Journal of the American Association of Nurse Practitioners最新文献_第7页

Integration of a nurse practitioner and physician associate leadership structure within an academic cancer center. 在学术癌症中心内整合执业护士和助理医师领导结构。

IF 1.2 4区医学

Journal of the American Association of Nurse Practitioners Pub Date : 2024-06-01 DOI: 10.1097/JXX.0000000000001010

Heather J Jackson, Olivia West, Shelton Harrell, Emily Skotte, Karen Hande

{"title":"Integration of a nurse practitioner and physician associate leadership structure within an academic cancer center.","authors":"Heather J Jackson, Olivia West, Shelton Harrell, Emily Skotte, Karen Hande","doi":"10.1097/JXX.0000000000001010","DOIUrl":"10.1097/JXX.0000000000001010","url":null,"abstract":"Background: Nurse practitioners and physician associates are an essential part of the multidisciplinary cancer care team with expanding and evolving roles within cancer specialties.Local problem: As these clinicians flourish, a parallel need for leadership rises to optimize scope of practice, mentor, and retain this crucial workforce. The purpose of this quality improvement project was to development a nurse practitioner and physician associate leadership structure within an academic cancer center.Methods: Development of this nurse practitioner and physician associate leadership structure was guided by transformational leadership theory. In collaboration with nursing, business, and physician leadership, a quad structure was supported.Interventions: Implementation of a leadership structure included the establishment of eight team leaders and two managers. These leaders identified multiple opportunities for improvement including improved communications, offload of nonbillable work, development of incentive programs, provision of equipment, specialty practice alignment, hematology/oncology fellowship, and professional development.Results: Overall, a nurse practitioner and physician associate leadership structure allowed for representation across the cancer center. Such inclusion supported multiple quality improvement projects developed in partnership with nursing, business, and physician leaders. Cumulatively, these interventions yielded efficient workflows and expansion of services. Consistent with reported evidence, these efforts contributed to nurse practitioner and physician associate retention as well as improved job satisfaction.Conclusions: Advanced practice leadership is essential to recruiting, developing, supporting, and retaining nurse practitioner and physician assistant colleagues in cancer care.","PeriodicalId":17179,"journal":{"name":"Journal of the American Association of Nurse Practitioners","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140175198","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

To choose or not to choose a nurse practitioner fellowship: An opinion piece on why to choose. 选择还是不选择执业护士奖学金：关于为何选择的评论文章。

IF 1.2 4区医学

Journal of the American Association of Nurse Practitioners Pub Date : 2024-06-01 DOI: 10.1097/JXX.0000000000001014

Nicole Kuhnly

引用次数: 0

Characteristics of late preterm infant readmissions: A systematic review. 晚期早产儿再入院的特征：系统回顾。

IF 1.2 4区医学

Journal of the American Association of Nurse Practitioners Pub Date : 2024-06-01 DOI: 10.1097/JXX.0000000000000986

Jennifer A Joyner, Amy E Papermaster, Jane Dimmitt Champion

{"title":"Characteristics of late preterm infant readmissions: A systematic review.","authors":"Jennifer A Joyner, Amy E Papermaster, Jane Dimmitt Champion","doi":"10.1097/JXX.0000000000000986","DOIUrl":"10.1097/JXX.0000000000000986","url":null,"abstract":"Background: Prematurity represents a critical health disparity. It is important to note that late preterm (LPT) infants comprise the majority of preterm births, yet they are the least studied within the premature population. Evidence-based practice guidelines are now a decade old, indicating the potential need for review and revision.Objectives: This systematic review proposed the assessment of sociodemographic characteristics of LPT infants, clinical practice standards, and associated hospital readmission rates, mortality, and morbidity to determine the need for revision of evidence-based practice guidelines for these infants.Data sources: The Preferred Reporting System Items for Systematic Reviews and Meta Analysis methodology provided the framework for the completion of this review. Literature searches of PubMed/Medline (Ovid), Web of Science, Cumulative Index of Nursing, and Allied Health Literature Plus databases and citation searches included articles published after 2012 using the search terms \"late preterm infants,\" \"readmissions,\" and \"readmission rates.\"Conclusions: The literature search identified 11 studies meeting search criteria. These studies included quasi experimental, retrospective, and prospective cohort studies. These studies highlighted the characteristics of LPT infants that potentially contribute to increased readmission rates, morbidity and mortality rates, health care costs, and long-term health inequities. Overall findings indicate the need for review and revision of evidence-based practice guidelines for these infants.Implications for practice: This systematic review manifests the vulnerability of LPT infants and the accompanying need for up-to-date clinical practice guidelines to effectively reduce their morbidity and mortality rates, hospital readmissions rates, and burden of health care costs.","PeriodicalId":17179,"journal":{"name":"Journal of the American Association of Nurse Practitioners","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139478724","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

Pharmacogenetic testing may benefit people receiving low-dose lithium in clinical practice. 药物遗传学测试可能有利于在临床实践中接受低剂量锂的人。

IF 1.2 4区医学

Journal of the American Association of Nurse Practitioners Pub Date : 2024-06-01 DOI: 10.1097/JXX.0000000000000968

Michael Ray Dickerson, Jennifer Reed

{"title":"Pharmacogenetic testing may benefit people receiving low-dose lithium in clinical practice.","authors":"Michael Ray Dickerson, Jennifer Reed","doi":"10.1097/JXX.0000000000000968","DOIUrl":"10.1097/JXX.0000000000000968","url":null,"abstract":"Background: Mental illnesses are leading causes of disability in the United States. Some evidence supports that pharmacogenetic testing may be beneficial in select populations and that lithium is beneficial for treating mood disorders and anxiety in some populations.Purpose: This research aimed to determine whether low-dose lithium effectively decreases depression and anxiety in adults with a risk allele for CACNA1C genotypes.Methodology: The study design was correlational. Fifty patients were treated at a nurse practitioner-owned clinic in Prairie Village, Kansas. Chart review was used. Adults older than 18 years diagnosed with major depressive disorder, bipolar disorder, or generalized anxiety disorder presenting with an abnormality in the CACNA1C gene single-nucleotide polymorphism rs1006737 were included in this research. Assessment tools used were the Patient Health Questionnaire-9 for depression and GAD-7 for anxiety.Results: Low-dose lithium significantly decreased depression by 66% ( p < .001) and anxiety by 65% ( p = <.001). There was a significant difference in pretest depression levels based on CACNA1C genotype ( p = .033). The A allele frequency was 60% higher (48%) in this population than found in general population (30%).Conclusions: Low-dose lithium significantly decreased anxiety and depression compared with baseline. People with different versions of the CACNA1C genotype had responses that differed significantly. The A risk allele was 60% more common than in the general population.Implications: This study could aid in establishing genetic testing as an effective clinical tool for treating depression and anxiety using lithium, an inexpensive and widely available medication.","PeriodicalId":17179,"journal":{"name":"Journal of the American Association of Nurse Practitioners","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50161980","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

Scholarly analytics for nurse practitioners. 针对执业护士的学术分析。

IF 1.2 4区医学

Journal of the American Association of Nurse Practitioners Pub Date : 2024-06-01 DOI: 10.1097/JXX.0000000000001027

Rodney W Hicks

引用次数: 0

Confronting mental health stigma in Haitian Americans suffering from mental health challenges. 正视美籍海地人在心理健康方面的污名化问题。

IF 1.2 4区医学

Journal of the American Association of Nurse Practitioners Pub Date : 2024-06-01 DOI: 10.1097/JXX.0000000000000992

Marie M Moreau, Rene A Love, Dany Fanfan

{"title":"Confronting mental health stigma in Haitian Americans suffering from mental health challenges.","authors":"Marie M Moreau, Rene A Love, Dany Fanfan","doi":"10.1097/JXX.0000000000000992","DOIUrl":"10.1097/JXX.0000000000000992","url":null,"abstract":"Background: Haitian Americans have been disproportionately exposed to risk factors known to play a significant role in the development of mental illness. Yet despite the documented effectiveness of mental health treatment, a high proportion of Haitian Americans with mental health disorders have not received care.Local problem: Internalized stigma of mental illness (ISMI) was reported as one of the primary reasons Haitian Americans do not seek help for mental illnesses, resulting in poor long-term outcomes for individuals and families in this community. This quality improvement project characterized ISMI among Haitian Americans, examined associated demographic factors, and tested the impact of a culturally relevant ISMI educational video intervention on willingness to seek mental health treatment.Methods: Haitian Americans who self-reported mental illness ( N = 20) were recruited from a South Florida clinic. Descriptive statistics, correlations, and thematic analyses were completed to analyze the data.Interventions: Participants completed the nine-item ISMI scale, watched an educational video about ISMI, completed a post-intervention survey, and engaged in conversations about mental health and ISMI.Results: Sixty-five percent of participants reported mild levels of ISMI. Sex was significantly correlated with ISMI ( r = -0.458, p = .042); male participants experienced higher levels of ISMI. The educational video improved participants' knowledge of ISMI, and 85% indicated increased willingness to seek treatment.Conclusions: When caring for Haitian Americans with mental illnesses, nurse practitioners should initiate conversations about ISMI, consider gender differences in mental illness beliefs and attitudes, and provide culturally responsive psychoeducational interventions to promote more mental health treatment utilization.","PeriodicalId":17179,"journal":{"name":"Journal of the American Association of Nurse Practitioners","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139546241","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

Improving patient education in hospitalized patients with chronic obstructive pulmonary disease: A quality improvement initiative using LEAN methodology. 改善慢性阻塞性肺病住院患者的患者教育：采用精益方法的质量改进计划。

IF 1.2 4区医学

Journal of the American Association of Nurse Practitioners Pub Date : 2024-05-10 DOI: 10.1097/JXX.0000000000001024

Jacquelyn M Stewart, Freny Shah, Jolly Thomas, Myrtle White

{"title":"Improving patient education in hospitalized patients with chronic obstructive pulmonary disease: A quality improvement initiative using LEAN methodology.","authors":"Jacquelyn M Stewart, Freny Shah, Jolly Thomas, Myrtle White","doi":"10.1097/JXX.0000000000001024","DOIUrl":"https://doi.org/10.1097/JXX.0000000000001024","url":null,"abstract":"Background: Chronic obstructive pulmonary disease (COPD) is a costly chronic disease affecting more than 15 million Americans. The prevalence among US veterans is 3 times higher than the general population.Local problem: The Veteran Health Administration developed a standardized, evidence-based COPD educational tool called Green Light to Go (GLTG) designed to educate patients on managing their COPD symptoms at home. Despite the availability of this resource, inpatient education on COPD self-management practices is highly variable across different medical teams. This quality improvement (QI) initiative sought to standardize inpatient COPD patient education using the GLTG tool. This initiative also assessed whether patients receiving standardized patient education during their index hospitalization had lower COPD 30-day readmission rates.Method: The QI initiative followed the LEAN methodology and the A3 framework. The team performed rapid tests of change (plan-do-study-act cycles) to increase the percentage of veterans receiving COPD education.Interventions: The interventions implemented for this QI initiative focused on clinical, patient, and system improvements.Results: This initiative standardized COPD patient education and increased the percentage of veterans receiving (a) daily COPD education from 0% to 66%, (b) verbal COPD education on discharge from a baseline of 20% to 100%, (c) receipt of written educational material on discharge from 20% to 100%, and (d) the cohort all-cause 30-day readmission rate declined from 19.3% to 14.3%.Conclusions: Given the substantial economic burden of COPD readmissions on the health care system and patients, evidence-based educational interventions may potentially improve outcomes and reduce hospital readmissions in this veteran population.","PeriodicalId":17179,"journal":{"name":"Journal of the American Association of Nurse Practitioners","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140898749","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

Timing of stroke survivors' hospital readmissions to guide APRNs in primary care 中风幸存者再入院的时间安排可为全科护士提供指导

IF 1.2 4区医学

Journal of the American Association of Nurse Practitioners Pub Date : 2024-05-03 DOI: 10.1097/jxx.0000000000000984

Teresa Connolly, Kim Paxton, Bryan McNair

{"title":"Timing of stroke survivors' hospital readmissions to guide APRNs in primary care","authors":"Teresa Connolly, Kim Paxton, Bryan McNair","doi":"10.1097/jxx.0000000000000984","DOIUrl":"https://doi.org/10.1097/jxx.0000000000000984","url":null,"abstract":"\u0000 \u0000 Caring for patients after a neurovascular incident is common for advanced practice registered nurses (APRNs). Most neurological readmission studies focus on a small subset of neurovascular incident groups, but advanced practice nurses in primary care attend to a diverse neurovascular population and lack time to adequately search hospital records.\u0000 \u0000 \u0000 \u0000 The aim of this study was to determine readmission risk factors after a neurovascular incident to guide APRNs in the primary care setting.\u0000 \u0000 \u0000 \u0000 The study is a retrospective observational study that used a crude single predictor model to determine potential risks for readmission.\u0000 \u0000 \u0000 \u0000 A total of 876 neurovascular participants were studied. Of these, only 317 experienced at least one hospital readmission, with 703 readmissions within 1 year, indicating some were readmitted more than once. Risks for readmission varied across neurovascular events. The main reasons for readmission were because of neurological, cardiovascular, and musculoskeletal complications.\u0000 \u0000 \u0000 \u0000 Stroke readmission rates are high and require intervention by APRNs. To prevent readmission includes timely follow-up within 30 days and should also include longitudinal follow-up beyond 90 days to prevent hospital readmission.\u0000 \u0000 \u0000 \u0000 Future studies are needed to create guidelines for APRNs that implement rehabilitation strategies to decrease hospital readmission for the neurovascular population that focus on interdisciplinary communication.\u0000","PeriodicalId":17179,"journal":{"name":"Journal of the American Association of Nurse Practitioners","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141015359","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 mixed-methods pilot examination of Montana, North Dakota nurse practitioner telepresence behaviors through web-camera eye-tracking and qualitative descriptive interviews 通过网络摄像头眼动跟踪和定性描述性访谈，对北达科他州蒙大拿州执业护士的远程呈现行为进行混合方法试点研究

IF 1.2 4区医学

Journal of the American Association of Nurse Practitioners Pub Date : 2024-05-01 DOI: 10.1097/jxx.0000000000001022

引用次数: 0

A Tribute to Dr. Loretta Ford. 向洛雷塔-福特博士致敬。

IF 1.2 4区医学

Journal of the American Association of Nurse Practitioners Pub Date : 2024-05-01 DOI: 10.1097/JXX.0000000000001023

Kim Curry, Elayne DeSimone

引用次数: 0