{"title":"Persistent Pelvic Discomfort and Vaginal Odor After Abdominal Imaging: A Diagnostic Puzzle","authors":"Robin Beach, Twyla Brack","doi":"10.1016/j.nurpra.2025.105459","DOIUrl":"10.1016/j.nurpra.2025.105459","url":null,"abstract":"<div><div>Pelvic pain, pressure, malodor, and vaginal discharge in women as the presenting complaint can be challenging because many symptoms and signs can be nonspecific. This case features a patient presenting with pelvic discomfort, vaginal odor, and a foreign object identified on imaging. In the advent of artificial intelligence guiding clinical practice, this case emphasizes the absolute necessity of a complete hands-on physical examination. The importance of prompt diagnosis, comprehensive management, and patient-centered education revolves around a fairly common primary care or urgent care complaint that nurse practitioners are bound to experience.</div></div>","PeriodicalId":101233,"journal":{"name":"The Journal for Nurse Practitioners","volume":"21 8","pages":"Article 105459"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144524293","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}
Stephanie L. Carper, Mary Foster Cox, Kate K. Chappell
{"title":"Improving HPV Vaccination in Pediatric Primary Care: Utilizing Communication Modalities","authors":"Stephanie L. Carper, Mary Foster Cox, Kate K. Chappell","doi":"10.1016/j.nurpra.2025.105455","DOIUrl":"10.1016/j.nurpra.2025.105455","url":null,"abstract":"<div><div>Despite vaccine efficacy and demonstrated protection, human papillomavirus (HPV) vaccine hesitancy persists. This quality improvement project aimed to improve HPV vaccination rates among 11- to 19-year-olds at a pediatric primary care clinic (n = 89). Providers used motivational interviewing, presumptive approach, and a customized educational handout to guide HPV vaccine recommendations. HPV vaccination increased from 55% pre-intervention to 76.4% post-intervention. Refusal rates were twice as high for patients over 12 years old compared with 11-year-olds (27% vs 13%). First-time vaccine recommendations via shared decision-making and purposive communication approaches resulted in half as many same-day vaccination refusals. Improving HPV vaccination rates can be accomplished with low-cost, easy-to-implement approaches.</div></div>","PeriodicalId":101233,"journal":{"name":"The Journal for Nurse Practitioners","volume":"21 8","pages":"Article 105455"},"PeriodicalIF":0.0,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144513816","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":"A Personal Journey With Loretta Ford: From Inspiration to Legacy","authors":"April N. Kapu","doi":"10.1016/j.nurpra.2025.105456","DOIUrl":"10.1016/j.nurpra.2025.105456","url":null,"abstract":"","PeriodicalId":101233,"journal":{"name":"The Journal for Nurse Practitioners","volume":"21 8","pages":"Article 105456"},"PeriodicalIF":0.0,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144513811","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}
Tara Walker, Umeika Stephens, Elizabeth S. Jenuwine, Erik Carter, Cynthera McNeill, Nancy George, Randon Jenkins, Angela Bowman, Bushra Hasan, Mohamad Al-Hacham
{"title":"Navigating Doctor of Nursing Practice Project Variability: A Model for Rigor and Impact","authors":"Tara Walker, Umeika Stephens, Elizabeth S. Jenuwine, Erik Carter, Cynthera McNeill, Nancy George, Randon Jenkins, Angela Bowman, Bushra Hasan, Mohamad Al-Hacham","doi":"10.1016/j.nurpra.2025.105457","DOIUrl":"10.1016/j.nurpra.2025.105457","url":null,"abstract":"<div><h3>Background</h3><div>Doctor of Nursing Practice (DNP) projects often lack consistency in focus, structure, and evaluation, undermining scholarly rigor and impact.</div></div><div><h3>Objective</h3><div>To introduce the DNP Collective Model, which standardizes project implementation through collaborative mentorship and evidence-based interventions such as Mental Health First Aid (MHFA).</div></div><div><h3>Results</h3><div>Thirteen DNP students implemented MHFA across diverse communities. Quantitative and qualitative findings demonstrated improved mental health literacy, reduced stigma, and enhanced project quality.</div></div><div><h3>Conclusion</h3><div>The DNP Collective Model addresses variability in DNP projects, supports faculty efficiency, and fosters impactful, community-centered outcomes, offering a scalable framework for nursing education.</div></div>","PeriodicalId":101233,"journal":{"name":"The Journal for Nurse Practitioners","volume":"21 8","pages":"Article 105457"},"PeriodicalIF":0.0,"publicationDate":"2025-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144502282","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}
Meredith Kells, Amy Realbuto, Heather Wensley, Richard Kreipe
{"title":"Living the Legacy: Ford’s Unification Model of Nursing in Action","authors":"Meredith Kells, Amy Realbuto, Heather Wensley, Richard Kreipe","doi":"10.1016/j.nurpra.2025.105437","DOIUrl":"10.1016/j.nurpra.2025.105437","url":null,"abstract":"<div><div>Dr. Loretta Ford was the visionary behind the Unification Model of Nursing—the necessary interplay of practice, education, and research within nursing to promote excellence in patient care. Here, we highlight the Unification Model and the role of Dr. Ford’s pediatric nurse practitioner through the work of 3 advanced practice nurses within the University of Rochester Medical Center Division of Adolescent Medicine. We provide reflections on the positive impact of nurse practitioner–physician collaboration from a pediatrician who knew Dr. Ford well. We offer these examples and reflections to uphold the Unification Model as a guide for advanced practice nurses across the globe.</div></div>","PeriodicalId":101233,"journal":{"name":"The Journal for Nurse Practitioners","volume":"21 8","pages":"Article 105437"},"PeriodicalIF":0.0,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144490182","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}
Hajar Habibi, Ella McDonnell, Juliet Rocha, Clare Finlay, Carlo Tongol, Ee Ling Heng
{"title":"Innovative Care for Adult Congenital Heart Disease: Developing a Nurse-Led Clinic Model for Simple Lesions","authors":"Hajar Habibi, Ella McDonnell, Juliet Rocha, Clare Finlay, Carlo Tongol, Ee Ling Heng","doi":"10.1016/j.nurpra.2025.105452","DOIUrl":"10.1016/j.nurpra.2025.105452","url":null,"abstract":"<div><div>This paper describes the development and implementation of a nurse-led simple lesion clinic (NLSLC) for adults with congenital heart disease (ACHD), designed to improve patient care and reduce demand on consultant-led services. Key challenges such as identifying suitable patients and securing consultant consensus were addressed through collaboration, trust-building, and the clinical expertise of clinical nurse specialists. Educational initiatives, including shadowing and mentorship, supported junior staff development. The NLSLC has enhanced patient engagement, streamlined care, and improved service efficiency. As the clinic evolves, the model demonstrates adaptability and relevance for replication in other ACHD centers and long-term care settings, particularly where nurse practitioners are integral to service delivery. Future directions include expanding clinic capacity and fostering broader collaboration with regional and national ACHD services to advance and standardize nurse-led care.</div></div>","PeriodicalId":101233,"journal":{"name":"The Journal for Nurse Practitioners","volume":"21 8","pages":"Article 105452"},"PeriodicalIF":0.0,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144490183","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":"Pharmacotherapy: Major Depressive Disorder and Difficult-to-Treat Depression: Review for Nurse Practitioners","authors":"Mohamed Toufic El Hussein, Rohtaj Bal","doi":"10.1016/j.nurpra.2025.105458","DOIUrl":"10.1016/j.nurpra.2025.105458","url":null,"abstract":"<div><div>Adults worldwide are experiencing moderate-to-severe depression and anxiety, with rates rising since the coronavirus disease 2019 pandemic, especially among women. Many individuals face high levels of stress, further impacting mental health. Antidepressants and antipsychotics are commonly prescribed, yet misconceptions persist, and some health care providers may lack training in treating major depressive disorder, its subtypes, and difficult-to-treat depression, including anxious depression. Recent clinical guidelines recommend using adjunctive therapies, such as aripiprazole and brexpiprazole, earlier after a poor response to initial antidepressant treatment. This review helps nurse practitioners manage depression using a stepwise approach with updated pharmacologic evidence.</div></div>","PeriodicalId":101233,"journal":{"name":"The Journal for Nurse Practitioners","volume":"21 8","pages":"Article 105458"},"PeriodicalIF":0.0,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144481770","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":"Pinnacle of Practice: Origin and Evolution of the Doctor of Nursing Practice Degree","authors":"Jayne Jennings Dunlap, Julee Briscoe Waldrop, Rosalie Mainous, Sheila D. Melander","doi":"10.1016/j.nurpra.2025.105454","DOIUrl":"10.1016/j.nurpra.2025.105454","url":null,"abstract":"<div><div>Dr. Carolyn A. Williams, dean emerita at the University of Kentucky (1984-2006), championed the substantial growth of primary care nurse practitioners and the creation of the doctor of nursing practice (DNP) degree, opening the nation’s first DNP program in 2001. As president of the American Association of Colleges of Nursing (2000-2002), she strongly advocated for the development of the DNP degree nationally. This article focuses on the origins and evolution of the DNP degree, including new interview responses from Dr. Williams, a living legend who knew Dr. Loretta Ford and witnessed her vision for NPs become a reality.</div></div>","PeriodicalId":101233,"journal":{"name":"The Journal for Nurse Practitioners","volume":"21 8","pages":"Article 105454"},"PeriodicalIF":0.0,"publicationDate":"2025-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144338610","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}
Mohamed Toufic El Hussein, Julia Sagatova, Khodor El Hussein
{"title":"Management of Eczema: A Mnemonic Approach","authors":"Mohamed Toufic El Hussein, Julia Sagatova, Khodor El Hussein","doi":"10.1016/j.nurpra.2025.105453","DOIUrl":"10.1016/j.nurpra.2025.105453","url":null,"abstract":"<div><div>This article summarizes the pathophysiology and diagnostic criteria of atopic dermatitis (eczema). Atopic dermatitis is a prevalent skin condition that affects both children and adults around the world. Correct diagnosis and grading of eczema severity are crucial so that patients can appropriately manage their symptoms and decrease disease burden. A decision tree and a mnemonic were also created to guide nurse practitioners on how to assess and treat atopic dermatitis based on current practice guidelines.</div></div>","PeriodicalId":101233,"journal":{"name":"The Journal for Nurse Practitioners","volume":"21 8","pages":"Article 105453"},"PeriodicalIF":0.0,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144321566","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}