Journal of the American Association of Nurse Practitioners最新文献_第9页

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 : 2024-02-21 DOI: 10.1097/JXX.0000000000001003

Danielle Zuma, Mara Zink, Nhani Tran, Leon Chen

引用次数: 0

Evidence-based simulation: Fostering competency through structured and multisource feedback. 循证模拟：通过结构化和多源反馈培养能力。

IF 1.2 4区医学

Journal of the American Association of Nurse Practitioners Pub Date : 2024-02-20 DOI: 10.1097/JXX.0000000000001004

Leah Burt, Sarah Fitz, Bob Kiser

{"title":"Evidence-based simulation: Fostering competency through structured and multisource feedback.","authors":"Leah Burt, Sarah Fitz, Bob Kiser","doi":"10.1097/JXX.0000000000001004","DOIUrl":"https://doi.org/10.1097/JXX.0000000000001004","url":null,"abstract":"Abstract: Preclinical simulation is an evidence-based method for nurse practitioner (NP) students to improve clinical communication and disease management competency. During simulation, students may receive feedback from multiple sources, including standardized patients (SPs), faculty, peers, and themselves. Although evidence supports simulation with multisource feedback, its impact on clinical knowledge and communication has yet to be evaluated among NP students. We designed, implemented, and evaluated a preclinical simulation program with structured multisource feedback integrated into a disease management course within a Doctor of Nursing Practice curriculum. Differences in communication self-efficacy and disease management knowledge before and after participation, as well as perceptions of learning and importance of varying feedback sources, were evaluated using a single group pre-post mixed-methods design. On average, clinical communication self-efficacy was significantly higher, and disease management knowledge scores were significantly higher after participation. Learners rated feedback sources as important or very important and described varying feedback sources as complementary. Feedback from SPs, peers, learners themselves, and faculty was complementary and important to learning. This preclinical simulation program with purposeful integration of multisource feedback provides an evidence-based foundation for scaffolding multidomain competency development into curriculums to meet updated standards of advanced nursing education.","PeriodicalId":17179,"journal":{"name":"Journal of the American Association of Nurse Practitioners","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139912873","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 effectiveness of microcurrent neurofeedback on depression, anxiety, post-traumatic stress disorder, and quality of life. 微电流神经反馈对抑郁症、焦虑症、创伤后应激障碍和生活质量的影响。

IF 1.2 4区医学

Journal of the American Association of Nurse Practitioners Pub Date : 2024-02-01 DOI: 10.1097/JXX.0000000000000994

引用次数: 0

The implementation and impact of an advanced practice recognition program. 高级实践认可计划的实施和影响。

IF 1.2 4区医学

Journal of the American Association of Nurse Practitioners Pub Date : 2024-02-01 DOI: 10.1097/JXX.0000000000000979

Stephanie Bork, Kiersten LeBar

{"title":"The implementation and impact of an advanced practice recognition program.","authors":"Stephanie Bork, Kiersten LeBar","doi":"10.1097/JXX.0000000000000979","DOIUrl":"10.1097/JXX.0000000000000979","url":null,"abstract":"Abstract: Meaningful job recognition is a pillar for sustaining healthy work environments and proven beneficial for job satisfaction and retention. However, few dedicated award recognition programs exist for advanced practice registered nurses (APRNs), and no available literature evaluates the impact on professional practice, sense of belonging, and job retention or satisfaction. The purpose of this study was to introduce a novel award recognition program for APRNs and physician associates (PAs) in a large academic medical system and evaluate it's impact on job satisfaction, retention, and sense of belonging. Five awards were created to recognize areas of achievement for clinically practicing APRNs or PAs within an academic health system. Nomination letters were collected, deidentified, and reviewed by an award committee. Winners were announced and received a plaque. A survey was sent to employed APRNs evaluating their response to the program. The survey was sent to both APRNs (83%) and PAs (17%). Survey end points included job satisfaction, willingness to stay in role for 1 and 5 years, sense of community, something to work toward, and increasing recognition of APRNs. Results showed statistical significance in three areas. Advanced practice registered nurses or PAs who were aware of award opportunities and/or nominated for an award showed higher job satisfaction, more likely to stay in job for 1 year, and felt a greater level of recognition. Dedicated APRN award programs may have a positive impact on job satisfaction and retention. This model may be extrapolated to provide greater opportunities for meaningful recognition among clinical APRNs.","PeriodicalId":17179,"journal":{"name":"Journal of the American Association of Nurse Practitioners","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138830177","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 urgent need for nurse practitioners to slow antibiotic resistance and advance health equity through appropriate antibiotic prescribing. 迫切需要执业护士通过合理开具抗生素处方来减缓抗生素耐药性并促进健康公平。

IF 1.2 4区医学

Journal of the American Association of Nurse Practitioners Pub Date : 2024-02-01 DOI: 10.1097/JXX.0000000000000981

Mary Lou Manning, Nicole Cavaliere, Sharon R Rainer, Bryan Hess

引用次数: 0

The genetics of autosomal dominant familial hypercholesterolemia. 常染色体显性家族性高胆固醇血症的遗传学。

IF 1.2 4区医学

Journal of the American Association of Nurse Practitioners Pub Date : 2024-02-01 DOI: 10.1097/JXX.0000000000000930

Sharon Anderson, Christina Botti

{"title":"The genetics of autosomal dominant familial hypercholesterolemia.","authors":"Sharon Anderson, Christina Botti","doi":"10.1097/JXX.0000000000000930","DOIUrl":"10.1097/JXX.0000000000000930","url":null,"abstract":"Abstract: Familial hypercholesterolemia (FH) is one of the most common genetic conditions. Affected individuals are unable to metabolize cholesterol due to inherited changes in the low-density lipoprotein (LDL) receptor, which impairs the ability to metabolize cholesterol, resulting in extremely high levels of cholesterol that leads to premature coronary artery disease. Autosomal dominant FH is caused by variants in several genes, which may present as heterozygous FH (less severe) or homozygous FH (more severe). Clinical diagnosis may be more likely when there is a family history of two or more first-degree relatives with total and LDL-cholesterol (LDL-C) level elevations, a child is identified, or the affected individual or close relatives have tendon xanthomas and/or progressive atherosclerosis. This article provides an overview of autosomal dominant FH, including disease prevalence, clinical diagnostic criteria, genetic variants, diagnostic testing, pathognomonic findings, and treatment options. It also shares a brief case, which highlights challenges associated with genetic test interpretation and the importance of including experienced providers in the diagnosis and treatment of this underdiagnosed and often untreated or undertreated genetic condition.","PeriodicalId":17179,"journal":{"name":"Journal of the American Association of Nurse Practitioners","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10448246","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 care practices of the patient with type 2 diabetes in community health centers. 改善社区卫生中心2型糖尿病患者的护理实践。

IF 1.2 4区医学

Journal of the American Association of Nurse Practitioners Pub Date : 2024-02-01 DOI: 10.1097/JXX.0000000000000976

Deloris Slade, Kayla Carr, Masoumeh Karimi, Mary W Stewart

{"title":"Improving care practices of the patient with type 2 diabetes in community health centers.","authors":"Deloris Slade, Kayla Carr, Masoumeh Karimi, Mary W Stewart","doi":"10.1097/JXX.0000000000000976","DOIUrl":"10.1097/JXX.0000000000000976","url":null,"abstract":"Background: Diabetes ranks seventh in morbidity and mortality in the United States. In addition, more than 25 million Americans living with diabetes depend on community health centers (CHCs) for primary care.Local problem: Preimplementation data in a group of CHCs indicated poor adherence to standards of care practices as recommended by the American Diabetes Association (ADA) with quarterly A1c (33.1%), annual serum laboratory tests (66.6%), and annual urine microalbumin (26.5%).Methods: Using a pre- and postimplementation comparison method, a NP-led practice improvement project was conducted in a group of CHCs, which sought to (1) identify adherence to ADA care standards; (2) determine whether an intervention could affect adherence to ADA standards; and (3) compare pre- and postimplementation occurrences of hemoglobin A1c greater than 7.1% and greater than 9%.Intervention: Intervention composed of an educational component, standing orders to facilitate care practice changes, and electronic health record utilization changes.Results: Postimplementation data reveal statistically significant improvements in quarterly hemoglobin A1c (93.6%), annual serum laboratory tests (96.5%), and annual urine microalbumin screening (85.5%).Conclusions: Improvements in translation to care for standardized guidelines facilitate improvements in health outcomes for patients. This project demonstrated improvements that can decrease the morbidity and mortality experienced by persons living with diabetes and being seen within a CHC. In addition, this project demonstrated that advanced practice nurses have the training and occupy a unique position within health care to spearhead initiatives for translation of evidence into care practices.","PeriodicalId":17179,"journal":{"name":"Journal of the American Association of Nurse Practitioners","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138445107","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 value of peer review: Thank you to our peer reviewers 同行评审的价值：感谢同行评审

IF 1.2 4区医学

Journal of the American Association of Nurse Practitioners Pub Date : 2024-02-01 DOI: 10.1097/jxx.0000000000000995

M. E. DeSimone

引用次数: 0

Nurse practitioner education: Uniting the 2021 essentials with The Core Competencies on Disability Health Care Education. 执业护士教育：将2021年的基本要素与残疾医疗教育的核心能力相结合。

IF 1.2 4区医学

Journal of the American Association of Nurse Practitioners Pub Date : 2024-02-01 DOI: 10.1097/JXX.0000000000000953

Rebecca Kronk, Denise Lucas, Susan Williams

引用次数: 0

Thank you to the 2023 Platinum Members of the Corporate Council. 感谢企业理事会 2023 白金会员。

IF 1.2 4区医学

Journal of the American Association of Nurse Practitioners Pub Date : 2024-02-01 DOI: 10.1097/JXX.0000000000000996

M Elayne DeSimone

引用次数: 0