Journal of the American Association of Nurse Practitioners最新文献

{"title":"Advancing Doctor of Nursing scholarly project impact: A practice partnership collaborative approach.","authors":"Jessica Leiberg, Sarah Brzozowski, Pamela Blabaum, Pamela McGranahan","doi":"10.1097/JXX.0000000000001231","DOIUrl":"10.1097/JXX.0000000000001231","url":null,"abstract":"<p><strong>Abstract: </strong>Doctor of Nursing (DNP) scholarly projects serve as an educational capstone to the practice doctorate in nursing. These projects have the potential to address systems-level challenges, inform organizational inquiries, create solutions, and pilot emerging processes in care. However, poor alignment between the expectations of educational programs and the resources, needs, and priority initiatives of health care systems diminish the DNP scholarly project potential. Academic practice partnerships have shown to be a potential solution. School of Nursing (SON) faculty at a Midwestern university partnered with health care system leaders to collaboratively develop a structured partnership to optimize DNP student scholarly project design, impact, sustainability, efficiency, and dissemination of findings. The partnership included mutual contributions and resulted in high-quality, rigorous, system-level DNP projects that were finished on time, demonstrated sustainability, had decreased resource utilization, and were in alignment with the health care system and SON's initiatives and goals. The process was well received by the DNP students and has fostered the increase of group and legacy DNP projects. Ultimately, the partnership and structured DNP project implementation plan resulted in a mutually beneficial solution for both the SON and health care system.</p>","PeriodicalId":17179,"journal":{"name":"Journal of the American Association of Nurse Practitioners","volume":" ","pages":"360-365"},"PeriodicalIF":1.6,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145863026","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Testing the reliability and validity of the nurse practitioner student competency assessment.","authors":"Christine Pintz, Qiuping Pearl Zhou, Marcy Ainslie, Mary Beth Bigley, Mindi Anderson, Desiree A Díaz, Susan Kelly-Weeder, Shani Marks-Donkor, Carla Nye, Christine Repsha, Carolina D Tennyson","doi":"10.1097/JXX.0000000000001178","DOIUrl":"10.1097/JXX.0000000000001178","url":null,"abstract":"<p><strong>Background: </strong>The American Association of Colleges of Nursing (AACN) Essentials (2021) and the National Organization of Nurse Practitioner Faculties (NONPF) Role Competencies (2022) outline professional nursing competencies, resulting in a shift toward Nurse Practitioner (NP) competency-based education.</p><p><strong>Purpose: </strong>To evaluate the reliability and validity of the Nurse Practitioner Student Competency Assessment (NPSCA), a revised instrument measuring person-centered competencies established by AACN and NONPF.</p><p><strong>Methodology: </strong>Fifty-three students from four NP programs in their first clinical experience participated in the study. Each student performed one simulation, which was video-recorded. Two faculty members reviewed and scored each student's video recording using the NPSCA and the Virginia Commonwealth University (VCU) Scale, an instrument similar to those used by NP programs. The faculty ratings were collected using an online survey program.</p><p><strong>Results: </strong>The final version of the NPSCA has 17 items. Eight faculty members rated the items on a scale from 1 (not very relevant) to 4 (very relevant), with 100% agreement that the items were relevant or very relevant, indicating sufficient content validity. Internal consistency: α = 0.884-0.895. Correlations between the NPSCA and the VCU scale were r = 0.288, p = .036 and r = 0.589, p < .001, respectively.</p><p><strong>Conclusions: </strong>The evidence supports the reliability and validity of the NPSCA. Its internal consistency is excellent, and the content validity and criterion-related validity were sufficiently supported.</p><p><strong>Implications: </strong>With a shortage of reliable and valid tools to assess NP graduates, the NPSCA may play a role in evaluating and ensuring the readiness of NP graduates for practice.</p>","PeriodicalId":17179,"journal":{"name":"Journal of the American Association of Nurse Practitioners","volume":" ","pages":"313-319"},"PeriodicalIF":1.6,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144775730","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Understanding mosaicism: A primer for clinicians.","authors":"Mindy B Tinkle, Sandra Daack-Hirsch","doi":"10.1097/JXX.0000000000001286","DOIUrl":"https://doi.org/10.1097/JXX.0000000000001286","url":null,"abstract":"<p><strong>Abstract: </strong>Genetic mosaicism refers to the presence of two or more genetically distinct cell populations derived from a single zygote, resulting from post-zygotic genetic or epigenetic variation. This phenomenon contributes to diverse clinical presentations across a broad range of disorders and holds significant implications for diagnosis, inheritance risk, and clinical management. This article provides an overview of mosaicism from a clinical perspective, emphasizing its relevance for nurse practitioners. Two types of mosaicism are described with representative conditions: chromosomal mosaicism by trisomy 21 and germline mosaicism illustrated by Duchenne muscular dystrophy. Each clinical case demonstrates how the timing, location, and nature of mosaic variants influence phenotype, recurrence risk, and detection. Clinical pearls are included for each case emphasizing important take-aways for practice. Understanding these mechanisms is essential for interpretation of genetic testing, risk assessment, and counseling and education of affected individuals and their families.</p>","PeriodicalId":17179,"journal":{"name":"Journal of the American Association of Nurse Practitioners","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147816729","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Depression screening among Haitian immigrants: A quality-improvement project.","authors":"Andrelle Franck, Linda S Behar-Horenstein, Dany Fanfan","doi":"10.1097/JXX.0000000000001232","DOIUrl":"10.1097/JXX.0000000000001232","url":null,"abstract":"<p><strong>Background: </strong>Haitians frequently encounter barriers during screening for depression. This quality-improvement project evaluated the effectiveness of depression screening tools specifically adapted for Haitian Creole-speaking populations.</p><p><strong>Local problem: </strong>The English version of the Patient Health Questionnaire-9 (PHQ-9), widely used to screen for depressive symptoms, may not accurately assess depression due to cultural and linguistic nuances.</p><p><strong>Methods: </strong>The plan-do-study-act method was used to evaluate the effectiveness of the culturally adapted Haitian Creole PHQ-9 and Zanmi Lasante Depression Symptom Inventory (ZLDSI) in comparison to the English PHQ-9 among 50 Haitian adults who had completed the English PHQ-9 six months before implementing this quality-improvement project.</p><p><strong>Interventions: </strong>The Haitian Creole PHQ-9 and ZLDSI were administered over 3 months during routine clinic visits to screen Haitians for depression. Patients who met diagnostic criteria for depression were identified and referred for further mental health services.</p><p><strong>Results: </strong>Diagnostic accuracy was comparable across the three tools: 6% scored mild-to-moderate depression on the English PHQ-9 and the ZLDSI, whereas 10% did so on the Haitian Creole PHQ-9 and were referred to mental health services. The Haitian Creole PHQ-9 and ZLDSI were more sensitive in detecting culturally nuanced symptoms, flagging near-threshold cases at higher risk of depression. Internal consistency reliability was 0.905 for the ZLDSI, 0.798 for the Haitian Creole PHQ-9, and 0.710 for the English PHQ-9.</p><p><strong>Conclusions: </strong>Nurse practitioners should use culturally and linguistically responsive screening tools for Haitian immigrants to better capture depressive symptoms, identify those at risk, bridge the diagnostic gap, and ensure appropriate referrals.</p>","PeriodicalId":17179,"journal":{"name":"Journal of the American Association of Nurse Practitioners","volume":" ","pages":"374-383"},"PeriodicalIF":1.6,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145819845","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Implementing trauma-informed educational practices in an online family nurse practitioner course: Lessons learned from a pilot study.","authors":"Hilary Ashton Glover, Jennifer Dawson, Kristy Oden, Laura Williams, Clarrisa Hall, Helen Coronel","doi":"10.1097/JXX.0000000000001254","DOIUrl":"10.1097/JXX.0000000000001254","url":null,"abstract":"<p><strong>Abstract: </strong>Family Nurse Practitioner students often navigate graduate education while managing personal, professional, and emotional stressors. Many enter programs with histories of trauma, which may impair learning and performance in rigid, high-stakes academic environments. This pilot study explored the feasibility and perceived impact of implementing trauma-informed educational practices (TIEP) in an asynchronous Family Nurse Practitioner course using the Substance Abuse and Mental Health Services Administration's six principles to trauma-informed care as a framework. A mixed methods design was used with two consecutive student cohorts. Trauma-informed strategies were embedded into the course. Quantitative data were collected by pre-intervention and postintervention surveys. Qualitative feedback was obtained from open-ended responses and course evaluations. All students who completed the pre-intervention survey ( n = 25) reported at least one adverse childhood experience, with over half citing trauma related to their nursing practice. Post-intervention surveys ( n = 12) indicated high satisfaction with the trauma-informed course modifications. Thirty-three students provided qualitative feedback through the postintervention survey and course evaluations. Across data sources, students emphasized emotional safety, faculty connection, and the value of wellness reminders. Three themes emerged: (1) prioritizing wellness and emotional safety, (2) trauma is a daily lived reality for students, and (3) connection and communication. Findings suggest that TIEP can be feasibly integrated into asynchronous graduate Nurse Practitioner (NP) education and are well received by students. Although the study did not measure academic or clinical performance outcomes, TIEP aligns with the American Association of Colleges of Nursing Essentials for competency-based graduate education and supports ethical preparation for advanced practice.</p>","PeriodicalId":17179,"journal":{"name":"Journal of the American Association of Nurse Practitioners","volume":" ","pages":"351-359"},"PeriodicalIF":1.6,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147307176","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Editorial: Here's the issue: May 2026.","authors":"M Elayne DeSimone","doi":"10.1097/JXX.0000000000001285","DOIUrl":"https://doi.org/10.1097/JXX.0000000000001285","url":null,"abstract":"","PeriodicalId":17179,"journal":{"name":"Journal of the American Association of Nurse Practitioners","volume":"38 5","pages":"307-309"},"PeriodicalIF":1.6,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147839473","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Review of studies that examine the role of advanced practice registered nurses and physician associates in mass shooting incidents.","authors":"Alexander Menard, Johnny Isenberger, Danielle Hebert, Sheila Bilica, Gregg A Stevens, Dawn Carpenter","doi":"10.1097/JXX.0000000000001239","DOIUrl":"10.1097/JXX.0000000000001239","url":null,"abstract":"<p><strong>Background: </strong>A mass shooting incident (MSI) occurs where four or more people are shot and injured or killed. Mass shooting incidents have increased in frequency since the 1960s with 2,700 injured and 600 individuals killed in 2022. Advanced Practice Registered Nurses (APRNs) and Physician Associates (PAs) are front-line caregivers, who may engage with victims, their families, perpetrators, and potential perpetrators. Advanced Practice Registered Nurses and PAs provide care to these people across care settings.</p><p><strong>Objective: </strong>Identify the pertinent literature describing the roles, responsibilities, and skills that APRNs and PAs must possess surrounding MSIs.</p><p><strong>Data source: </strong>An integrative review was completed using Covidence. Search engines included Ovid Medline, Ovid Emcare, PsycInfo (Ovid), CINAHL (EBSCO), Scopus (Elsevier), and Cochrane Central Register of Controlled Trials (Wiley). Two team members independently reviewed each citation, and a third member resolved conflicts.</p><p><strong>Conclusions: </strong>Eleven studies met inclusion criteria. Four phases of the Federal Emergency Management Agency framework (Prevention, Preparedness, Response, Recovery) were represented, and, in some studies, more than one phase was discussed. The review showed strong support for APRN and PA roles in prevention and preparedness of an MSI, and less support surrounding the response and recovery phases of an MSI. Additional research is needed to further define the distinct role that APRNs and PAs can have encompassing MSIs.</p><p><strong>Implications for practice: </strong>Advanced Practice Registered Nurses and PAs possess the skills to intervene in prevention, preparedness, response, and recovery surrounding an MSI. Although some evidence exists to define the role APRNs and PAs can assume, the focus was primarily on prevention with screening for access to firearms and safe storage.</p>","PeriodicalId":17179,"journal":{"name":"Journal of the American Association of Nurse Practitioners","volume":" ","pages":"343-350"},"PeriodicalIF":1.6,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145952437","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reframing imposter syndrome to drive achievement among advanced practice registered nurses.","authors":"Deana Shevit Goldin, Ellen Modlin","doi":"10.1097/JXX.0000000000001267","DOIUrl":"https://doi.org/10.1097/JXX.0000000000001267","url":null,"abstract":"<p><strong>Abstract: </strong>Advanced Practice Registered Nurses (APRNs) can experience imposter syndrome (IS) at any point throughout their careers. Negative feelings resulting from IS can compromise safe and effective patient care. We suggest an alternative view to help reframe negative feelings stemming from IS and transforming the energy into the fuel needed to drive professional excellence. We offer practical strategies that APRNs can use to effectively manage IS and achieve professional success.</p>","PeriodicalId":17179,"journal":{"name":"Journal of the American Association of Nurse Practitioners","volume":"38 5","pages":"310-312"},"PeriodicalIF":1.6,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147839572","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Unmasking neuroleptic malignant syndrome: An integrated behavioral health team's role in clinical diagnosis and care continuity.","authors":"Emily J Hochwald, Emily Horvath","doi":"10.1097/JXX.0000000000001283","DOIUrl":"https://doi.org/10.1097/JXX.0000000000001283","url":null,"abstract":"<p><strong>Abstract: </strong>Neuroleptic malignant syndrome (NMS) is a rare but potentially life-threatening neurological emergency triggered by an adverse reaction to dopamine receptor antagonists, particularly antipsychotics. Its clinical significance lies in both its high mortality risk and the diagnostic and therapeutic challenges NMS presents. Integrated Behavioral Health (IBH) models emphasize collaborative, interdisciplinary care that unites medical and mental health providers to address the full spectrum of patient needs. Nurse practitioners (NPs), with their holistic and patient-centered framework, are uniquely positioned to lead and contribute meaningfully within IBH teams. This case highlights the application of an NP-led IBH team in the successful early recognition of NMS in a resource-limited homeless shelter setting. Despite the diagnostic complexity and significant fatality risk associated with NMS, the NP's role was central in diagnosis with timely escalation of care, care coordination, and continuity of treatment through an integrated approach.</p>","PeriodicalId":17179,"journal":{"name":"Journal of the American Association of Nurse Practitioners","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147816760","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Open payments database general payments analysis to nurse practitioners from 2021 to 2022.","authors":"Lina M Adwer, Brooke J Fitzpatrick, Erik D Whiting, Collin E Dougherty, Juan A Santamaria-Barria","doi":"10.1097/JXX.0000000000001179","DOIUrl":"10.1097/JXX.0000000000001179","url":null,"abstract":"<p><strong>Introduction: </strong>The Centers for Medicare & Medicaid Services Open Payments Database (OPD) reports industry payments to health care providers, promoting transparency in financial relationships. In 2021, the OPD expanded to include nurse practitioners (NPs), who now number over 385,000 in the United States.</p><p><strong>Purpose: </strong>This study analyzed general industry payments to NPs from 2021 to 2022, focusing on payment nature, amounts, companies involved, and geographic distribution.</p><p><strong>Methodology: </strong>We queried the OPD for NPs identified as \"Nurse Practitioner\" under relevant taxonomy categories, analyzing data on payment nature, amount, company, covered product, and recipient location. Descriptive statistics summarized the data.</p><p><strong>Results: </strong>Between 2021 and 2022, 207,732, US NPs received $182,275,340 in 4,866,831 general payments. The median payment was $16.47. Most payments were for food and beverage (97%), which accounted for the highest dollar total ($102,218,684; 56%). Other payments included services other than consulting ($48,325,438; 27%) and travel/lodging ($11,478,596; 6%). Five companies-AbbVie, Allergan, Janssen, Novo Nordisk, and AstraZeneca-accounted for 32.6% of payments. Florida, Texas, and California received the highest payments.</p><p><strong>Conclusions: </strong>Nurse practitioners received substantial nonresearch payments, predominantly for food and beverage. Future research should explore factors like certification area and state practice authority that influence payment trends.</p><p><strong>Implications: </strong>Understanding industry payments to NP highlights areas of potential influence, emphasizing the importance of transparency and policies to mitigate conflicts of interest.</p>","PeriodicalId":17179,"journal":{"name":"Journal of the American Association of Nurse Practitioners","volume":" ","pages":"334-342"},"PeriodicalIF":1.6,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144958682","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}