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

Effect of telemonitoring and as-needed patient support on positive airway pressure therapy adherence. 远程监控和按需患者支持对坚持气道正压疗法的影响。

IF 1.2 4区医学

Journal of the American Association of Nurse Practitioners Pub Date : 2024-10-01 DOI: 10.1097/JXX.0000000000001006

Saoirse Owens, Karl Doghramji

{"title":"Effect of telemonitoring and as-needed patient support on positive airway pressure therapy adherence.","authors":"Saoirse Owens, Karl Doghramji","doi":"10.1097/JXX.0000000000001006","DOIUrl":"10.1097/JXX.0000000000001006","url":null,"abstract":"Background: Obstructive sleep apnea (OSA) affects patient health and public welfare. Positive airway pressure (PAP) therapy is the preferred treatment of OSA, but therapy adherence rates remain suboptimal. Current literature demonstrates telemonitoring interventions to support improved PAP therapy adherence.Purpose: To evaluate the effect of interval telemonitoring of PAP therapy data at 2 and 4 weeks after treatment initiation in patients with moderate-to-severe obstructive sleep apnea with as-needed patient support and troubleshooting by telephone consultation.Methodology: Ninety-nine participants were enrolled in this study, 50 in the control group and 49 in the intervention group. Data were analyzed using descriptive and inferential statistics using SPSS 28.0 software. The primary outcome of interest was 90-day PAP adherence.Results: Mean PAP adherence scores diverged at 90 days after PAP initiation, with the intervention group having a significantly higher mean score (M = 49.24, SD = 38.18) relative to the control group (M = 36.38, SD = 37.69). Likewise, continued PAP usage at 90 days after therapy initiation diverged between participant groups, with the intervention group having a significantly higher mean score (M = 89.80, SD = 30.58) relative to the control group (M = 72.00, SD = 45.36).Conclusions: The intervention resulted in significantly higher mean PAP adherence and a greater percentage of participants demonstrating continued PAP usage at 90 days after therapy initiation but did not result in a statistically significant increase in what is considered and defined as \"good PAP adherence\" (adherence of ≥70%).Implications: Data-triggered telemonitoring protocols offer supplementary support to patients in need and improve PAP adherence.","PeriodicalId":17179,"journal":{"name":"Journal of the American Association of Nurse Practitioners","volume":" ","pages":"545-553"},"PeriodicalIF":1.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139990449","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

Integrating genomics and precision health knowledge into practice: A guide for nurse practitioners. 将基因组学和精准健康知识融入实践：执业护士指南。

IF 1.2 4区医学

Journal of the American Association of Nurse Practitioners Pub Date : 2024-10-01 DOI: 10.1097/JXX.0000000000001075

引用次数: 0

Bridging the gap: Implementing a pilot radiology-focused curriculum in an acute care Nurse Practitioner program. 缩小差距：在急症护理执业护士项目中实施以放射学为重点的试点课程。

IF 1.2 4区医学

Journal of the American Association of Nurse Practitioners Pub Date : 2024-10-01 DOI: 10.1097/JXX.0000000000001003

Danielle Zuma, Mara Zink, Nhani Tran, Leon Chen

引用次数: 0

Pain control during intrauterine device insertion: Transcutaneous electrical nerve stimulation. 宫内节育器插入时的疼痛控制：经皮神经电刺激

IF 1.2 4区医学

Journal of the American Association of Nurse Practitioners Pub Date : 2024-10-01 DOI: 10.1097/JXX.0000000000001031

Kellie Coleman, Chelsea Carter

引用次数: 0

The effects of health beliefs and acculturation on the acceptance of human papillomavirus vaccination among Asian Indian parents in the United States. 美国亚裔印第安人父母的健康观念和文化差异对接受人类乳头瘤病毒疫苗接种的影响。

IF 1.2 4区医学

Journal of the American Association of Nurse Practitioners Pub Date : 2024-09-12 DOI: 10.1097/jxx.0000000000001068

Daisy Mullassery,Barabara Posmontier

{"title":"The effects of health beliefs and acculturation on the acceptance of human papillomavirus vaccination among Asian Indian parents in the United States.","authors":"Daisy Mullassery,Barabara Posmontier","doi":"10.1097/jxx.0000000000001068","DOIUrl":"https://doi.org/10.1097/jxx.0000000000001068","url":null,"abstract":"BACKGROUNDThe available limited literature and Centers for Disease Control data suggest that human papillomavirus (HPV) vaccination acceptance is lower among Asian Indians than the general population in the United States.PURPOSEThe purpose of the study was to determine the effects of health beliefs, subjective norms, acculturation, and demographics on HPV vaccination acceptance among Asian Indian parents.METHODOLOGYUsing a comparative descriptive cross-sectional study design, immigrant and first-generation Asian Indian parents of 9- to 16-year-old children were recruited (N = 171). The survey comprised the Health Belief and Subjective Norms instrument and the Suinn-Lew Asian Self-Identity Acculturation Scale. The analysis included parametric and nonparametric tests.RESULTSParticipants who expressed higher levels of perceived barriers were less likely to accept HPV vaccination (odds ratio [OR] = 0.47, p = .016). Spousal opinion negatively correlated with HPV vaccination acceptance (OR = 0.57, p = .006). However, subjective norms positively predicted HPV vaccination acceptance (OR = 1.69, p = .039). Participants who perceived that friends and family approved of the vaccination also had significantly higher rates of vaccination acceptance (OR = 11.99, p = .001).CONCLUSIONSThe results revealed unique factors in the acceptance of HPV vaccination in Asian Indians that were not examined or understood before. The applied Health Beliefs and Subjective Norms theoretical framework suggested that perceived barriers, subjective norms, and the opinions of spouses, friends, and family predicted HPV vaccination acceptance.IMPLICATIONSEducational interventions targeting providers, spouses, family, and community members with influential effects on parents may positively affect HPV vaccination acceptance. Providers should note that this population welcomes the provider's recommendations.","PeriodicalId":17179,"journal":{"name":"Journal of the American Association of Nurse Practitioners","volume":"10 1","pages":""},"PeriodicalIF":1.2,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142217651","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 precept or not to precept: Perspectives from nurse practitioners. 做戒律还是不做戒律？执业护士的观点。

IF 1.2 4区医学

Journal of the American Association of Nurse Practitioners Pub Date : 2024-09-10 DOI: 10.1097/jxx.0000000000001071

Leonie DeClerk,Steven Chasteen,Cheryl Wells,Jonathan Baxter,Martha Rojo

{"title":"To precept or not to precept: Perspectives from nurse practitioners.","authors":"Leonie DeClerk,Steven Chasteen,Cheryl Wells,Jonathan Baxter,Martha Rojo","doi":"10.1097/jxx.0000000000001071","DOIUrl":"https://doi.org/10.1097/jxx.0000000000001071","url":null,"abstract":"BACKGROUNDNurse practitioner (NP) preceptors are crucial to clinical education. Recent increases in the required direct patient care hours for NP students may worsen the current preceptor shortage. However, most studies of preceptorship only include NPs who are current preceptors and are therefore missing vital information from nonpreceptors. It is imperative to understand facilitators and barriers to preceptorship from the perspective of NPs who have stopped being or have never been preceptors.PURPOSEThe purpose of this study was to understand the factors influencing NPs' decisions whether to precept.METHODOLOGYThis was a descriptive, phenomenological study. Semistructured interviews were recorded in Zoom, transcribed verbatim, deidentified, and analyzed using thematic analysis.RESULTSSixty NPs participated in the study: 23 current preceptors, 22 previous preceptors, and 15 who had never been preceptors. Facilitators to preceptorship included institutional support of preceptorship, positive student characteristics, clear expectations from the educational facility, and incentives. Barriers to preceptorship included time constraints, specialty, negative student characteristics, no institutional support, and being uncomfortable in the clinical role.CONCLUSIONSPreceptors and nonpreceptors shared similar themes-positive student characteristics and clear expectations as facilitators to preceptorship, and time as a barrier. However, other themes were unique to one preceptorship group. This provides new evidence for practice and research.IMPLICATIONSNurse practitioner programs can facilitate preceptorship by ensuring that students are well prepared and providing clear expectations. Strategies should be developed to manage the time burden of preceptorship. In addition, support for preceptorship by health care organizations and systems should be studied.","PeriodicalId":17179,"journal":{"name":"Journal of the American Association of Nurse Practitioners","volume":"58 1","pages":""},"PeriodicalIF":1.2,"publicationDate":"2024-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142217553","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 use of an online learning module to improve knowledge for prevention of back pain and injury in industrial workers. 利用在线学习模块提高工业工人预防背痛和损伤的知识。

IF 1.2 4区医学

Journal of the American Association of Nurse Practitioners Pub Date : 2024-09-10 DOI: 10.1097/jxx.0000000000001072

Scarlet R Spain,Zheng Li,Raza Akbar

{"title":"The use of an online learning module to improve knowledge for prevention of back pain and injury in industrial workers.","authors":"Scarlet R Spain,Zheng Li,Raza Akbar","doi":"10.1097/jxx.0000000000001072","DOIUrl":"https://doi.org/10.1097/jxx.0000000000001072","url":null,"abstract":"Back pain is a significant public health problem that accounts for a high percentage of morbidity and disability worldwide. Low back pain is a frequent cause of missed workdays and job-specific disability and is associated with poor outcomes for employees and employers. An online learning module that focused on normal anatomy of the spine, common pathophysiologic diagnosis or findings that may contribute to back pain, and techniques for back pain reduction was created for employees at risk due to the nature of their labor-intensive jobs. This module also contained case studies and graphics that demonstrated ways to reduce risks or hazards by incorporating job-specific changes in the work environment. A mixed method statistical analysis of knowledge change was completed after participation in the online module. This demonstrated that participants had a marked increase in knowledge in all areas examined. In addition, participants perceived the module as beneficial for grasping anatomical concepts, understanding injury prevention and management strategies, valuing the shared information, leveraging visual aids, and applying practical examples per qualitative questions answered. Participants gained knowledge that can be used on the job to decrease risk of sustaining back pain or injury. The intervention approach enhances the understanding of back pain among industrial workers and holds profound implications for public health on a broader scale. Monitoring population health and preventing back pain and injury while at work is essential for safety and is also a core competency in public health.","PeriodicalId":17179,"journal":{"name":"Journal of the American Association of Nurse Practitioners","volume":"36 1","pages":""},"PeriodicalIF":1.2,"publicationDate":"2024-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142217554","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 nurse practitioner-led deprescribing bundled intervention to reduce rates of polypharmacy in the post-acute care setting. 以执业护士为主导的去处方化捆绑干预措施，旨在降低急性期后护理环境中的多药滥用率。

IF 1.2 4区医学

Journal of the American Association of Nurse Practitioners Pub Date : 2024-09-03 DOI: 10.1097/JXX.0000000000001042

Polly B Boynton, Tracy Head

{"title":"A nurse practitioner-led deprescribing bundled intervention to reduce rates of polypharmacy in the post-acute care setting.","authors":"Polly B Boynton, Tracy Head","doi":"10.1097/JXX.0000000000001042","DOIUrl":"https://doi.org/10.1097/JXX.0000000000001042","url":null,"abstract":"Background: In post-acute care (PAC) settings, residents face elevated risks of adverse drug reactions and emergency department visits because of polypharmacy. With over 90% of PAC residents nationally taking five or more medications, targeted deprescribing of inappropriate or unnecessary medications emerges as a critical strategy.Local problem: The project site faces high rates of polypharmacy with a root cause analysis revealing a deficiency in evidence-based practices (EBP) for deprescribing potentially inappropriate or unnecessary medications. To address this issue, a bundled deprescribing intervention was implemented as part of a quality improvement project aimed at reducing polypharmacy rates.Methods: This project, conducted at a PAC setting in the midwestern United States, used the RE-AIM Model. Data collection involved tracking prescribing rates before and after the intervention for residents admitted to the practice setting over a 5-month period.Intervention: A bundled EBP intervention comprising a deprescribing framework, pharmacist collaboration, and the utilization of an EBP guideline, established a systematic process guiding deprescribing efforts for each resident on admission to the PAC setting.Results: Fourty-nine patients received a deprescribing bundle, resulting in a 26.67% reduction in prescribed medications. On average, patients had 5.55 medications deprescribed, with reductions noted across 85 distinct therapeutic drug categories.Conclusion: Nurse practitioners play a pivotal role initiating successful deprescribing interventions within the PAC setting. Using a comprehensive approach, integrating pharmacist collaboration and EBP leads to reductions in prescribing rates among PAC residents. This model demonstrates potential for sustainable improvements in patient outcomes within the PAC environment.","PeriodicalId":17179,"journal":{"name":"Journal of the American Association of Nurse Practitioners","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2024-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142126069","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

Outcomes of pediatric-focused advanced practice provider fellowship programs: An integrative review. 以儿科为重点的高级实习医生奖学金项目的成果：综合评述。

IF 1.2 4区医学

Journal of the American Association of Nurse Practitioners Pub Date : 2024-09-01 DOI: 10.1097/JXX.0000000000001038

Rajashree Koppolu, Brigit Van Graafeiland, Bryan R Hansen

{"title":"Outcomes of pediatric-focused advanced practice provider fellowship programs: An integrative review.","authors":"Rajashree Koppolu, Brigit Van Graafeiland, Bryan R Hansen","doi":"10.1097/JXX.0000000000001038","DOIUrl":"10.1097/JXX.0000000000001038","url":null,"abstract":"Background: An increased demand for pediatric-focused advanced practice providers (APPs) exists to address the health care needs of children with medical complexity. Postlicensure advanced practice fellowship programs have been developed to help improve novice provider transition to practice, reducing attrition.Objectives: The objectives of this integrative review are to (1) identify outcome measurements of pediatric-focused advanced practice fellowship programs and (2) evaluate the outcome measures to guide future implications for practice.Data sources: A systematic integrative literature review was conducted in accordance with the Preferred Reporting Items for Systemic Reviews and Meta-Analyses. PubMed, CINAHL, Embase, and Google Scholar were searched in August and September 2022. Articles met inclusion criteria if they included new graduate APPs, reported the intervention of a pediatric fellowship program, and shared outcome measurements. Studies were excluded if they did not directly report on fellowship program outcome measures. Thirteen studies met inclusion criteria and were summarized and appraised for quality using the Johns Hopkins Evidence-Based Practice Model.Conclusions: Four themes from the literature included the favorable impact of advanced practice fellowship programs on (a) job satisfaction, (b) retention, (c) clinical and professional performance, and (d) financial outcomes. Variable strategies were used to measure outcomes across programs.Implications for practice: Postlicensure pediatric-focused advanced practice fellowship programs seem to improve retention and job satisfaction, increase provider confidence, and bring a favorable return on investment for the organization. Future work should include investment in developing validated, standardized assessment tools to support future development of these programs in the pediatric population.","PeriodicalId":17179,"journal":{"name":"Journal of the American Association of Nurse Practitioners","volume":" ","pages":"504-511"},"PeriodicalIF":1.2,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141878947","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

Doctor of Nursing Practice-prepared academics: Promotion and tenure-eligible? 护理实践博士预备学者：晋升和终身任职资格？

IF 1.2 4区医学

Journal of the American Association of Nurse Practitioners Pub Date : 2024-09-01 DOI: 10.1097/JXX.0000000000001054

Judith A Berg, Rodney W Hicks

引用次数: 0