NURSE PRACTITIONERPub Date : 2025-04-01Epub Date: 2025-03-25DOI: 10.1097/01.NPR.0000000000000300
Bligha Noor, Kari Benton, Claudio Vazquez
{"title":"Promoting provider adherence to American Diabetes Association guidelines with a diabetes care bundle: A DNP quality improvement project.","authors":"Bligha Noor, Kari Benton, Claudio Vazquez","doi":"10.1097/01.NPR.0000000000000300","DOIUrl":"10.1097/01.NPR.0000000000000300","url":null,"abstract":"<p><strong>Abstract: </strong>Type 2 diabetes mellitus (T2DM) is a common and expensive health condition. Patients are at increased risk for cardiorenal complications when metabolic targets for hemoglobin A1C, BP, and low-density lipoprotein cholesterol are unmet. Many providers do not fully adhere to the latest diabetes guidelines. This quality improvement project aimed to achieve adherence to all components of a diabetes care bundle (DCB) based on the American Diabetes Association (ADA) Standards of Care in Diabetes-2023 for at least 30% of patient visits for T2DM among providers at two primary care clinics. The DCB successfully assisted providers in adhering to ADA guidelines during patient visits while not greatly increasing visit cycle time.</p>","PeriodicalId":51812,"journal":{"name":"NURSE PRACTITIONER","volume":"50 4","pages":"40-47"},"PeriodicalIF":0.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143702117","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}
NURSE PRACTITIONERPub Date : 2025-04-01Epub Date: 2025-03-25DOI: 10.1097/01.NPR.0000000000000299
Brandon Geer
{"title":"Point-of-care ultrasound for abdominal aortic aneurysm screening in the primary care setting.","authors":"Brandon Geer","doi":"10.1097/01.NPR.0000000000000299","DOIUrl":"10.1097/01.NPR.0000000000000299","url":null,"abstract":"<p><strong>Background: </strong>Abdominal aortic aneurysms (AAAs) are often asymptomatic; however, if they rupture, they have a mortality of 81%.</p><p><strong>Methods: </strong>This project, completed as part of the author's Doctor of Nursing Practice (DNP) program requirements, evaluated the implementation of a point-of-care ultrasound (POCUS) screening protocol involving in-office AAA screenings using a handheld ultrasound device. The purpose of this project was to examine whether POCUS would increase adherence to AAA screening guidelines in the primary care setting.</p><p><strong>Results: </strong>POCUS AAA screening increased adherence to screening guidelines and was preferred by participants to formal ultrasound screening.</p><p><strong>Conclusion: </strong>This project recommends performing additional research on a larger scale over a longer period to more fully assess POCUS applicability for this purpose.</p>","PeriodicalId":51812,"journal":{"name":"NURSE PRACTITIONER","volume":"50 4","pages":"33-39"},"PeriodicalIF":0.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143702018","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}
NURSE PRACTITIONERPub Date : 2025-04-01Epub Date: 2025-03-25DOI: 10.1097/01.NPR.0000000000000305
Jamesetta A Newland
{"title":"Using postnominal letters with your name.","authors":"Jamesetta A Newland","doi":"10.1097/01.NPR.0000000000000305","DOIUrl":"10.1097/01.NPR.0000000000000305","url":null,"abstract":"","PeriodicalId":51812,"journal":{"name":"NURSE PRACTITIONER","volume":"50 4","pages":"6"},"PeriodicalIF":0.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143702139","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}
NURSE PRACTITIONERPub Date : 2025-04-01Epub Date: 2025-03-25DOI: 10.1097/01.NPR.0000000000000301
Catherine H Ivory, Jennifer I Bonamer, Johana R Fajardo, Colleen K Snydeman
{"title":"Promoting top-of-degree APRN practice through PhD/DNP partnerships.","authors":"Catherine H Ivory, Jennifer I Bonamer, Johana R Fajardo, Colleen K Snydeman","doi":"10.1097/01.NPR.0000000000000301","DOIUrl":"10.1097/01.NPR.0000000000000301","url":null,"abstract":"","PeriodicalId":51812,"journal":{"name":"NURSE PRACTITIONER","volume":"50 4","pages":"10-12"},"PeriodicalIF":0.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143702119","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}
NURSE PRACTITIONERPub Date : 2025-04-01Epub Date: 2025-03-25DOI: 10.1097/01.NPR.0000000000000307
{"title":"Competency-based education and the AACN Essentials: Insights and strategies for preceptors of NP students.","authors":"","doi":"10.1097/01.NPR.0000000000000307","DOIUrl":"10.1097/01.NPR.0000000000000307","url":null,"abstract":"","PeriodicalId":51812,"journal":{"name":"NURSE PRACTITIONER","volume":"50 4","pages":"20-21"},"PeriodicalIF":0.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143701951","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}
NURSE PRACTITIONERPub Date : 2025-04-01Epub Date: 2025-03-25DOI: 10.1097/01.NPR.0000000000000297
Kelly Casler, Randee Masciola
{"title":"Competency-based education and the AACN Essentials: Insights and strategies for preceptors of NP students.","authors":"Kelly Casler, Randee Masciola","doi":"10.1097/01.NPR.0000000000000297","DOIUrl":"10.1097/01.NPR.0000000000000297","url":null,"abstract":"<p><strong>Abstract: </strong>NP curriculum is guided by several curricular standards from multiple organizations. The main curricular standard is the Essentials, a document from the American Association of Colleges of Nursing, the leading authority in nursing curriculum. The Essentials outlines competency-based education standards for NP education. As preceptors are critical partners in NP education, this article serves to provide foundational knowledge about competency-based NP curriculum, including the Essentials, to help preceptors strengthen their approach to teaching NP students.</p>","PeriodicalId":51812,"journal":{"name":"NURSE PRACTITIONER","volume":"50 4","pages":"14-20"},"PeriodicalIF":0.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143701946","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}
NURSE PRACTITIONERPub Date : 2025-04-01Epub Date: 2025-03-25DOI: 10.1097/01.NPR.0000000000000298
Debra Hampton, Sheila Melander, Mary Kay Rayens, Tamra Langley
{"title":"The relationship between resilience, self-efficacy, and job satisfaction among NPs and the impact of experience and education.","authors":"Debra Hampton, Sheila Melander, Mary Kay Rayens, Tamra Langley","doi":"10.1097/01.NPR.0000000000000298","DOIUrl":"10.1097/01.NPR.0000000000000298","url":null,"abstract":"<p><strong>Background: </strong>NP work expectations have increased with the growth of the NP profession. Assessing the levels of resilience, self-efficacy, and job satisfaction of NPs and determining if years of experience as an NP and educational level were associated with those variables were the focuses of this study.</p><p><strong>Methods: </strong>A descriptive, cross-sectional survey design was utilized. Participants included NP members of a state professional nursing organization and NPs employed in a large academic healthcare system. Multiple demographic variables, including personal and work-related variables, and resilience, self-efficacy, and job satisfaction were measured. Resilience was measured using the 10-item Connor-Davidson Resilience Scale (CD-RISC 10) and the Predictive 6-Factor Resilience Scale (PR6). Self-efficacy was measured by the Generalized Self-Efficacy Scale (GSES). Job satisfaction was measured by a two-item, 5-point Likert scale created by the investigators.</p><p><strong>Results: </strong>Among the 128 NP participants, on the PR6, Doctor of Nursing (DNP)-educated NPs had significantly higher scores on the dimensions of vision, tenacity, and health and on overall mean score. Resilience as measured by the CD-RISC 10, self-efficacy, and job satisfaction were also higher for DNP-educated participants, but their scores did not differ significantly from those with a Master of Science in Nursing degree. Resilience and self-efficacy were positively correlated. Years of experience as an NP and age were not significantly associated with resilience, self-efficacy, or job satisfaction as measured by the PR6, CD-RISC 10, GSES, or job satisfaction scale.</p><p><strong>Conclusion: </strong>Resilience and self-efficacy are strongly associated and may complement and strengthen each other. Providing NPs with tools to strengthen their ability to remain resilient during challenging times is critically important and may prevent NP turnover.</p>","PeriodicalId":51812,"journal":{"name":"NURSE PRACTITIONER","volume":"50 4","pages":"22-30"},"PeriodicalIF":0.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143702121","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}
NURSE PRACTITIONERPub Date : 2025-04-01Epub Date: 2025-03-25DOI: 10.1097/01.NPR.0000000000000295
{"title":"50 years, 50 voices: NPs on education.","authors":"","doi":"10.1097/01.NPR.0000000000000295","DOIUrl":"10.1097/01.NPR.0000000000000295","url":null,"abstract":"<p><p>In celebration of its 50th year in publication, The Nurse Practitioner has asked 50 influential NPs for their thoughts on topics of import to the profession and its future, to be published in select months throughout the year. This month, five NPs share their wisdom on NP education.</p>","PeriodicalId":51812,"journal":{"name":"NURSE PRACTITIONER","volume":"50 4","pages":"8-9"},"PeriodicalIF":0.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143701944","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}