Journal of the American Association of Nurse Practitioners最新文献

Methods and lessons from conducting a national study of primary care nurse practitioners. 开展全国初级保健护士从业人员研究的方法和经验教训。

IF 1.2 4区医学

Journal of the American Association of Nurse Practitioners Pub Date : 2025-06-01 DOI: 10.1097/JXX.0000000000001131

Joshua Porat-Dahlerbruch, Madison Horton, Kathleen Flandrick, Kyle Featherston, Lusine Poghosyan, Grant Martsolf

{"title":"Methods and lessons from conducting a national study of primary care nurse practitioners.","authors":"Joshua Porat-Dahlerbruch, Madison Horton, Kathleen Flandrick, Kyle Featherston, Lusine Poghosyan, Grant Martsolf","doi":"10.1097/JXX.0000000000001131","DOIUrl":"10.1097/JXX.0000000000001131","url":null,"abstract":"Background: Researchers often rely on survey data to assess quality, cost, and outcomes of nurse practitioner (NP) care delivery. Achieving sufficient response rates with traditional survey methods (email, mail, phone calls) has become increasingly challenging. Moreover, survey data collection requires significant financial and labor resources, calling into question the efficiency of current approaches to survey data collection.Purpose: This study aims to describe survey data collection from a national sample of primary care NPs caring for persons living with dementia and discuss the methods and response rate in the context of challenges conducting survey-based research.Methodology: This was a cross-sectional survey conducted from November 2021 to October 2023 in 3 waves using a modified Dillman approach. The first wave was sent through physical mailings, and the second wave through email. After low response rates, the sampling frame was updated to include NPs not originally captured in the sampling frame.Results: The sampling frame included 11,518 NPs. Between 3 data collection waves, 3 survey mailings with 8 postcard reminders and 2 email surveys with 12 email reminders were sent. The response rate was 16.4% ( N = 968).Conclusion: Data collection took over 2 years as the approaches were modified due to low response. By the time addresses were obtained and surveys sent, it was likely that many addresses were no longer accurate. Our response rate is consistent with declining survey response rates among other health professions.Implications: Survey research may require more efficient data collection methods, such as targeted social media advertisements.","PeriodicalId":17179,"journal":{"name":"Journal of the American Association of Nurse Practitioners","volume":" ","pages":"342-351"},"PeriodicalIF":1.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144010374","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

Genomics: 40 years and beyond. 基因组学：40年及以后。

IF 1.2 4区医学

Journal of the American Association of Nurse Practitioners Pub Date : 2025-06-01 DOI: 10.1097/JXX.0000000000001145

Kenneth Wysocki, Diane Seibert

引用次数: 0

Do transition to practice hour requirements make a difference in adverse action and medical malpractice payment reports: An analysis from the National Practitioner Data Bank. 在不良行为和医疗事故支付报告中，过渡到执业时间要求是否会产生差异：来自国家执业者数据库的分析。

IF 1.2 4区医学

Journal of the American Association of Nurse Practitioners Pub Date : 2025-06-01 DOI: 10.1097/JXX.0000000000001091

Deborah Dillon

{"title":"Do transition to practice hour requirements make a difference in adverse action and medical malpractice payment reports: An analysis from the National Practitioner Data Bank.","authors":"Deborah Dillon","doi":"10.1097/JXX.0000000000001091","DOIUrl":"10.1097/JXX.0000000000001091","url":null,"abstract":"Background: The transition to practice (TTP) hour requirement presents a barrier to full practice authority (FPA) for nurse practitioners (NPs). Since 2015, the predominant method of granting FPA entails a TTP hour requirement.Purpose: Adverse action reports (AARs) and medical malpractice payment reports (MMPRs) of NPs were compared in states with FPA on initial licensure and states with FPA requiring a TTP hour period using data from the National Practitioner Data Bank (NPDB). The relationship of TTP hours to AARs and MMPRs was also evaluated.Methodology: A secondary analysis was obtained from a review of retrospective data in the NPDB. States examined were those that grant FPA on initial advanced practice registered nurse licensure and states that require a TTP hour requirement as part of their criteria for granting FPA.Results: In a 5-year period, postimplementation of FPA or 5-year postexpiration of the TTP requirement in 23 states, plus the District of Columbia, revealed that states with FPA granted on initial licensure demonstrated a lower incidence of AARs and MMPRs at the 5-year period compared with states that require a TTP hour period. No relationship existed between the amount of TTP hours and the incidence of AARs and MMPRs.Conclusion: Transition to practice hours remains a barrier to NPs achieving FPA. It is important for nursing to continue to build the body of evidence that refutes or supports the need for TTP hours.Implications: These data can be used when lobbying at the state level in the remaining states seeking FPA.","PeriodicalId":17179,"journal":{"name":"Journal of the American Association of Nurse Practitioners","volume":"37 6","pages":"327-333"},"PeriodicalIF":1.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12118611/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144208848","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

A multistate analysis of nurse practitioner delegation regulations. 多州执业护士授权法规分析。

IF 1.2 4区医学

Journal of the American Association of Nurse Practitioners Pub Date : 2025-06-01 DOI: 10.1097/JXX.0000000000001121

John D Gonzalez, Kristin H Gigli

{"title":"A multistate analysis of nurse practitioner delegation regulations.","authors":"John D Gonzalez, Kristin H Gigli","doi":"10.1097/JXX.0000000000001121","DOIUrl":"10.1097/JXX.0000000000001121","url":null,"abstract":"Background: Nurse practitioners (NPs) are essential to meeting the demand for primary care and improving quality. Variation in primary care work environment has implications for outcomes. One opportunity to better support NP practice includes increasing NP access to support staff. However, given statutory regulation of NP's ability to delegate to unlicensed personnel, there may be limited effect of these interventions.Purpose: To describe state regulations on NP delegation to unlicensed personnel and consider implications of NP delegation regulations on opportunities to improve NP work environment.Methodology: We conducted a cross-sectional, six state policy surveillance of state nursing regulations related to NP delegation to unlicensed personnel. Using an iterative data identification process, we review of documents from six state boards of nursing. Analysis included nominal and textual data.Results: Five states prohibited NPs from delegating medication administration to unlicensed personnel. One state permitted delegation of mediation administration to unlicensed personnel but only in community settings.Conclusions: Delegation limitations prevent NPs from practicing to the full extent of their education. Nurse practitioners must be aware of the delegation regulations when working with unlicensed personnel to prevent disciplinary actions. Nurse practitioner-specific delegation regulations can facilitate greater use of unlicensed personnel in NP-led primary care.Implications: Boards of Nursing should consider NP delegation regulations that promote public safety, minimize unintended consequences, and increase access to NP-led primary care.","PeriodicalId":17179,"journal":{"name":"Journal of the American Association of Nurse Practitioners","volume":" ","pages":"334-341"},"PeriodicalIF":1.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143623487","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

A comparative analysis of nurse practitioner, physician associate, and physician malpractice risk. 执业护士、医师助理和医师渎职风险的比较分析。

IF 1.2 4区医学

Journal of the American Association of Nurse Practitioners Pub Date : 2025-06-01 DOI: 10.1097/JXX.0000000000001119

Julie Higden, Hannah Tremont, Michael Paskavitz Ba

{"title":"A comparative analysis of nurse practitioner, physician associate, and physician malpractice risk.","authors":"Julie Higden, Hannah Tremont, Michael Paskavitz Ba","doi":"10.1097/JXX.0000000000001119","DOIUrl":"https://doi.org/10.1097/JXX.0000000000001119","url":null,"abstract":"Abstract: Candello, the national medical professional liability (MPL) data collaborative of CRICO, the medical malpractice insurer for all Harvard medical institutions and their affiliates undertook a comprehensive retrospective analysis to evaluate malpractice risk associated with the increasing number of nurse practitioners (NPs) and physician associates (PAs) in the health care workforce. The report analyzed 65,754 asserted MPL cases and 69,782 closed MPL cases between 2012 and 2021 to compare those involving NPs and PAs to those involving medical doctors (MDs). Despite increasing use of NPs and PAs, there was no observed increase in the proportion of MPL claims involving these practitioners. The analysis also includes the differences in case characteristics by provider type, including contributing factors, clinical severity, and location. The data showed no significant differences in medical malpractice risk between NPs, PAs, and MDs based on the analysis of these characteristics. However, these data show the likelihood of indemnity, and the average paid is higher in cases involving multiple providers.","PeriodicalId":17179,"journal":{"name":"Journal of the American Association of Nurse Practitioners","volume":"37 6","pages":"323-326"},"PeriodicalIF":1.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144208845","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

Methods and lessons from conducting a national study of primary care nurse practitioners. 开展全国初级保健护士从业人员研究的方法和经验教训。

IF 1.2 4区医学

Journal of the American Association of Nurse Practitioners Pub Date : 2025-06-01 DOI: 10.1097/JXX.0000000000001148

引用次数: 0

Nurse practitioner owners: The front lines of primary care. 护士从业业主：初级保健的第一线。

IF 1.2 4区医学

Journal of the American Association of Nurse Practitioners Pub Date : 2025-06-01 DOI: 10.1097/JXX.0000000000001150

Jonathan Goldberg, Nisha Dholakia, Wendy Wright, Alicia Ortiz

引用次数: 0

The American Association of Nurse Practitioners: Affecting nurse practitioners in developing countries. 美国执业护士协会：影响发展中国家的执业护士。

IF 1.2 4区医学

Journal of the American Association of Nurse Practitioners Pub Date : 2025-06-01 DOI: 10.1097/JXX.0000000000001155

Heather McGrath

引用次数: 0

Improving cervical cancer screening rates at a Federally Qualified Health Center. 提高联邦合格医疗中心的宫颈癌筛查率。

IF 1.2 4区医学

Journal of the American Association of Nurse Practitioners Pub Date : 2025-06-01 DOI: 10.1097/JXX.0000000000001118

Lauren A McCann, Marjorie Kozlowski, Michelle Martinez

{"title":"Improving cervical cancer screening rates at a Federally Qualified Health Center.","authors":"Lauren A McCann, Marjorie Kozlowski, Michelle Martinez","doi":"10.1097/JXX.0000000000001118","DOIUrl":"10.1097/JXX.0000000000001118","url":null,"abstract":"Background: Cervical cancer is the fourth most common cancer in women. Early detection with screening methods can help to prevent mortality.Local problem: Cervical cancer screening is below national standards at a Midwest Federally Qualified Health Center and may compromise future funding. A manual chart review of cervical cancer screening was compared with an electronic health record-generated report and found results from outside facilities accounted for 27% of the metric's underperformance. This quality improvement project aimed to improve the Uniform Data System performance for cervical cancer screening at a specific health center from 46.3% to 79.2% by July 2024.Methods: Implementation, guided by the Improvement Model and Lewin's Change Theory, included (1) analysis of cervical cancer screening underperformance, (2) sharing data with key stakeholders, and (3) creating tip sheets for chart reconciliation.Interventions: Interventions consisted of (1) auditing and reconciling charts from Epic's generated reports, (2) modifying the frequency of or discontinuing Pap smears, (3) updating surgical history to reflect hysterectomy type, and (4) sending scheduling outreach messages.Results: As of March 2024, cervical cancer screening 2023 percentages increased by ≥9% for each quarter and by 8.7% for year-to-date at the Midwest health center. The quality metric's quarter 1 and 2, 2024 data increased by 4% and 3% as of July 2024.Conclusions: Although the target goal was not reached in the designated time frame, the percentage increase proves that implementation of a chart reconciliation workflow can improve rates for cervical cancer screening at a Federally Qualified Health Center.","PeriodicalId":17179,"journal":{"name":"Journal of the American Association of Nurse Practitioners","volume":" ","pages":"361-366"},"PeriodicalIF":1.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143567481","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

Homelessness in female veterans: A phenomenological study of perceived precipitating factors. 女退伍军人的无家可归：感知诱发因素的现象学研究。

IF 1.2 4区医学

Journal of the American Association of Nurse Practitioners Pub Date : 2025-06-01 DOI: 10.1097/JXX.0000000000001113

Jennifer L Sipe, Janice M Beitz

{"title":"Homelessness in female veterans: A phenomenological study of perceived precipitating factors.","authors":"Jennifer L Sipe, Janice M Beitz","doi":"10.1097/JXX.0000000000001113","DOIUrl":"10.1097/JXX.0000000000001113","url":null,"abstract":"Background: Although researchers have examined health issues among women veterans, the phenomenological study of homeless women veterans is limited.Purpose: A qualitative, phenomenological approach was used to describe the experience and context of homelessness and perceived related factors including military sexual trauma and adverse childhood experiences (ACEs).Methodology: Twelve female veterans living in Veterans Administration (VA)-sponsored transitional housing participated in interviews that were analyzed using Colaizzi phenomenological analytic method and N-Vivo.Results: Nine major themes emerged: family dysfunction (family origin instability, family instability during and after military service), lifespan abuse, history of ACEs, military sexual trauma (MST), absurd MST reporting structure, hidden homelessness, substance misuse, poor chronic illness self-care (including mental illness), and lost expectations. Related subthemes were also derived.Conclusions: Findings suggest that older homeless female veterans are a vulnerable group as they can describe a lifetime of maladaptive behaviors and, at points, are \"paralyzed\" cognitively with critical decision making and lack of self-advocacy. Major precipitating factors for homelessness were military sexual abuse, substance misuse, and acute episodes of neglected chronic illnesses. Homelessness did not occur immediately after military service; it was usually 20-30 years afterward.Implications: Implications for care include advanced practice nurse practitioner awareness of need to advocate for female veterans, and that multiple interacting vulnerabilities make them a complex population. Wraparound services targeting the female veteran and her family are crucial.","PeriodicalId":17179,"journal":{"name":"Journal of the American Association of Nurse Practitioners","volume":" ","pages":"354-360"},"PeriodicalIF":1.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144026894","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