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The Journal for Nurse Practitioners最新文献

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What Is the Diagnosis? Onycho-Trichotillomania: An Unusual Case Report 诊断是什么？甲爪-拔毛癖：一个不寻常的病例报告
The Journal for Nurse Practitioners Pub Date : 2025-09-25 DOI: 10.1016/j.nurpra.2025.105554
Giulia Merlo, Mirko Benvenuti, Gabriele Zanardi, Emanuele Claudio Cozzani
{"title":"What Is the Diagnosis? Onycho-Trichotillomania: An Unusual Case Report","authors":"Giulia Merlo,&nbsp;Mirko Benvenuti,&nbsp;Gabriele Zanardi,&nbsp;Emanuele Claudio Cozzani","doi":"10.1016/j.nurpra.2025.105554","DOIUrl":"10.1016/j.nurpra.2025.105554","url":null,"abstract":"<div><div>Nail discoloration is commonly attributed to fungal or bacterial infections, trauma, or inflammatory nail disorders. In rarer cases, however, chromatic alterations may result from compulsive or repetitive behaviors—subtle signs often overlooked during the initial assessment. This case highlights the importance of a comprehensive diagnostic approach: clinical examination and laboratory testing ruled out typical causes, whereas dermoscopy and microscopic analysis, combined with detailed behavioral evaluation, uncovered an unexpected psychodermatologic etiology. The case underscores the need for diagnostic openness and sensitivity to behavioral cues, reminding clinicians that careful observation can reveal hidden causes behind seemingly common dermatologic presentations.</div></div>","PeriodicalId":101233,"journal":{"name":"The Journal for Nurse Practitioners","volume":"21 10","pages":"Article 105554"},"PeriodicalIF":0.0,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145160139","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
The Interconnectedness of Climate Change and Diabetes: Shared Global Vectors 气候变化与糖尿病的相互联系：共享的全球媒介
The Journal for Nurse Practitioners Pub Date : 2025-09-25 DOI: 10.1016/j.nurpra.2025.105522
Blanca Iris Padilla, Valerie K. Sabol
{"title":"The Interconnectedness of Climate Change and Diabetes: Shared Global Vectors","authors":"Blanca Iris Padilla,&nbsp;Valerie K. Sabol","doi":"10.1016/j.nurpra.2025.105522","DOIUrl":"10.1016/j.nurpra.2025.105522","url":null,"abstract":"<div><div>The well-being of populations is increasingly threatened by global environmental changes. Two major public health crises, climate change and type 2 diabetes (T2D), pose compounding risks to public health and economic sustainability. Climate change is one of several planetary-scale ecological drivers of health, alongside global pollution and resource scarcity, contributing to the increasing burden of T2D prevention and management, particularly in vulnerable populations. This article explores how climate change and related environmental disruptions exacerbate the risk, progression, and management of T2D framed within a planetary health perspective and underscores the critical role of nurse practitioners in responding to these challenges.</div></div>","PeriodicalId":101233,"journal":{"name":"The Journal for Nurse Practitioners","volume":"21 10","pages":"Article 105522"},"PeriodicalIF":0.0,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145160143","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 Registered Nurses Address Southwestern United States Air Quality—A Public Health Imperative 高级执业注册护士演讲美国西南部空气质量——公共卫生的当务之急
The Journal for Nurse Practitioners Pub Date : 2025-09-25 DOI: 10.1016/j.nurpra.2025.105526
Eric T. Riebsomer, Amanda Dunn, Mitchell Irvin, Aaron Lesser, Mckenzie Hemmes, Grayson Kemp
{"title":"Advanced Practice Registered Nurses Address Southwestern United States Air Quality—A Public Health Imperative","authors":"Eric T. Riebsomer,&nbsp;Amanda Dunn,&nbsp;Mitchell Irvin,&nbsp;Aaron Lesser,&nbsp;Mckenzie Hemmes,&nbsp;Grayson Kemp","doi":"10.1016/j.nurpra.2025.105526","DOIUrl":"10.1016/j.nurpra.2025.105526","url":null,"abstract":"<div><div>This report examines the public health crisis of poor air quality in the Southwestern United States, which causes severe respiratory and cardiovascular diseases, disproportionately affecting vulnerable communities. Advanced practice registered nurses are vital in addressing these impacts. The Southwestern United States faces unique threats from dust storms, wildfires, and industry, worsened by climate change. Advanced practice registered nurses are uniquely positioned to address this by integrating environmental health into clinical practice, educating patients, and managing pollution-related illnesses. Guided by environmental justice, they can also lead community initiatives and advocate for stronger policies, using innovative strategies to reduce health disparities and promote equity.</div></div>","PeriodicalId":101233,"journal":{"name":"The Journal for Nurse Practitioners","volume":"21 10","pages":"Article 105526"},"PeriodicalIF":0.0,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145160141","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
Nosebleeds: A Symptom of Hereditary Hemorrhagic Telangiectasia 鼻血：遗传性出血性毛细血管扩张的一种症状
The Journal for Nurse Practitioners Pub Date : 2025-09-25 DOI: 10.1016/j.nurpra.2025.105520
Lynne Sekarski, Andrew J. White, Katheryne Tifuh Amba
{"title":"Nosebleeds: A Symptom of Hereditary Hemorrhagic Telangiectasia","authors":"Lynne Sekarski,&nbsp;Andrew J. White,&nbsp;Katheryne Tifuh Amba","doi":"10.1016/j.nurpra.2025.105520","DOIUrl":"10.1016/j.nurpra.2025.105520","url":null,"abstract":"<div><div>Nosebleeds are common occurrences that resolve spontaneously with supportive care and without long-term sequelae. Advanced practice registered nurses (APRNs) and other health care providers may not recognize a nosebleed as the most common symptom of a rare genetic disease, hereditary hemorrhagic telangiectasia (HHT). Delaying the recognition and diagnosis of this blood vessel dysplasia increases the risk of complications, which may include increased morbidity and premature death. APRNs have opportunities to identify patients with nosebleeds and a concomitant family history of HHT. Awareness and understanding of HHT among APRNs can significantly support the timely and potentially lifesaving diagnosis of the disease.</div></div>","PeriodicalId":101233,"journal":{"name":"The Journal for Nurse Practitioners","volume":"21 10","pages":"Article 105520"},"PeriodicalIF":0.0,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145160137","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 Antibiotic Prescribing Practices in an Urgent Care Clinic 改进急诊诊所的抗生素处方实践
The Journal for Nurse Practitioners Pub Date : 2025-09-24 DOI: 10.1016/j.nurpra.2025.105509
Mary Estelle Bester, Janice Messam-Smith
{"title":"Improving Antibiotic Prescribing Practices in an Urgent Care Clinic","authors":"Mary Estelle Bester,&nbsp;Janice Messam-Smith","doi":"10.1016/j.nurpra.2025.105509","DOIUrl":"10.1016/j.nurpra.2025.105509","url":null,"abstract":"<div><div>Inappropriate antibiotic prescribing for viral upper respiratory infections remains a critical concern in outpatient settings, particularly in urgent care clinics. This quality improvement project, implemented in a rural for-profit clinic in Southeast Georgia, explored whether targeted provider and patient education could reduce unnecessary antibiotic use. The intervention centered on (1) educating health care providers with evidence-based guidelines and (2) displaying Centers for Disease Control and Prevention–approved patient education posters. Data on antibiotic prescriptions were collected before and after the intervention over matched 3-month periods in 2023 and 2024. Results indicated a decrease from 30% to 16.7% in inappropriate prescribing. Although confounded by factors such as inconsistent provider participation and limited definitive conclusions, the initiative provided valuable insights into the implementation of stewardship in community settings.</div></div>","PeriodicalId":101233,"journal":{"name":"The Journal for Nurse Practitioners","volume":"21 10","pages":"Article 105509"},"PeriodicalIF":0.0,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145160145","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
Incorporating Tobacco/Nicotine Dependence Treatment Education Into a Nurse Practitioner Program 将烟草/尼古丁依赖治疗教育纳入护士执业计划
The Journal for Nurse Practitioners Pub Date : 2025-09-23 DOI: 10.1016/j.nurpra.2025.105524
Allison Peltier, Mykell Barnacle, Nazia Riasat, Megan Orr, Kanchan Bhattarai, Jillian Doan, Kelly Buettner-Schmidt
{"title":"Incorporating Tobacco/Nicotine Dependence Treatment Education Into a Nurse Practitioner Program","authors":"Allison Peltier,&nbsp;Mykell Barnacle,&nbsp;Nazia Riasat,&nbsp;Megan Orr,&nbsp;Kanchan Bhattarai,&nbsp;Jillian Doan,&nbsp;Kelly Buettner-Schmidt","doi":"10.1016/j.nurpra.2025.105524","DOIUrl":"10.1016/j.nurpra.2025.105524","url":null,"abstract":"<div><div>Health professionals are positioned to provide evidence-based tobacco/nicotine dependence treatment. However, insufficient training has been identified as a barrier to routine treatment. This project integrated evidence-based tobacco/nicotine dependence treatment education into a family nurse practitioner/doctor of nursing practice program curricula over 2 student cohorts. After the curricular enhancements, family nurse practitioner/doctor of nursing practice students reported increased motivation and confidence in assisting patients with tobacco cessation, along with greater confidence and comfort in delivering evidence-based cessation support. These findings suggest that incorporating formal education on tobacco/nicotine dependence treatment into advanced nursing programs can better prepare providers to implement consistent, effective cessation interventions.</div></div>","PeriodicalId":101233,"journal":{"name":"The Journal for Nurse Practitioners","volume":"21 10","pages":"Article 105524"},"PeriodicalIF":0.0,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145121161","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 Reasoning Workshops for Advanced Pharmacology: Bridging the Gap Earlier 高级药理学临床推理研讨会：早期弥合差距
The Journal for Nurse Practitioners Pub Date : 2025-09-19 DOI: 10.1016/j.nurpra.2025.105523
Laura B. Miller
{"title":"Clinical Reasoning Workshops for Advanced Pharmacology: Bridging the Gap Earlier","authors":"Laura B. Miller","doi":"10.1016/j.nurpra.2025.105523","DOIUrl":"10.1016/j.nurpra.2025.105523","url":null,"abstract":"<div><div>Clinical reasoning workshops improve the ability of nurse practitioner (NP) students to develop clinical reasoning and diagnostic skills. These workshops help NP students identify and address information gaps while enhancing decision-making and situational awareness. However, a significant gap exists in the literature regarding the implementation of reasoning workshops in advanced pharmacology courses and the earlier courses in an NP curriculum. Virtual unfolding case studies, combined with team-based learning, can help fill this gap. An innovative educational approach and outcome evaluation strategy are presented for conducting such workshops via online conferencing for student NPs taking pharmacology courses.</div></div>","PeriodicalId":101233,"journal":{"name":"The Journal for Nurse Practitioners","volume":"21 10","pages":"Article 105523"},"PeriodicalIF":0.0,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145100086","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 Update on Insomnia 失眠的临床进展
The Journal for Nurse Practitioners Pub Date : 2025-09-19 DOI: 10.1016/j.nurpra.2025.105518
Angel Anthamatten, Brenna Gillis, Abby Parish
{"title":"Clinical Update on Insomnia","authors":"Angel Anthamatten,&nbsp;Brenna Gillis,&nbsp;Abby Parish","doi":"10.1016/j.nurpra.2025.105518","DOIUrl":"10.1016/j.nurpra.2025.105518","url":null,"abstract":"<div><div>Insomnia is a common complaint that can significantly impact patient health and well-being and contribute to substantial direct and indirect costs. Sleep disturbance rarely occurs alone; it is frequently associated with mental health, cardiovascular, pulmonary, and other disorders. The importance of sleep is well established. Primary care providers are well positioned to perform comprehensive assessments and initiate treatment for many common sleep disorders. This brief report outlines key elements of the assessment of patients presenting with sleep disturbance, as well as an evidence-based approach to pharmacologic and nonpharmacologic therapies. The role of Cognitive Behavioral Therapy for Insomnia is also thoroughly explored.</div></div>","PeriodicalId":101233,"journal":{"name":"The Journal for Nurse Practitioners","volume":"21 10","pages":"Article 105518"},"PeriodicalIF":0.0,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145100084","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
Beyond the Workshop: Boosting Nurse Practitioner Confidence in Ultrasound 工作坊之外：增强护士对超声的信心
The Journal for Nurse Practitioners Pub Date : 2025-09-17 DOI: 10.1016/j.nurpra.2025.105527
John Barrett, Frances S. Shofer, Gwen Baraniecki-Zwil, Kyle Flattery, Christy Moore, Nova Panebianco
{"title":"Beyond the Workshop: Boosting Nurse Practitioner Confidence in Ultrasound","authors":"John Barrett,&nbsp;Frances S. Shofer,&nbsp;Gwen Baraniecki-Zwil,&nbsp;Kyle Flattery,&nbsp;Christy Moore,&nbsp;Nova Panebianco","doi":"10.1016/j.nurpra.2025.105527","DOIUrl":"10.1016/j.nurpra.2025.105527","url":null,"abstract":"<div><h3>Introduction</h3><div>Point-of-care ultrasound (POCUS) is a critical skill for nurse practitioners (NPs), yet evidence on workshop effectiveness is limited. This study evaluates an introductory POCUS workshop’s impact on NP confidence.</div></div><div><h3>Methods</h3><div>An 8-hour hands-on workshop covering 6 POCUS modalities was conducted at a national conference. Confidence (4-point Likert scale) was measured pre-, post-, and 3 months post-workshop.</div></div><div><h3>Results</h3><div>Among 40 participants, confidence significantly improved post-workshop (overall +1.30, <em>P</em> &lt; .0001) and was sustained at 3 months.</div></div><div><h3>Conclusion</h3><div>Workshops improve NP confidence in POCUS; however, ongoing training and institutional support are vital for clinical integration.</div></div>","PeriodicalId":101233,"journal":{"name":"The Journal for Nurse Practitioners","volume":"21 10","pages":"Article 105527"},"PeriodicalIF":0.0,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145100085","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
The End of Another National Policy Experiment in Kidney Care 另一个国家肾脏护理政策实验的结束
The Journal for Nurse Practitioners Pub Date : 2025-09-15 DOI: 10.1016/j.nurpra.2025.105513
Angela Retano-Anderson
{"title":"The End of Another National Policy Experiment in Kidney Care","authors":"Angela Retano-Anderson","doi":"10.1016/j.nurpra.2025.105513","DOIUrl":"10.1016/j.nurpra.2025.105513","url":null,"abstract":"<div><div>End-stage renal disease (ESRD) treatment has been the subject of federal policy initiatives aimed at containing costs and supporting quality outcomes. In 2021, the ESRD Treatment Choices (ETC) Model was initiated, promoting home dialysis and kidney transplantation. Although scheduled to continue until 2027, the initiative was announced in March 2025 to end 2 years ahead of schedule. The demise of ETC highlights complex social, economic, and clinical factors underlying patterns of ESRD treatment choice. Because advanced practice nurses (APNs) play a crucial role in supporting informed decision-making in renal care, they need to understand what happened and the implications for APN practice.</div></div>","PeriodicalId":101233,"journal":{"name":"The Journal for Nurse Practitioners","volume":"21 10","pages":"Article 105513"},"PeriodicalIF":0.0,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145061578","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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