Journal of the American Association of Nurse Practitioners最新文献_第8页

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":" ","pages":"491-500"},"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

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":" ","pages":"446-454"},"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

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，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 : 2024-08-01 DOI: 10.1097/JXX.0000000000001056

引用次数: 0

Difficult diagnosis: Disseminated gonorrheal infection manifesting as septic arthritis. 诊断困难：淋病播散性感染，表现为化脓性关节炎。

IF 1.2 4区医学

Journal of the American Association of Nurse Practitioners Pub Date : 2024-08-01 DOI: 10.1097/JXX.0000000000001028

Dwayne Alleyne, Sheryl Mitchell

引用次数: 0

An open book: A virtual book club designed to connect advanced practice registered nurses through quality improvement. 一本打开的书：一个虚拟读书俱乐部，旨在通过质量改进将高级执业注册护士联系起来。

IF 1.2 4区医学

Journal of the American Association of Nurse Practitioners Pub Date : 2024-08-01 DOI: 10.1097/JXX.0000000000001041

Cassandra Faye Newell, Catherine Woods

{"title":"An open book: A virtual book club designed to connect advanced practice registered nurses through quality improvement.","authors":"Cassandra Faye Newell, Catherine Woods","doi":"10.1097/JXX.0000000000001041","DOIUrl":"https://doi.org/10.1097/JXX.0000000000001041","url":null,"abstract":"Abstract: A virtual book club (VBC) was created for advanced practice registered nurses (APRNs) to foster engagement, connect with peers, and apply readings to their personal and professional development. Microsoft Teams virtual platform was used. Books chosen focused on professional development and health care-related topics. As a quality-improvement project, 60 participants completed an anonymous Likert-scale survey about their perception of the VBC. Respondents survey completion rate was 71%. Sixty survey evaluations stated that they agreed or strongly agreed (mean 4.78-4.82/5) that the VBC encourages peer engagement, professional applicability, intention to read professional books, and willingness to invite peers to future VBCs. Participants were neutral (mean 3.25/5) about reading professional or health care-related books outside of the VBC. Virtual book clubs offer opportunities for APRNs to socially connect with peers and apply readings to both their personal and professional development. The results from this project may be applied to help encourage connection with other APRNs during these times of provider burnout.","PeriodicalId":17179,"journal":{"name":"Journal of the American Association of Nurse Practitioners","volume":"36 8","pages":"431-436"},"PeriodicalIF":1.2,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141855848","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

Beyond competence and retention: Developing a comprehensive evaluation framework for a rural primary care nurse practitioner residency program. 超越能力与保留：为农村初级护理执业护士实习计划制定综合评估框架。

IF 1.2 4区医学

Journal of the American Association of Nurse Practitioners Pub Date : 2024-08-01 DOI: 10.1097/JXX.0000000000000988

JoAnna L Hillman, Janelle C Gowgiel, Paula S Price, Bethany Robertson

{"title":"Beyond competence and retention: Developing a comprehensive evaluation framework for a rural primary care nurse practitioner residency program.","authors":"JoAnna L Hillman, Janelle C Gowgiel, Paula S Price, Bethany Robertson","doi":"10.1097/JXX.0000000000000988","DOIUrl":"10.1097/JXX.0000000000000988","url":null,"abstract":"Abstract: With the rise in nurse practitioner (NP) residency programs, evaluations have largely focused on retention and competency completion for residents. There is a need for expanded evaluation to ensure the sustainability of NP residency programs, to ensure timely adaptations to address resident satisfaction, and to solidify a long-term pathway of NPs well prepared for rural practice. We created a family nurse practitioner (FNP) residency program with a comprehensive evaluation framework to prepare residents for practice in rural settings. The evaluation framework was developed through collaborative engagement of an external evaluation team, program leadership, and clinical site representatives. The evaluation framework of the FNP residency program combined resident assessment and holistic program evaluation, using a rapid continuous quality improvement (QI) approach. The evaluation considered three distinct perspectives: the resident, the peer coach, and the clinical site. The rapid continuous QI approach allowed program leadership to respond swiftly to programmatic challenges, improve the residency program in response to residents' reported experiences, and emphasize sustainability for continued program impact, while assessing residents' learning and performance. The program's data-driven evaluation approach has demonstrated its success in meeting the goals of the Health Resources and Services Administration funding by increasing the number of primary care providers in rural settings. The program's expansion and continued success have further validated the efficacy of this evaluation framework in assessing, improving, and ensuring the sustainability of APRN residency programs. This article calls for the adoption of similar evaluation strategies in future residency programs to promote their long-term success and impact in rural health care settings.","PeriodicalId":17179,"journal":{"name":"Journal of the American Association of Nurse Practitioners","volume":" ","pages":"437-445"},"PeriodicalIF":1.2,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139697663","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

Standardized order set for the management of infective endocarditis. 治疗感染性心内膜炎的标准化医嘱集。

IF 1.2 4区医学

Journal of the American Association of Nurse Practitioners Pub Date : 2024-08-01 DOI: 10.1097/JXX.0000000000001012

Kerneisha Murphy, Emily Eiswirth

{"title":"Standardized order set for the management of infective endocarditis.","authors":"Kerneisha Murphy, Emily Eiswirth","doi":"10.1097/JXX.0000000000001012","DOIUrl":"10.1097/JXX.0000000000001012","url":null,"abstract":"Background: Infective endocarditis (IE) is a potentially life-threatening infection that affects the inner lining of the heart, particularly the heart valves. Patients with preexisting heart conditions, damaged heart valves, or a history of intravenous drug use are at a higher risk of acquiring IE.Local problem: A rural acute care facility reported that 68.75% of patients who had a methicillin-resistant Staphylococcus aureus infection were diagnosed with IE. Review of medical records showed that 65% of patients with IE did not have antibiotic start/stop dates and 51% were discharged before the 6-week completion date.Methods: The quality-improvement project used a pretest and posttest design. An order set was created based on evidence-based guidelines to assist with the management of patients with IE. The order set included administering intravenous (IV) antibiotics for a minimum of 6 weeks for patients with IE and included a set of recommended weekly follow-up laboratory tests.Interventions: An order set with the standard of care and reminders in the electronic health records (EHRs) were implemented for the management of IE, including antibiotic start and stop dates and weekly follow-up labs.Results: After implementation, there was an improvement in the completion of IV antibiotics, documentation of start/stop dates for IV antibiotics, and completion of recommended laboratory tests.Conclusions: An order set with the standard of care and reminders in the EHR reduced variations in care and improved patient outcomes by ensuring that all providers were following the same evidence-based guidelines for the management of IE.","PeriodicalId":17179,"journal":{"name":"Journal of the American Association of Nurse Practitioners","volume":" ","pages":"455-462"},"PeriodicalIF":1.2,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140288413","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