Mental Health Impacts of Climate Change: Considerations for Nurse Practitioners
This report focuses on mental health impacts of climate change through the theoretical framework of Maslow ’s Hierarchy of Needs. It offers a broad overview of mental health impacts, particularly for vulnerable populations, and introduces screening, assessment, and treatment considerations for the nurse practitioner. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - September 21, 2021 Category: Nursing Authors: Margaret J. Brown, Bradley P. White, Patrice K. Nicholas Tags: Featured Article Source Type: research

Do nurses ’ opinions matter?
We have reflected on occasion in this column on the lofty regard in which nurses are held by the people we serve.1 Over time, nursing evolves and improves, and we manage not only to live up to our contract with society but also to have society acknowledge our work and to let us know that they approve. Additionally, panels of experts have recognized that nurses hold the key to meeting the health care needs of society as we move into the future.2 One might think that, with 20 million nurses in the world,3 there would be ample opportunity for things to go wrong. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - September 21, 2021 Category: Nursing Authors: Donald Gardenier Tags: Point/Counterpoint Source Type: research

More Than a Rash
Skin disorders are one of the most common complaints seen in primary care offices. This can be intimidating and frustrating for providers due to the wide variety of possibilities. Skin lesions that are difficult to manage or concerning are often referred to dermatology to determine the potential etiology. The following is a case study of an elderly woman who presented with a persistent rash for the past 6 months despite clinically appropriate treatment. This case study describes the interdisciplinary care implemented for diagnosis, treatment, and follow up-care. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - September 21, 2021 Category: Nursing Authors: Colleen Theresa Risley Tags: Case Challenge Source Type: research

Identifying Anxiety and Depression in Adolescents Through Primary Care Screening
This study provided screening for early detection and treatment of anxiety and depression in adolescents from a rural county in Northwest Missouri. The study cohort was from a rural primary care clinic and comprised 44 adolescents, aged 12 to 18, who had symptoms of anxiety and depression, or had not been previously diagnosed. Screening for anxiety and depression and initiating treatment in adolescent decreases the possibility of detrimental effects of depression and anxiety extending into adulthood. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - September 21, 2021 Category: Nursing Authors: Darci Feiden Tags: Brief Report Source Type: research

Functional Neurological Disorder: Overview and a Case Study
Functional neurological disorder (FND) is a common and disabling condition that is associated with motor and sensory symptoms in the absence of structural lesions. Patients tend to be dismissed and/or often undergo extensive diagnostic evaluations that can be unrevealing. Current recommendations stress that FND be ruled in rather than ruled out and that this process is best initiated by primary care providers. Misdiagnosis is rare when careful analysis of symptoms and positive physical signs leads to an accurate assessment which results in improved treatment. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - September 21, 2021 Category: Nursing Authors: Jill Muhrer Tags: Featured Article Source Type: research

Nurse Practitioner's Geriatric Practice in Japanese Postacute Care Setting
The quality of comprehensive geriatric assessment and medication reconciliation by a nurse practitioner (NP) based in Japan was evaluated by a prospective observational study. Within the 64 inpatients seen by the NP at a postacute care clinic, the achievement rate of 8 comprehensive geriatric assessment items was 93.8%, compared with just 33.8% in the nearby hospital (P (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - September 20, 2021 Category: Nursing Authors: Takuya Mukai, Takahiko Tsutsumi, Emi Takaishi, Osamu Hamada, Susumu Sasaki, Toshio Shimokawa, Yuichi Imanaka Tags: Featured Article Source Type: research

Advocating for the Role of NPs Who Have Earned a Doctor of Nursing Practice Degree
It is notable to reflect on how nursing has evolved since the days of Florence Nightingale and Lilian Wald. Today ’s public perception of nursing is distinct from decades past. There has been a paradigm shift in the demands and responsibilities placed on nurses.1 Consequently, the nursing community was encouraged by the Institute of Medicine to bring the nursing profession up to par with other health care dis ciplines.2 Hence, nursing embarked on increasing the number of doctor of nursing practice (DNP) graduates but without clarifying the DNP graduate roles. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - September 20, 2021 Category: Nursing Authors: Irene O. Oyolu Tags: In My Opinion Source Type: research

Barriers to Culturally Competent Human Immunodeficiency Virus Care Among the Black, Indigenous, and People of Color Community
Black, Indigenous, and people of color (BIPOC) are at a higher risk for human immunodeficiency virus (HIV) infection and face unique challenges in the United States health care system. Health care providers can understand the barriers to care for at-risk groups and identify interventions to improve health outcomes. Demographic, social, and economic factors all play a role in the health disparities regarding the HIV infection rate in these at-risk populations. There are many challenges in establishing early diagnosis of HIV infection and linking newly diagnosed people living with HIV (PLWH) to evidence-based care. (Source: ...
Source: The Journal for Nurse Practitioners - September 20, 2021 Category: Nursing Authors: Justin M. Waryold, Courtney Shihabuddin, Randee Masciola Tags: Featured Article Source Type: research

Monthly Recurrence of Pelvic Pain, Nausea, Vomiting, and Diarrhea
This is a case study describing a young woman with a chief complaint of intermittent nausea, vomiting, diarrhea, and fluctuating pelvic pain. She was initially evaluated in the emergency department and treated for a viral illness after a “negative” workup. Her symptoms worsened and were recurrent. Knowledge of the vast variable symptomatology in the presentation of endometriosis is essential to identify, diagnose, and treat patients who are often misdiagnosed. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - September 20, 2021 Category: Nursing Authors: Catherine Nadeau, Stephen McGhee, Juan M. Gonzalez Tags: Case Challenge Source Type: research

Diagnosis and Treatment of Polycystic Ovary Syndrome in Primary Care
Polycystic ovarian syndrome affects between 6% and 18% of women of reproductive age worldwide. This syndrome can lead to female hyperandrogenism, insulin resistance, and female infertility. The Rotterdam criteria is used to improve timely diagnosis and treatment. A detailed physical examination, laboratory testing, and ultrasound imaging help diagnose this condition. Treatment is based on individual needs and should include lifestyle modifications, medication, health screening, and patient education. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - September 18, 2021 Category: Nursing Authors: April C. Tremblay-Davis, Sharon L. Holley, Laurie A. Downes Tags: Featured Article Source Type: research

e-Cigarettes in College-Age Students: Roles of the Nurse Practitioner
The aims of this study were to assess practices and identify strategies to reduce e-cigarette use among college students. Using a mixed methods design, an online survey assessed e-cigarette perceptions and usage, and focus groups were used to conduct in-depth assessments. Grade point average and Greek life were significantly related to e-cigarette practices. Content analysis yielded 5 main categories: safer than smoking, it ’s cool in high school, easily accessible, generationally chill, and quitting because of consequences. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - September 17, 2021 Category: Nursing Authors: Lynette Rayman, Theresa A. Kessler Tags: Original Research Source Type: research

Management of Common Opportunistic Infections in People Living With HIV
This article discusses 5 common opportunistic infections seen in people living with HIV. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - September 17, 2021 Category: Nursing Authors: Kelli Fuller, Margaret W. Bultas Tags: Featured Article Source Type: research

Oral Health –Related Knowledge, Attitudes, and Practice Patterns of Nurse Practitioners: A Mixed Methods Study
This mixed methods study explored the oral health –related knowledge, attitudes, and practice patterns of nurse practitioners (NPs) in Canada. The survey was sent to all NPs across Canada (N = 4,540); 153 respondents (3.4% response rate) completed the online survey, and 4 respondents were subsequently selected to participate in qualitative, semi structured interviews. NPs believe that they have a role in oral health care and are motivated to include oral health into their practice. However, a lack of knowledge and skills, likely caused by gaps in education and training, is limiting their ability to do so with co...
Source: The Journal for Nurse Practitioners - September 15, 2021 Category: Nursing Authors: Sarah Grant, Rebecca Affoo, Carolyn Mitchell, Martha Brillant, Teanne MacCallum, Shauna Hachey Tags: Featured Article Source Type: research

Changing Nurse Practitioner Students ’ Perceptions Regarding Substance Use Disorder
Nurse practitioners (NPs) are in a key position to provide services to persons with substance use disorder and decrease marginalization and stigmatization. There is a paucity of evidence on interventions to affect NPs ’ attitudes/beliefs, confidence/preparedness, concerns/barriers, and ability to treat substance use disorder. The presented research demonstrated significant positive changes (P (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - September 14, 2021 Category: Nursing Authors: Mary Ellen Wright, Veronica Parker, Lauren D. Demosthenes, Margie L. Stevens, Alain H. Litwin Tags: By Faculty for Faculty Source Type: research

The Face of Debt Is Female
My husband had no student loan debt due in part to receiving Pell Grants and work study. I had federal student loans; 85% of those loans were forgiven for practicing in a medically underserved area. My tuition in an Ivy League women ’s health graduate program was $500 per semester. The rest was paid through a federal grant program to increase the number of master’s-prepared nurses to teach. I precepted students and taught in associate degree and graduate nursing programs for the next 42 years. The government got the teacher they paid for. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - September 9, 2021 Category: Nursing Authors: Denise Link Tags: Quality Care for Women ’s Health Source Type: research

HIV Clinician Workforce Shortage: Nurse Practitioners Filling the Gap
This report describes the emerging HIV provider shortage and offers models to expand nurse practitioner training in HIV primary care as an approach to addressing the HIV provider shortage. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - September 9, 2021 Category: Nursing Authors: Kara McGee, Lacrecia Bell, Vincent Guilamo-Ramos, Brandon A. Knettel, Schenita D. Randolph, Michael V. Relf Tags: Featured Article Source Type: research

Pediatric Dyslipidemia and Screening Recommendations
Pediatric dyslipidemia affects approximately 20% of children ages 6 to 19 years. This disease is impacted by and contributes to many factors, including obesity, metabolic syndrome, diabetes, and hypothyroidism. Obesity doubles the risk of dyslipidemia, but 26% to 63% of normal-weight children have lipid abnormalities. Dyslipidemia contributes to pediatric onset of atherosclerotic changes, and early adult cardiovascular complications. Sedentary lifestyle and poor food choices are the primary causes, but familial hypercholesterolemia affects 1 in 200 to 500 individuals. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - September 8, 2021 Category: Nursing Authors: Jill S. Buterbaugh Tags: Featured Article Source Type: research

Behind the Curtain
I believe I am witnessing an important paradigm shift within the advanced practice registered nurse (APRN) community. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - September 8, 2021 Category: Nursing Authors: Gale Adcock Tags: Under the Dome Source Type: research

Drive-through Anticoagulation Clinic During The COVID-19 Pandemic
An innovative approach to anticoagulation management during the COVID-19 pandemic was used at our center that allowed patients to stay in their vehicle while our anticoagulation advanced practice nurse obtained blood for point-of-care INR (POC/INR) testing, while at the same time, education and counseling were completed. A significant improvement in the median percentage of INR within the therapeutic range (TR) was observed among the patients who utilized the drive-through clinic. A small group of patients improved compliance to anticoagulation monitoring. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - September 7, 2021 Category: Nursing Authors: Jean Giver, Amy L. Dunn, Amanda Sankar, Joseph Stanek, Kay Monda, Joan Canini, Bryce A. Kerlin, Vilmarie Rodriguez Tags: Brief Report Source Type: research

Expanding The Differential Diagnosis for Recurrent Otalgia: A Case Report
Otalgia is a common presentation in the primary care setting. Due to the complex innervation of the ear, otalgia can have myriad causes. The purpose of this case report is to present a unique case of a young adult with recurrent otalgia that was determined to be congenital in origin. An incorrect diagnosis and treatment in this case would have likely put the patient at risk for repeated otalgia episodes and unnecessary antibiotic treatments. Health care providers are encouraged to look beyond the typical causes of otalgia and consider potential unusual origins. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - August 30, 2021 Category: Nursing Authors: Rose A. Tempel Tags: Case Report Source Type: research

Fever, Shortness of Breath, Malaise and Diarrhea in a 30-Year-Old Man
Accurate diagnosis and treatment of patients with febrile respiratory symptoms is critical. Clinicians should not only focus on the most common conditions but also remain vigilant for other conditions that may exacerbate or result in similar presenting complaints. A detailed history is key to a successful diagnosis. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - August 28, 2021 Category: Nursing Authors: Jeffrey Kwong Tags: Case Challenge Source Type: research

Coronavirus Disease 2019 Vaccine Barriers: Educating Patients to Alleviate Fear of Receiving the Vaccine
Vaccination is an important step to avoid coronavirus disease 2019 infection and alleviate the disruption caused by the pandemic. Health care providers can improve outcomes by educating themselves and subsequently encouraging patients to vaccinate against the virus. This can be accomplished by understanding how the coronavirus disease 2019 vaccine works and what causes barriers and fear of vaccination. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - August 27, 2021 Category: Nursing Authors: Kristin Alexander Tags: Featured Article Source Type: research

Discovery of Methods to Enhance the Care of the LGBTQ+ Community
Lesbian, gay, bisexual, transgender, and queer/questioning (LGBTQ+) patients have a greater risk of suicide, depression, anxiety, and sexually transmitted infections. Provider interactions with different cultures related to sexual orientation and gender identification often lack LGBTQ+-specific competence. Marginalized patients may gain greater access to health care with telehealth. A convenience sample of embedded participants, nurse practitioner faculty, and nurse practitioner students participated in the study. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - August 27, 2021 Category: Nursing Authors: Desiree A. D íaz, Dawn O. Eckhoff, Michael Nunes, Mindi Anderson, Melanie Keiffer, Isaac Salazar, Lex Knurr, Steven Talbert, Jodi B. Duncan Tags: Original Research Source Type: research

Letter to the Editor
The COVID-19 pandemic and lockdown has had a great psychologic impact on the vulnerable population of adolescents. During this time period, adolescents may experience stressful life events, extended confinement within their homes, grief, intrafamilial violence, lack of normal social interaction with peers, and overuse of electronics, which can contribute to symptoms of depression.1 A systematic review by Cambridge University found nearly 60% of participants met the clinical criteria for mental health disorders during COVID-19. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - August 26, 2021 Category: Nursing Authors: Lauren Micalizio, Caroline Ravenel, Thrisann Weathers, Lacey Shambo, Kayla Windham Tags: Letter to the Editor Source Type: research

The Effects of COVID-19 and Depression in Adolescents
Adolescents are a vulnerable population profoundly affected by mental health disorders such as anxiety and depression. This has been exacerbated by the COVID-19 pandemic, as they face new challenges with social isolation, abuse and decreased access to care. The purpose of this letter is to discuss the effects of COVID -19 on adolescence, outline signs and symptoms of depression and screening tools clinician can use to identify depression in adolescents. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - August 26, 2021 Category: Nursing Authors: Lauren Micalizio, Caroline Ravenel, Thrisann Weathers, Lacey Shambo, Kayla Windham Tags: Letter to the Editor Source Type: research

Preventing HIV With Pre-exposure Prophylaxis: Current and Emerging Modalities
This article describes current and emerging modalities to prevent HIV with PrEP. Safe prescribing and monitoring of PrEP is presented to enable the nurse practitioner to incorporate HIV prevention into their routine clinical practice and minimize barriers to this valuable strategy. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - August 21, 2021 Category: Nursing Authors: Cindy Broholm, Charles Yingling, Rona Vail Tags: Featured Article Source Type: research

The Use of Marijuana Derivatives in Primary Care: An Evidence-Based Approach to Cannabidiol
Changes in the legality of marijuana for medicinal use and the further legalization for recreational use have brought about renewed interest in the properties of the cannabis plant. Cannabidiol (CBD), a derivative of the cannabis plant, has emerged as a widely available panacea. The purpose of this review is to discuss the differences in the active ingredients of the cannabis plant as well as the mechanisms by which CBD may provide benefit. In addition, the evidence for pain management and anxiety are evaluated. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - August 18, 2021 Category: Nursing Authors: Curtis Fowler Tags: Continuing Education Source Type: research

Documentation of Cognitive Rest After Concussion by Pediatric Primary Care Providers
Pediatric primary care providers manage the initial assessment of children with concussions and guide ongoing care for cognitive and physical rest until all acute symptoms resolve. The goal of this study was to identify if there were gaps in provider documentation for cognitive rest and if the use of a concussion tool improved discharge instructions. A retrospective chart review was completed on patients 5 to 18 years old who presented to our ambulatory pediatric practices with a concussion. The results showed that although few providers adopted a concussion tool in their practice, those who did were more likely to incorpo...
Source: The Journal for Nurse Practitioners - August 17, 2021 Category: Nursing Authors: Susan Butler, Cynthia Dimovitz, Alison Muller, Temilolaoluwa Daramola, Sahin Becirovic, Louis Mancano, Adrian Ong Tags: Featured Article Source Type: research

Nurturing Novice Faculty: Successful Mentorship of Nurse Practitioners
This article describes the best practices of a multifaceted mentorship program that uniquely supports novice NP faculty and is based on the National League for Nursing Core Competencies for Academic Nurse Educators. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - August 17, 2021 Category: Nursing Authors: Hilary Ashton Glover, Amanda Hitt, Grace Zills, Wendy Darby, Clarissa Hall, Tera Kirkman Tags: By Faculty for Faculty Source Type: research

Atrial Fibrillation: Overview of Antiarrhythmic Drugs With Rhythm Control Strategy
Atrial fibrillation (AF) is a common supraventricular tachyarrhythmia associated with various health complications and socioeconomic impact.1 The incidence of AF has been projected to continue to increase by the year 2050, with approximately 6 to 16 million people affected in the United States.1,2 A number of risk factors may contribute to the development of AF, including older age, obesity, hypertension, coronary artery disease, heart failure, hyperthyroidism, excess alcohol consumption, and sleep apnea. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - August 17, 2021 Category: Nursing Authors: Elaine Wong Tags: Prescription Pad Source Type: research

Global Signature Recognition for Nurse Practitioners in California
There are differences in state laws and regulations that restrict nurse practitioners (NPs) from performing certain patient care functions, such as signature recognition. In California, it has been a slow, incremental process for NPs to gain the ability to sign and/or certify forms that facilitate patient care. States are moving forward to ensure NP signatures are recognized either by updating language in their state laws and allowing NPs to sign specific forms or adopting statutes that provide NPs with global signature recognition (GSR). (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - August 17, 2021 Category: Nursing Authors: Theresa Brown, Ahlam Jadalla, Demtra Bastas-Bratkic, Margaret Brady Tags: Health Policy Source Type: research

Implementation of Objective Structured Clinical Examination in Midwifery Education
Evaluation is a fundamental component of the teaching process. Hence, a set of objective structured clinical examination standardized stations was prepared for the evaluation of midwifery students. Data on students ’ perception of the value of the experience were also collected. The results of the evaluation documented the level of success and failure for each student. The majority of students (94%) were satisfied with the assessment techniques and enjoyed the learning experience. The integration of the obje ctive structured clinical examination into the curriculum provided useful information on students’ clini...
Source: The Journal for Nurse Practitioners - August 9, 2021 Category: Nursing Authors: Omaima Changuiti, Doha Achak, Mohamed Benfatah, Abdelghafour Marfak, Elmadani Saad, Abderraouf Hilali, Ibtissam Youlyouz-Marfak Tags: By Faculty for Faculty Source Type: research

Impact of a Breast Cancer Screening Algorithm on Early Detection
This article discusses the current breast cancer screening guidelines and the impact of the development and implementation of a Breast Cancer Screening Algorithm (BCSA). The BCSA combined the most conservative screening guidelines from the Centers for Disease Control and Prevention and the Breast Cancer Genetics Referral Screening Tool. Implementation occurred at an employer-based health center in Indiana with an order rate of 5.6% for screening mammograms among women ages 40 to 74. Compared with the Healthy People 2030 target of 77.1% for screening mammograms, this employer-provided health center demonstrated need for imp...
Source: The Journal for Nurse Practitioners - August 6, 2021 Category: Nursing Authors: Carrie L. Sullivan, Ryan Butler, Jennifer Evans Tags: Brief Report Source Type: research

Optimization of Patient Scheduling in a Hematology Outpatient Setting
A sequelae of increased cancer incidence is the need for specialized outpatient care. The purpose of this project was to improve scheduling of multifaceted treatments and care within an outpatient clinic. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - August 6, 2021 Category: Nursing Authors: Heather Jackson, Shelton Harrell, Ana Maria Collins, Nicole Lopez, Emily Skotte, Karen Hande Tags: Brief Report Source Type: research

Facilitating Well-Rounded Clinical Experience for Psychiatric Nurse Practitioner Students
There is a steady increase in demand for mental health services and a lack of providers. Recent societal changes resulting from the COVID-19 pandemic have increased these needs. Psychiatric mental health nurse practitioners (PMHNP) are well suited to offer these services. High-quality clinical PMHNP student experiences are based on well-rounded curricula in a variety of clinical settings. Meeting the need for clinical education and finding high-quality preceptors is especially challenging during the pandemic due to the lack of preceptors and access to care for in-person services. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - August 4, 2021 Category: Nursing Authors: Joan Fraino, Nancy Selix Tags: By Faculty for Faculty Source Type: research

Frailty in Adults With HIV: Identification, Assessment, and Management
This article provides a brief overview of the principles of frailty and discusses strategies to identify prefrail or frail individuals. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - August 3, 2021 Category: Nursing Authors: Jeffrey Kwong Tags: Featured Article Source Type: research

Should Nurse Practitioners be Referred to as “Advanced Practice Providers”?
“What's in a name? That which we call a rose by any other name would smell as sweet.”1 With all due respect to Juliet (she had a lot on her mind), I disagree. Smell notwithstanding, a “nontulip perennial flowering plant” is not a rose. Likewise, when we nurse practitioners (NPs) are referred to as nonphysician providers, thus describing us as what we aren’t, all we really do is obfuscate. NPs have also been called midlevel providers, a term that cements our place in a hypothetical hierarchy that I believe we were meant to be grateful not to be at the bottom of. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - August 2, 2021 Category: Nursing Authors: Donald Gardenier, Cynthia Edwards-Tuttle, Janet Selway Tags: Point/Counterpoint Source Type: research

Preprints: New option for research studies at the Journal for Nurse Practitioners
Beginning in September, when you submit a research study for potential publication in the Journal for Nurse Practitioners (JNP), you will have the option of automatically posting your manuscript to SSRN (https://www.ssrn.com/index.cfm/en/nursingrn/nursingrn-ejournals/), a preprint repository. The corresponding author will be asked to indicate whether they would like to opt-in to post their manuscript as a preprint. Elsevier will post the preprint when it starts peer review, and it will remain globally available to read free on SSRN whether the journal accepts or rejects the manuscript. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - August 2, 2021 Category: Nursing Authors: Julee B. Waldrop Tags: Editorial Source Type: research

Diagnosing and Managing Spinal Stenosis in the Adult Patient
Spinal pain is one of the most common presenting complaints globally. Differentiating and determining the specific type of spinal pain is a challenge for the practicing nurse practitioner. Obtaining a thorough past medical and surgical history and performing a comprehensive spinal examination will assist in determining the appropriate diagnostics, medical management, and spinal specialty referral. The skilled and competent nurse practitioner who gains important subjective and objective findings that suggest spinal stenosis can prevent neurologic consequences and help to maintain the patient ’s physical functioning an...
Source: The Journal for Nurse Practitioners - July 30, 2021 Category: Nursing Authors: Kim Kuebler, Jess Acure, Armin Oskouei Tags: Featured Article Source Type: research

Promoting a Shared Medication Adherence Practice: A Call to Action
This study trained primary care staff at an urban Federally Qualified Health Center to address medication nonadherence. It included a single educational workshop that described medication nonadherence, demonstrated validated assessment tools to formulate evidence-based interventions, and incorporated motivational interviewing techniques. Evaluations conducted at pre-post training and at 4 weeks showed an increase in staff knowledge (29%), self-confidence (46%), and self-reported practice change (77%). (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - July 28, 2021 Category: Nursing Authors: Elizabeth Ebeywa, Valerie Gruss, Michael Koronkowski Tags: Brief Report Source Type: research

Vericiguat —A New Addition for Heart Failure With Reduced Ejection Fraction
Heart failure (HF) with reduced ejection fraction (HFrEF) is a complex clinical syndrome caused by structural and/or functional myocardial dysfunction that results in the body ’s inability to maintain adequate metabolic supply to the organs and tissues.1 The mainstay of treatment for initial and long-term management of HFrEF is guideline-directed medical therapy (GDMT). GDMT has been proven to improve the overall survival rate of patients living with HFrEF.2 (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - July 28, 2021 Category: Nursing Authors: Deedra Harrington, Christy McDonald Lenahan Tags: Prescription Pad Source Type: research

Evaluating Advanced Practice Nurses ’ Burnout and Potential Helping Modalities
Health care providers are experiencing increased stress during the coronavirus disease 2019 pandemic. While it is understood that increased stress leads to burnout, limited research has been conducted to evaluate advance practice nurse response to coronavirus disease 2019, and more specifically, self-identified modalities that may decrease stress in the workplace or at home. This pilot study evaluated advance practice nurse-perceived burnout and evaluated perceived needs and/or perception of modalities aimed at reducing stress and improving well-being, such as essential oils, quiet room, soothing music, art therapy, pet th...
Source: The Journal for Nurse Practitioners - July 27, 2021 Category: Nursing Authors: Christine Stallter, Tina S. Gustin Tags: Brief Report Source Type: research

Reading For a Change
Nurse practitioners (NPs) and other advanced practice registered nurses (APRNs), regardless of practice setting, years of experience, or current level of policy engagement, are in a prime position —physically and metaphorically—to excel in the role of advocate. Our problem-solving orientation, use of compelling stories, and skill at building and sustaining relationships are just some of the reasons we are a good fit for the advocacy space. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - July 26, 2021 Category: Nursing Authors: Gale Adcock Tags: Under the Dome Source Type: research

Daily Moisturization for Atopic Dermatitis: Importance, Recommendations, and Moisturizer Choices
Topical moisturizers are the core treatment for atopic dermatitis (AD), with treatment guidelines recommending at least daily thorough moisturization of both lesional and nonlesional skin. Ultimately, moisturizer selection is an individual, personal choice, but, surprisingly, few moisturizers have published efficacy and acceptability data to support decision making. This clinical feature emphasizes the value of daily moisturization for AD and summarizes the moisturizer types available. Nurse practitioners/physician assistants manage and educate patients and caregivers on optimizing this key aspect of disease management. (S...
Source: The Journal for Nurse Practitioners - July 24, 2021 Category: Nursing Authors: Noreen Heer Nicol, Frank Rippke, Teresa M. Weber, Adelaide A. Hebert Tags: Featured Article Source Type: research

Pharmacogenetics in Practice: Drug Management Amidst Rare Genomic Testing
This article provides the experienced clinician with the background, clinical utility, and applicability of pharmacogenetics in medications commonly prescribed such as selective serotonin reuptake inhibitors, tricyclic antidepressants, beta blockers, clopidogrel, statins, proton pump inhibitors, and codeine. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - July 21, 2021 Category: Nursing Authors: Michelle Zappas, Ruth Madden Foreman Tags: Featured Article Source Type: research

Comparison Between Prolonged Intubation and Reintubation Outcomes After Cardiac Surgery
This study was undertaken to determine how prolonged intubation>48 hours or reintubation contributed to postoperative outcomes. Regression analyses have demonstrated that reintubation caused worse postoperative outcomes than prolonged intubation: more acute kidney injury stage 1 –3, coma/encephalopathy, postoperative transfusion, increased intensive care unit length of stay, and hospital mortality beyond the contributions of other risk factors. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - July 21, 2021 Category: Nursing Authors: Joanne Thanavaro, John Taylor, Linda Vitt, Mary S. Guignon Tags: Original Research Source Type: research

The Effect of Green Tea Drinking on the Depression of Elderly People
The world ’s older population continues to grow at an unprecedented rate. Iran is 1 of the countries where the aging population is higher than the global average. Depression is 1 of the most common issues in older adults that can be managed by nonpharmacologic interventions such as the consumption of green tea. The aim of this study was to determine the effect of green tea consumption on depression in the elderly people. In this quasi-experimental study, 76 elderly people who were residents in a nursing home and met the inclusion criteria were selected through simple random sampling. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - July 15, 2021 Category: Nursing Authors: Mohammad Esmaeilpour-Bandboni, Zinat Seyedpourchafi, Ehsan Kahneh Tags: Featured Article Source Type: research

The Perfect Storm: Thunderstorm-Related Asthma
Thunderstorm asthma refers to the increase in acute asthma symptoms during or immediately after severe storm activity, especially during certain seasons. Epidemic thunderstorm asthma occurs when large numbers of patients are affected by thunderstorm activity. These thunderstorm asthma cases can be anywhere from mild to severe symptoms and requiring serious medical attention. Epidemic thunderstorm asthma events emphasize the importance of preventative and ongoing asthma and allergic rhinitis identification and management along with community education and awareness. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - July 15, 2021 Category: Nursing Authors: Nancy Cantey Banasiak, Sarah Ann Keil Heinonen, Amanda C. Filippelli Tags: Featured Article Source Type: research

Time to Stop Offering Incentives for Contraception Use
Incentives for receiving a COVID-19 vaccination have made the news recently. Inducements range from a free beer to airline tickets, even a chance at a million-dollar lottery. Incentivizing individual healthy behaviors is not a new concept; it has been used for decades to influence family planning. In 1956, India, as a means of population control, offered 30 rupees ($7 US) to anyone who underwent sterilization.1 I am aware of a social service agency that serves young adults with mental illness that offers $50 for each dose of long-acting progesterone an individual receives. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - July 15, 2021 Category: Nursing Authors: Ruth A. Woroch Tags: Quality Care for Women ’s Health Source Type: research

A Critical Analysis of Funding Models: Sustainability of the Nurse Practitioner Role in Canada
Numerous barriers inhibit the integration of full role components of nurse practitioners (NPs) in Canada. Although the number of NPs in Canada has increased substantially over the past decade, the contributions made by NPs to patient care and the health system are undervalued and insufficiently recognized. A critical analysis of the current state of Canadian NP funding models utilizing the Sustainability of Innovation Framework was conducted. Our analysis suggest that Canadian NP funding models need to be flexible, modern, affordable, responsive to the needs of a wide range of patient populations and support the work of he...
Source: The Journal for Nurse Practitioners - July 10, 2021 Category: Nursing Authors: Raelene Marceau, Tammy O ’Rourke, Stephanie Montesanti, Kathleen Hunter Tags: Health Policy Source Type: research