{"title":"Improving Tetanus, Diptheria, and Pertussis Vaccination Rates in Pregnancy: A Quality Improvement Project","authors":"Mary Motus, Marie Hastings-Tolsma","doi":"10.1016/j.nurpra.2025.105331","DOIUrl":"10.1016/j.nurpra.2025.105331","url":null,"abstract":"<div><div>Nearly half of pregnant women are unvaccinated against tetanus, diphtheria, and pertussis (Tdap), with lower rates among those who may have challenges related to social determinants of health. To increase Tdap vaccination rates for pregnant women from 27 to 36 weeks’ gestation, Pender’s Health Belief Model guided this quality improvement project. Conducted at 2 private clinics located in small urban areas, on-site vaccination was not offered. Staff education, patient referral, and documentation of vaccination status fostered acceptance of Tdap vaccination, particularly for those at risk for racial disparity. Documentation of Tdap vaccination status improved with awareness, reminders for patient discussion, and documentation alerts.</div></div>","PeriodicalId":101233,"journal":{"name":"The Journal for Nurse Practitioners","volume":"21 3","pages":"Article 105331"},"PeriodicalIF":0.0,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143445238","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}
Kathryn E. Kreider, Elizabeth Doyle, Maureen McGrath, Carolina Espinosa Noya
{"title":"Innovative Programs to Train Nurse Practitioners in Advanced Diabetes Management","authors":"Kathryn E. Kreider, Elizabeth Doyle, Maureen McGrath, Carolina Espinosa Noya","doi":"10.1016/j.nurpra.2025.105328","DOIUrl":"10.1016/j.nurpra.2025.105328","url":null,"abstract":"<div><div>Diabetes is one of the most common conditions that nurse practitioners (NPs) will encounter in practice. Three top-tier nursing schools separately initiated diabetes programs to enhance NP training. These 3 programs (Duke University, Yale University, and the University of California San Francisco) have unique features and innovations. One program will share outcome data suggesting that graduates reported increased confidence, leadership, and improved practice. As the societal demand grows for advance practice nurses with specialty expertise, schools of nursing may consider enhancing programs with specialty content to meet societal needs. This report provides an exemplar using diabetes programs that could be expanded to other specialties.</div></div>","PeriodicalId":101233,"journal":{"name":"The Journal for Nurse Practitioners","volume":"21 3","pages":"Article 105328"},"PeriodicalIF":0.0,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143429962","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":"Understanding the Kaleidoscope: Culturally Competent LGBTQIA+ Elder Care Through Intersectionality","authors":"Parmeet M.S. Atwal","doi":"10.1016/j.nurpra.2025.105337","DOIUrl":"10.1016/j.nurpra.2025.105337","url":null,"abstract":"","PeriodicalId":101233,"journal":{"name":"The Journal for Nurse Practitioners","volume":"21 4","pages":"Article 105337"},"PeriodicalIF":0.0,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143403166","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":"27-Year-Old Female Patient With Acute Visual Changes and Lower Back Pain","authors":"Anne Marie Flatekval, Shantha Franks","doi":"10.1016/j.nurpra.2024.105308","DOIUrl":"10.1016/j.nurpra.2024.105308","url":null,"abstract":"<div><div>Uveitis is an inflammatory eye condition that can cause eye redness, pain, and visual changes. Primary care providers need to be aware that uveitis can be a sign of systemic disease and has multiple differential diagnoses. Personal and family history of autoimmune conditions should alert the practitioner to consider a broader range of diagnoses. This case study challenge will present a case of a young woman with frequent bouts of uveitis, along with other vague symptoms and low back pain, who sought multiple providers before being given an accurate diagnosis.</div></div>","PeriodicalId":101233,"journal":{"name":"The Journal for Nurse Practitioners","volume":"21 3","pages":"Article 105308"},"PeriodicalIF":0.0,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143402444","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}
Heidi Bobek, Monica Lee, Katie Roll, Shannon Linder, Courtney Shihabuddin, Elizabeth Sharpe
{"title":"Promoting Professionalism for Nurse Practitioner Students for Clinical Success","authors":"Heidi Bobek, Monica Lee, Katie Roll, Shannon Linder, Courtney Shihabuddin, Elizabeth Sharpe","doi":"10.1016/j.nurpra.2025.105318","DOIUrl":"10.1016/j.nurpra.2025.105318","url":null,"abstract":"<div><div>This report explores an interactive learning module designed to enhance advanced practice registered nurse (APRN) students' professionalism in the clinical environment. Addressing concerns about unprofessional behaviors, faculty developed this module to foster professional identity by targeting key areas such as email etiquette, clinical attire, readiness to learn, communication, and substance use. The module emphasized real-world scenarios aligned with the College of Nursing's policies and professional standards. Student feedback indicated high satisfaction, with >90% reporting increased awareness of professionalism expectations. This approach demonstrates scalable strategies in clinical education to promote professionalism and support student success.</div></div>","PeriodicalId":101233,"journal":{"name":"The Journal for Nurse Practitioners","volume":"21 3","pages":"Article 105318"},"PeriodicalIF":0.0,"publicationDate":"2025-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143377634","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Letter to the Editor: “Understanding the Recommendations From Various Breast Cancer Screening Guidelines”","authors":"Myriam Jean Cadet","doi":"10.1016/j.nurpra.2025.105323","DOIUrl":"10.1016/j.nurpra.2025.105323","url":null,"abstract":"","PeriodicalId":101233,"journal":{"name":"The Journal for Nurse Practitioners","volume":"21 3","pages":"Article 105323"},"PeriodicalIF":0.0,"publicationDate":"2025-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143377633","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":"Incorporating Anal Papanicolaou Tests Into Clinical Practice: New Consensus Guidelines","authors":"Jill M. Fuller","doi":"10.1016/j.nurpra.2024.105286","DOIUrl":"10.1016/j.nurpra.2024.105286","url":null,"abstract":"<div><div>The first national and international guidelines on anal cancer screening are now available thanks to a worldwide collaborative effort through research and data collection to provide clinicians the evidence on who should be offered screening and how to follow through on the results. Being able to provide this screening for patients will help decrease the incidence of anal cancer and promote prevention of this disease.</div></div>","PeriodicalId":101233,"journal":{"name":"The Journal for Nurse Practitioners","volume":"21 3","pages":"Article 105286"},"PeriodicalIF":0.0,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143349070","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":"Fentanyl Use Disorder: A Guide for Nurse Practitioners","authors":"Mary Ellen Biggerstaff, Kim Miker","doi":"10.1016/j.nurpra.2024.105315","DOIUrl":"10.1016/j.nurpra.2024.105315","url":null,"abstract":"<div><div>Fentanyl use disorder (FUD) is a critical public health issue due to the availability and potency of illicit fentanyl. Although FUD treatment aligns with opioid use disorder protocols for medication treatment, new approaches are needed to manage the unique challenges of fentanyl use. Herein, we discuss fentanyl’s pharmacology and clinical signs; FUD management, including screening methods, testing, and harm reduction approaches; and the role of nurse practitioners in early detection, treatment, and harm reduction for patients with FUD.</div></div>","PeriodicalId":101233,"journal":{"name":"The Journal for Nurse Practitioners","volume":"21 3","pages":"Article 105315"},"PeriodicalIF":0.0,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143349071","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":"Limping in a School-age Girl","authors":"Deborah G. Loman","doi":"10.1016/j.nurpra.2025.105325","DOIUrl":"10.1016/j.nurpra.2025.105325","url":null,"abstract":"<div><div>Children with a chief complaint of limping are commonly encountered in pediatric primary and urgent care. Although the etiology of limping is often from a musculoskeletal injury or overuse, a thorough history and physical examination are required to rule out less common conditions such as Legg-Calvé-Perthes disease, muscular dystrophy, or a brain tumor. This retrospective case report focuses on a 9-year-old girl who presented to a primary care office with right-sided limping. The parents were very concerned because the child had also developed weakness in her right hand. Magnetic resonance imaging revealed an astrocytoma in the left cerebral peduncle.</div></div>","PeriodicalId":101233,"journal":{"name":"The Journal for Nurse Practitioners","volume":"21 3","pages":"Article 105325"},"PeriodicalIF":0.0,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143297835","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}