Journal of the American Association of Nurse Practitioners最新文献

Redefining inpatient diabetes care: A policy-driven approach to safe and effective technology use. 重新定义住院糖尿病患者的护理：安全有效地使用技术的政策驱动方法。

IF 1.6 4区医学

Journal of the American Association of Nurse Practitioners Pub Date : 2025-10-09 DOI: 10.1097/JXX.0000000000001209

Mary E Holliday, Laura Herbert, Jan Kubas

{"title":"Redefining inpatient diabetes care: A policy-driven approach to safe and effective technology use.","authors":"Mary E Holliday, Laura Herbert, Jan Kubas","doi":"10.1097/JXX.0000000000001209","DOIUrl":"https://doi.org/10.1097/JXX.0000000000001209","url":null,"abstract":"Background: Patients with diabetes are using advanced diabetes self-management technology, such as integrated insulin pumps with continuous glucose monitors (CGM) during hospitalization. Concerns surround their use in the inpatient setting ranging from safety risks to provider and nursing comfort in overseeing these devices.Local problem: At a 332-bed hospital in the Southeastern United States, the inpatient insulin pump policy did not support current evidence-based clinical recommendations.Methods: An updated policy was designed, allowing patients to continue using automated insulin pumps during hospitalization. Pre- and postpolicy nursing knowledge surveys, patient glucose metrics (including mean Glucose and Time in Range of 70-180 mg/dl), and patient narratives were evaluated to determine if the inpatient policy maintained optimal glucose control, improved patient satisfaction, and increased nursing comfort levels.Interventions: The updated policy was applied to all patients admitted using automated insulin pumps over 19 weeks. Nursing education was provided on the new policy release.Results: Mean glucose was 153.6 mg/dl for time segments on automated insulin pump, versus 201.4 mg/dl for stand-alone insulin pump without CGM and 262.3 mg/dl with subcutaneous insulin injections. Time in range was achieved at 72.1% (goal >70%) for time segment patients continued automated insulin pump, versus 44.3% insulin pump without CGM and 31.7% on subcutaneous insulin injections. Five of nine realms on the postnursing survey showed significant improvement (p < .05).Conclusions: Applying an evidence-based policy that allows patients to remain on their automated insulin pump during hospitalization maintains glycemic control and patient satisfaction, as well as improves nursing comfort levels.","PeriodicalId":17179,"journal":{"name":"Journal of the American Association of Nurse Practitioners","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145251574","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}

引用次数: 0

The impact of nurse practitioner-led wound clinic for under-resourced populations: A retrospective study. 护理师主导的伤口诊所对资源不足人群的影响：一项回顾性研究。

IF 1.6 4区医学

Journal of the American Association of Nurse Practitioners Pub Date : 2025-10-07 DOI: 10.1097/JXX.0000000000001207

Tuba Sengul, Dilek Yilmaz Akyaz, Oleg Teleten, Jeff Souza, Holly Kirkland-Kyhn

{"title":"The impact of nurse practitioner-led wound clinic for under-resourced populations: A retrospective study.","authors":"Tuba Sengul, Dilek Yilmaz Akyaz, Oleg Teleten, Jeff Souza, Holly Kirkland-Kyhn","doi":"10.1097/JXX.0000000000001207","DOIUrl":"https://doi.org/10.1097/JXX.0000000000001207","url":null,"abstract":"Background: Chronic wounds represent a significant health care burden, particularly among under-resourced people, due to limited access to care, social determinants, and untreated comorbidities. These factors contribute to delayed healing, complications, reduced quality of life, and increased costs.Purpose: This study examined the types of chronic wounds, barriers to care, and clinical outcomes among under-resourced individuals treated at a nurse practitioner-led (NP-led) wound care clinic, to inform targeted interventions for improving access and continuity.Methodology: This retrospective cohort study analyzed medical records of 493 patients treated at a NP-led clinic on the west coast between 2020 and 2024, focusing on wound types, care barriers, and clinical outcomes.Results: The most common diagnoses were nonpressure chronic ulcers (17.6%) and pressure injuries (16.6%), with lower extremities as the main location (20.49%). A strong correlation was found between number of appointments and follow-up (r = 1.0). No significant relationship was seen between referral source and clinic visit status (χ2 = 2.67, p = .26). Overall, 91.9% of wounds healed, whereas 16.8% of patients experienced persistent wound issues, reflecting barriers such as inaccessibility (17%) and refusal of care (5.7%).Conclusions: NP-led wound clinics are essential for under-resourced populations but face systemic challenges in patient follow-up and engagement. Findings highlight the need for interventions, improved continuity, and strategies addressing health care and social determinants.Implications: Enhancing continuity, fostering patient trust, and addressing social determinants through remote monitoring, community outreach, and tailored approaches are vital to optimize outcomes for under-resourced individuals with chronic wounds.","PeriodicalId":17179,"journal":{"name":"Journal of the American Association of Nurse Practitioners","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145239049","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}

引用次数: 0

Beyond 12 hours: A national survey of neonatal nurse practitioners perceptions on shift length and professional practice. 超过12小时：新生儿护士从业人员对轮班长度和专业实践的看法的全国调查。

IF 1.6 4区医学

Journal of the American Association of Nurse Practitioners Pub Date : 2025-10-03 DOI: 10.1097/JXX.0000000000001203

Tracey R Bell, Jacqueline Hoffman, Meredith L Farmer

{"title":"Beyond 12 hours: A national survey of neonatal nurse practitioners perceptions on shift length and professional practice.","authors":"Tracey R Bell, Jacqueline Hoffman, Meredith L Farmer","doi":"10.1097/JXX.0000000000001203","DOIUrl":"https://doi.org/10.1097/JXX.0000000000001203","url":null,"abstract":"Background: The neonatal nurse practitioner (NNP) is a pivotal member of the neonatal intensive care unit (NICU) care team. To ensure 24-hour coverage in this high-acuity environment, NNPs often work shifts exceeding 16 hours. However, little is known about how prolonged shifts affect NNP fatigue, clinical performance, and overall well-being.Methods: A mixed-methods survey was distributed via postcards containing a QR code to board-certified NNPs. The survey assessed demographics, shift practices, and perceptions of fatigue when working shifts greater than 16 hours.Results: A total of 623 participants initiated the survey; 371 completed all items. Most were experienced NNPs working in level III NICUs. Preferred shift lengths included 24-hour and 12-hour day shifts. Awareness of the National Association of NNP position statement on shift length was high (73%), with 76% agreeing with its recommendations. Over half (51%) supported continuing 24-hour shifts. Eighty-five percent agreed that unit census/acuity contributes to fatigue. Nearly half (49%) reported feeling unsafe driving after shifts >16 hours; among those who did acknowledge feeling unsafe to drive, this occurred an average of 17% of the time. Sixty percent denied ever feeling unable to perform duties after extended shifts; among those who did, the average frequency was 17.4%.Conclusions: Neonatal nurse practitioners report a preference for extended shifts despite acknowledging associated fatigue-related concerns. Although these findings provided valuable subjective insight, findings are limited by self-reporting and sample representation.Implications: Additional objective data and qualitative analysis are needed to guide evidence-based strategies that prioritize both provider well-being and patient safety.","PeriodicalId":17179,"journal":{"name":"Journal of the American Association of Nurse Practitioners","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145212922","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}

引用次数: 0

Nurse practitioner and physician associate mentorship: Improving retention and employment experiences. 执业护士和医师助理指导：提高保留率和就业经验。

IF 1.6 4区医学

Journal of the American Association of Nurse Practitioners Pub Date : 2025-10-01 DOI: 10.1097/JXX.0000000000001093

Boyon Yun, Adam C Gilbert, Hsin-Fang Li, James M Scanlan, Andrea L Coleman

{"title":"Nurse practitioner and physician associate mentorship: Improving retention and employment experiences.","authors":"Boyon Yun, Adam C Gilbert, Hsin-Fang Li, James M Scanlan, Andrea L Coleman","doi":"10.1097/JXX.0000000000001093","DOIUrl":"10.1097/JXX.0000000000001093","url":null,"abstract":"Background: Clinician turnover is costly for health care organizations.Local problem: A retention strategy for newly hired nurse practitioners (NPs) and physician associates (PAs) was needed at our organization.Methods: A quality improvement project was conducted to determine whether a mentorship program could improve retention and employment experiences of newly hired NPs and PAs.Interventions: A one-to-one mentorship program was implemented for newly hired NPs and PAs. (a) Retention and productivity data were compared for mentee participants vs. nonparticipants. (b) Mentee and mentor participants completed two program evaluation surveys to examine the program's impact on their employment experiences.Results: Sixty-eight mentee-mentor pairs completed their mentoring relationship during the first 3 years of the program. Retention was higher among mentee participants vs. nonparticipants during their first (96% vs. 85%, p = .0332) and second year of employment (83% vs. 65%, p = .0480). Productivity during the first year was similar for mentee participants and nonparticipants (38th percentile vs. 37th percentile, p = .84). Most participants (≥69%) believed the program improved onboarding, personal and professional growth, work environment, and NP and PA community connection.Conclusions: The mentorship program improved first- and second-year retention of newly hired NPs and PAs and employment experiences of program participants. By our estimates, the program helped retain 15 NPs and PAs who would have otherwise left the organization, yielding potential organizational savings of $1.29M-$1.72M. A mentorship program can be an effective retention strategy for reducing health care turnover and related costs.","PeriodicalId":17179,"journal":{"name":"Journal of the American Association of Nurse Practitioners","volume":" ","pages":"573-581"},"PeriodicalIF":1.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142950699","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}

引用次数: 0

Developing a nurse-led reproductive health mobile health unit in rural Illinois: Opportunity to promote faculty practice and student training. 在伊利诺斯州农村发展一个护士主导的生殖健康流动保健单位：促进教师实践和学生培训的机会。

IF 1.6 4区医学

Journal of the American Association of Nurse Practitioners Pub Date : 2025-10-01 DOI: 10.1097/JXX.0000000000001127

Carol Sieck, Kelly D Rosenberger, Summer Roeschley-Park, Laura Monahan, Carolyn Dickens

{"title":"Developing a nurse-led reproductive health mobile health unit in rural Illinois: Opportunity to promote faculty practice and student training.","authors":"Carol Sieck, Kelly D Rosenberger, Summer Roeschley-Park, Laura Monahan, Carolyn Dickens","doi":"10.1097/JXX.0000000000001127","DOIUrl":"10.1097/JXX.0000000000001127","url":null,"abstract":"Abstract: Mobile health units (MHUs) in the United States have grown to over 3,000 nationwide, increasing health care access and equity to underserved communities. Although MHUs have demonstrated improved patient outcomes, there is a lack of literature on partnering with nursing colleges and their faculty. This report will share how a college of nursing and their office of faculty practice and partnerships in a large midwestern state university implemented a nurse-led MHU to deliver reproductive health care to rural communities in central Illinois, incorporating advanced practice registered nurses (APRNs) faculty and graduate nursing students. Point-of-care screening for sexually transmitted infections (STIs) was the focus due to Centers of Disease Control and Prevention reports of more than 2.5 million cases of chlamydia, gonorrhea, and syphilis threatening the health of women and babies. Central Illinois was the selected region due to high rates of poverty, teen pregnancy, crime, and incidence of STIs. With few reported MHUs in this region, there was a health care desert for reproductive care. This partnership between a college of nursing and their APRN faculty, graduate nursing students, and underserved patients offered a mutually beneficial opportunity for improved health equity and access to reproductive care.","PeriodicalId":17179,"journal":{"name":"Journal of the American Association of Nurse Practitioners","volume":" ","pages":"569-572"},"PeriodicalIF":1.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12459131/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143780430","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The brushstrokes of scholarship: Special emphasis on writing with references. 学术的笔触：特别强调有参考文献的写作。

IF 1.6 4区医学

Journal of the American Association of Nurse Practitioners Pub Date : 2025-10-01 DOI: 10.1097/JXX.0000000000001175

Kristopher J Jackson, Rodney W Hicks

引用次数: 0

Shedding the white coat to reclaim nursing's identity beyond medical mimicry. 脱下白大褂，在医学模仿之外重塑护理的身份。

IF 1.6 4区医学

Journal of the American Association of Nurse Practitioners Pub Date : 2025-10-01 DOI: 10.1097/JXX.0000000000001188

Trae Stewart

{"title":"Shedding the white coat to reclaim nursing's identity beyond medical mimicry.","authors":"Trae Stewart","doi":"10.1097/JXX.0000000000001188","DOIUrl":"https://doi.org/10.1097/JXX.0000000000001188","url":null,"abstract":"Abstract: The white coat has become a contested symbol in nursing-a garment once exclusive to medicine that now reflects deeper tensions about professional identity, legitimacy, and visual authority. Although some nurses wear it out of practicality or institutional policy, its broader adoption risks reinforcing hierarchies that devalue nursing's distinct epistemology, which emphasizes relational, experiential, and embodied care. Drawing from critical theory, poststructuralism, and postmodernism, this essay explores how the white coat perpetuates colonial mimicry and epistemic violence by aligning nursing with a model of clinical detachment and scientific supremacy. Through both historical analysis and personal reflection, the author examines how uniform symbolism affects nurse-patient dynamics, role clarity, and self-perception. Practical counterarguments-including hygiene, patient trust, and professional image-are acknowledged and addressed. The essay ultimately advocates for context-specific attire and meaningful professional rituals, such as pinning ceremonies and value-based tokens. These alternatives better align with nursing's pluralistic philosophy and can empower nurses to define their visual and symbolic identity on their own terms. Letting go of the white coat is not a dismissal of professionalism but an invitation to reimagine it through the lens of care, justice, and authenticity.","PeriodicalId":17179,"journal":{"name":"Journal of the American Association of Nurse Practitioners","volume":"37 10","pages":"529-532"},"PeriodicalIF":1.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145206551","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}

引用次数: 0

Nurse practitioner preceptors' perceived facilitators and barriers to precepting. 护士执业辅导员感知的促进因素和障碍。

IF 1.6 4区医学

Journal of the American Association of Nurse Practitioners Pub Date : 2025-10-01 DOI: 10.1097/JXX.0000000000001205

引用次数: 0

Nurse practitioner preceptors' perceived facilitators and barriers to precepting. 护士执业辅导员感知的促进因素和障碍。

IF 1.6 4区医学

Journal of the American Association of Nurse Practitioners Pub Date : 2025-10-01 DOI: 10.1097/JXX.0000000000001167

Heather Wiggins, Rebecca Martinez, Heather Franklin, Cynthia K Perry

{"title":"Nurse practitioner preceptors' perceived facilitators and barriers to precepting.","authors":"Heather Wiggins, Rebecca Martinez, Heather Franklin, Cynthia K Perry","doi":"10.1097/JXX.0000000000001167","DOIUrl":"10.1097/JXX.0000000000001167","url":null,"abstract":"Background: Preceptors are an integral part of nurse practitioner (NP) education; they mentor students and facilitate experiential learning in the clinical setting. Understanding factors that motivate clinicians to serve as preceptors can inform recruitment and retention of preceptors.Purpose: To understand factors that motivate and challenge clinicians to choose to precept NP students.Methodology: A survey was emailed to preceptors of NP students asking them to rate the importance of factors on a scale from not at all important (1) to extremely important (5) in influencing their decision to precept. Factors were categorized into five domains: university process, finance/time/productivity, recognition, certification/education, and intrinsic/other. Descriptive statistics were calculated.Results: Seventy-three of 224 preceptors responded (33% response rate). Highly rated motivating factors included having the role of preceptor clearly defined (mean = 4.00, SD = 1.01), coworkers support (mean = 4.07, SD = 0.91), and enjoying precepting NP students (Mean = 4.32, SD = 0.72). Lowest rated motivating factors include faculty presence during site visit (Mean = 2.74, SD = 1.11), financial renumeration (M = 2.13, SD = 1.38), and receiving gifts (mean = 1.66, SD = 0.98).Conclusion: Our findings indicate having coworkers who are supportive of their role as a preceptor, and clearly defined roles are more important than financial renumeration and faculty site visits.Implications for practice: Building relationships with staff, administrators, and preceptors could strengthen academic-clinical partnerships resulting in an environment supportive of precepting NP students. Faculty may be able to reduce travel to clinic sites by communicating more frequently through email or telephone.","PeriodicalId":17179,"journal":{"name":"Journal of the American Association of Nurse Practitioners","volume":" ","pages":"550-557"},"PeriodicalIF":1.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12459130/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144649720","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Nurse practitioner recall of Men's health content in nurse practitioner program curricula. 执业护士回顾男性健康内容在执业护士计划课程。

IF 1.6 4区医学

Journal of the American Association of Nurse Practitioners Pub Date : 2025-10-01 DOI: 10.1097/JXX.0000000000001132

Susanne Quallich, Robert Calimente, Lorraine M Novosel

{"title":"Nurse practitioner recall of Men's health content in nurse practitioner program curricula.","authors":"Susanne Quallich, Robert Calimente, Lorraine M Novosel","doi":"10.1097/JXX.0000000000001132","DOIUrl":"10.1097/JXX.0000000000001132","url":null,"abstract":"Background: This study explored nurse practitioner (NP) recall relative to men's urology/sexual/reproductive health content in NP educational programs, which often require separate women's health content.Purpose: This study explored practicing NPs' recall of (1) curricula content relative to men's urology/sexual/reproductive health topics and (2) specific physical examination and laboratory interpretation content relative to men's urology, sexual, and reproductive health topics.Methodology: This exploratory study used a cross-sectional, descriptive design. A convenience sample of NPs working with adult male patients were recruited among attendees of the 2023 American Association of Nurse Practitioners (AANP) National Conference. Respondents completed a one-time, anonymous, online survey assessing recall of the amount of time dedicated to learning about various men's urologic/sexual/reproductive health issues.Results: Ninety NPs completed the survey, averaging 9.9 ± 6.9 years in practice. 84% of participants felt that their NP program offered more content focused on women's health care needs compared with men's health content. Using a 0 (not prepared) to 10 (thoroughly prepared) Likert scale for a response to \"How well do you feel your NP program prepared you to manage the specific health care needs of,\" the average was 4.1 for men and 6.9 for women.Conclusions: This is the first project to quantify men's health topics as part of the NP curriculum, creating groundwork for discussion of apparent disparity in gender-specific curricula content and a potential gap in NP knowledge relative to men's urologic/sexual/reproductive health issues.Implications: These results suggest a need for a formalized men's health curriculum to complement the women's health curriculum present in most NP programs.","PeriodicalId":17179,"journal":{"name":"Journal of the American Association of Nurse Practitioners","volume":" ","pages":"541-549"},"PeriodicalIF":1.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144078826","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}

引用次数: 0