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

Policy on acute toxic ingestion or dermal or inhalation exposure. 急性毒性摄入或皮肤或吸入暴露政策。

Journal of the American Academy of Nurse Practitioners Pub Date : 2003-07-01 DOI: 10.1111/j.1745-7599.2003.tb01309.x

Mary Jo Goolsby

引用次数: 0

What nurse practitioners should know about direct-to-consumer advertising of prescription medications. 关于处方药直接面向消费者的广告，执业护士应该知道什么?

Journal of the American Academy of Nurse Practitioners Pub Date : 2003-07-01 DOI: 10.1111/j.1745-7599.2003.tb01312.x

Pamela Hallquist Viale

{"title":"What nurse practitioners should know about direct-to-consumer advertising of prescription medications.","authors":"Pamela Hallquist Viale","doi":"10.1111/j.1745-7599.2003.tb01312.x","DOIUrl":"https://doi.org/10.1111/j.1745-7599.2003.tb01312.x","url":null,"abstract":"Purpose: To describe the marketing strategies of direct-to-consumer (DTC) advertising and the risks, benefits, and potential influence on the prescribing practices of nurse practitioners (NPs).Data sources: Journal articles, media sources, and clinical experience.Conclusions: The effect of DTC advertising of prescription medications on NPs has not been well studied. Although there are studies that examine the effects of DTC advertising on physician prescribing as well as the effects of this practice on the consumer, opinions on the benefits of DTC advertising are varied.Implications for practice: NPs need to recognize the potential influence of DTC advertising and to be prepared to guide patients toward appropriate medication choices by participating in a partnership with patients. Health care providers, including NPs, need to work with the pharmaceutical industry to encourage accountability of DTC advertising, thus improving dissemination of correct information and promoting positive outcomes for health consumers and patients.","PeriodicalId":50020,"journal":{"name":"Journal of the American Academy of Nurse Practitioners","volume":"15 7","pages":"297-304"},"PeriodicalIF":0.0,"publicationDate":"2003-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1745-7599.2003.tb01312.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22539466","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 17

Predictors of nurse practitioners' autonomy: effects of organizational, ethical, and market characteristics. 护士执业自主权的预测因素:组织、伦理和市场特征的影响。

Journal of the American Academy of Nurse Practitioners Pub Date : 2003-07-01 DOI: 10.1111/j.1745-7599.2003.tb01315.x

Connie Ulrich, Karen Soeken, Nancy Miller

{"title":"Predictors of nurse practitioners' autonomy: effects of organizational, ethical, and market characteristics.","authors":"Connie Ulrich, Karen Soeken, Nancy Miller","doi":"10.1111/j.1745-7599.2003.tb01315.x","DOIUrl":"https://doi.org/10.1111/j.1745-7599.2003.tb01315.x","url":null,"abstract":"Purpose: To identify the predictors of autonomy of nurse practitioners (NPs) affiliated directly and/or indirectly with managed-care systems (e.g., HMOs).Data sources: A mailed survey sent to a stratified random sample of 254 NPs certified and licensed to practice in the state of Maryland. The measures consisted of selected organizational characteristics; market factors of HMO penetration and percentage of client population enrolled in managed care; and factors of ethical concern, such as ethical ideology, ethics education, and autonomy. The County Surveyor Database was used to assess market penetration in the state.Conclusions: Although NPs were ethically concerned about their autonomy in a managed-care environment (70.2%), actual autonomy scores were high. The higher the percentage of HMO penetration, percentage of client population enrolled in managed care, and perceived ethical concern, the lower the perceived autonomy of NPs.Implications for practice: Findings may be used for future research to address the complexity of variables that influence the autonomous practice of NPs.","PeriodicalId":50020,"journal":{"name":"Journal of the American Academy of Nurse Practitioners","volume":"15 7","pages":"319-25"},"PeriodicalIF":0.0,"publicationDate":"2003-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1745-7599.2003.tb01315.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22539469","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 23

Simplified regimens for treating HIV infection and AIDS. 简化治疗艾滋病毒感染和艾滋病的方案。

Journal of the American Academy of Nurse Practitioners Pub Date : 2003-07-01 DOI: 10.1111/j.1745-7599.2003.tb01313.x

Peter J Piliero, Joseph P Colagreco

{"title":"Simplified regimens for treating HIV infection and AIDS.","authors":"Peter J Piliero, Joseph P Colagreco","doi":"10.1111/j.1745-7599.2003.tb01313.x","DOIUrl":"https://doi.org/10.1111/j.1745-7599.2003.tb01313.x","url":null,"abstract":"Purpose: To review the variables that greatly affect adherence to the complex treatment regimens used in HIV disease and to examine available options that could improve patient outcomes.Data sources: Comprehensive review of current medical and scientific literature, drug-prescribing literature, and randomized clinical trials of drug treatments.Conclusions: Effective treatment of HIV infection is dependent on consistent adherence to prescribed antiretroviral medications. A large pill burden, multiple daily doses, and adverse events are some of the complexities that negatively impact patient adherence. For example, lipodystrophy and hyperlipidemia are two serious side effects associated with some agents. Once-daily antiretroviral agents offer many advantages over historical treatment options but are associated with possible drawbacks.Implications for practice: Currently, four single agents are available for once-daily administration, and a few others are under investigation. In addition, combination therapy with either dual or boosted protease inhibitor regimens is becoming a popular way of overcoming the poor pharmacokinetic characteristics of individual protease inhibitors.","PeriodicalId":50020,"journal":{"name":"Journal of the American Academy of Nurse Practitioners","volume":"15 7","pages":"305-12"},"PeriodicalIF":0.0,"publicationDate":"2003-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1745-7599.2003.tb01313.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22539467","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 8

Management of molecular-targeted therapy for chronic myelogenous leukemia. 慢性骨髓性白血病分子靶向治疗的管理。

Journal of the American Academy of Nurse Practitioners Pub Date : 2003-07-01 DOI: 10.1111/j.1745-7599.2003.tb01310.x

Patricia Ault, Suzan Kaled, Mary Beth Rios

{"title":"Management of molecular-targeted therapy for chronic myelogenous leukemia.","authors":"Patricia Ault, Suzan Kaled, Mary Beth Rios","doi":"10.1111/j.1745-7599.2003.tb01310.x","DOIUrl":"https://doi.org/10.1111/j.1745-7599.2003.tb01310.x","url":null,"abstract":"Purpose: To provide primary care providers with guidelines on the evaluation and management of treatment for patients with chronic myelogenous leukemia (CML) with emphasis on the molecular-targeted therapy imatinib mesylate.Data sources: Research-based articles in the medical literature, review articles, and clinical practice guidelines.Conclusions: CML is a clonal stem cell disorder causing 5,000 new cases annually. Research on molecular-targeted therapy confirms that specific protein kinases have broad consequences for the development of future drugs to treat CML. The most recent discovery is a new compound, imatinib mesylate, which has become commercially available. Currently, the standard of care for CML is this agent. This therapy has changed management strategies for treatment of patients with the diagnosis of CML.Implications for practice: Long-term observations and evaluations are needed for final determination of treatment effectiveness; thus, primary care providers will follow patients with CML in the community. Unforeseen toxicity may surface, requiring accurate assessment and evaluation. Primary care providers will be actively involved with providing symptom management for these patients.","PeriodicalId":50020,"journal":{"name":"Journal of the American Academy of Nurse Practitioners","volume":"15 7","pages":"292-6"},"PeriodicalIF":0.0,"publicationDate":"2003-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1745-7599.2003.tb01310.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22538446","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 5

Motivating health: strategies for the nurse practitioner. 激励健康:执业护士的策略。

Journal of the American Academy of Nurse Practitioners Pub Date : 2003-05-01 DOI: 10.1111/j.1745-7599.2003.tb00359.x

Lynne S Duran

引用次数: 27

Health problems of women with severe mental illness. 患有严重精神疾病的妇女的健康问题。

Journal of the American Academy of Nurse Practitioners Pub Date : 2003-05-01 DOI: 10.1111/j.1745-7599.2003.tb00361.x

Eris F Perese, Kerry Perese

{"title":"Health problems of women with severe mental illness.","authors":"Eris F Perese, Kerry Perese","doi":"10.1111/j.1745-7599.2003.tb00361.x","DOIUrl":"https://doi.org/10.1111/j.1745-7599.2003.tb00361.x","url":null,"abstract":"Purpose: To provide a review of the health problems of women with severe mental illness (SMI) that are related to their psychiatric disorders and disabilities, prolonged use of psychotropic medications, and high-risk lifestyle practices.Data sources: Review of current literature uncovered through MEDLINE, Cumulated Index to Nursing and Allied Health, and Psychological Abstracts as well as the authors' clinical experiences.Conclusions: Women with SMI are at increased risk for obesity as well as cardiovascular, endocrine, and infectious disorders. They also experience psychotropic medication-related disorders such as amenorrhea, galactorrhea, sexual dysfunction, breast cancer, and osteoporosis. High-risk lifestyle practices, excessive weight gain, low physical activity, substance abuse and unprotected sexual activity increase risk for health problems. The mental illness, residual disabilities, sequelae of childhood abuse, poverty, limited social support and health knowledge deficits affect their ability to maintain optimum health.Implications for practice: Knowledge about women with SMI and their health problems will enable nurse practitioners to better meet the needs of this vulnerable population.","PeriodicalId":50020,"journal":{"name":"Journal of the American Academy of Nurse Practitioners","volume":"15 5","pages":"212-9"},"PeriodicalIF":0.0,"publicationDate":"2003-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1745-7599.2003.tb00361.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22432385","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 22

Nutritional health promotion for older adults, where is the content? 促进老年人营养健康的内容在哪里?

Journal of the American Academy of Nurse Practitioners Pub Date : 2003-05-01 DOI: 10.1111/j.1745-7599.2003.tb00363.x

Wanda Bonnel

{"title":"Nutritional health promotion for older adults, where is the content?","authors":"Wanda Bonnel","doi":"10.1111/j.1745-7599.2003.tb00363.x","DOIUrl":"https://doi.org/10.1111/j.1745-7599.2003.tb00363.x","url":null,"abstract":"Purpose: To describe nurse practitioners' (NPs') educational experiences related to older adult nutrition and eating abilities.Data sources: Descriptive research with written survey data collected from 80 gerontological NPs recruited from a national nursing conference.Conclusions: Older adults' nutritional health has been related to acute illness, pressure sore development, prolonged hospital stays, and other health problems. Current literature suggests that although nutrition screening and intervention promote older adults' health, practitioners may not consistently receive education on this content. Participants indicated that gerontological-nutrition content was important, that it was missing from their educational programs, and that it needed to be a part of the NP curriculum. Specific nutrition content concerns were organized by the categories (a) disease and functional issues, (b) psychosocial support and environmental impact, and (c) health care team and system considerations.Implications for practice: NP programs need to self-evaluate for adequate and appropriate nutrition screening and intervention content. Frameworks such as those developed by the Nutrition Screening Initiative and others provide beginning guidance for further content development.","PeriodicalId":50020,"journal":{"name":"Journal of the American Academy of Nurse Practitioners","volume":"15 5","pages":"224-9"},"PeriodicalIF":0.0,"publicationDate":"2003-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1745-7599.2003.tb00363.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22431695","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 4

Nurse practitioner coding practices in primary care: a retrospective chart review. 初级保健护理从业人员编码实践:回顾性图表回顾。

Journal of the American Academy of Nurse Practitioners Pub Date : 2003-05-01 DOI: 10.1111/j.1745-7599.2003.tb00364.x

Kymberly R Allen, Caroline B Reinke, Joanne M Pohl, Kristy K Martyn, Elaine P McIntosh

引用次数: 4

Case study of a young man with tremor. 一个患有震颤的年轻人的案例研究。

Journal of the American Academy of Nurse Practitioners Pub Date : 2003-05-01 DOI: 10.1111/j.1745-7599.2003.tb00362.x

Elizabeth Hawkins-Walsh

{"title":"Case study of a young man with tremor.","authors":"Elizabeth Hawkins-Walsh","doi":"10.1111/j.1745-7599.2003.tb00362.x","DOIUrl":"https://doi.org/10.1111/j.1745-7599.2003.tb00362.x","url":null,"abstract":"Purpose: To provide the clinician with an opportunity to review the most common causes of tremor in young adults.Data sources: Extensive review of international scientific literature on tremors and other movement disorders, supplemented by a recent case study.Conclusions: Essential tremor (ET) is the most common tremor disorder in the world. In contrast to common expectations, the 2nd decade of life represents a period of peak incidence. The early presentation may be so mild that the tremor goes unnoticed by patients and clinicians for many years. The most important movement disorder to rule out in the workup of patients with tremors is Parkinson's disease.Implications for practice: The diagnosis of ET is generally made on clinical grounds. A comprehensive history and careful physical examination that rules out cerebellar or extrapyramidal disease is required. The clinician must distinguish between resting tremors and action tremors. If the appropriate diagnosis is unclear, a tremor recording (electromyogram) may assist in this distinction. Referral to a neurologist may be warranted.","PeriodicalId":50020,"journal":{"name":"Journal of the American Academy of Nurse Practitioners","volume":"15 5","pages":"220-3"},"PeriodicalIF":0.0,"publicationDate":"2003-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1745-7599.2003.tb00362.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22432386","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 3