Journal of the American Association of Nurse Practitioners最新文献_第3页

Pandemic response: The identification of alternative clinical hours to ensure advanced practice nursing students meet program requirements. 流行病应对:确定替代临床时间，以确保高级实践护理学生满足计划要求。

IF 1.2 4区医学

Journal of the American Association of Nurse Practitioners Pub Date : 2022-08-01 DOI: 10.1097/JXX.0000000000000762

引用次数: 0

Faculty perspectives on doctor of nursing practice science: Part 2. 教师对护理实践科学博士的看法:第二部分。

IF 1.2 4区医学

Journal of the American Association of Nurse Practitioners Pub Date : 2022-07-01 DOI: 10.1097/JXX.0000000000000747

Justin Waryold, Kim Curry

引用次数: 0

Patient demographics and clinical characteristics influence opioid and nonopioid pain management prescriptions of primary care NPs, PAs, and MDs. 患者人口统计学和临床特征影响初级保健NPs、pa和md的阿片类和非阿片类疼痛管理处方。

IF 1.2 4区医学

Journal of the American Association of Nurse Practitioners Pub Date : 2022-07-01 DOI: 10.1097/JXX.0000000000000742

引用次数: 0

Faculty perspectives on doctor of nursing practice science: Part 1. 护理实践科学博士的教师观：第一部分。

IF 1.2 4区医学

Journal of the American Association of Nurse Practitioners Pub Date : 2022-06-01 DOI: 10.1097/jxx.0000000000000740

A. Smart, K. Curry

引用次数: 0

Antibiotic prescribing patterns and guideline-concordant management of acute respiratory tract infections in virtual urgent care settings. 虚拟紧急护理环境中急性呼吸道感染的抗生素处方模式和指南一致性管理。

IF 1.2 4区医学

Journal of the American Association of Nurse Practitioners Pub Date : 2022-06-01 DOI: 10.1097/jxx.0000000000000736

引用次数: 0

Practicing gratitude to combat despair: Discovered joy in addictions nursing. 练习感恩以对抗绝望：在成瘾护理中发现快乐。

IF 1.2 4区医学

Journal of the American Association of Nurse Practitioners Pub Date : 2022-06-01 DOI: 10.1097/JXX.0000000000000737

Alexa Colgrove Curtis

引用次数: 0

Reducing length of stay for patients undergoing transcatheter aortic valve replacement using a prescreening approach. 采用预筛选方法缩短经导管主动脉瓣置换术患者的住院时间

IF 1.2 4区医学

Journal of the American Association of Nurse Practitioners Pub Date : 2022-06-01 DOI: 10.1097/JXX.0000000000000719

Crystal N Cusin, Patricia A Clark, Claude W Lauderbach, Janet Wyman

{"title":"Reducing length of stay for patients undergoing transcatheter aortic valve replacement using a prescreening approach.","authors":"Crystal N Cusin, Patricia A Clark, Claude W Lauderbach, Janet Wyman","doi":"10.1097/JXX.0000000000000719","DOIUrl":"10.1097/JXX.0000000000000719","url":null,"abstract":"Background: As transcatheter aortic valve replacement (TAVR) becomes a preferred treatment option for patients with aortic valve stenosis, and demand for TAVR increases, it is imperative that length of stay (LOS) is reduced while maintaining safety and effectiveness.Local problem: As TAVR procedures have become less invasive and more streamlined, current protocols have not been updated to reflect today's postprocedure requirements.Methods: The next-day discharge (NDD) protocol was established using available literature. A convenience sample was evaluated for NDD protocol inclusion during aortic multidisciplinary team conference using predetermined inclusion and exclusion criteria. Length of stay for NDD protocol participants was compared with LOS from a retrospective convenience sample of patients undergoing TAVR in the time frame mirroring NDD protocol initiation of the year prior.Interventions: Patients meeting inclusion criteria were enrolled in the NDD protocol with a goal of discharge to home on postprocedural day 1 by 2:00 p.m. The NDD protocol included preprocedure expectation setting, prescheduled same-day postprocedure imaging, and discharge priority on postprocedure day 1.Results: There is a significant difference in LOS between the NDD eligible retrospective and prospective groups. The prospective group has a significantly lower LOS than the retrospective group (M = 1.6 vs 2.1, respectively; p = .0454).Conclusions: An NDD protocol can help reduce LOS after TAVR in appropriately selected patients. Further protocol revision will be required to optimize LOS outcomes.","PeriodicalId":48812,"journal":{"name":"Journal of the American Association of Nurse Practitioners","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47205384","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

BarberED then screened: Disrupting the colorectal cancer disparity in urban Black men. 理发后筛查:打破城市黑人男性结直肠癌的差异

IF 1.2 4区医学

Journal of the American Association of Nurse Practitioners Pub Date : 2022-06-01 DOI: 10.1097/JXX.0000000000000725

Wilhelmina Sizer, Yvette Conyers

{"title":"BarberED then screened: Disrupting the colorectal cancer disparity in urban Black men.","authors":"Wilhelmina Sizer, Yvette Conyers","doi":"10.1097/JXX.0000000000000725","DOIUrl":"10.1097/JXX.0000000000000725","url":null,"abstract":"Background: Colorectal cancer (CRC) is the third most common diagnosed cancer among non-Hispanic Black people in the United States. Alarmingly, this population is also 40% more likely to succumb to the disease. Black men get diagnosed younger, present with late-stage disease, and have poor 5-year survival rates. In total, 42% of the racial disparity is due to differences in screening.Local problem: In Rochester, New York, there are eight zip codes where less than 47% of the population completed CRC screening and six zip codes where men have 15% to 49% above expected cases of CRC.Methods: This qualitative improvement project took place in a barbershop in a zip code with subpar screening rates and higher-than-expected cases of CRC. Black men, 45-75 years of age, not current with CRC screening guidelines were recruited to participate after they received barber services. CRC screening was considered complete once a colonoscopy was scheduled.Interventions: Colorectal cancer education was provided by a nurse practitioner to barbers, who then provided education to their eligible patrons. After the education, patrons who decided to undergo screening were connected to a local gastroenterology group where a colonoscopy was scheduled.Results: Thirteen participants agreed to participate in the project. Nine participants scheduled CRC screening, and seven completed the colonoscopy evaluation.Conclusions: Barbers and nurse practitioners are an ideal partnership when seeking to disrupt the CRC health care disparity. Members of the Black community who may not routinely participate in preventive care can be innovatively educated to improve their health status.","PeriodicalId":48812,"journal":{"name":"Journal of the American Association of Nurse Practitioners","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46748138","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

Examining the effects of chronic pain on work performance in the military. 研究慢性疼痛对军队工作表现的影响

IF 1.2 4区医学

Journal of the American Association of Nurse Practitioners Pub Date : 2022-06-01 DOI: 10.1097/JXX.0000000000000711

Jeffrey C Ransom, Sally Brosz-Hardin, Patricia Calero, Nicole DeFord, Joseph F Burkard

{"title":"Examining the effects of chronic pain on work performance in the military.","authors":"Jeffrey C Ransom, Sally Brosz-Hardin, Patricia Calero, Nicole DeFord, Joseph F Burkard","doi":"10.1097/JXX.0000000000000711","DOIUrl":"10.1097/JXX.0000000000000711","url":null,"abstract":"Background: Effectively managing pain is a unique challenge for the U.S. military. Chronic pain has a tremendous detrimental impact on mission readiness throughout the Armed Forces. Examining the effects of chronic pain on readiness is critical to understanding and addressing these challenges.Purpose: The purpose of this study was to examine the associations of chronic pain and sleep disruption in the context of work performance among active duty military service members.Methodological orientation: The study design was a cross-sectional observational study that examined associations between patients with chronic pain and sleep disruption, in the context of work performance.Results: One hundred forty-five participants completed the study. Age, depression, sleep, and pain severity were consistently strong predictors of work performance.Conclusions: Patients performed better with age, whereas those with depression, sleep disruption, and increased pain severity performed poorly.Implications for practice: Research focused on the differences in work performance among age groups may provide a better understanding of coping strategies. Focused depression research can lead to a greater understanding of how mental health affects pain, sleep, and work. The findings of this study open the door to explore multiple approaches that could lead to treatments and preventions for military members living with chronic pain.","PeriodicalId":48812,"journal":{"name":"Journal of the American Association of Nurse Practitioners","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47162178","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

Measuring the impact of a COVID-19 continuing education program. 衡量COVID-19继续教育计划的影响

IF 1.2 4区医学

Journal of the American Association of Nurse Practitioners Pub Date : 2022-06-01 DOI: 10.1097/JXX.0000000000000715

Eve N Roberts, Robert T Smithing, Paula Tucker

{"title":"Measuring the impact of a COVID-19 continuing education program.","authors":"Eve N Roberts, Robert T Smithing, Paula Tucker","doi":"10.1097/JXX.0000000000000715","DOIUrl":"10.1097/JXX.0000000000000715","url":null,"abstract":"Abstract: The COVID-19 pandemic has led to a rapidly shifting health care environment, with frequent changes to best practices, which can lead to knowledge and practice gaps among health care providers, including nurse practitioners (NPs). The purpose of this paper was to describe a continuing education (CE) program developed to address COVID-19 knowledge gaps and to report on the changes in knowledge, competence, and confidence following program completion. The CE program was a 2.5 to 2.67 contact hour webinar delivered in July 2020, October 2020, and February 2021. Content included COVID-19 prevention, diagnosis, and management and was updated before the second and third webinars. Changes in content and webinar audience participation in the question and answer portion were reflected in the CE credit awarded. Preactivity and postactivity knowledge, competence, and confidence levels were assessed among activity completers. Changes between the preactivity and postactivity evaluation were compared. A total of 2,901 learners were included in the analysis, of whom 91.6% were NPs. Overall, baseline knowledge of COVID-19 transmission, diagnosis, and treatment was low. Substantial improvements in knowledge, competence, and confidence were reported from baseline to postactivity evaluation, with increases of 47-73% overall. Furthermore, learner confidence in identifying patients at risk for severe COVID-19 and counseling patients on prevention and transmission significantly increased. Despite plans to implement strategies to improve COVID-19 management, several barriers to uptake were identified. The rapid development of a COVID-19 CE program resulted in substantial gains in NP knowledge related to prevention, diagnosis, and management, with possible implications for nearly 68,000 patient encounters per month.","PeriodicalId":48812,"journal":{"name":"Journal of the American Association of Nurse Practitioners","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41447370","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: 3