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

The use of artificial intelligence for graduate nursing education: An educational evaluation. 人工智能在护理研究生教育中的应用：教育评估。

IF 1.2 4区医学

Journal of the American Association of Nurse Practitioners Pub Date : 2024-09-01 DOI: 10.1097/JXX.0000000000001059

Michael D Bumbach, Jane M Carrington, Rene Love, Ragnhildur Bjarnadottir, Hwayoung Cho, Gail Keenan

{"title":"The use of artificial intelligence for graduate nursing education: An educational evaluation.","authors":"Michael D Bumbach, Jane M Carrington, Rene Love, Ragnhildur Bjarnadottir, Hwayoung Cho, Gail Keenan","doi":"10.1097/JXX.0000000000001059","DOIUrl":"10.1097/JXX.0000000000001059","url":null,"abstract":"Abstract: With artificial intelligence (AI) rapidly advancing, advanced practice nurses must understand and use it responsibly. Here, we describe an assignment in which Doctor of Nursing Practice (DNP) students learned to use generative text AI. Using our program and course outcomes, developed from the 2021 American Association of Colleges of Nursing (AACN) Essentials competency for DNP students to learn and use AI, we reviewed the literature seeking examples using ChatGPT for the DNP informatics course. No published examples existed to guide us toward infusing a ChatGPT assignment into the course. We developed a novel assignment that included a guide for students on how to use ChatGPT. Students were given time before the assignment to learn the AI/chatbot technology. They were then given the assignment and grading rubric. The assignment was to develop a tool for their current or future practice using ChatGPT. During the course faculty debrief, we learned that few students had questions and the assignment was clear. We also learned that students who sought to develop straightforward, uncomplicated patient tools succeeded with the technology. Those who sought to create something for complex patients had more challenges. Nursing education and practice will be influenced by the increasing prevalence of AI. This manuscript outlines an AI-based assignment for graduate nursing education intended for the students to become familiar with current AI and best practices for patient care. The assignment was well received by students. We plan to use it again in the next course offering.","PeriodicalId":17179,"journal":{"name":"Journal of the American Association of Nurse Practitioners","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141759449","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

Penny for your thoughts: Crafting an impactful opinion editorial. 用一分钱买你的想法：撰写有影响力的评论社论。

IF 1.2 4区医学

Journal of the American Association of Nurse Practitioners Pub Date : 2024-09-01 DOI: 10.1097/JXX.0000000000001057

Leon Chen, Charlie P Buscemi

引用次数: 0

A simulation educational intervention to enhance preclinical family nurse practitioner student preparation. 模拟教育干预，加强临床前家庭执业护士学生的准备。

IF 1.2 4区医学

Journal of the American Association of Nurse Practitioners Pub Date : 2024-09-01 DOI: 10.1097/JXX.0000000000001035

Tamara Link, April Braswell, Jacqueline Vaughn, Shannon Ford, Jason Payne, Erin Wax, Diane Parker, Colette Waddill, Coleen O'Brien, Kassandra Stoffer, Renata Conde-Zuege, Crystal Earp, Pamela Balogh, Sara Hubbell

{"title":"A simulation educational intervention to enhance preclinical family nurse practitioner student preparation.","authors":"Tamara Link, April Braswell, Jacqueline Vaughn, Shannon Ford, Jason Payne, Erin Wax, Diane Parker, Colette Waddill, Coleen O'Brien, Kassandra Stoffer, Renata Conde-Zuege, Crystal Earp, Pamela Balogh, Sara Hubbell","doi":"10.1097/JXX.0000000000001035","DOIUrl":"10.1097/JXX.0000000000001035","url":null,"abstract":"Abstract: Simulation has been shown to improve communication and psychometric skills in advanced practice nursing students. Little is known about the impact of a simulation educational intervention with a faculty-facilitated debriefing on the preparation of novice nurse practitioner students for their first clinical practicum. This article describes the development of an educational intervention to accomplish this. The simulation education intervention was implemented with preclinical nurse practitioner students designed to improve their preparation for their first precepted clinical experience. Students were surveyed preintervention and postintervention to explore their self-perception of confidence and preparation for clinicals looking at six domains: health history, physical examination, diagnostics, differentials, final diagnosis, and plan of care. Quantitative results were statistically significant for each domain. Qualitative findings gave deeper insight into the students' perceptions of how the intervention prepared them for clinicals. Advanced practice educators can use educational interventions such as this to prepare students for their first clinical practicums.","PeriodicalId":17179,"journal":{"name":"Journal of the American Association of Nurse Practitioners","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142133073","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 1-minute preceptor to improve diagnostic reasoning in a primary care nurse practitioner residency program. 在初级护理执业护士住院医师培训项目中，通过 1 分钟戒律来提高诊断推理能力。

IF 1.2 4区医学

Journal of the American Association of Nurse Practitioners Pub Date : 2024-09-01 DOI: 10.1097/JXX.0000000000001029

Kristin Kopelson, Shelly de Peralta, Nancy A Pike

{"title":"The 1-minute preceptor to improve diagnostic reasoning in a primary care nurse practitioner residency program.","authors":"Kristin Kopelson, Shelly de Peralta, Nancy A Pike","doi":"10.1097/JXX.0000000000001029","DOIUrl":"10.1097/JXX.0000000000001029","url":null,"abstract":"Background: The One-Minute Preceptor (OMP) model to teach diagnostic reasoning and Reporter, Interpreter, Manager, and Educator (RIME) framework to measure progress are used in physician training. Little is known about the use of these tools in nurse practitioner (NP) training.Local problem: Precepting NP trainees at the Veterans Affairs (VA) is not standardized. A standardized approach to precepting NP residency trainees using the OMP model and RIME scoring was evaluated for improvement and helpfulness.Methods: A quality-improvement project with two Plan-Do-Study-Act (PDSA) cycles were conducted over a 12-week period. Mean RIME scores, preceptor self-efficacy, and use of teaching skills were measured preintervention and postintervention. Data were analyzed using a paired sample t -test and descriptive statistics.Interventions: A convenience sample of preceptors and trainees was recruited from a large VA medical center. A 1-hour workshop educated preceptors with role playing and return demonstrations on OMP techniques and RIME scoring. The teachings were applied to standardize precepting and assess diagnostic reasoning. Trainee self-scoring and results triggered conversations to fulfil the identified gaps.Results: Mean RIME scores improved (1.62 [0.17] vs. 2.23 [0.38], p < .001) post 12-week intervention. Mean RIME scores improved between PDSA cycle 1 and cycle 2 (2.07 [0.25] vs. 2.48 [0.39], p < .001). Preceptors (91%) and trainees (100%) found the OMP model and RIME framework helpful.Conclusion: Use of the OMP improved diagnostic reasoning in NP trainees. The OMP and RIME framework provided standardization of precepting and trainee discussions on improvements.","PeriodicalId":17179,"journal":{"name":"Journal of the American Association of Nurse Practitioners","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141237816","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

Advancing nurse practitioner proficiency and confidence: An evaluation of postgraduate training in rural and medically underserved communities. 提高执业护士的能力和信心：对农村和医疗服务不足社区研究生培训的评估。

IF 1.2 4区医学

Journal of the American Association of Nurse Practitioners Pub Date : 2024-09-01 DOI: 10.1097/JXX.0000000000001067

引用次数: 0

Telemetry discontinuation education for Nurse Practitioners decreases hospital costs-A quality-improvement project. 针对执业护士的遥测中止教育可降低医院成本--质量改进项目。

IF 1.2 4区医学

Journal of the American Association of Nurse Practitioners Pub Date : 2024-08-06 DOI: 10.1097/JXX.0000000000001062

Christopher Rodriguez, Nicole Bianco, Theresa Bucco, Karen Collum, Sharon Patricia O'Neill, Daniel David

{"title":"Telemetry discontinuation education for Nurse Practitioners decreases hospital costs-A quality-improvement project.","authors":"Christopher Rodriguez, Nicole Bianco, Theresa Bucco, Karen Collum, Sharon Patricia O'Neill, Daniel David","doi":"10.1097/JXX.0000000000001062","DOIUrl":"https://doi.org/10.1097/JXX.0000000000001062","url":null,"abstract":"Background: Despite updated American Heart Association guidelines, interventions designed to reduce telemetry misuse are uncommon.Local problem: There was a systemic failure within the institution to adopt the most recent guidelines, resulting in poor use of resources and downstream costs.Methods: Case-control. Pre-post educational intervention, quality-improvement (QI) project in an urban academic cancer institution. Baseline telemetry usage was observed in 2,984 nonintensive inpatients in 21 hospital services over 6 months. Outcome measures were weekly telemetry usage in total minutes and cost savings based on a cost-predicted algorithm. Performance was compared between the intervention group and a control group for 3 months. Measures were compared using QI control charts and inferential statistics.Intervention: Three high-using telemetry services primarily staffed by certified nurse practitioners (CNPs) were provided with a telemetry education intervention. The intervention consisted of four ten-minute educational sessions over 2 weeks delivered to the highest three telemetry using services.Results: Forty-five providers received the educational intervention (78% CNPs and physician assistants [PAs] and 22% medical doctors [MDs]) and 272 did not (57% CNPs and PAs and 43% MDs). Only the educational intervention group showed measurable decreases shown by shifts in QI control charts. Decreased usage in the intervention group produced greater cost savings per patient when compared with the control group ($71.98 vs. $60.68), resulting in an estimated total annual cost savings of $94,740.Conclusions: Educational interventions for inpatient CNPs that reinforce national policies for telemetry discontinuation improve practice efficiency and potentially decrease health care costs.","PeriodicalId":17179,"journal":{"name":"Journal of the American Association of Nurse Practitioners","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141902049","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

Enhancing nurse practitioner research through reflexivity. 通过反身性加强执业护士研究。

IF 1.2 4区医学

Journal of the American Association of Nurse Practitioners Pub Date : 2024-08-02 DOI: 10.1097/JXX.0000000000001049

Ida Twist, Amy Montgomery, Lorna Moxham

{"title":"Enhancing nurse practitioner research through reflexivity.","authors":"Ida Twist, Amy Montgomery, Lorna Moxham","doi":"10.1097/JXX.0000000000001049","DOIUrl":"https://doi.org/10.1097/JXX.0000000000001049","url":null,"abstract":"Abstract: This article highlights the essential role of reflexivity in research, using a qualitative project involving interviews with nurse practitioners during the COVID-19 pandemic as an example. It discusses the potential biases inherent in research, particularly when the researcher's experiences closely align with those of the participants. Drawing on the perspective of a nurse practitioner engaged in both research and health care provision, this article explores the importance of reflexivity in addressing these biases. Examining the lead author's experiences conducting interviews with fellow nurse practitioners, the article illustrates how reflexivity was used, particularly in data collection and analysis, to enhance transparency and minimize subjectivity. By advocating for the integration of reflexivity in qualitative research, this article emphasizes the significance of shared experiences between nurse practitioner researchers and participants in reducing biases and improving research outcomes. It demonstrates how reflexivity contributes to a more authentic and comprehensive methodology, especially when researchers share similar experiences with participants. Furthermore, this article offers practical suggestions to assist nurse practitioners in enhancing reflexivity throughout the research process, thereby contributing to ongoing discussion and strategy development in the field.","PeriodicalId":17179,"journal":{"name":"Journal of the American Association of Nurse Practitioners","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141878946","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 faculty attitudes about interprofessional education. 执业护士教师对跨专业教育的态度。

IF 1.2 4区医学

Journal of the American Association of Nurse Practitioners Pub Date : 2024-08-01 DOI: 10.1097/JXX.0000000000000983

Kimberly Posey, Lori Prol

{"title":"Nurse practitioner faculty attitudes about interprofessional education.","authors":"Kimberly Posey, Lori Prol","doi":"10.1097/JXX.0000000000000983","DOIUrl":"10.1097/JXX.0000000000000983","url":null,"abstract":"Background: Nurse practitioner (NP) faculty attitudes toward interprofessional education (IPE) can be barriers to the shift in culture and successful implementation of IPE into nursing curricula. A paucity of studies exist comparing faculty attitudes of IPE with different educational modalities.Purpose: The purpose of this research is to compare NP faculty attitudes toward IPE between IPE experiences and educational modalities in NP academic programs.Methodology: A quantitative cross-sectional comparative design was used. An electronic survey was advertised to approximately 3,000 members of the National Organization of NP Faculties by email blasts to assess their attitudes toward IPE in the academic setting.Results: Participating NP faculty ( n = 208) completed the survey, with a response rate of 6.9%. The results showed that NP faculty reported positive attitudes toward IPE ( M = 4.33). Nurse practitioner faculty attitudes toward IPE and participation in IPE experiences were not statistically significant ( p = .126). Nurse practitioner faculty attitudes toward IPE did not differ with the educational modality. The main effect of the NP degree program educational modality was not statistically significant, F (2, 172) = 0.74, p = .479.Conclusions: Nurse practitioner faculty are optimistic about IPE in multiple educational modalities but still have some reservations about how to implement IPE activities successfully.Implications: The NP faculty attitudes and barriers to IPE curricular development in all educational modalities must be addressed to prepare NP students to be competent collaborative practice-ready providers on graduation.","PeriodicalId":17179,"journal":{"name":"Journal of the American Association of Nurse Practitioners","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139403421","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

Medical aid in dying: The role of the nurse practitioner. 临终医疗救助：执业护士的作用。

IF 1.2 4区医学

Journal of the American Association of Nurse Practitioners Pub Date : 2024-08-01 DOI: 10.1097/JXX.0000000000000990

Kathryn A Harrawood

引用次数: 0

A reflection on the value of participating in a journal club: Early findings from a transition to practice program. 对参加期刊俱乐部价值的思考：过渡到实践计划的早期发现。

IF 1.2 4区医学

Journal of the American Association of Nurse Practitioners Pub Date : 2024-08-01 DOI: 10.1097/JXX.0000000000001044

Rodney W Hicks

引用次数: 0