Journal of the American Association of Nurse Practitioners最新文献_第6页

Nurse practitioner and physician assistant onboarding in a family medicine practice. 家庭医学实习的执业护士和医师助理。

IF 1.2 4区医学

Journal of the American Association of Nurse Practitioners Pub Date : 2022-03-01 DOI: 10.1097/JXX.0000000000000611

Amanda Chaney, Angela Martin, Kathy Cardona, Richard J Presutti

{"title":"Nurse practitioner and physician assistant onboarding in a family medicine practice.","authors":"Amanda Chaney, Angela Martin, Kathy Cardona, Richard J Presutti","doi":"10.1097/JXX.0000000000000611","DOIUrl":"10.1097/JXX.0000000000000611","url":null,"abstract":"Abstract: The nurse practitioner (NP) and physician assistant (PA) professions are rapidly growing. Historically, these professions have filled a health care delivery gap caused by lack of health care access and physician shortages. Many medical practices are more accustomed to adding new physicians as compared with adding new NPs or PAs. This article describes one institution's approach to develop and implement a successful NP/PA onboarding program. Several key components are discussed, including (1) established roles and responsibilities, (2) a clear timeline of the onboarding period including a foundational curriculum, (3) the mentor-mentee relationship, (4) the onboarding checklist, and (5) the onboarding itinerary. The objective was to have our NPs/PAs on a regular patient calendar within the 6-month period. The success rate with this has been 86%. In addition, there has been a 90% retention of NP/PA hires over the past 3 years. The authors believe this approach to NP/PA onboarding serves the patients well, providing excellent patient outcomes and patient experience.","PeriodicalId":48812,"journal":{"name":"Journal of the American Association of Nurse Practitioners","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39000756","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: 5

The level of quality care nurse practitioners provide compared with their physician colleagues in the primary care setting: A systematic review. 在初级保健环境中，执业护士提供的质量护理水平与医生同事的比较:一项系统评价。

IF 1.2 4区医学

Journal of the American Association of Nurse Practitioners Pub Date : 2022-03-01 DOI: 10.1097/JXX.0000000000000660

Michael Barnett, Christopher Balkissoon, Jodie Sandhu

{"title":"The level of quality care nurse practitioners provide compared with their physician colleagues in the primary care setting: A systematic review.","authors":"Michael Barnett, Christopher Balkissoon, Jodie Sandhu","doi":"10.1097/JXX.0000000000000660","DOIUrl":"10.1097/JXX.0000000000000660","url":null,"abstract":"Background: There is an increasing demand for high-quality primary care providers without adequate supply to meet the need. Nurse practitioners (NPs) are uniquely positioned to fill this demand but influence on regulatory practice authority from concerned groups regarding patient safety and quality of care has delayed this as an effective solution.Objectives: The objective was to address concerns abovt NP-led care by examining evidence regarding patient safety, clinical outcomes, cost, and patient satisfaction that reflect on the ability of NPs to provide high-quality care within the primary care setting and to compare their ability with standard models of care led by physicians.Data sources: A systematic review was completed using PubMed, CINHAL Complete, and Scopus. Using PRISMA guidelines to critique literature and the John's Hopkins Research Evidence Appraisal tool, articles were analyzed comparing the quality of care between NP and physician providers in the primary care setting.Conclusions: A total of 11 articles met the criteria and reveal that NPs provide equal or better quality of care for all outcomes outcomes when compared with their physician colleagues.Implications for practice: Quality patient care provided by NPs in the primary care setting is equal to, and in several cases superior to, that of physicians. Concerns for patient safety and quality care outcomes seem unsupported by data, and state legislatures should continue to grant full practice authority. as an effective source of providing high-quality primary health care.","PeriodicalId":48812,"journal":{"name":"Journal of the American Association of Nurse Practitioners","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39541136","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 nurse practitioner's role in addressing chronic sequelae of Lyme disease as a climate change related disease. 在解决莱姆病作为气候变化相关疾病的慢性后遗症护士执业的作用。

IF 1.2 4区医学

Journal of the American Association of Nurse Practitioners Pub Date : 2022-03-01 DOI: 10.1097/JXX.0000000000000670

Patrice Nicholas, Linda A Evans, Marisa Albert, Debra Kelly, Naomi Michelson

引用次数: 2

Trauma-informed care in the primary care setting: An evolutionary analysis. 创伤知情护理在初级保健设置:进化分析。

IF 1.2 4区医学

Journal of the American Association of Nurse Practitioners Pub Date : 2022-03-01 DOI: 10.1097/JXX.0000000000000663

Latha Varghese, Amanda Emerson

{"title":"Trauma-informed care in the primary care setting: An evolutionary analysis.","authors":"Latha Varghese, Amanda Emerson","doi":"10.1097/JXX.0000000000000663","DOIUrl":"10.1097/JXX.0000000000000663","url":null,"abstract":"Background: The high prevalence of trauma in the United States and its adverse effects on patient wellbeing has led to the adoption of trauma-informed care (TIC) in some specialized health care services. However, the implementation of TIC in primary care, where many nurse practitioners (NPs) provide services, is relatively uncommon and the concept not well-defined. Trauma includes physically and emotionally devastating experiences that have a lasting impact on individuals.Objectives: To synthesize a definition of TIC in the primary care setting for NPs to guide future practice and research.Data sources: We searched CINAHL, PsycINFO, Social Work Abstracts, Scopus, and PubMed for articles published 2010-2020 that described the use of TIC in primary care. Rodgers' evolutionary method and the framework method of analysis were used to identify attributes and contexts of TIC in primary care and synthesize a definition. Thirty-one articles from nursing, medical, and social work sources were selected, including data-based studies ( n = 15) and thought pieces ( n = 16). Attributes, antecedents, and consequences were combined to provide a definition grounded in the literature.Conclusion: Trauma-informed care in primary care is a strengths-based approach in which trained, trauma-aware health care professionals provide services that prioritize safety, empowerment, and support, resulting in improved patient satisfaction and health care engagement in individuals who have experienced trauma.Implications for practice: A clearly defined concept provides a starting point for developing strategies to help NPs recognize and respond more effectively to the needs of patients who have experienced trauma.","PeriodicalId":48812,"journal":{"name":"Journal of the American Association of Nurse Practitioners","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39517943","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

Commentary on "Development of postgraduate training in critical care medicine for nurse practitioners and physician assistants" JAANP, 33(12):1116-1119, December 2021. 《危重病医学研究生培训对护士执业和医师助理的发展》评论，中华医学杂志，33(12):1116-1119,2021年12月

IF 1.2 4区医学

Journal of the American Association of Nurse Practitioners Pub Date : 2022-03-01 DOI: 10.1097/JXX.0000000000000694

Carolina D Tennyson, Vikas Pathak, Christine Y Zhou

引用次数: 0

COVID-19 vaccination in adults living with HIV. 成人艾滋病毒感染者的COVID-19疫苗接种

IF 1.2 4区医学

Journal of the American Association of Nurse Practitioners Pub Date : 2022-03-01 DOI: 10.1097/JXX.0000000000000674

Christopher W Blackwell, Humberto López Castillo

引用次数: 1

Development and implementation of virtual clinical skills experiences for psychiatric nurse practitioner students. 精神科护士实习学生虚拟临床技能体验的开发与实施。

IF 1.2 4区医学

Journal of the American Association of Nurse Practitioners Pub Date : 2022-03-01 DOI: 10.1097/JXX.0000000000000669

Anjanetta Davis, Lori Moore, Joe Farmer, Shannon Lewis

{"title":"Development and implementation of virtual clinical skills experiences for psychiatric nurse practitioner students.","authors":"Anjanetta Davis, Lori Moore, Joe Farmer, Shannon Lewis","doi":"10.1097/JXX.0000000000000669","DOIUrl":"10.1097/JXX.0000000000000669","url":null,"abstract":"Abstract: The educational preparation of nurse practitioner (NP) students includes didactic content and clinical experiences. These clinical experiences can be via clinical rotations or simulation. Although there is no specific list of clinical skills to prepare NP students for professional practice, the National Organization for Nurse Practitioner Faculties identifies core competencies for the basic education of NP students. These core competencies can be fulfilled through simulated clinical experiences. However, due to the COVID-19 pandemic, many institutions had to develop alternate methods of facilitating simulated clinical experiences for their NP students. Because of national, state, and university guidelines to transition all face-to-face educational activities to a virtual format, a Southeastern university simulation program developed and implemented virtual clinical skills experiences for psychiatric mental health NP students. Based on student survey results, the utilization of standardized patients in this virtual clinical skills experience proved beneficial and improved NP students' interviewing and communication skills via a telehealth format.","PeriodicalId":48812,"journal":{"name":"Journal of the American Association of Nurse Practitioners","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39541138","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: 2

Dermatologic simulations in nurse practitioner education: Improving skin cancer knowledge, confidence, and performance. 皮肤科模拟护士执业教育:提高皮肤癌知识，信心和表现。

IF 1.2 4区医学

Journal of the American Association of Nurse Practitioners Pub Date : 2022-03-01 DOI: 10.1097/JXX.0000000000000637

Katherine D Shue-McGuffin, Kelly Powers

{"title":"Dermatologic simulations in nurse practitioner education: Improving skin cancer knowledge, confidence, and performance.","authors":"Katherine D Shue-McGuffin, Kelly Powers","doi":"10.1097/JXX.0000000000000637","DOIUrl":"10.1097/JXX.0000000000000637","url":null,"abstract":"Background: The rising incidence of skin cancer continues to be a significant public health concern in the United States. Nurse practitioners (NPs) have a key role in early detection of skin cancer. However, NP students currently demonstrate low levels of knowledge related to skin cancer assessments and recognition of skin lesions.Purpose: The aim of this pilot study was to determine if simulations with standardized patients wearing three-dimensional (3D) prosthetic skin lesions improved NP students' knowledge, self-confidence, and observed simulation performance with regard to assessing, diagnosing, and managing patients with nonmalignant versus malignant skin lesions.Methodology: A quasi-experimental approach was used with a convenience sample of 39 NP students. Students participated in three consecutive simulations, each followed by a debriefing. Performance was assessed during the simulations using a rubric. Knowledge and self-confidence were measured immediately before and after the simulation.Results: Correct responses on knowledge items increased for 14 of the 18 items. Self-confidence significantly improved from pretest to posttest. There was a statistically significant improvement in performance from the first to third simulation encounter.Conclusion: Simulation with standardized patients wearing 3D lesions can enhance NP students' knowledge, self-confidence, and performance of skin cancer assessments.Implications: Nurse practitioner programs can consider using simulation to prepare students for dermatologic care and to help improve the probability of early detection of skin cancer in various health care settings.","PeriodicalId":48812,"journal":{"name":"Journal of the American Association of Nurse Practitioners","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39428905","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: 5

Men and suicide: Primary care prevention in the era of COVID-19 and beyond. 男性与自杀:COVID-19时代及以后的初级保健预防。

IF 1.2 4区医学

Journal of the American Association of Nurse Practitioners Pub Date : 2022-03-01 DOI: 10.1097/JXX.0000000000000614

Rachel H Adler

引用次数: 0

Recognition of diversity, equity, and inclusion in scientific writing: Not just sticks and stones. 承认科学写作中的多样性、公平性和包容性：不仅仅是棍子和石头

IF 1.2 4区医学

Journal of the American Association of Nurse Practitioners Pub Date : 2022-03-01 DOI: 10.1097/JXX.0000000000000698

Susan D Ruppert, Mary Ellen E Roberts

引用次数: 1