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Journal of the American Association of Nurse Practitioners

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https://www.readbyqxmd.com/read/30234687/2015-beers-criteria-medication-review-in-assisted-living-facilities
#1
Jessica C Chun, Susan J Appel, Steven Simmons
BACKGROUND AND PURPOSE: The elderly population is expected to double by 2050 with falls and hospitalizations due to adverse drug events having a major effect on health and quality of life. With the release of the revised 2015 American Geriatrics Society (AGS) Beers criteria, usage of potentially inappropriate medications (PIMs) should be studied to determine their effect on falls and hospitalizations in frail populations such as those in assisted living facilities. METHODS: This quality improvement project used a retrospective chart review on residents from a purposive sample of two assisted living facilities in Northern Virginia...
September 18, 2018: Journal of the American Association of Nurse Practitioners
https://www.readbyqxmd.com/read/30211784/self-teaching-to-improve-patient-confidence-in-resuscitation-skills-a-quality-improvement-project
#2
David E Winchester, Irene Kittles
BACKGROUND AND PURPOSE: Sudden cardiac death occurs predominantly at home where cardiopulmonary resuscitation (CPR) is often not provided. We tested the hypothesis that a self-teaching kit distributed to patients would effectively increase self-confidence in CPR. METHODS: Patients seen by an advanced registered nurse practitioner in a general cardiology clinic were offered a self-teaching kit to learn CPR. Four-point scale survey questions were assessed at distribution and via phone call at 30 days...
September 11, 2018: Journal of the American Association of Nurse Practitioners
https://www.readbyqxmd.com/read/30211783/i-serve-2-identifying-and-caring-for-military-connected-children-in-civilian-primary-care-settings
#3
Alicia Gill Rossiter, Patricia A Patrician, Mary Anne Dumas, Catherine Gaines Ling, Heather L Johnson, Margaret C Wilmoth
Military children make tremendous sacrifices in support of a parent(s) military service. More than two million children have a parent who is serving or has served in the Armed Forces. Research shows that military-connected children are at higher risk of physical, psychological, and behavioral health issues. While "resilient" is the word used to describe most military children, it is important to recognize the stresses/stressors of military life- that military children serve too-to support and care for them...
September 11, 2018: Journal of the American Association of Nurse Practitioners
https://www.readbyqxmd.com/read/30211782/an-educational-intervention-to-enhance-nurse-practitioner-role-transition-in-the-first-year-of-practice
#4
Angela Thompson
BACKGROUND AND PURPOSE: Role transition is a natural process that occurs when the registered nurse pursues additional education to become a nurse practitioner (NP). Role transition generates feelings of anxiety and insecurity, leading to a longer and more tumultuous adjustment. This study investigated whether an evidence-based role transition webinar would support NP role transition during this critical period. METHODS: This study was a nonrandomized, pretest-posttest, and single-group study using a convenience sample to address the research question: "Does completion of a role transition webinar enhance the perception of new NPs of their ability to perform well in their role?" CONCLUSIONS: The educational webinar was shown to have a positive influence on some aspects of the participant's reported perceptions of NP role transition...
September 11, 2018: Journal of the American Association of Nurse Practitioners
https://www.readbyqxmd.com/read/30113531/health-care-providers-perceptions-regarding-fundamental-issues-to-consider-prior-launching-nurse-practitioner-training-in-tanzania
#5
Joanes Faustine Mboineki, Chen Changying, Weihong Zhang
BACKGROUND AND PURPOSE: Although the demand for competent health care professionals and better services is high, studies concerning nursing education are not a priority in sub-Saharan African countries, as revealed in limited available records. Strengthening nursing education by establishing proper training models for newly developed advanced practice roles such as "nurse practitioner" (NP) will increase competency in nurses and reduce the shortage of skilled staff within the health care system, thereby enhancing the proper provision of health care services...
August 14, 2018: Journal of the American Association of Nurse Practitioners
https://www.readbyqxmd.com/read/30095671/integrating-oral-health-curricula-into-nurse-practitioner-graduate-programs-results-of-a-us-survey
#6
Maria C Dolce, Judith Haber, Judith A Savageau, Erin Hartnett, Christine A Riedy
BACKGROUND AND PURPOSE: Nurse practitioners (NPs) are a significant segment of the US primary care workforce and have a pivotal role in improving access to oral health (OH) care. The purpose of this research was to assess OH curricular integration in primary care NP programs and to examine factors that influence integration and satisfaction with graduates' level of OH competence. METHODS: A cross-sectional, national survey of NP programs (N = 466) was conducted using an electronically distributed 19-item, self-administered questionnaire...
August 6, 2018: Journal of the American Association of Nurse Practitioners
https://www.readbyqxmd.com/read/30095670/comparing-nurse-practitioners-physician-assistants-and-physicians-in-diagnosing-adult-abdominal-pain-in-the-emergency-department
#7
Karen Sue Hoyt, Elda Ramirez, Robert Topp, Stephen Nichols, Donna Agan
BACKGROUND AND PURPOSE: This retrospective study compared nurse practitioners and physician assistants (NPs/PAs) with physicians on their assignment of Emergency Severity Index level 3 (ESI level 3) acute abdominal pain (AAP) in the emergency department (ED). METHODS: Data obtained from a large ED group staffing four hospitals yielded 12,440 de-identified, adult patients diagnosed on ED admission with AAP ESI level 3 for descriptive analysis with logistic regression...
August 6, 2018: Journal of the American Association of Nurse Practitioners
https://www.readbyqxmd.com/read/30095669/effectiveness-of-early-identification-and-electronic-interventions-for-teens-with-risk-factors-for-the-development-of-heart-disease-and-diabetes-phase-ii-findings
#8
Lorena Jung, Elizabeth Courts, Pam Webber, Qiuping Pearl Zhou
BACKGROUND AND PURPOSE: Serum and physical risk factors for the development of heart disease and diabetes are detectable long before adulthood. The purpose of this two-part study was to assess the prevalence and associations of these risk factors in teens and determine the effectiveness of a customizable two-part electronic education program on minimizing identified risks. METHODS: Data were collected from teens (n = 168) from two high schools (one urban and one rural) in the mid-Atlantic region...
August 6, 2018: Journal of the American Association of Nurse Practitioners
https://www.readbyqxmd.com/read/30211823/efficacy-and-safety-of-dupilumab-for-the-treatment-of-moderate-to-severe-atopic-dermatitis-in-adults-a-pooled-analysis-of-two-phase-2-clinical-trials
#9
Susan J Tofte, Kim Papp, Neil Sadick, Krista Bohnert, Eric Simpson, Diamant Thaçi, Thomas Bieber, Andrew Blauvelt, Howard Sofen, Melinda Gooderham, Zhen Chen, Abhijit Gadkari, Laurent Eckert, Neil M H Graham, Gianluca Pirozzi, Marius Ardeleanu
BACKGROUND AND PURPOSE: There is a need for new treatment options for moderate-to-severe atopic dermatitis (AD) in adults. Dupilumab, a fully human anti-interleukin-4 receptor α monoclonal antibody, has recently been approved for this indication. METHODS: A pooled analysis of a phase 2a (NCT01548404) and a phase 2b (NCT01859988) study and a subanalysis of the 2b study evaluated the efficacy and safety of subcutaneous dupilumab 300 mg once weekly (qw) and every 2 weeks (q2w) in adults with moderate-to-severe AD...
September 2018: Journal of the American Association of Nurse Practitioners
https://www.readbyqxmd.com/read/30211822/supporting-lower-income-working-women-to-initiate-breastfeeding-learning-who-is-breastfeeding-and-what-helps
#10
Wendy Middlemiss, Ryan Glaman, Kaylee Seddio, Cynthia K Suerken, Beth A Reboussin, Stephanie S Daniel, Chris C Payne, Esther Leerkes, Joseph G Grzywacz
BACKGROUND AND PURPOSE: Based on the Women, Work, and Wee Ones longitudinal study, mothers' likelihood of breastfeeding is examined across demographic and health variables. METHODS: Frequencies of breastfeeding and cosleeping by 285 mothers from the Women, Work, and Wee Ones cohort are reported as related to mothers' work schedule, marital status, or mother or infant health. CONCLUSIONS: Breastfeeding rates were about 30% across most maternal characteristics...
September 2018: Journal of the American Association of Nurse Practitioners
https://www.readbyqxmd.com/read/30211821/nurse-practitioners-time-on-nonbillable-activities
#11
(no author information available yet)
No abstract text is available yet for this article.
September 2018: Journal of the American Association of Nurse Practitioners
https://www.readbyqxmd.com/read/30211820/when-should-genomic-testing-be-considered-for-cystic-fibrosis
#12
Kenneth Wysocki, Diane Seibert
No abstract text is available yet for this article.
September 2018: Journal of the American Association of Nurse Practitioners
https://www.readbyqxmd.com/read/30211819/fostering-leadership-through-the-changing-practice-of-the-emergency-nurse-practitioner-specialty
#13
Dian Dowling Evans, Theresa M Campo, Elda G Ramirez
No abstract text is available yet for this article.
September 2018: Journal of the American Association of Nurse Practitioners
https://www.readbyqxmd.com/read/30211818/a-nurse-practitioner-by-any-other-name
#14
Kim Curry
No abstract text is available yet for this article.
September 2018: Journal of the American Association of Nurse Practitioners
https://www.readbyqxmd.com/read/30113534/nurse-practitioners-recommendations-for-pharmacotherapy-in-the-management-of-adolescent-concussion
#15
Janessa M Graves, Tracy A Klein, Shannon G Panther, Megan Moore, Demetrius Abshire, Jasmine Graham
BACKGROUND AND PURPOSE: Nurse practitioners (NPs) frequently treat acute conditions presenting in children and adolescents in the outpatient setting. No evidence-based guidance exists pertaining to the treatment of concussion with medications. The purpose of this study was to examine recommendations by NPs for pharmacotherapy of acute symptoms for adolescent concussion. METHODS: This is a secondary analysis of data from a web-based census survey of all licensed NPs in Oregon and Washington State, where they practice as independent providers with prescriptive authority...
September 2018: Journal of the American Association of Nurse Practitioners
https://www.readbyqxmd.com/read/30113533/nurse-practitioners-time-on-nonbillable-activities
#16
Thomas Kippenbrock, Wen-Juo Lo, Jan Emory, Bill Buron, Ellen Odell, Jennifer Reimers
BACKGROUND AND PURPOSE: During the provision of patient care delivery, all providers, including nurse practitioners (NPs), spend some time in activities that are not reimbursable. Understanding these nonbillable activities is crucial to the economic viability and success of existing and projected practice models. This study explored and compared seven nonbillable activities occurring in the practices of NPs in various settings. METHODS: Using a nonexperimental, descriptive design, 509 NPs were surveyed about nonbillable activities encountered in daily practice...
September 2018: Journal of the American Association of Nurse Practitioners
https://www.readbyqxmd.com/read/30113532/the-impact-of-interprofessional-education-on-family-nurse-practitioner-students-and-family-medicine-residents-knowledge-and-confidence-in-screening-for-breast-and-cervical-cancer
#17
Cindy Weston, Marvellous Akinlotan, Anna Lichorad, David McClellan, Janet Helduser, Chinedum Ojinnaka, Benny Holland, Jane N Bolin
BACKGROUND AND PURPOSE: This study determined the impact of an interprofessional education (IPE) simulation on family nurse practitioner (FNP) students' and family medicine residents' (FMRs) self-reported confidence in counseling women reluctant to engage in cancer screening or evaluation and assessed knowledge of breast and cervical cancer risk factors. METHOD: A multi-item knowledge survey on breast and cervical cancer risk factors was administered to 76 FNP students and FMRs followed by an IPE simulation with a pre-/postsurvey of self-reported confidence in counseling a woman reluctant to have breast and cervical cancer screening and evaluation...
September 2018: Journal of the American Association of Nurse Practitioners
https://www.readbyqxmd.com/read/30095668/gender-dysphoria-in-youth-an-overview-for-primary-care-providers
#18
Brayden N Kameg, Donna G Nativio
BACKGROUND AND PURPOSE: Primary care providers who encounter children are often the first line of contact for individuals with gender dysphoria, which occurs when sex assigned at birth is incongruent with one's true, expressed sexual identity. Because those with untreated gender dysphoria are at risk of a variety of negative outcomes, including mood symptomatology, suicidality, substance use disorders, and other psychosocial risk factors, it is critical that health care providers are adept in the provision of holistic, patient-centered care...
September 2018: Journal of the American Association of Nurse Practitioners
https://www.readbyqxmd.com/read/30085989/tiotropium-for-asthma-a-summary-of-current-guidelines-and-a-case-study
#19
Glenn Clinton Shedd, Robert Colin Blenis
BACKGROUND AND PURPOSE: The long-acting muscarinic antagonist tiotropium received an indication for the treatment of asthma from the FDA in 2015. METHODS: This paper summarizes much of the published findings on tiotropium and asthma and explores the heterogeneity of the asthma population vis-à-vis recent changes in guidelines for management of COPD. The accompanying case study provides an illustration of how tiotropium might be added to a patient's regimen appropriately...
August 2018: Journal of the American Association of Nurse Practitioners
https://www.readbyqxmd.com/read/30085988/implementing-vaccine-hesitancy-screening-for-targeted-education
#20
John T Connors, Eric A Hodges, Jennifer DʼAuria, Laura Windham
BACKGROUND AND PURPOSE: Little research has been performed investigating the effect of using a vaccine hesitancy (VH) screening tool to address specific vaccination concerns. The purpose of this study was to determine whether using a VH screening tool in conjunction with provider discussions addressing parental concerns affected the parental intent to vaccinate (ITV). METHODS: This study used a pretest/posttest design to measure and categorize VH and ITV. CONCLUSIONS: The total sample size was 89...
August 2018: Journal of the American Association of Nurse Practitioners
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