Journal of the American Association of Nurse Practitioners最新文献_第2页

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

Bronchoesophageal-spinal fistula development in a patient with thyroid cancer. 甲状腺癌患者支气管食管-脊柱瘘的发展。

IF 1.6 4区医学

Journal of the American Association of Nurse Practitioners Pub Date : 2025-10-01 DOI: 10.1097/JXX.0000000000001166

Andrew Zhu, Leon L Chen, Jing Tao

引用次数: 0

Integration of point-of-care ultrasound in a nurse practitioner-led heart failure clinic. 在执业护士领导的心力衰竭诊所中整合护理点超声波。

IF 1.6 4区医学

Journal of the American Association of Nurse Practitioners Pub Date : 2025-10-01 DOI: 10.1097/JXX.0000000000001090

Christina Light Craigo, Theresa Brown, Ilan Kedan, Deborah Koniak-Griffin, Holli A DeVon

{"title":"Integration of point-of-care ultrasound in a nurse practitioner-led heart failure clinic.","authors":"Christina Light Craigo, Theresa Brown, Ilan Kedan, Deborah Koniak-Griffin, Holli A DeVon","doi":"10.1097/JXX.0000000000001090","DOIUrl":"10.1097/JXX.0000000000001090","url":null,"abstract":"Background: Despite improved survival, one in five patients with heart failure (HF) is readmitted within 30 days of discharge. Assessing fluid status is challenging, with an estimated 50% accuracy when relying on physical examination alone. Pulmonary congestion is a risk factor for readmission and can manifest weeks before symptoms occur.Purpose: To conduct a pilot study to assess for pleural effusion with point-of-care ultrasound (POCUS) and to evaluate inferior vena cava (IVC) noncollapsibility as a marker of volume status.Methods: A convenience sample of adults with HF ( n = 21) were seen in a nurse practitioner (NP)-led postdischarge clinic within 12 days of hospitalization. The setting was a large tertiary care hospital. Inclusion criteria were patients with an HF diagnosis and Medicare insurance. The NP measured IVC diameter, assessed for collapsibility, and examined pleural cavities using a VSCAN POCUS device. Data were analyzed descriptively.Results: Pleural effusions were identified in three (14.3%) patients with POCUS and referred for thoracentesis. Inferior vena cava was noncollapsible in 5 (23.8%) patients; each of these patients required intervention for volume overload.Conclusions: Point-of-care ultrasound can be used by NPs to identify patients with pleural effusions who may benefit from thoracentesis. Inferior vena cava noncollapsibility may be a predictor for volume overload.Implications: Point-of-care ultrasound equips NPs with an extra tool to effectively manage HF.","PeriodicalId":17179,"journal":{"name":"Journal of the American Association of Nurse Practitioners","volume":" ","pages":"535-540"},"PeriodicalIF":1.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142583255","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

Social driver opportunities in clinical practice and leadership roles. 临床实践和领导角色的社会驱动机会。

IF 1.6 4区医学

Journal of the American Association of Nurse Practitioners Pub Date : 2025-10-01 DOI: 10.1097/JXX.0000000000001172

Roseann Velez

引用次数: 0

Knowledge, confidence, and behavioral changes after an Alzheimer's disease continuing education program for nurse practitioners. 护士从业人员阿尔茨海默病继续教育项目后的知识、信心和行为改变。

IF 1.6 4区医学

Journal of the American Association of Nurse Practitioners Pub Date : 2025-10-01 DOI: 10.1097/JXX.0000000000001136

Patty Scalzo, Carolyn Clevenger, Valerie Cotter

{"title":"Knowledge, confidence, and behavioral changes after an Alzheimer's disease continuing education program for nurse practitioners.","authors":"Patty Scalzo, Carolyn Clevenger, Valerie Cotter","doi":"10.1097/JXX.0000000000001136","DOIUrl":"10.1097/JXX.0000000000001136","url":null,"abstract":"Abstract: Alzheimer's disease (AD) is a progressive, neurodegenerative disorder that currently affects an estimated 6.9 million people in the United States. Despite the growing prevalence of AD, management of this common condition remains suboptimal. To address knowledge and practice gaps related to cognitive evaluation and Alzheimer's diagnosis and treatment, the American Association of Nurse Practitioners (NPs) developed a 1.5-contact hour NP-focused continuing education (CE) program on AD. Changes in learner knowledge, competence, and confidence were assessed with preactivity and postactivity surveys; qualitative follow-up interviews were conducted to evaluate retention of CE material and behavior changes. In total, 4,793 learners (NPs, 93.6%) who completed the activity and self-reported providing patient care were included in the outcomes analysis. In the pre-activity assessment, notable knowledge and competence deficiencies were identified related to the diagnosis, classification, and pharmacotherapeutic management of AD. The CE activity was associated with significant improvements in knowledge and competence, with a 20-percentage point increase in correct response rate from the pre-activity to post-activity survey ( p < .001). Learner confidence in their ability to perform key clinical tasks related to Alzheimer's management also improved. Twelve NPs participated in follow-up interviews; most reported that the CE activity reinforced their current practices. Despite improvements in knowledge and competence, certain knowledge gaps persisted, and learners identified several ongoing barriers to optimal management, including lack of access to specialists. Given the changing Alzheimer's landscape, ongoing educational interventions targeted to the NP workforce are needed to serve the growing population of adults at risk for AD.","PeriodicalId":17179,"journal":{"name":"Journal of the American Association of Nurse Practitioners","volume":" ","pages":"560-568"},"PeriodicalIF":1.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144016540","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

Patient perception of nurse practitioner care, nurse practitioner scope of practice, and how that influences provider choice. 患者对执业护士护理的感知，执业护士的执业范围，以及如何影响提供者的选择。

IF 1.6 4区医学

Journal of the American Association of Nurse Practitioners Pub Date : 2025-09-26 DOI: 10.1097/JXX.0000000000001204

Naomi Hemp, Lisa Walker-Vischer, Jordan Rose

{"title":"Patient perception of nurse practitioner care, nurse practitioner scope of practice, and how that influences provider choice.","authors":"Naomi Hemp, Lisa Walker-Vischer, Jordan Rose","doi":"10.1097/JXX.0000000000001204","DOIUrl":"https://doi.org/10.1097/JXX.0000000000001204","url":null,"abstract":"Background: California is experiencing a shortage of primary care providers, contributing to delayed access and inappropriate emergency department utilization. Although recent legislation is moving nurse practitioners (NPs) toward full practice authority, public misconceptions about their scope may hinder their effective integration into the primary care workforce.Purpose: This study aims to assess patient perception of NP care versus physician care, patient understanding of NP scope of practice, and how those perceptions influence provider choice. Findings can help inform legislative and clinical decisions regarding NP autonomy in California.Methodology: A cross-sectional design gathering quantitative data by a one-time anonymous Qualtrics survey was disseminated.Results: The sample (N = 24) was predominantly female (75%), aged 30-49 years (50%), White (75%), and non-Hispanic/Latino (66.67%), with 45.83% holding a master's degree or higher. A paired samples t-test showed significantly more favorable perceptions of care by NPs (M = 4.76, SD = 0.33) than MDs (M = 4.42, SD = 0.67), t(22) = -2.85, p = .009, d = 0.59. Regression analyses showed no significant demographic predictors. Substantial gaps in knowledge of NP scope and legislation were identified.Conclusion: Findings suggest NPs are perceived favorably relative to physicians; however, limited public understanding of NP scope of practice underscores the need for targeted educational initiatives. Although demographic variables were not significant predictors, future longitudinal research with larger, more diverse samples is essential to substantiate these findings and inform evidence-based policy development.Implication: Expanding public understanding of NP roles is essential to support policy changes and optimize primary care access and delivery.","PeriodicalId":17179,"journal":{"name":"Journal of the American Association of Nurse Practitioners","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145149577","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

Reimagining primary care delivery: Evaluation of nurse practitioner-owned primary care practices. 重新构想初级保健服务：对护士从业人员拥有的初级保健实践的评估。

IF 1.6 4区医学

Journal of the American Association of Nurse Practitioners Pub Date : 2025-09-11 DOI: 10.1097/JXX.0000000000001192

Alicia Korpi Ortiz, Wendy Wright, Joan Romboli

{"title":"Reimagining primary care delivery: Evaluation of nurse practitioner-owned primary care practices.","authors":"Alicia Korpi Ortiz, Wendy Wright, Joan Romboli","doi":"10.1097/JXX.0000000000001192","DOIUrl":"https://doi.org/10.1097/JXX.0000000000001192","url":null,"abstract":"Background: Nurse practitioner (NP)-owned practices play a growing role in primary care, especially in underserved communities. Although states with full practice authority (FPA) have seen increased NP self-employment and improved care access, little is known about the operational realities and challenges of NP-owned, insurance-based practices.Purpose: This study aims to characterize NP-owned primary care practices, focusing on access, service delivery, financial sustainability, and challenges unique to NP practice ownership.Methodology: A concurrent mixed-methods design combined survey responses (n = 19) with electronic health record data from NP-owned practices across six FPA states.Results: Most practices were solo owned, women/minority led, and fee-for-service dominant. Nearly 90% offered telehealth and same-day appointments, with average panel sizes of 867 patients-smaller than national averages. Despite high levels of patient access, challenges included inadequate reimbursement (79%), administrative burden (74%), and limited value-based care (VBC) participation. More than one third reported financial instability, and 84% expressed confidence in long-term sustainability.Conclusions: Nurse practitioner-owned practices deliver accessible, patient-centered care in underserved areas but face systemic barriers to scalability and financial sustainability.Implications: Nurse practitioner-owned practices enhance health care access but face financial and administrative barriers. Nurse practitioner-owned practices are well positioned to meet the growing primary care needs, but changes to support equitable reimbursement and expand VBC participation are essential for sustainability.","PeriodicalId":17179,"journal":{"name":"Journal of the American Association of Nurse Practitioners","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145033603","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

Exploring the impact of organizational belonging on nurse practitioners workforce well-being and team outcomes. 探索组织归属感对护士从业人员劳动力幸福感和团队成果的影响。

IF 1.6 4区医学

Journal of the American Association of Nurse Practitioners Pub Date : 2025-09-08 DOI: 10.1097/JXX.0000000000001201

Debra Guss, Ray B Gannon, Yilei Yang, Simon Paul P Navarro, Allison A Norful

{"title":"Exploring the impact of organizational belonging on nurse practitioners workforce well-being and team outcomes.","authors":"Debra Guss, Ray B Gannon, Yilei Yang, Simon Paul P Navarro, Allison A Norful","doi":"10.1097/JXX.0000000000001201","DOIUrl":"https://doi.org/10.1097/JXX.0000000000001201","url":null,"abstract":"Background: Nurse Practitioners (NPs) are integral to addressing the evolving demands of health care, delivering high-quality, cost-effective care across diverse settings. Despite their critical role, research exploring the impact of organizational belonging on NPs' job satisfaction, burnout, and retention remains limited.Purpose: The purpose of the study was to explore the association between organizational practice environment and organizational belonging for NPs who work across all practice environments.Methodology: This is a cross-sectional, descriptive study surveying NP's across primary, acute, and specialty care areas. Multiple validated instruments were used to scale organizational practice environment, NP organizational belonging, provider comanagement, burnout, job satisfaction, mental health, and intention to leave one's job.Results: Among 73 respondents, organizational climate significantly influenced NP belonging (β = 1.14, p = .001) and job satisfaction (β = -2.06, p = .002). Organizational belonging was associated with job satisfaction (β = -2.06, p = .010), comanagement (β = 1.87, p = .045), and burnout (β = -3.45, p = .001).Implications: To enhance NP job satisfaction, health care organizations should prioritize fostering a sense of belonging. Key strategies include promoting role clarity, supporting collaborative practice, and involving NPs in leadership and decision-making processes.Conclusions: The lack of institutional belonging among NPs is a complex issue influenced by workplace dynamics, role recognition, and organizational culture. Addressing these factors is essential for improving NP retention, job satisfaction, and overall workforce well-being.","PeriodicalId":17179,"journal":{"name":"Journal of the American Association of Nurse Practitioners","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145015671","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

Factors influencing job satisfaction of nurse practitioners in US nursing homes. 影响美国养老院护士从业人员工作满意度的因素。

IF 1.6 4区医学

Journal of the American Association of Nurse Practitioners Pub Date : 2025-08-29 DOI: 10.1097/JXX.0000000000001200

Kimberly Posey, Jennifer Kim, Susan Mullaney, Abby Parish, Connie S Cole

{"title":"Factors influencing job satisfaction of nurse practitioners in US nursing homes.","authors":"Kimberly Posey, Jennifer Kim, Susan Mullaney, Abby Parish, Connie S Cole","doi":"10.1097/JXX.0000000000001200","DOIUrl":"https://doi.org/10.1097/JXX.0000000000001200","url":null,"abstract":"Background: Nurse practitioners (NPs) play a vital role in US nursing homes, providing medical management, improving care coordination, reducing hospitalizations, and addressing physician shortages. Understanding factors influencing NP job satisfaction is essential for workforce retention and sustaining quality care in these complex settings.Purpose: To describe factors influencing job satisfaction among NPs working in US nursing homes.Methodology: A descriptive, cross-sectional web-based survey was conducted between April and August 2024 using the Misener Nurse Practitioner Job Satisfaction Scale, a validated 44-item instrument based on Herzberg dual-factor theory. Participants were recruited through the Gerontological Advanced Practice Nurses Association and social media. The survey assessed satisfaction across six domains, including autonomy, collegiality, and professional growth.Results: Among 157 participants, 75.1% held a master's degree and 22.9% a Doctor of Nursing Practice. The mean global satisfaction score was 4.4 (SD = 1.0) on a 6-point scale. Nurse practitioners reported the highest satisfaction with autonomy, challenge in work, and professional relationships with supervisors and colleagues. Areas of lower satisfaction included compensation for duties outside regular responsibilities, involvement in research, time for professional service, and administrative support.Conclusions: Nurse practitioners reported moderate to high satisfaction, especially with clinical autonomy and patient care. Addressing gaps in compensation, administrative support, and professional development could strengthen retention and improve care quality in nursing homes.Implications: Health care leaders should prioritize supportive work environments and expand professional growth opportunities to retain NPs and ensure quality care for aging populations.","PeriodicalId":17179,"journal":{"name":"Journal of the American Association of Nurse Practitioners","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144958627","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

Recognizing nurse practitioners: Value beyond measure. 认可护士从业人员：价值超越衡量。

IF 1.6 4区医学

Journal of the American Association of Nurse Practitioners Pub Date : 2025-08-29 DOI: 10.1097/JXX.0000000000001199

Ida Twist, Amy Montgomery, Lorna Moxham

{"title":"Recognizing nurse practitioners: Value beyond measure.","authors":"Ida Twist, Amy Montgomery, Lorna Moxham","doi":"10.1097/JXX.0000000000001199","DOIUrl":"https://doi.org/10.1097/JXX.0000000000001199","url":null,"abstract":"Background: Nurses' contributions are central to health care but are often shaped and constrained by structural, cultural, and policy forces that limit how their value is understood. During the COVID-19 pandemic, Australian Nurse Practitioners (NPs) faced heightened demands for leadership and adaptability, yet many reported a lack of recognition and sustained visibility. This tension between contribution and recognition raises questions about how NP value is defined and legitimized.Purpose: This article explores the emergent concept of value as perceived and embodied by NPs during the pandemic. It offers an interpretive discussion of this existential theme, drawn from a broader phenomenological study of Australian NPs' lived experiences. Although based on that study, this article presents a focused philosophical and contextual analysis.Methodology: Guided by qualitative phenomenology, 16 hospital-based NPs were interviewed. Although three themes were identified in the broader study, this article centers on the interpretive thread of value.Findings: Participants described feeling systemically undervalued, with recognition frameworks narrowly focused on clinical productivity. They described how this conditional visibility affected their identity and perceived sustainability. Despite this, the participants expressed a deeper sense of value through their leadership, adaptability, and ability to cope under pressure, contributions that they felt were often overlooked or unacknowledged.Conclusions and implications: Current frameworks overlook the full scope of NP contribution. A broader understanding of value, beyond productivity and inclusive of the integrative nature of practice, is essential to enhance recognition, support sustainability, and enable meaningful system integration.","PeriodicalId":17179,"journal":{"name":"Journal of the American Association of Nurse Practitioners","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144958747","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