Journal of the American Association of Nurse Practitioners最新文献

{"title":"Demographic factors and rural residence history associated with smoking history.","authors":"Tyra Reed, Destiny Gordon, Brenda W Dyal, Keesha Powell-Roach, Miriam O Ezenwa, Versie Johnson-Mallard, Janice L Krieger, Folakemi T Odedina, Yingwei Yao, Diana J Wilkie","doi":"10.1097/JXX.0000000000001257","DOIUrl":"10.1097/JXX.0000000000001257","url":null,"abstract":"<p><strong>Background: </strong>Understanding personal and geographic factors associated with smoking is important to design and implement interventions focused on reducing cancer health disparities. Scant research has been published recently regarding factors associated with smoking history associations within rural communities.</p><p><strong>Purpose: </strong>To examine demographic factors and rural residence history for associations with smoking history.</p><p><strong>Methodology: </strong>In a cross-sectional study of cancer-related behaviors, 1,786 adults (mean age 47.9 ± 17.5 years; 53% female, 84% White) completed an online survey in 2020. We examined factors associated with smoking history (having smoked at least 100 cigarettes) using independent t-tests, chi-square tests, and logistic regression.</p><p><strong>Results: </strong>Of the participants, 36% had a rural residence history and 49% had a smoking history. A larger proportion of men than women (61% vs. 37%; p < .001), White than Black participants (50% vs. 39%; p = .001), and rural than nonrural residents (53% vs. 46%; p = .005) had a smoking history. Logistic regression analysis revealed that the young age group (18-30) was less likely ( p = .002), whereas the middle age group (31-50) was more likely ( p < .001) to have a smoking history than those older than 50 years. Rural residence was associated with a smoking history among women ( p < .001), but not among men ( p = .70) in this sample.</p><p><strong>Conclusions: </strong>Tobacco control efforts are needed to focus on middle-aged men in general and women with rural residence history.</p><p><strong>Implications: </strong>Nurse practitioners are uniquely positioned to directly contribute to future research with self-identified rural populations that could help inform future public health policy.</p>","PeriodicalId":17179,"journal":{"name":"Journal of the American Association of Nurse Practitioners","volume":" ","pages":"769-776"},"PeriodicalIF":1.6,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13246220/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147284311","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}

{"title":"Navigating sleep and pain challenges: Practical insights for nurse practitioners.","authors":"Heather J Jackson, Terri Schmitt","doi":"10.1097/JXX.0000000000001277","DOIUrl":"10.1097/JXX.0000000000001277","url":null,"abstract":"<p><strong>Abstract: </strong>Sleep and pain share a bidirectional relationship in which pain disrupts sleep, and poor sleep amplifies pain perception. This cycle contributes to increased pain severity, psychological distress, and diminished quality of life. Despite the prevalence of sleep disorders and pain among adults, sleep health is often underassessed in clinical practice. This article emphasizes the importance of integrating sleep assessments into comprehensive pain evaluations and highlights the role of nurse practitioners in identifying and addressing sleep disturbances to improve pain outcomes. The biopsychosocial model provides a framework for understanding the relationship between sleep and pain, guiding individualized, multimodal treatments to improve patient outcomes. Case studies are presented to illustrate clinical impact of sleep interventions as a pain management strategy and pain interventions to improve sleep health. Nurse practitioners are uniquely positioned to lead holistic approaches prioritizing sleep health as a critical component of pain management.</p>","PeriodicalId":17179,"journal":{"name":"Journal of the American Association of Nurse Practitioners","volume":" ","pages":"801-804"},"PeriodicalIF":1.6,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147608877","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":"The art and science of deprescribing: A practical guide for nurse practitioners.","authors":"Jennifer Lynn Tuttle","doi":"10.1097/JXX.0000000000001359","DOIUrl":"https://doi.org/10.1097/JXX.0000000000001359","url":null,"abstract":"<p><strong>Abstract: </strong>Inappropriate polypharmacy is a critical threat to patient safety, contributing to adverse drug events, falls, and diminished quality of life. Although an essential clinical intervention, deprescribing remains underused due to clinician-specific and systemic barriers. This article explores deprescribing as both an art and a science, providing a structured five-step clinical framework tailored for nurse practitioners. Two case scenarios, involving a 50-year-old woman transitioning to hospice and a 74-year-old man in primary care, illustrate how to implement comprehensive medication reviews, use tools like the Beers Criteria, realign therapeutic goals, and safely substitute high-risk agents. By synthesizing pharmacological science with shared decision making, nurse practitioners can successfully mitigate patient anxiety, overcome resource barriers, and normalize deprescribing as a standard of holistic, patient-centered care.</p>","PeriodicalId":17179,"journal":{"name":"Journal of the American Association of Nurse Practitioners","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149062014","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":"Nurse practitioner impact across the cardiovascular care continuum: Insights from the American College of Cardiology Advanced Practice Nursing Workgroup.","authors":"Carolina R Dimsdale, Tochi Okwueze, Michelle Alland, Sarah E Slone, Katie Bates, Cate Enstrom, Joshua D Thornsberry, Margaret Bowers","doi":"10.1097/JXX.0000000000001369","DOIUrl":"https://doi.org/10.1097/JXX.0000000000001369","url":null,"abstract":"<p><strong>Abstract: </strong>Nurse Practitioners (NPs) are essential contributors to the contemporary cardiology workforce. The increasing prevalence of cardiovascular disease, coupled with persistent clinician shortages, has accelerated the integration of NPs across ambulatory and acute settings. This article explores the contributions of NPs to cardiology care across a continuum from longitudinal patient care and prevention to leadership and translational science. Investment in NP education, training, and role utilization will be pivotal to shaping an efficient, patient-centered cardiology workforce for the future.</p>","PeriodicalId":17179,"journal":{"name":"Journal of the American Association of Nurse Practitioners","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149062034","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":"Learning to take up space: A mindfulness reflection.","authors":"Erin Doan, Lori Gray, Heather Noble","doi":"10.1097/JXX.0000000000001363","DOIUrl":"https://doi.org/10.1097/JXX.0000000000001363","url":null,"abstract":"<p><strong>Abstract: </strong>The attitudes of Mindfulness-Based Stress Reduction, nonjudging, patience, trust, beginner's mind, nonstriving, and letting go, offer valuable guidance for today's strained health care environments. These principles gradually informed the development of a Nurse Practitioner (NP) and Physician Associate (PA) Fellowship program designed to support NPs and PAs transitioning into complex specialty neurology practice. Mindfulness became the fellowship's implicit foundation, encouraging psychological safety, reciprocity, and belonging. This reflection examines how mindfulness informed the fellowship's culture and the development of sustainable professional identities.</p>","PeriodicalId":17179,"journal":{"name":"Journal of the American Association of Nurse Practitioners","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149025276","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":"Curriculum innovation in psychopharmacology for psychiatric nurse practitioner fellows: A case study.","authors":"Barbara Emery, Ellen Blair, Arthur Guerra, AnnMarie Diloreto, Suzanne Femino, Javeed Sukhera","doi":"10.1097/JXX.0000000000001348","DOIUrl":"https://doi.org/10.1097/JXX.0000000000001348","url":null,"abstract":"<p><strong>Abstract: </strong>The Annie Goodrich Post-Graduate Psychiatric Nurse Practitioner (NP) Fellowship, established in 2017, supports advanced practice nurses transitioning into independent psychiatric roles by emphasizing excellence in care and education. Psychiatric Mental Health Nurse Practitioners (PMHNP-BC) often enter practice with limited experience managing complex psychopharmacologic regimens, creating a critical gap in competency. To address this need, we developed a specialized psychopharmacology curriculum designed to strengthen foundational knowledge and promote confident, evidence-informed clinical decision-making. This educational case study describes the development, implementation, and preliminary evaluation of this psychopharmacology curriculum within a postgraduate psychiatric NP fellowship program. Initial efforts to incorporate multiple disciplines into the curriculum proved challenging, prompting a shift to a focused 10-week seminar series led by interprofessional faculty using a case-based approach. Seminar topics included psychiatric emergencies, prescribing during pregnancy and postpartum, and strategies for safe medication tapering. Curriculum timing and content were refined through iterative feedback from fellows and faculty, as well as preseminar and postseminar evaluations assessing the fellows perceived changes in knowledge, confidence, and relevance to clinical practice. Key lessons learned include the importance of aligning content with NP professional identity, addressing interdisciplinary barriers, and fostering sustainable faculty collaboration. This innovative approach offers a replicable curriculum for enhancing psychopharmacology education in postgraduate psychiatric NP training. By bridging foundational knowledge with advanced clinical decision-making, the curriculum was designed to support the development of practitioners prepared to deliver safe, person-centered, and collaborative psychiatric care.</p>","PeriodicalId":17179,"journal":{"name":"Journal of the American Association of Nurse Practitioners","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148911507","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":"Role transition from registered nurse to nurse practitioner in Jamaica.","authors":"Behanker Rolle, Heather Silvera","doi":"10.1097/JXX.0000000000001354","DOIUrl":"https://doi.org/10.1097/JXX.0000000000001354","url":null,"abstract":"<p><strong>Background: </strong>A nurse practitioner (NP) is defined as having comprehensive knowledge to diagnose and treat health conditions. When a registered nurse (RN) transitions to the NP role, several challenges may arise.</p><p><strong>Purpose: </strong>This study aimed to determine the role transition process from an RN to NP and the factors that contribute to a successful or unsuccessful transition.</p><p><strong>Method: </strong>This quantitative, descriptive, cross-sectional study employed census sampling of 51 nurse practitioners. Data were collected using the Novice Nurse Practitioner Role Transition (NNPRT) scale and analyzed using descriptive and inferential statistics.</p><p><strong>Results: </strong>The response rate was 72.5% (37). Receiving a formal orientation, 67.6% (25) reported. More than half of the participants (64.9%; 24) reported receiving mentorship. Spearman rho coefficient test indicated a significant, moderate positive relationship between NNPRT scale scores and prior years as an RN (rs = 0.18), formal orientation (rs = 0.42), and mentorship (rs = 0.24-0.58).</p><p><strong>Conclusions: </strong>Formal orientation and specific aspects of mentorship contributed to a successful role transition. Further investigation of other variables is necessary to determine what influences successful or unsuccessful role transitions. Results also indicated that a documented transition program may exist; however, it requires improvement or the implementation of a new role transition program.</p><p><strong>Implications: </strong>These findings highlight the need for coordinated practice, educational, and policy initiatives to implement standardized NP transition programs with mentorship, as organizational support is central to a successful role transition.</p>","PeriodicalId":17179,"journal":{"name":"Journal of the American Association of Nurse Practitioners","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148911750","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":"Bridging the gap: Why variability in RN experience strengthens the case for nurse practitioner residencies.","authors":"Grace Mazzatta, Kathryn Fleming","doi":"10.1097/JXX.0000000000001361","DOIUrl":"https://doi.org/10.1097/JXX.0000000000001361","url":null,"abstract":"<p><strong>Abstract: </strong>As demand for health care providers continues to rise across diverse clinical settings, newly minted nurse practitioners (NPs) are entering the workforce in record numbers-yet many do so without the clinical confidence or structured support needed to succeed. This article offers a timely, real-world account of how one large health care system bridged that gap by launching a 12-month, system-wide NP residency program backed by Health Resources and Services Administration funding. More than just a policy response, this program became a lifeline for novice NPs navigating a high-stakes transition during the COVID-19 pandemic. With more than 200 applicants in 4 years, the program attracted early career NPs willing to delay full salary in exchange for mentorship, tailored learning, and hands-on clinical experience. Grounded in the Barnes Novice NP Role Transition Scale and shaped by interdisciplinary leaders, the curriculum emphasized building confidence, equity-focused care, and policy engagement. Resident reflections bring the data to life-sharing how structured support transformed fear into fluency, and uncertainty into purpose. Unlike theoretical models or small pilot efforts, this program's scale, adaptability, and strong applicant interest make it a blueprint for institutions nationwide. Readers seeking practical insight into workforce development, graduate readiness, or the future of NP training will find this article both informative and inspiring.</p>","PeriodicalId":17179,"journal":{"name":"Journal of the American Association of Nurse Practitioners","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148891487","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":"Educational strategies for preparing nurse practitioners for rural practice.","authors":"","doi":"10.1097/JXX.0000000000001362","DOIUrl":"https://doi.org/10.1097/JXX.0000000000001362","url":null,"abstract":"","PeriodicalId":17179,"journal":{"name":"Journal of the American Association of Nurse Practitioners","volume":"38 9","pages":"725-726"},"PeriodicalIF":1.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148912313","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":"The lived experience of those who work with or hire Doctor of Nursing Practice-prepared nurses in practice: A phenomenological study.","authors":"Amy Manderscheid, Karen Kesten, Katherine Moran, Dianne Conrad, Catherine Corrigan, Susan Strouse","doi":"10.1097/JXX.0000000000001366","DOIUrl":"https://doi.org/10.1097/JXX.0000000000001366","url":null,"abstract":"<p><strong>Background: </strong>Health care systems require strong practice leadership to address increasing complexity, workforce demands, and quality outcomes. Doctor of Nursing Practice (DNP) nurses are educated to lead evidence-based practice, quality improvement, and system-level change; however, variability in role clarity and organizational support limits full utilization, and qualitative evidence describing their impact remains limited.</p><p><strong>Purpose: </strong>To explore the lived experiences of those who hire or work with DNP-prepared nurses.</p><p><strong>Methodology: </strong>A qualitative phenomenological design was used with a purposive sample of 21 US-based participants recruited through prior study participation and professional networks. Virtual interviews were transcribed and analyzed using a modified Giorgi method, including identification of meaning units, structural statements, and thematic synthesis until data saturation was achieved.</p><p><strong>Results: </strong>Two themes emerged within each group and were synthesized into one overarching theme: DNP-prepared nurses drive value through leadership, competencies, and system-level impact when supported by organizational culture and structure. Participants described DNP nurses as influential leaders demonstrating advanced clinical reasoning and systems thinking; however, inconsistent role clarity and limited organizational support constrained full enactment of DNP-level capabilities.</p><p><strong>Conclusions: </strong>Doctor of Nursing Practice-prepared nurses are essential practice leaders capable of advancing quality outcomes and system performance. Their impact depends on organizational alignment, including clear role differentiation, leadership support, and structural investment.</p><p><strong>Implications: </strong>Institutions must cultivate cultures that provide protected time, clear role expectations, and leadership support to enable DNP-prepared nurses to practice at full scope. Without structural alignment, DNP competencies remain underused, reinforcing the need to treat organizational investment in DNP roles as a strategic priority.</p>","PeriodicalId":17179,"journal":{"name":"Journal of the American Association of Nurse Practitioners","volume":"38 9","pages":"727-738"},"PeriodicalIF":1.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148912584","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}