Journal of the American Association of Nurse Practitioners最新文献

Unregulated male sexual enhancement treatments: Perils and pitfalls for patients and providers 不规范的男性性功能增强治疗：患者和医疗服务提供者面临的危险和陷阱

IF 1.2 4区医学

Journal of the American Association of Nurse Practitioners Pub Date : 2024-06-14 DOI: 10.1097/jxx.0000000000001037

Kristopher J. Jackson

{"title":"Unregulated male sexual enhancement treatments: Perils and pitfalls for patients and providers","authors":"Kristopher J. Jackson","doi":"10.1097/jxx.0000000000001037","DOIUrl":"https://doi.org/10.1097/jxx.0000000000001037","url":null,"abstract":"\u0000 As the demand for “quick-fixes” and instant gratification intensifies among consumers of the US health care delivery system, health care providers remain essential to ensuring patients receive safe, evidenced-based care. Erectile dysfunction is a common health condition affecting as many as 42% of US men. As such, it is unsurprising that American health care consumers affected by erectile dysfunction (ED) may be tempted by “quick fixes” to ameliorate their symptoms—particularly if such fixes are perceived to be less embarrassing, more accessible, and/or more affordable. Although multiple therapies for the treatment of ED are approved by the US Food and Drug Administration, unregulated and/or counterfeit treatments are abundantly available to health care consumers on the Internet and US retail settings. These unregulated treatments may take the form of over-the-counter supplements or tainted prescription medications from illegal Internet pharmacies. This clinical brief is a call to action for health care professionals to advocate for patient safety, educate patients, and champion evidence-based therapies approved for the treatment of erectile dysfunction.","PeriodicalId":48812,"journal":{"name":"Journal of the American Association of Nurse Practitioners","volume":"27 2","pages":""},"PeriodicalIF":1.2,"publicationDate":"2024-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141342696","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

Enhancing competency-based assessment: Implementing oral boards in nursing education 加强能力评估：在护理教育中实施口试

IF 1.2 4区医学

Journal of the American Association of Nurse Practitioners Pub Date : 2024-06-04 DOI: 10.1097/jxx.0000000000001034

Regina D. Owen, Nicole Moret

引用次数: 0

Enhancing foot care education and support strategies in adults with type 2 diabetes: A qualitative study 加强成人 2 型糖尿病患者的足部护理教育和支持策略：定性研究

IF 1.2 4区医学

Journal of the American Association of Nurse Practitioners Pub Date : 2024-06-01 DOI: 10.1097/jxx.0000000000001030

引用次数: 0

The important primary care role of neonatal nurse practitioners in the neonatal intensive care unit. 新生儿护士从业者在新生儿重症监护室的重要初级保健作用。

IF 1.2 4区医学

Journal of the American Association of Nurse Practitioners Pub Date : 2022-12-01 DOI: 10.1097/JXX.0000000000000800

Kristen Etten, Jacqui Hoffman, Carol Wallman, Bobby Bellflower

{"title":"The important primary care role of neonatal nurse practitioners in the neonatal intensive care unit.","authors":"Kristen Etten, Jacqui Hoffman, Carol Wallman, Bobby Bellflower","doi":"10.1097/JXX.0000000000000800","DOIUrl":"https://doi.org/10.1097/JXX.0000000000000800","url":null,"abstract":"Abstract: Neonatal nurse practitioners (NNPs) are recognized as acute care providers but are actually both acute and primary care providers via education and practice. Neonatal nurse practitioners provide primary care such as anticipatory guidance, care and follow-up of technologically dependent infants, and discharge planning. Numerous interventions and care in the neonatal intensive care unit (NICU) fall under the umbrella of health promotion, an aspect of primary care. In addition, NNPs must also be able to recognize, diagnose, and manage myriad common pediatric illnesses. There is a paucity of data to evaluate how NNP programs are meeting the National Association of Neonatal Nurses educational standards on this topic. A REDCap survey was sent to 31 NNP program directors, with a 100% response rate. All programs provide content addressing primary care management in their curriculum. National recognition of the primary care role, in addition to the acute care role that NNPs practice, should increase opportunities for clinical placement sites, employment opportunities, and grant funding. This article aims to demonstrate both the educational preparation and the delivery of primary care that NNPs provide in the NICU and other areas of practice.","PeriodicalId":48812,"journal":{"name":"Journal of the American Association of Nurse Practitioners","volume":"34 12","pages":"1258-1262"},"PeriodicalIF":1.2,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35210379","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 programmatic taxonomy to define, differentiate, and classify nurse practitioner postgraduate training. 定义、区分和分类护士执业研究生培训的纲领性分类法。

IF 1.2 4区医学

Journal of the American Association of Nurse Practitioners Pub Date : 2022-11-01 DOI: 10.1097/JXX.0000000000000804

引用次数: 0

Bridging the education-practice gap: Changing nurse practitioner skills through education innovation. 弥合教育与实践的差距:通过教育创新改变护士执业技能。

IF 1.2 4区医学

Journal of the American Association of Nurse Practitioners Pub Date : 2022-11-01 DOI: 10.1097/JXX.0000000000000778

Rodney W Hicks, Judy A Berg, Mary Ellen E Roberts

引用次数: 1

Shave biopsy technique and hemostasis pearl. 剃须活检技术和止血珍珠。

IF 1.2 4区医学

Journal of the American Association of Nurse Practitioners Pub Date : 2022-11-01 DOI: 10.1097/JXX.0000000000000791

Katherine Ada Twede, Aimee Kim Bui, Jennifer Burke

引用次数: 1

Improving 10-year atherosclerotic cardiovascular disease estimation management using a Smartphrase for automated risk screening. 使用Smartphrase进行自动风险筛选，改善10年动脉粥样硬化性心血管疾病的评估管理。

IF 1.2 4区医学

Journal of the American Association of Nurse Practitioners Pub Date : 2022-10-01 DOI: 10.1097/JXX.0000000000000757

Anna L Chappell

{"title":"Improving 10-year atherosclerotic cardiovascular disease estimation management using a Smartphrase for automated risk screening.","authors":"Anna L Chappell","doi":"10.1097/JXX.0000000000000757","DOIUrl":"https://doi.org/10.1097/JXX.0000000000000757","url":null,"abstract":"Background: Cardiovascular disease (CVD) is the most common cause of death in the United States, and 90% of cardiovascular events are preventable. The 2020 American College of Cardiology/American Heart Association Guidelines on the Primary Prevention of Cardiovascular Disease recommends 10-year atherosclerotic cardiovascular disease (ASCVD) risk estimates for 40- to 75-year-old adults with CVD risk indications to decrease the likelihood of cardiovascular events.Local problem: At the project site, the 10-year ASCVD risk estimates were rarely completed by providers. The purpose of this project was to increase 10-year ASCVD risk estimation screening and improve pharmacological therapy for 40- to 75-year-old patients with CVD risk indications.Methods: To increase 10-year ASCVD risk estimation screening and improve pharmacological therapy, a multifaceted bundle was created for providers.Interventions: Three interventions were initiated: an electronic health record Smartphrase was created to produce automatic 10-year risk scores; laminated paper reminders for the Smartphrase were visible on providers' desks; educational in-services were performed to promote risk score adherence.Results: The project aims were achieved with an increase from a 14% completion rate for 10-year ASCVD risk estimation during the preintervention phase to a 98% completion rate at the end of the postintervention phase. Appropriate pharmacological therapy improved from a 64% rate during the preintervention phase to a maximum rate of 79% during postintervention.Conclusion: The project was effective at increasing risk estimate completion and improving appropriate pharmacological therapy. There was an increase in provider-patient discussions toward primary prevention for cardiovascular events.","PeriodicalId":48812,"journal":{"name":"Journal of the American Association of Nurse Practitioners","volume":" ","pages":"1151-1155"},"PeriodicalIF":1.2,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40615827","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

Nurse practitioner integration: Conceptual development to enhance application in policy and research. 护士执业整合:概念发展，以加强在政策和研究中的应用。

IF 1.2 4区医学

Journal of the American Association of Nurse Practitioners Pub Date : 2022-10-01 DOI: 10.1097/JXX.0000000000000761

Joshua Porat-Dahlerbruch, Lusine Poghosyan, Nancy Blumenthal, Shoshana Ratz, Moriah E Ellen

{"title":"Nurse practitioner integration: Conceptual development to enhance application in policy and research.","authors":"Joshua Porat-Dahlerbruch, Lusine Poghosyan, Nancy Blumenthal, Shoshana Ratz, Moriah E Ellen","doi":"10.1097/JXX.0000000000000761","DOIUrl":"https://doi.org/10.1097/JXX.0000000000000761","url":null,"abstract":"Background: Nurse practitioners (NPs) have been introduced across the world to improve care quality and solve provider shortages. Realizing these benefits relies on their successful integration into health care systems. Although NP integration has been discussed extensively, the concept is defined inconsistently. Literature, therefore, cannot be synthesized to create policy recommendations for management and policymakers to plan for and advance NP integration.Objectives: To describe and define NP integration and enhance its applicability in research and policy.Data sources: A modified Walker and Avant concept analysis was used to develop a conceptual model of NP integration. Data were extracted and synthesized from 78 sources referencing the concept.Conclusions: Nurse practitioner integration was operationally defined as the multilevel process of incorporating NPs into the health care system so that NPs can practice to their full scope, education, and training and contribute to patient, system, and population needs. The attributes of NP integration are: 1) achievable goal; 2) process; 3) introduction of the role; 4) incorporation into organizational care models; 5) challenging traditional ideologies; 6) ability to function; 7) provide high-quality care; and 8) improve outcomes, sustainability, and health system transformation. Seventeen facilitators/barriers affecting NP integration were identified. Three health care system levels at which integration occurs were identified- macro , meso , and micro .Implications for practice: Findings will inform managers, policymakers, and stakeholders about NP integration to aid in planning and policy development. Results can be used to inform research on barriers and facilitators to NP integration.","PeriodicalId":48812,"journal":{"name":"Journal of the American Association of Nurse Practitioners","volume":" ","pages":"1106-1115"},"PeriodicalIF":1.2,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40639505","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: 4

Health care utilization in a nurse practitioner-led atrial fibrillation clinic. 以执业护士为主导的房颤门诊的卫生保健利用。

IF 1.2 4区医学

Journal of the American Association of Nurse Practitioners Pub Date : 2022-10-01 DOI: 10.1097/JXX.0000000000000779

David B Meyer, Michael C Larkins, Omar Taha, Amber Seiler, Sheryl Booth, Robert B Hokanson, James Allred

{"title":"Health care utilization in a nurse practitioner-led atrial fibrillation clinic.","authors":"David B Meyer, Michael C Larkins, Omar Taha, Amber Seiler, Sheryl Booth, Robert B Hokanson, James Allred","doi":"10.1097/JXX.0000000000000779","DOIUrl":"https://doi.org/10.1097/JXX.0000000000000779","url":null,"abstract":"Background: Atrial fibrillation (AF) is the most common cardiac arrhythmia and is emerging in prevalence with an increasingly aging population. The complex nature of the disease and its association with significant morbidity and mortality has resulted in a call for a new integrative, multidisciplinary approach to AF management.Purpose: Determine if the use of a nurse practitioner (NP)-led AF clinic (NPAFC) can improve care for patients.Methodology: An NPAFC was designed to serve as an independent clinic for standardizing patient care and improving access to care. Baseline patient demographics, care pathway, and interventions were characterized in clinic. Primary outcomes were hospitalizations and emergency department (ER) visits, before and after clinic implementation.Results: Overall, 1,442 patients were enrolled in the AF clinic between January 2016 and June 2018. The mean age at the first AF clinic visit was 68.7 ± 12.6 years, 54% were male, and the mean body mass index was 31 ± 7 kg/m2. Among the patients, 45.2% had paroxysmal AF, 43.6% persistent AF, and 5.5% permanent AF. With an average of 3 ± 3 clinic visits per patient, the number of patients with ≥1 hospitalization decreased by 78% after clinic implementation. Similarly, the number of patients with ≥1 ER visit decreased by 79%, and 22.7% of patients avoided at least one ER visit.Conclusions: The number of patients with ≥1 hospitalization or ≥1ER visit decreased within two years after the implementation of an NPAFC.Implications: Implementation of an NP-led AF clinic in the United States may reduce hospitalizations and ER visits if implemented in an integrative model.","PeriodicalId":48812,"journal":{"name":"Journal of the American Association of Nurse Practitioners","volume":" ","pages":"1139-1148"},"PeriodicalIF":1.2,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40394180","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