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The Journal for Nurse Practitioners最新文献

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From Rochester to the World: Celebrating the Legacy of Dr. Loretta Ford 从罗切斯特到世界：庆祝洛雷塔·福特博士的遗产
The Journal for Nurse Practitioners Pub Date : 2025-07-21 DOI: 10.1016/j.nurpra.2025.105473
Lisa Kitko
{"title":"From Rochester to the World: Celebrating the Legacy of Dr. Loretta Ford","authors":"Lisa Kitko","doi":"10.1016/j.nurpra.2025.105473","DOIUrl":"10.1016/j.nurpra.2025.105473","url":null,"abstract":"","PeriodicalId":101233,"journal":{"name":"The Journal for Nurse Practitioners","volume":"21 8","pages":"Article 105473"},"PeriodicalIF":0.0,"publicationDate":"2025-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144672281","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
Empowering Primary Care Provider Engagement in Difficult Conversations 增强初级保健提供者参与困难对话的能力
The Journal for Nurse Practitioners Pub Date : 2025-07-21 DOI: 10.1016/j.nurpra.2025.105484
Jennifer L. Uzzell
{"title":"Empowering Primary Care Provider Engagement in Difficult Conversations","authors":"Jennifer L. Uzzell","doi":"10.1016/j.nurpra.2025.105484","DOIUrl":"10.1016/j.nurpra.2025.105484","url":null,"abstract":"<div><div>Nurse practitioners positioned as primary care providers (PCPs) across various settings frequently face difficult and serious topics that require addressing with patients and families. Limited practical guidance exists to help PCPs prepare for these difficult encounters. The SPIKES (Setting up, Perception, Invitation, Knowledge, Emotions/Empathy, and Strategy/Summary) framework and the NURSE (Name, Understand, Respond, Support, and Explanation) tool are presented to assist PCPs in (1) facilitating difficult conversations, (2) incorporating patient preferences and values as a central component of evidence-based practice, and (3) ensuring appropriate follow-up and debriefing, aimed at improving outcomes of health care conversations.</div></div>","PeriodicalId":101233,"journal":{"name":"The Journal for Nurse Practitioners","volume":"21 8","pages":"Article 105484"},"PeriodicalIF":0.0,"publicationDate":"2025-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144672282","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
Assessment of the Cultural Competence of Nursing Faculty 护理教师文化能力的评估
The Journal for Nurse Practitioners Pub Date : 2025-07-21 DOI: 10.1016/j.nurpra.2025.105485
Nitha Mathew Joseph, Rebecca L. Tsusaki, Doncy Joji Eapen, Olivia Fitch, Sara Lewandowski, Riza V. Mauricio, Melanie McEwen
{"title":"Assessment of the Cultural Competence of Nursing Faculty","authors":"Nitha Mathew Joseph,&nbsp;Rebecca L. Tsusaki,&nbsp;Doncy Joji Eapen,&nbsp;Olivia Fitch,&nbsp;Sara Lewandowski,&nbsp;Riza V. Mauricio,&nbsp;Melanie McEwen","doi":"10.1016/j.nurpra.2025.105485","DOIUrl":"10.1016/j.nurpra.2025.105485","url":null,"abstract":"<div><div>Cultural competence is essential to nursing practice. A cross-sectional, descriptive quality improvement project was conducted using convenience sampling among 41 nursing faculty. A demographic and professional characteristics questionnaire and the Cultural Diversity Questionnaire for Nurse Educators–Revised were administered. Faculty were also asked about activities or topics they used to teach or measure students’ cultural competence or improve their own. Overall, the faculty had high levels of cultural competence; they scored highest in cultural awareness and lowest in cultural skills. Recommendations for integrating comprehensive education and training programs on cultural competence into nursing curricula and faculty professional development are discussed.</div></div>","PeriodicalId":101233,"journal":{"name":"The Journal for Nurse Practitioners","volume":"21 8","pages":"Article 105485"},"PeriodicalIF":0.0,"publicationDate":"2025-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144672283","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 Practitioners as Policy Leaders: The Art and Strategy of Advocacy 作为政策领导者的执业护士：倡导的艺术和策略
The Journal for Nurse Practitioners Pub Date : 2025-07-18 DOI: 10.1016/j.nurpra.2025.105468
Nicole W. Carter, Janie A. Brown, Christopher Helms
{"title":"Nurse Practitioners as Policy Leaders: The Art and Strategy of Advocacy","authors":"Nicole W. Carter,&nbsp;Janie A. Brown,&nbsp;Christopher Helms","doi":"10.1016/j.nurpra.2025.105468","DOIUrl":"10.1016/j.nurpra.2025.105468","url":null,"abstract":"<div><div>Nurse practitioners (NPs) play an essential role in shaping evidence-informed, patient-centered health policy, yet advocacy remains an underdeveloped aspect of their practice. Advocacy is central to NP leadership, combining research, policy engagement, and strategic communication. This article presents 7 evidence-based advocacy strategies with international applicability: staying informed about policy opportunities, strategically using research, effectively organizing contributions, writing impactful consultation responses, building professional networks, strengthening alliances, and engaging in governance structures. Recent health care reforms demonstrate successful policy window recognition through strategic preparation. Although grounded in the Australian experience, these strategies offer transferable principles for NPs globally facing similar barriers to advanced practice integration.</div></div>","PeriodicalId":101233,"journal":{"name":"The Journal for Nurse Practitioners","volume":"21 8","pages":"Article 105468"},"PeriodicalIF":0.0,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144655016","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
Development of the HINTS/HINTS+ Exam Smartphone App and AI Integration 开发提示/提示+考试智能手机应用程序和人工智能集成
The Journal for Nurse Practitioners Pub Date : 2025-07-18 DOI: 10.1016/j.nurpra.2025.105471
Hope Haynes Bussenius, Zoe Deem, David D.J. Demers
{"title":"Development of the HINTS/HINTS+ Exam Smartphone App and AI Integration","authors":"Hope Haynes Bussenius,&nbsp;Zoe Deem,&nbsp;David D.J. Demers","doi":"10.1016/j.nurpra.2025.105471","DOIUrl":"10.1016/j.nurpra.2025.105471","url":null,"abstract":"<div><div>This project examined the effectiveness of the new technology HINTS/HINTS+ (Head-Impulse, Nystagmus, Test of Skew, plus hearing) exam in detecting posterior circulation strokes, which often present atypically and delay treatment. We developed an iOS application to support the HINTS/HINTS+ exam and improve stroke detection. Ten patients with vestibular symptoms were assessed using the application, with 1 correctly identified central and 9 peripheral pathologies. The application showed 100% sensitivity and 66.7% specificity. It allowed video replay for examiners to assess nystagmus and head impulse saccades better than clinical nonvideo testing. Results suggest wider HINTS application use, with future improvements through artificial intelligence.</div></div>","PeriodicalId":101233,"journal":{"name":"The Journal for Nurse Practitioners","volume":"21 8","pages":"Article 105471"},"PeriodicalIF":0.0,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144655018","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
Implementation of Evidence-Based Advocacy and Lobbying Toolkit 实施循证倡导和游说工具包
The Journal for Nurse Practitioners Pub Date : 2025-07-17 DOI: 10.1016/j.nurpra.2025.105401
Deanna Magerer, Suzanna Fitzpatrick, Claire Bode, Barbara Wise
{"title":"Implementation of Evidence-Based Advocacy and Lobbying Toolkit","authors":"Deanna Magerer,&nbsp;Suzanna Fitzpatrick,&nbsp;Claire Bode,&nbsp;Barbara Wise","doi":"10.1016/j.nurpra.2025.105401","DOIUrl":"10.1016/j.nurpra.2025.105401","url":null,"abstract":"<div><div>This quality improvement project implemented and assessed an evidence-based advocacy and lobbying toolkit to gain legislative support. The toolkit included templates for policy statements, legislator meetings, and testimony methods. Twenty-five legislative committee members from a Mid-Atlantic nurse practitioner professional state organization received advocacy toolkit education. Results showed varying template adherence rates: 10.8% for policy statements, 3.8% for legislator meetings, and 15.3% for testimony. Policy Advocacy Engagement Scale scores for confidence in legislative communication increased from 3.11 to 3.5, scored on a 0 to 4 Likert scale. The toolkit demonstrated potential to improve legislative communication effectiveness between nurse practitioners and legislators.</div></div>","PeriodicalId":101233,"journal":{"name":"The Journal for Nurse Practitioners","volume":"21 8","pages":"Article 105401"},"PeriodicalIF":0.0,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144655017","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
Unilateral Neck Pain in Primary Care: A Diagnostic Challenge 单侧颈部疼痛在初级保健：诊断的挑战
The Journal for Nurse Practitioners Pub Date : 2025-07-17 DOI: 10.1016/j.nurpra.2025.105483
Shaveta Bolina
{"title":"Unilateral Neck Pain in Primary Care: A Diagnostic Challenge","authors":"Shaveta Bolina","doi":"10.1016/j.nurpra.2025.105483","DOIUrl":"10.1016/j.nurpra.2025.105483","url":null,"abstract":"<div><div>This case presents a woman with unilateral neck pain at a primary care clinic. Neck pain is a nonspecific symptom that poses a diagnostic challenge for practitioners. Numerous differentials must be considered for patients with neck pain. This case facilitates discussion of diagnostic reasoning, differentials, and management of patients with neck pain. The follow-up recommendations and patient education are discussed to ensure continuity of care.</div></div>","PeriodicalId":101233,"journal":{"name":"The Journal for Nurse Practitioners","volume":"21 8","pages":"Article 105483"},"PeriodicalIF":0.0,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144655019","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
An Unusual Etiology of Fatigue in a 75-Year-Old Woman 一名75岁妇女不寻常的疲劳病因
The Journal for Nurse Practitioners Pub Date : 2025-07-15 DOI: 10.1016/j.nurpra.2025.105474
Aurbrey Eikenhorst
{"title":"An Unusual Etiology of Fatigue in a 75-Year-Old Woman","authors":"Aurbrey Eikenhorst","doi":"10.1016/j.nurpra.2025.105474","DOIUrl":"10.1016/j.nurpra.2025.105474","url":null,"abstract":"<div><div>A 75-year-old female patient presented to her primary care provider to evaluate several nonspecific symptoms that had progressively worsened over the preceding 2 months. The patient had a generally noncontributory medical history and initially denied any over-the-counter supplements or new items in her regimen. After laboratory results revealed a suppressed level of thyroid-stimulating hormone and elevated T4, the patient admitted to oral supplementation with several supplements that were not initially reported, including iodine for \"heart health\" for an unknown amount of time. Thyroid imaging did not reveal any nodules, and the patient's laboratory values and symptoms normalized 12 weeks after stopping supplementation.</div></div>","PeriodicalId":101233,"journal":{"name":"The Journal for Nurse Practitioners","volume":"21 8","pages":"Article 105474"},"PeriodicalIF":0.0,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144631857","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
Proof of Concept: Validating a Simulation Template for Nurse Practitioner Student Competence 概念证明：验证护士实习学生能力的模拟模板
The Journal for Nurse Practitioners Pub Date : 2025-07-15 DOI: 10.1016/j.nurpra.2025.105469
Leah Burt, Kelly Casler, Angela D. Pal, Kristin Stankard, Jeannie Rodriguez, Heidi He, Jenny O’Rourke
{"title":"Proof of Concept: Validating a Simulation Template for Nurse Practitioner Student Competence","authors":"Leah Burt,&nbsp;Kelly Casler,&nbsp;Angela D. Pal,&nbsp;Kristin Stankard,&nbsp;Jeannie Rodriguez,&nbsp;Heidi He,&nbsp;Jenny O’Rourke","doi":"10.1016/j.nurpra.2025.105469","DOIUrl":"10.1016/j.nurpra.2025.105469","url":null,"abstract":"<div><div>Best practices in simulation emphasize a need for standardized processes; however, no simulation templates are specifically tailored to nurse practitioner (NP) education. Thus, 7 faculty from the National Organization of Nurse Practitioner Faculties Simulation Committee convened to create the Nurse Practitioner Simulation Design Template. After creation of the template, 13 NP faculty with simulation expertise rated its validity and clarity. Content Validity Index scores were calculated for the 19 sections. Those not meeting a 0.80 Content Validity Index score were revised using reviewers’ qualitative comments. After significant revisions, NP content experts evaluated the tool validity. Applications and implications for future use of the template are discussed.</div></div>","PeriodicalId":101233,"journal":{"name":"The Journal for Nurse Practitioners","volume":"21 8","pages":"Article 105469"},"PeriodicalIF":0.0,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144631856","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
Adaptation and Psychometric Properties of the Tool for Assessing LGBTQI+ Health Training for Nurse Practitioners (TALHT-NP) LGBTQI+护士健康培训评估工具（TALHT-NP）的适应性和心理测量特性
The Journal for Nurse Practitioners Pub Date : 2025-07-15 DOI: 10.1016/j.nurpra.2025.105467
Athena D.F. Sherman, Sheila K. Smith, Maria Ruud, Larry Newman, Scott Emory Moore, Michelle A. Mathiason, Meredith Klepper, Camille Brown
{"title":"Adaptation and Psychometric Properties of the Tool for Assessing LGBTQI+ Health Training for Nurse Practitioners (TALHT-NP)","authors":"Athena D.F. Sherman,&nbsp;Sheila K. Smith,&nbsp;Maria Ruud,&nbsp;Larry Newman,&nbsp;Scott Emory Moore,&nbsp;Michelle A. Mathiason,&nbsp;Meredith Klepper,&nbsp;Camille Brown","doi":"10.1016/j.nurpra.2025.105467","DOIUrl":"10.1016/j.nurpra.2025.105467","url":null,"abstract":"<div><div>Validated approaches for evaluating lesbian, gay, bisexual, transgender, queer, intersex, plus other sexual or gender minorities (LGBTQI+) health content in nurse practitioner programs are needed. Researchers developed and evaluated content validity of the Tool for Assessing LGBTQI+ Health Training for Nurse Practitioners (TALHT-NP) for faculty and administrators to evaluate LGBTQI+ health content. Content validity scores and qualitative feedback from expert reviewers were used to guide modifications to the TALHT-NP before test-retest reliability evaluation. Data revealed that most proposed items were relevant, and test-rest was completed with no statistical differences. This research supports the development of the TALHT-NP for evaluating LGBTQI+ curricular content in nurse practitioner education programs.</div></div>","PeriodicalId":101233,"journal":{"name":"The Journal for Nurse Practitioners","volume":"21 8","pages":"Article 105467"},"PeriodicalIF":0.0,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144631886","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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