1,606 results match your criteria Journal of the American Academy of Nurse Practitioners[Journal]


The consensus model for regulation of APRNs: Implications for nurse practitioners.

J Am Acad Nurse Pract 2012 Dec 3. Epub 2012 Dec 3.

School of Nursing, University of Texas Medical Branch, Galveston, TexasTexas Board of Nursing, Austin, Texas.

Purpose: To examine the Consensus Model for APRN Regulation as a proposed solution to simplify and unify regulation of advanced nursing practice with respect to licensure, certification, accreditation, and educational standards. Data sources: Policy statements and reports issued by national organizations of nursing professionals and discussion within the scholarly literature provided an overview of regulatory differences among the 50 U.S. Read More

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http://doi.wiley.com/10.1111/j.1745-7599.2012.00812.x
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http://dx.doi.org/10.1111/j.1745-7599.2012.00812.xDOI Listing
December 2012
8 Reads

Effectiveness of nurse practitioner coordinated team group visits for type 2 diabetes in medically underserved Appalachia.

J Am Acad Nurse Pract 2012 Dec 13;24(12):735-43. Epub 2012 Aug 13.

C-Health, PC, Lebanon, Virginia 24266, USA.

Purpose: To study the effectiveness of multidisciplinary nurse practitioner coordinated team (NPCT) group visits in medically underserved Appalachia on the health, knowledge, and self-efficacy of patients with type 2 diabetes (DM). The study also identified perceived barriers to participating in the diabetes programs.

Data Sources: A researcher-developed tool was used to assess demographic data, clinical data, and barriers to care. Read More

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http://dx.doi.org/10.1111/j.1745-7599.2012.00764.xDOI Listing
December 2012
68 Reads

Prevalence of postpartum depression among Hispanic immigrant women.

J Am Acad Nurse Pract 2012 Dec 15;24(12):726-34. Epub 2012 Jun 15.

Brigham Young University, Provo, Utah 84602-5544, USA.

Purpose: To determine the prevalence of postpartum depression (PPD) among Hispanic immigrant women seeking healthcare services at a community health clinic.

Data Sources: Of the 116 Hispanic immigrant women recruited, 96 comprised the final sample. Using the Beck PDSS-Spanish version, participants were screened for symptoms of PPD. Read More

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http://dx.doi.org/10.1111/j.1745-7599.2012.00744.xDOI Listing
December 2012
10 Reads

A description of barriers and facilitators to childhood vaccinations in the military health system.

J Am Acad Nurse Pract 2012 Dec 20;24(12):716-25. Epub 2012 Sep 20.

Graduate School of Nursing, Uniformed Services University, Bethesda, Maryland 20841, USA.

Purpose: To perform a literature review of barriers to and facilitators of parents' decisions to have their children vaccinated. Both differences and similarities between the civilian sector and the military health system (MHS) were explored.

Data Sources: Articles and documents were identified from the following databases: CINAHL, PubMed, Defense Technical Information Center (DTIC), ISI, and Google Scholar. Read More

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http://dx.doi.org/10.1111/j.1745-7599.2012.00780.xDOI Listing
December 2012
4 Reads

Evidence-based practice for the busy nurse practitioner: part three: critical appraisal process.

J Am Acad Nurse Pract 2012 Dec 12;24(12):704-15. Epub 2012 Jul 12.

Mayo Clinic Arizona, Scottsdale, Arizona 85259, USA.

Purpose: Evidence-based practice (EBP) involves integrating research evidence with clinical expertise to answer clinical practice inquiries. The purpose of part 3 of this EBP series is to provide an introductory overview of the critical appraisal process, relevant clinical measurements, and critical thinking skills that can enhance nurse practitioners' (NPs') confidence in the clinical decision-making process.

Data Sources: Scientific literature review, gray literature, PubMed and other online literature databases and resources, and online EBP websites. Read More

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http://dx.doi.org/10.1111/j.1745-7599.2012.00752.xDOI Listing
December 2012
6 Reads

Obstructive sleep apnea hypopnea syndrome and metabolic syndrome: a synergistic cardiovascular risk factor.

J Am Acad Nurse Pract 2012 Dec 14;24(12):695-703. Epub 2012 Aug 14.

Vista Medical Group, Mesa, Arizona, USA.

Purpose: Cardiovascular disease (CVD) is the leading cause of morbidity and mortality for adults in the United States. One risk factor for CVD is metabolic syndrome, which encompasses obesity, hypertension, insulin resistance, proinflammatory state, and prothrombotic state. A lesser-understood risk factor is obstructive sleep apnea hypopnea syndrome (OSAHS). Read More

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http://dx.doi.org/10.1111/j.1745-7599.2012.00771.xDOI Listing
December 2012
3 Reads

American Academy of Nurse Practitioners National Nurse Practitioner sample survey: focus on acute care.

J Am Acad Nurse Pract 2012 Dec 24;24(12):690-4. Epub 2012 Sep 24.

Center for Clinical Research and Scholarship, Rush University Medical Center, Rush University College of Nursing, Chicago, Illinois 60612, USA.

National survey data on the practice of nurse practitioners (NPs) provides valuable information on role components, practice patterns, and specialty practice descriptions. The American Academy of Nurse Practitioners (AANP) has been conducting NP surveys since 1988. The most recent AANP Sample Survey was conducted in 2009-2010 with responses from over 13,000 NPs, 962 of who were acute care NPs (ACNPs). Read More

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http://dx.doi.org/10.1111/j.1745-7599.2012.00777.xDOI Listing
December 2012
10 Reads

Changes in the treatment of inpatient hyperglycemia: what every nurse practitioner should know about the 2012 standards of care.

J Am Acad Nurse Pract 2012 Dec 14;24(12):683-9. Epub 2012 Aug 14.

University of Alabama School of Nursing at Birmingham, Birmingham, Alabama.

Purpose: To provide nurse practitioners (NPs) with a review of the 2012 Standards of Care for the management of hospitalized patients who are hyperglycemic.

Data Sources: The 2012 American Diabetes Association's (ADA) Standards of Care for the treatment of inpatient hyperglycemia and selected evidence-based articles.

Conclusions: Because hyperglycemia occurs at alarming rates in the inpatient setting when hyperglycemia is not controlled, there is a great impact on acute and even chronic conditions. Read More

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http://dx.doi.org/10.1111/j.1745-7599.2012.00770.xDOI Listing
December 2012
11 Reads

Medication adherence among homeless patients: a pilot study of cell phone effectiveness.

J Am Acad Nurse Pract 2012 Nov 26;24(11):675-81. Epub 2012 Jun 26.

University of Maryland School of Nursing, Baltimore, MD 21201, USA.

Purpose: We examined the feasibility of using cell phones to monitor medication adherence among homeless participants and collected data for research purposes.

Data Sources: Ten homeless individuals with a co-occurring substance use and psychiatric disorders who were receiving psychopharmacologic treatment participated in the study. All psychopharmacologic treatment was provided by a psychiatric mental health nurse practitioner. Read More

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http://dx.doi.org/10.1111/j.1745-7599.2012.00756.xDOI Listing
November 2012
3 Reads

Factors predicting older adults' use of exercise and acetaminophen for osteoarthritis pain.

J Am Acad Nurse Pract 2012 Nov 15;24(11):669-74. Epub 2012 Jun 15.

School of Nursing, University of Connecticut, Storrs, CT 06269, USA.

Purpose: To identify predictors of older adults' use of exercise and/or acetaminophen, and avoidance of nonsteroidal anti-inflammatory drugs (NSAIDs) to treat their osteoarthritis pain.

Data Sources: Data were analyzed from 457 adults aged 60 and older with moderate or greater osteoarthritis pain intensity who responded to the Brief Pain Inventory between 2006 and 2007. The following predictors were entered into a logistic regression to predict use of exercise and/or acetaminophen and nonuse of NSAIDs: age, gender, ethnicity, race, education, arthritis treatment by a practitioner, pain treatment by a practitioner, pain intensity, functional interference from the pain, and percent of pain relief from current treatments. Read More

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http://dx.doi.org/10.1111/j.1745-7599.2012.00747.xDOI Listing
November 2012
5 Reads

Coping behaviors used by Army wives during deployment separation and their perceived effectiveness.

J Am Acad Nurse Pract 2012 Nov 14;24(11):660-8. Epub 2012 Aug 14.

Naval Hospital, Camp Pendleton, CA, USA.

Purpose: The purpose of this descriptive correlational study was to describe the coping behaviors used by Army wives during deployment separation, the perceived effectiveness of the coping behaviors used, and the correlation between the two variables.

Data Sources: A secondary analysis was conducted to examine coping use and perceived effectiveness, measured by the Jalowiec Coping Scale (JCS), in a sample of 102 Army wives surveyed during deployment separation.

Conclusions: The most used coping subscales from the JCS were the optimistic and supportant and the most effective were the supportant and confrontive. Read More

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http://dx.doi.org/10.1111/j.1745-7599.2012.00766.xDOI Listing
November 2012
16 Reads

Advanced nursing practice hours as part of endorsement requirements for nurse practitioners in Australia: a definitional conundrum.

J Am Acad Nurse Pract 2012 Nov 9;24(11):649-59. Epub 2012 Jul 9.

La Trobe University, Clinical School of Nursing at Austin Health School of Nursing and Midwifery, Faculty of Health Sciences, Heidelberg, Victoria, Australia.

Purpose: To define what can be considered to be nursing practice, time that can be calculated as the practice of nursing as well as what is considered to be advanced nursing practice and how all this can be related to the current endorsement process for nurse practitioner (NP) in Australia.

Data Sources: Current codes and guidelines cited by the Nurse and Midwifery Board of Australia related to nursing practice and NPs, cited competency standards from the Australian Midwifery Accreditation Council, as well as published material of peak nursing bodies from within Australia as well as internationally were used. Information was also obtained through government health and professional organization websites. Read More

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http://dx.doi.org/10.1111/j.1745-7599.2012.00761.xDOI Listing
November 2012
4 Reads

Evidence-based practice for the busy nurse practitioner: part two: searching for the best evidence to clinical inquiries.

J Am Acad Nurse Pract 2012 Nov 14;24(11):640-8. Epub 2012 Aug 14.

Mayo Clinic Arizona, Scottsdale, AZ 85259, USA.

Purpose: The purpose of this four-part evidence-based practice (EBP) series is to enhance the nurse practitioner's (NP's) EBP skills by reviewing the process of developing a clinical question, searching for the best evidence, and critically appraising and applying the findings. Part two of the series focuses on how to search the published scientific literature for the most relevant studies that will answer a specific clinical question of importance to the NP.

Data Sources: Scientific literature review, gray searching, PubMed and other online literature databases and resources, and online EBP websites. Read More

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http://dx.doi.org/10.1111/j.1745-7599.2012.00749.xDOI Listing
November 2012
21 Reads

Timing is everything: when to consult palliative care.

Authors:
Carlin Callaway

J Am Acad Nurse Pract 2012 Nov 15;24(11):633-9. Epub 2012 Jun 15.

Purpose: Consults promote additional perspectives and help with complex patient management. As the population ages and healthcare demands increase, providers are consulting palliative care (PC). Nurse practitioners (NPs) should understand when to consult PC. Read More

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http://dx.doi.org/10.1111/j.1745-7599.2012.00746.xDOI Listing
November 2012
9 Reads

Cystic fibrosis: a clinician's tool for management of care advancing into the adult population.

J Am Acad Nurse Pract 2012 Nov 9;24(11):625-32. Epub 2012 Jul 9.

White River Surgery Clinic, Batesville, AR 72501, USA.

Purpose: To discuss the role of the nurse practitioner in medical management of adult patients with cystic fibrosis (CF).

Data Sources: A systematic literature review was done by searching online databases: CINAHYL, OVID, and Medline. The Cystic Fibrosis Foundation (CFF) guidelines were reviewed. Read More

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http://dx.doi.org/10.1111/j.1745-7599.2012.00763.xDOI Listing
November 2012
6 Reads

Use and success of pharmacologic and nonpharmacologic strategies for sleep problems.

J Am Acad Nurse Pract 2012 Oct 15;24(10):612-23. Epub 2012 Jun 15.

Henry P. Becton School of Nursing and Allied Health, Fairleigh Dickinson University, Teaneck, NJ 07666, USA.

Purpose: The purpose of this web-based, quantitative, descriptive, correlational study was to identify frequency of use and success of strategies to alleviate sleep problems, to determine whether there is any relationship between use and success (perceived effectiveness) of strategies, on the one hand, and adults' gender, age, income, or education, on the other.

Data Sources: Data were collected from a web-based survey that examined strategy use and success to alleviate insomnia.

Conclusions: The most frequently used strategies and those perceived as successful in alleviating sleep problems included medications and sleep hygiene strategies. Read More

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http://doi.wiley.com/10.1111/j.1745-7599.2012.00745.x
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http://dx.doi.org/10.1111/j.1745-7599.2012.00745.xDOI Listing
October 2012
92 Reads

Emergency contraception knowledge among nurse practitioner students.

J Am Acad Nurse Pract 2012 Oct 3;24(10):604-11. Epub 2012 May 3.

College of Nursing, University of Toledo, Toledo, OH 43614-2598, USA.

Purpose: The purpose of this study was to ascertain the knowledge level of nurse practitioner (NP) students about emergency contraception (EC), and to explore attitudes about EC that may intersect with willingness to prescribe EC.

Data Sources: Four hundred and sixty-seven NP students completed a 30-item web-based survey using Vovici survey software.

Conclusions: Students who reported formal content on EC in their program of study showed significantly better mean knowledge scores (t= 5. Read More

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http://dx.doi.org/10.1111/j.1745-7599.2012.00742.xDOI Listing
October 2012
4 Reads

The lived experience of ovarian cancer: a phenomenological approach.

J Am Acad Nurse Pract 2012 Oct 26;24(10):595-603. Epub 2012 Apr 26.

Texas Tech University Health Sciences Center, Lubbock, TX, USA.

Purpose: To describe the lived experience of women diagnosed with ovarian cancer using individual interviews.

Data Sources: Eleven women who had been diagnosed with ovarian cancer within the past five years were interviewed with open-ended guiding questions. The narrative responses were analyzed for constitutive patterns and relational themes according to Diekelmann and Allen's hermeneutic phenomenological process. Read More

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http://dx.doi.org/10.1111/j.1745-7599.2012.00732.xDOI Listing
October 2012
21 Reads

Examining the benefit of vaccinating adults against pertussis.

J Am Acad Nurse Pract 2012 Oct 20;24(10):587-94. Epub 2012 Apr 20.

Greenville Hospital System, University Medical Center, Greenville, SC 29605, USA.

Purpose: To examine recent evidence concerning the health benefits and cost effectiveness of replacing a single dose of adult tetanus/diphtheria vaccine with a single dose of tetanus/diphtheria/pertussis (TDaP).

Methods: A review of the literature was conducted utilizing the databases CINAHL and Medline with the keywords pertussis, adult immunization, vaccination, TDaP, DTaP, and healthcare workers.

Conclusions: Recent outbreaks of pertussis have shown that preventing such outbreaks through immunization of adults with a single TDaP vaccine is a cost-effective measure. Read More

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http://dx.doi.org/10.1111/j.1745-7599.2012.00739.xDOI Listing
October 2012
3 Reads

Evidence-based practice for the busy nurse practitioner: part one: relevance to clinical practice and clinical inquiry process.

J Am Acad Nurse Pract 2012 Oct 12;24(10):579-86. Epub 2012 Jul 12.

Mayo Clinic Arizona, Scottsdale, AZ 85259, USA.

Purpose: Evidence-based practice (EBP) continues to gain momentum within health care. The purpose of this four-part EBP series is to provide an introductory overview of the EBP process, emphasizing EBP steps one through three, in order to assist nurse practitioners (NPs) in building EBP skills that can be integrated into clinical practice. The relevance of EBP to the NP's clinical practice, an introduction to the EBP process steps, and clinical inquiry process begin the series. Read More

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http://dx.doi.org/10.1111/j.1745-7599.2012.00748.xDOI Listing
October 2012
41 Reads

The enigma of heart disease in women: new insights may precipitate diagnosis and improve patient outcomes.

J Am Acad Nurse Pract 2012 Oct 14;24(10):574-8. Epub 2012 Aug 14.

PICC Health Institute LLC, Houston, TX 77074, USA.

Purpose: To highlight the unique pathophysiology and clinical presentation of ischemic heart disease in women. The article will emphasize the atypical clinical manifestations, reinforce the pitfalls of standard testing, and provide new insights into novel risk factors as well as diagnostic tools to enable earlier detection of disease.

Data Sources: An extensive review of the literature was conducted using Pub Med and CINAHL databases. Read More

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http://dx.doi.org/10.1111/j.1745-7599.2012.00773.xDOI Listing
October 2012
4 Reads

Assessment, management, and prevention of childhood temper tantrums.

J Am Acad Nurse Pract 2012 Oct 2;24(10):569-73. Epub 2012 Jul 2.

Mountain Springs Family Medicine, Spanish Fork, UT 84660, USA.

Purpose: To provide an overview of normal and abnormal temper tantrum behavior as well as give recommendations nurse practitioners (NPs) can use in counseling families.

Data Sources: Articles were identified from the following databases: CINAHL, HEALTH SOURCE: Nursing/Academic edition, Medline, Social Work Abstracts, Social Science Abstracts, Psych INFO, Psychology and Behavioral Science Collection. Textbook references were also identified using Stat!Ref. Read More

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http://dx.doi.org/10.1111/j.1745-7599.2012.00755.xDOI Listing
October 2012
5 Reads

The Million Hearts™ Initiative: how nurse practitioners can help lead.

J Am Acad Nurse Pract 2012 Oct 11;24(10):565-8. Epub 2012 Sep 11.

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http://dx.doi.org/10.1111/j.1745-7599.2012.00774.xDOI Listing
October 2012
2 Reads

Clarifying, affirming, and preserving the nurse in nurse practitioner education and practice.

J Am Acad Nurse Pract 2012 Sep 20;24(9):554-64. Epub 2012 Apr 20.

University of Texas Medical Branch School of Nursing, Galveston, TX 77555, USA.

Purpose: This work responds to the need for maintaining an ethic of care in the face of increased demands for cost effectiveness and efficiency. Findings are presented from a qualitative study describing how nurse practitioner (NP) faculty teach NP students about holistic nursing dimensions of NP practice.

Data Resources: Data collection consisted of face to face or telephone interviews with 24 experienced NP faculty members teaching in 22 NP programs across the country. Read More

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http://dx.doi.org/10.1111/j.1745-7599.2012.00738.xDOI Listing
September 2012
6 Reads

Evaluation of the clinical hour requirement and attainment of core clinical competencies by nurse practitioner students.

J Am Acad Nurse Pract 2012 Sep 2;24(9):544-53. Epub 2012 May 2.

New York University College of Nursing, New York, NY, USA.

Purpose: The purpose of this study was to analyze the national practice of fulfilling 500 clinical hours as a requirement for graduation from nurse practitioner (NP) programs at the master's level and to compare this standard to a comprehensive approach of evaluating attainment of clinical competencies.

Data Sources: The National Organization of NP Faculties (NONPF) and specialty accreditation bodies publications were used for references to clinical hour and core competency requirements for graduation from NP programs. Data from one university from student documentation on a commercial electronic tracking system were also analyzed. Read More

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http://doi.wiley.com/10.1111/j.1745-7599.2012.00730.x
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http://dx.doi.org/10.1111/j.1745-7599.2012.00730.xDOI Listing
September 2012
4 Reads

Blending technology in teaching advanced health assessment in a family nurse practitioner program: using personal digital assistants in a simulation laboratory.

J Am Acad Nurse Pract 2012 Sep 3;24(9):536-43. Epub 2012 May 3.

Mission Hospital, Asheville, NC, USA.

Purpose: This article describes the development and implementation of integrated use of personal handheld devices (personal digital assistants, PDAs) and high-fidelity simulation in an advanced health assessment course in a graduate family nurse practitioner (NP) program. A teaching tool was developed that can be utilized as a template for clinical case scenarios blending these separate technologies.

Data Sources: Review of the evidence-based literature, including peer-reviewed articles and reviews. Read More

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http://dx.doi.org/10.1111/j.1745-7599.2012.00728.xDOI Listing
September 2012
6 Reads

Growing an innovative faculty-driven management team in a distance-delivery NP education program: thinking outside the box to meet the nursing education and health needs of northern British Columbia, Canada.

J Am Acad Nurse Pract 2012 Sep 3;24(9):528-35. Epub 2012 May 3.

Mount Royal University, Calgary, Alberta, Canada.

Purpose: The purpose of this article is to describe how one university in northern British Columbia (BC) dealt with the issues of nurse practitioner (NP) program administration in light of its geographic context.

Data Sources: Reflections of the management team during the first 2 years of implementation of the faculty-driven approach.

Conclusions: Our experience reflects family NP (FNP) faculty shortages internationally, the challenge of attracting qualified candidates to centers outside the urban mainstream in today's competitive academic job market, as well as the need to develop NP faculty capacity in BC, Canada. Read More

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http://dx.doi.org/10.1111/j.1745-7599.2012.00725.xDOI Listing
September 2012
19 Reads

Design and initial evaluation of a virtual pediatric primary care clinic in Second Life(®).

Authors:
Mary Jane Cook

J Am Acad Nurse Pract 2012 Sep 26;24(9):521-7. Epub 2012 Apr 26.

College of Nursing, Michigan State University, East Lansing, MI 48824, USA.

Purpose: To present an example of an innovative educational strategy using a theoretical framework for the design and evaluation of a virtual world simulation for family nurse practitioner (FNP) students.

Data Sources: The example arises from a primary care pediatric clinic developed for FNP students in Second Life(®) to supplement experiences in clinical practice sites. The simulation uses a case-based interactive format. Read More

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http://dx.doi.org/10.1111/j.1745-7599.2012.00729.xDOI Listing
September 2012
4 Reads

The use of simulation with advanced practice nursing students.

Authors:
Oralea A Pittman

J Am Acad Nurse Pract 2012 Sep 9;24(9):516-20. Epub 2012 Jul 9.

The Ohio State University, College of Nursing, Columbus, OH 43210, USA.

Purpose: To review use of simulation in the education of advanced practice nurses and to describe an innovative simulation program for family nurse practitioner (NP) students.

Data Sources: The literature was reviewed using MEDLINE and CINAHL searches for descriptions of simulation programs for advanced practice nursing (APN) students. A description of a simulation program in a family NP program was provided. Read More

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http://dx.doi.org/10.1111/j.1745-7599.2012.00760.xDOI Listing
September 2012
6 Reads

Innovations in nurse practitioner education.

Authors:
Elizabeth Barker

J Am Acad Nurse Pract 2012 Sep 9;24(9):515. Epub 2012 Jul 9.

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http://dx.doi.org/10.1111/j.1745-7599.2012.00759.xDOI Listing
September 2012
4 Reads

Cognitive dissonance experienced by nurse practitioner faculty.

J Am Acad Nurse Pract 2012 Aug 3;24(8):506-13. Epub 2012 May 3.

William F. Connell School of Nursing, Boston College, Chestnut Hill, Massachusetts 02467, USA.

Purpose: The purpose of this study was to explicate the concept of cognitive dissonance as experienced and reported by nurse practitioner (NP) faculty members.

Data Sources: Responses from NP faculty members to an online survey about their experiences with cognitive dissonance.

Conclusions: The respondents detailed their experiences with cognitive dissonance, citing differences between expectations for which they are rewarded and those for which they are paid. Read More

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http://dx.doi.org/10.1111/j.1745-7599.2012.00726.xDOI Listing
August 2012
9 Reads

Silent no more! The lived experiences of women with lichen sclerosis.

J Am Acad Nurse Pract 2012 Aug 30;24(8):499-505. Epub 2012 Apr 30.

Department of Nursing, School of Health Professions and Studies, University of Michigan-Flint, Flint, Michigan 48502-1950, USA.

Purpose: Lichen Sclerosis (LS) is an often unrecognized and misdiagnosed chronic inflammatory skin condition of the anogenital area that affects quality of life, bringing severe discomfort and distress to affected men, women, and children. The purpose of this qualitative study is to explore the lived experiences of women with LS.

Data Sources: Content analysis was conducted of data obtained from three public online forums/blogs used by women with LS. Read More

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http://doi.wiley.com/10.1111/j.1745-7599.2012.00715.x
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http://dx.doi.org/10.1111/j.1745-7599.2012.00715.xDOI Listing
August 2012
8 Reads

Pilot testing of an HIV medication adherence intervention in a public clinic in the Deep South.

J Am Acad Nurse Pract 2012 Aug 30;24(8):488-98. Epub 2012 Apr 30.

Division of Infectious Diseases, University of Mississippi Medical Center, Jackson, Mississippi University of Pittsburgh School of Nursing, Pittsburgh, Pennsylvania Department of Mental Health, G.V. (Sonny) Montgomery Veterans Administration Medical Center, Jackson, Mississippi University of Mississippi Medical Center, Jackson, Mississippi.

Purpose: Strict adherence to HIV medications is critical to ensure long-term disease control, and adherence interventions that are possible in a clinic setting with limited resources are needed.

Data Sources: This randomized controlled pilot study tested an adherence intervention guided by the Information-Motivation-Behavioral Skills (IMB) model. The intervention included HIV education, a peer video, motivational interviewing, and attention to behavioral skills including communication with providers and adherence-enhancing devices. Read More

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http://dx.doi.org/10.1111/j.1745-7599.2012.00712.xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3513942PMC
August 2012
8 Reads

Viscous versus nonviscous soluble fiber supplements: mechanisms and evidence for fiber-specific health benefits.

J Am Acad Nurse Pract 2012 Aug;24(8):476-87

Digestive Center for Women, Chevy Chase, Maryland, USA.

Purpose: This review focuses on the health benefits of viscous versus nonviscous soluble fibers, why symptoms can occur with increased fiber consumption, and how to avoid symptoms to improve adherence with a high-fiber diet.

Data Sources: Review of scientific literature as well as evidence-based guidelines and resources.

Conclusions: While it is generally known that "fiber is good for you," it is less well known that specific health benefits are associated with specific fiber characteristics. Read More

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http://dx.doi.org/10.1111/j.1745-7599.2012.00758.xDOI Listing
August 2012
9 Reads

Core competencies required for the cardiac surgical nurse practitioner.

J Am Acad Nurse Pract 2012 Aug 3;24(8):472-5. Epub 2012 May 3.

Cayuga Medical Center, Ithaca, NY 14850, USA.

Purpose: To propose a set of core competencies for the cardiac surgery nurse practitioner (CSNP).

Data Sources: Research, review articles, standards of practice, hospital practice guidelines.

Conclusion: Although there have been preliminary studies that demonstrate the effectiveness and cost savings associated with the use of a CSNP, specific competencies have yet to be defined. Read More

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http://dx.doi.org/10.1111/j.1745-7599.2012.00727.xDOI Listing
August 2012
20 Reads

Childhood obesity: Can electronic medical records customized with clinical practice guidelines improve screening and diagnosis?

J Am Acad Nurse Pract 2012 Aug 26;24(8):463-71. Epub 2012 Apr 26.

University of North Carolina Wilmington, Wilmington, North Carolina 28403, USA.

Purpose: The purpose of this project was to determine if customization of the electronic medical record (EMR) using evidence-based practice guidelines developed by the National Association of Pediatric Nurse Practitioners and the Expert Panel recommendations for the prevention, screening, and treatment of childhood and adolescent overweight and obesity would improve the rate of screening and diagnosis of obesity in children, 7 to 18 years of age.

Data Resources: A retrospective review of encounters before and after implementation of customized EMR was conducted in a community health center. Data collected were compared for documentation of body mass index (BMI), completion of growth charts, scoring of risk questionnaire, and diagnosis of overweight or obesity. Read More

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http://dx.doi.org/10.1111/j.1745-7599.2012.00735.xDOI Listing
August 2012
7 Reads

A clinical guideline for intrauterine device use in adolescents.

J Am Acad Nurse Pract 2012 Aug 12;24(8):453-62. Epub 2012 Jul 12.

U.S. Public Health Service Commissioned Corps, USA.

Purpose: To present an evidence-based review of the data for and against the use of the intrauterine device (IUD) in adolescent females and to provide guidelines for selection of appropriate candidates.

Data Sources: Clinical research, expert opinions, and systematic reviews of IUD use in adolescents.

Conclusions: The use of the IUD in adolescents has been questioned in the past as a result of concerns surrounding increased risks for pelvic inflammatory disease and infertility in adolescents. Read More

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http://dx.doi.org/10.1111/j.1745-7599.2012.00753.xDOI Listing
August 2012
8 Reads

Identifying the barriers to use of standardized nursing language in the electronic health record by the ambulatory care nurse practitioner.

J Am Acad Nurse Pract 2012 Jul 30;24(7):443-51. Epub 2012 Mar 30.

Kirkhof College of Nursing, Grand Valley State University, Grand Rapids, Michigan, USA.

Purpose: This study identified the perceived user barriers to documentation of nursing practice utilizing standardized nursing language (SNL) in the electronic health record (EHR) by ambulatory care nurse practitioners (NPs).

Data Sources: A researcher-developed survey was sent to a randomized sample of ambulatory care NPs in the United States who belonged to the American Academy of Nurse Practitioners (n= 1997).

Conclusions: Surveyed ambulatory care NPs placed a higher value on documenting medical care versus nursing care. Read More

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http://dx.doi.org/10.1111/j.1745-7599.2012.00705.xDOI Listing
July 2012
126 Reads

Gender differences in risky sexual behavior among urban adolescents exposed to violence.

J Am Acad Nurse Pract 2012 Jul 29;24(7):436-42. Epub 2012 Mar 29.

Department of Nursing, School of Health and Environment, University of Massachusetts Lowell, Lowell, Massachusetts 01854, USA.

Purpose: The purpose of this study was to use an ecological lens to explore gender differences in risky sexual behavior among urban adolescents exposed to violence.

Data Sources: This was a secondary analysis of data from a larger behavioral intervention trial that targeted drinking behaviors among adolescents. Data from a total of 2,560 male and female urban adolescents between the ages of 14 and 21 were analyzed for personal, interpersonal, and community exposure to violence and risky sexual behavior. Read More

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http://dx.doi.org/10.1111/j.1745-7599.2012.00702.xDOI Listing
July 2012
20 Reads

Nurse practitioners' contributions to cultural competence in primary care settings.

J Am Acad Nurse Pract 2012 Jul 29;24(7):425-35. Epub 2012 Mar 29.

Department of Rehabilitation Science, University at Buffalo, State University of New York, Buffalo, New York 14214-3079, USA.

Purpose: To document unique ways Nurse Practitioners (NPs) contribute to the delivery of culturally competent healthcare to diverse and underserved patient populations in urban primary care practices.

Data Sources: Data are from a multi-year, multi-site study and includes 50 intensive interviews with healthcare professionals and repeated observations at three urban primary health clinics in a Northeastern U.S. Read More

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http://dx.doi.org/10.1111/j.1745-7599.2012.00701.xDOI Listing
July 2012
25 Reads

Current guidelines for cervical cancer screening.

J Am Acad Nurse Pract 2012 Jul 30;24(7):417-24. Epub 2012 Mar 30.

University of Massachusetts Amherst, Amherst, Massachusetts University of Massachusetts Boston, Boston, Massachusetts 01003, USA.

Purpose: To provide evidence-based information that will guide nurse practitioners in instituting the most current cervical cancer screening recommendations.

Data Sources: A literature search covering the years 2006 to the present conducted through Medline, CINAHL, and OVID.

Conclusions: Human papillomavirus (HPV) cervical infections are highly prevalent among females under 21 years, yet this age group has a low incidence of cervical cancer. Read More

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http://dx.doi.org/10.1111/j.1745-7599.2012.00704.xDOI Listing
July 2012
10 Reads

Physical activity promotion in primary care targeting the older adult.

J Am Acad Nurse Pract 2012 Jul 12;24(7):405-16. Epub 2012 Apr 12.

Section of Vascular Surgery and Endovascular Surgery, Geisinger Health System, Danville, Pennsylvania 17822, USA.

Purpose: This integrative review identifies and examines research literature focused on physical activity promotion provided in primary care settings to older adult patients in order to evaluate the effectiveness of provider-delivered interventions on elders short- and long-term activity levels.

Data Resources: A comprehensive review of original research published in English from all countries through May 2010 was performed. Relevant literature was identified through MEDLINE, CINAHL, and ProQuest on-line databases. Read More

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http://dx.doi.org/10.1111/j.1745-7599.2012.00703.xDOI Listing
July 2012
6 Reads

Routine hearing screening in primary care for adult populations using distortion product Otoacoustic Emissions testing.

J Am Acad Nurse Pract 2012 Jul 2;24(7):400-4. Epub 2012 May 2.

School of Nursing, Old Dominion University, Norfolk, Virginia 23606, USA.

Purpose: The purpose of this study was to determine the prevalence of undiagnosed hearing loss in adults in two busy primary care rural health centers.

Data Sources: Using Otoacoustic Emissions (OAE) testing, participants were screened for hearing loss by trained personnel. Participants were those who presented to the primary care provider with complaints other than hearing loss or ear problems. Read More

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http://doi.wiley.com/10.1111/j.1745-7599.2012.00718.x
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http://dx.doi.org/10.1111/j.1745-7599.2012.00718.xDOI Listing
July 2012
8 Reads

Primary care management of tuberous sclerosis complex in children.

Authors:
Deepa Manohara

J Am Acad Nurse Pract 2012 Jul 3;24(7):391-9. Epub 2012 May 3.

Columbia University, School of Nursing, New York, New York 10032, USA.

Purpose: To provide primary care providers with a general overview of the genetic disorder tuberous sclerosis complex (TSC). By understanding the disease mechanism for this genetic condition, providers can effectively care for TSC patients and properly educate families who are affected by TSC. The article also describes the multi-system clinical presentation of the disease to assist primary care providers with an early diagnosis. Read More

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http://dx.doi.org/10.1111/j.1745-7599.2012.00734.xDOI Listing
July 2012
26 Reads

FRAX® counseling for bone health behavior change in women 50 years of age and older.

J Am Acad Nurse Pract 2012 Jun 29;24(6):382-9. Epub 2012 Mar 29.

Department of Women, Children, & Family Health Science, University of Illinois at Chicago College of Nursing, Peoria, IL 61604, USA.

Purpose: To evaluate the use of FRAX® (Fracture risk assessment tool) for changes in bone health risk factors and treatment decision-making.

Data Sources: A convenience sample of seventeen women, 50 years and older, English-speaking, generally healthy, with the ability to perform weight-bearing exercise, presenting for a DXA scan in a Midwestern city between August 2009 and November 2009, and not already being treated for osteoporosis or osteopenia. Self-administered diet and exercise questionnaires were completed by participants, followed by individual counseling related to FRAX® absolute risk and NOF guidelines. Read More

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http://dx.doi.org/10.1111/j.1745-7599.2012.00700.xDOI Listing
June 2012
11 Reads

Postural balance in young adults: the role of visual, vestibular and somatosensory systems.

J Am Acad Nurse Pract 2012 Jun 29;24(6):375-81. Epub 2012 Mar 29.

St. Rose Dominican Hospital, Henderson, Nevada, USA.

Purpose: The purpose of the study is to examine what sensory system predominates to maintain balance (e.g., visual, vestibular, and somatosensory) among people in their twenties and thirties. Read More

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http://dx.doi.org/10.1111/j.1745-7599.2012.00699.xDOI Listing
June 2012
4 Reads

Relationships between lifestyle, health behaviors, and health status outcomes for underserved adults.

J Am Acad Nurse Pract 2012 Jun 29;24(6):364-74. Epub 2012 Mar 29.

College of Nursing, Valparaiso University, Valparaiso, IN 46383, USA.

Purpose: To examine the relationships between lifestyle, health behaviors, and health status for underserved adults.

Data Sources: A convenience sample of 84 adults responded to a questionnaire on lifestyle, health behaviors, health indices, and health status. Health status was measured by the 12-Item Short-Form Health Survey (SF-12). Read More

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http://dx.doi.org/10.1111/j.1745-7599.2012.00697.xDOI Listing
June 2012
7 Reads

Overcoming barriers to practice: A nurse practitioner-led model.

Authors:
Roberta Heale

J Am Acad Nurse Pract 2012 Jun 20;24(6):358-63. Epub 2012 Apr 20.

Laurentian University School of Nursing, Sudbury, Ontario, Canada.

Purpose: Nurse practitioners (NPs) in Ontario, Canada, experience many barriers to practice that negatively influence their ability to increase access to comprehensive primary healthcare services. A NP-Led Clinic Model has helped to overcome many of the barriers and has had a real impact on access to care.

Data Sources: Legislative and regulatory documents from the government of Ontario were reviewed. Read More

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http://dx.doi.org/10.1111/j.1745-7599.2012.00737.xDOI Listing
June 2012
55 Reads

A progressive nurse practitioner student evaluation tool.

J Am Acad Nurse Pract 2012 Jun 30;24(6):352-7. Epub 2012 Apr 30.

College of Nursing, East Tennessee State University, Johnson City, Tennessee, USA.

Purpose: To describe the process of designing a new progressive nurse practitioner student clinical evaluation tool based on competencies.

Data Sources: Selected research articles and professional organization published guidelines.

Conclusions: Evaluation of nurse practitioner students' clinical performance is an important and often complex responsibility of faculty. Read More

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http://dx.doi.org/10.1111/j.1745-7599.2012.00713.xDOI Listing
June 2012
14 Reads

Nonalcoholic fatty liver disease: the hepatic metabolic syndrome.

Authors:
Jeni Page

J Am Acad Nurse Pract 2012 Jun 20;24(6):345-51. Epub 2012 Apr 20.

University of Texas Southwestern, Dallas, Texas, USA.

Purpose: To examine a case of nonalcoholic fatty liver disease (NAFLD) and review the incidence, pathophysiology, appropriate diagnostic procedures and imaging, clinical considerations, and treatment options.

Data Sources: Findings from the history, physical examination, and diagnostic testing of a 39-year-old man with elevated liver enzymes presenting to the hepatology clinic; a search of evidence-based literature in the PubMed and CINAHL database with the terms "fatty liver,"nonalcoholic fatty liver disease," and "nonalcoholic steatohepatitis."

Conclusions: NAFLD is the deposition of fat in the liver that can progress to nonalcoholic steatohepatitis, resulting in fibrosis and cirrhosis. Read More

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http://dx.doi.org/10.1111/j.1745-7599.2012.00716.xDOI Listing
June 2012
15 Reads