closure (LAAC) is an alternative to systemic anticoagulation and can prevent stroke in patients with atrial fibrillation. We describe the evaluation and management of an elderly patient who presented for routine post-LAAC transesophageal echocardiography follow-up and was incidentally found to have device embolization to the aortic arch.</div></div>","PeriodicalId":101233,"journal":{"name":"The Journal for Nurse Practitioners","volume":"21 7","pages":"Article 105429"},"PeriodicalIF":0.0,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144272287","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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