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The Journal for Nurse Practitioners最新文献

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Reducing Falls Among Older Adult Residents: An Evidence-Based Practice Quality Improvement Initiative 减少老年居民跌倒：循证实践质量改进倡议
The Journal for Nurse Practitioners Pub Date : 2025-09-12 DOI: 10.1016/j.nurpra.2025.105511
Adenike Yetunde Awotundun
{"title":"Reducing Falls Among Older Adult Residents: An Evidence-Based Practice Quality Improvement Initiative","authors":"Adenike Yetunde Awotundun","doi":"10.1016/j.nurpra.2025.105511","DOIUrl":"10.1016/j.nurpra.2025.105511","url":null,"abstract":"<div><div>In United States, 800,000 falls occur yearly, and 1 in 3 residents will fall again within a year. This nurse practitioner–led evidence-based practice quality improvement project took place in a nursing home in the northeastern United States. This project focused on the Individualized Multidisciplinary Immediate Fall Response Program developed by the Agency for Healthcare Research and Quality. It project included residents in skilled units, from 65 years and older. Falls data were analyzed using descriptive statistics over an 8-week period. There were 41 falls preintervention compared with 30 falls postintervention, a decrease of 27%.</div></div>","PeriodicalId":101233,"journal":{"name":"The Journal for Nurse Practitioners","volume":"21 9","pages":"Article 105511"},"PeriodicalIF":0.0,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145048340","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 Residency Days to Promote Knowledge, Confidence, and Engagement in Practicum Experiences 实习护士实习日：提高实习经验的知识、信心和参与度
The Journal for Nurse Practitioners Pub Date : 2025-09-12 DOI: 10.1016/j.nurpra.2025.105516
Emily Lee, Toni Roberts
{"title":"Nurse Practitioner Residency Days to Promote Knowledge, Confidence, and Engagement in Practicum Experiences","authors":"Emily Lee,&nbsp;Toni Roberts","doi":"10.1016/j.nurpra.2025.105516","DOIUrl":"10.1016/j.nurpra.2025.105516","url":null,"abstract":"<div><div>The Future of Nursing 2020-2030 initiative is to “Chart a Path to Achieve Health Equity.” Nurses must become innovative leaders, collaborate with community partners, and improve health care access. To effectively serve communities, it is essential to have a well-trained workforce of nurse practitioners (NPs) equipped for autonomous practice after graduation. Study findings support the effectiveness of NP Residency Days to increase engagement in clinical skills during practicum experiences. Students reported high levels of satisfaction, confidence, and self-efficacy with the training. They found simulated training beneficial for learning and practicing skills commonly used in the primary care setting.</div></div>","PeriodicalId":101233,"journal":{"name":"The Journal for Nurse Practitioners","volume":"21 9","pages":"Article 105516"},"PeriodicalIF":0.0,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145048341","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
Environmental Contributors to Chronic Kidney Disease: A Screening and Prevention Agenda for Nurse Practitioners 慢性肾脏疾病的环境因素：护士从业人员的筛查和预防议程
The Journal for Nurse Practitioners Pub Date : 2025-09-11 DOI: 10.1016/j.nurpra.2025.105512
Kelsea Carrier, Blanca Iris Padilla
{"title":"Environmental Contributors to Chronic Kidney Disease: A Screening and Prevention Agenda for Nurse Practitioners","authors":"Kelsea Carrier,&nbsp;Blanca Iris Padilla","doi":"10.1016/j.nurpra.2025.105512","DOIUrl":"10.1016/j.nurpra.2025.105512","url":null,"abstract":"<div><div>The effects of global air, land, and water pollution; climate change; and other environmental exposures are increasing and are recognized as critical and detrimental to human health. This article provides an overview of the current evidence linking climate change and environmental risk factors, including heat stress, air pollution, heavy metals, toxic chemicals, and microplastics to the incidence of chronic kidney disease. Nurse practitioners (NPs) need to pay attention to these environmental and ecological determinants of health. As health care providers, NPs can play a pivotal role in mitigating these risks through understanding the exposures their communities are at risk for, comprehensive environmental health screening, and providing patient education on reducing exposures and advocacy. Equipping NPs with the knowledge to identify and mitigate these environmental risks is fundamental to protecting kidney health and reducing adverse outcomes.</div></div>","PeriodicalId":101233,"journal":{"name":"The Journal for Nurse Practitioners","volume":"21 9","pages":"Article 105512"},"PeriodicalIF":0.0,"publicationDate":"2025-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145048342","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
From Oops to Opportunity 从《哎呀》到《机遇》
The Journal for Nurse Practitioners Pub Date : 2025-09-11 DOI: 10.1016/j.nurpra.2025.105519
Gale Adcock
{"title":"From Oops to Opportunity","authors":"Gale Adcock","doi":"10.1016/j.nurpra.2025.105519","DOIUrl":"10.1016/j.nurpra.2025.105519","url":null,"abstract":"","PeriodicalId":101233,"journal":{"name":"The Journal for Nurse Practitioners","volume":"21 10","pages":"Article 105519"},"PeriodicalIF":0.0,"publicationDate":"2025-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145050736","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
Optimizing Advanced Practice Registered Nurse Clinical Site Visits With a Standard Operating Procedure 优化高级执业注册护士临床现场访问与标准操作程序
The Journal for Nurse Practitioners Pub Date : 2025-09-10 DOI: 10.1016/j.nurpra.2025.105515
Sally Humphrey, Laura Reed, Bobby Bellflower
{"title":"Optimizing Advanced Practice Registered Nurse Clinical Site Visits With a Standard Operating Procedure","authors":"Sally Humphrey,&nbsp;Laura Reed,&nbsp;Bobby Bellflower","doi":"10.1016/j.nurpra.2025.105515","DOIUrl":"10.1016/j.nurpra.2025.105515","url":null,"abstract":"<div><div>This article examines the development of a comprehensive standard operating procedure (SOP) for clinical site visits within Doctor of Nursing Practice and Certificate programs at a public university in the southeastern United States. The SOP addresses critical aspects such as quality assurance, student performance evaluation, and faculty–preceptor collaboration. This article details the SOP development process, including stakeholder input, alignment with national guidelines, and key components such as scheduling, evaluation tools, and feedback mechanisms. By standardizing clinical site visits, this SOP aims to enhance the overall quality of clinical education and improve student outcomes in advanced nursing practice.</div></div>","PeriodicalId":101233,"journal":{"name":"The Journal for Nurse Practitioners","volume":"21 9","pages":"Article 105515"},"PeriodicalIF":0.0,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145026315","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
Recognizing and Managing Hyperthermia in Resource-Limited Settings for Advanced Practice Registered Nurses 高级执业注册护士在资源有限的环境中识别和管理热疗
The Journal for Nurse Practitioners Pub Date : 2025-09-10 DOI: 10.1016/j.nurpra.2025.105517
Aaron Lesser, Eric Riebsomer
{"title":"Recognizing and Managing Hyperthermia in Resource-Limited Settings for Advanced Practice Registered Nurses","authors":"Aaron Lesser,&nbsp;Eric Riebsomer","doi":"10.1016/j.nurpra.2025.105517","DOIUrl":"10.1016/j.nurpra.2025.105517","url":null,"abstract":"<div><div>Advanced practice registered nurses (APRNs) working in rural and austere environments face unique challenges when identifying and managing heat-related illness. The incidence and severity of the health impacts of climate change are getting worse, highlighting the importance of being able to prevent, recognize, and manage the spectrum of these conditions. This article aims to improve APRN understanding of the scope of heat-related illnesses and their treatments, allowing APRNs to serve as community educators and advocates, helping to reduce heat-related morbidity and mortality through anticipatory guidance and culturally sensitive outreach in resource-limited settings.</div></div>","PeriodicalId":101233,"journal":{"name":"The Journal for Nurse Practitioners","volume":"21 9","pages":"Article 105517"},"PeriodicalIF":0.0,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145026314","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
Naloxone Outreach to Veterans Experiencing Homelessness at CTRS Tiny Shelters 纳洛酮向在CTRS小庇护所无家可归的退伍军人伸出援手
The Journal for Nurse Practitioners Pub Date : 2025-09-08 DOI: 10.1016/j.nurpra.2025.105495
Kimberly Inouye, Peter Capone-Newton, Kimberly Lynch, Emily Defraites, Lillian Gelberg
{"title":"Naloxone Outreach to Veterans Experiencing Homelessness at CTRS Tiny Shelters","authors":"Kimberly Inouye,&nbsp;Peter Capone-Newton,&nbsp;Kimberly Lynch,&nbsp;Emily Defraites,&nbsp;Lillian Gelberg","doi":"10.1016/j.nurpra.2025.105495","DOIUrl":"10.1016/j.nurpra.2025.105495","url":null,"abstract":"<div><div>In response to the increase in opioid-related deaths among veterans experiencing homelessness (VEH), we identified the urgent need to prevent opioid overdose. We developed an outreach program to VEH at the tiny shelter community on the West Los Angeles Veterans Affairs campus that aimed to increase the number of naloxone prescriptions and provide education to its residents. Through outreach efforts to all VEH regardless of opioid use, collaboration of the interdisciplinary care team, and relationship building between veterans and care providers, we increased the number of naloxone prescriptions from 30.8% to 67.2% between August 2022 and July 2023.</div></div>","PeriodicalId":101233,"journal":{"name":"The Journal for Nurse Practitioners","volume":"21 9","pages":"Article 105495"},"PeriodicalIF":0.0,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145019054","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
Delays in Identification and Treatment of Sleep Apnea: The Physical and Financial Costs 延迟识别和治疗睡眠呼吸暂停：物理和经济成本
The Journal for Nurse Practitioners Pub Date : 2025-09-05 DOI: 10.1016/j.nurpra.2025.105514
Rena C. Schrier, Tanya M. Cohn
{"title":"Delays in Identification and Treatment of Sleep Apnea: The Physical and Financial Costs","authors":"Rena C. Schrier,&nbsp;Tanya M. Cohn","doi":"10.1016/j.nurpra.2025.105514","DOIUrl":"10.1016/j.nurpra.2025.105514","url":null,"abstract":"<div><div>Obstructive sleep apnea (OSA) is highly prevalent but also highly underdiagnosed. Comorbid conditions are related to OSA and can be mitigated by its treatment. These conditions include but are not limited to diabetes, hypertension, and cardiovascular disease. Delays in diagnosis and treatment of OSA can exacerbate underlying comorbid conditions, leading to them being more difficult to treat. It is important to be aware of your patient’s comorbid conditions that increase their risk of OSA. Ask the simple question, “How is your sleep?” Earlier screening, diagnosis, and treatment of OSA could improve overall population health and lower the health care cost burden.</div></div>","PeriodicalId":101233,"journal":{"name":"The Journal for Nurse Practitioners","volume":"21 9","pages":"Article 105514"},"PeriodicalIF":0.0,"publicationDate":"2025-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144996581","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
Pneumonia Vaccines in Primary Care: Evidence-Based Recommendations for Clinical Practice 初级保健中的肺炎疫苗：临床实践的循证建议
The Journal for Nurse Practitioners Pub Date : 2025-09-03 DOI: 10.1016/j.nurpra.2025.105510
Mohamed Toufic El Hussein, Hana Saleh
{"title":"Pneumonia Vaccines in Primary Care: Evidence-Based Recommendations for Clinical Practice","authors":"Mohamed Toufic El Hussein,&nbsp;Hana Saleh","doi":"10.1016/j.nurpra.2025.105510","DOIUrl":"10.1016/j.nurpra.2025.105510","url":null,"abstract":"<div><div><em>Streptococcus pneumoniae</em> is a major cause of invasive pneumococcal disease (IPD), with &gt;100 identified serotypes. The introduction of pneumococcal conjugate vaccines (PCVs) has significantly reduced the incidence of IPD and offered herd immunity benefits. However, serotype replacement remains an ongoing challenge. This review explores the development and efficacy of existing and emerging pneumococcal vaccines, including PCV20, Multiple Antigen Presenting System–based vaccines, and PCV21 candidates. By drawing on current clinical guidelines and research, this article provides evidence-based insights to support primary care providers in reducing pneumococcal disease burden across diverse populations.</div></div>","PeriodicalId":101233,"journal":{"name":"The Journal for Nurse Practitioners","volume":"21 9","pages":"Article 105510"},"PeriodicalIF":0.0,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144931950","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
Reducing CABG Readmissions: Evaluating Nurse Practitioner–Led Early Follow-up After Discharge 减少冠状动脉搭桥再入院：评估护士执业引导的出院后早期随访
The Journal for Nurse Practitioners Pub Date : 2025-09-01 DOI: 10.1016/j.nurpra.2025.105508
Alison Davidson, Roberto Galao-Malo, Joel Estabillo, Lindsay Condrat, Farzan Filsoufi, Julie Swain
{"title":"Reducing CABG Readmissions: Evaluating Nurse Practitioner–Led Early Follow-up After Discharge","authors":"Alison Davidson,&nbsp;Roberto Galao-Malo,&nbsp;Joel Estabillo,&nbsp;Lindsay Condrat,&nbsp;Farzan Filsoufi,&nbsp;Julie Swain","doi":"10.1016/j.nurpra.2025.105508","DOIUrl":"10.1016/j.nurpra.2025.105508","url":null,"abstract":"<div><div>Reducing 30-day readmissions after coronary artery bypass grafting is clinically and financially important. From 2017 to 2022, we implemented and refined a nurse practitioner–led protocol shifting postoperative visits from 4 weeks to 1 week after discharge. This significantly increased early follow-up adherence (<em>P</em> &lt; .001) and reduced missed visits with the surgical team (<em>P</em> &lt; .001). Patients seen within 1 week had the lowest readmissions, particularly avoidable ones related to pleural effusions, heart failure, or wounds. This project demonstrates that early nurse practitioner follow-up improves outcomes and ensures continuity of care after coronary artery bypass grafting. Further work defining avoidable readmission reasons could enhance future quality improvement initiatives.</div></div>","PeriodicalId":101233,"journal":{"name":"The Journal for Nurse Practitioners","volume":"21 9","pages":"Article 105508"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144921310","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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