HIV in Primary Care: Case Study of Common Chronic Comorbidities
This article provides information to increase the knowledge, skills, and confidence of primary care nurse practitioners managing chronic conditions for persons living with HIV (PLWH). A case study is presented, followed by discussion of common chronic disease processes related to the patient: chronic kidney disease, diabetes mellitus, hypertension, hyperlipidemia, osteoporosis, and mental health. PLWH are at increased risk for non-HIV –related comorbidities. Nurse practitioners practicing in primary care settings are ideal providers to manage chronic conditions in PLWH. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - January 19, 2022 Category: Nursing Authors: Melody Wilkinson, Pam Biernacki, Joyce Knestrick Tags: Featured Article Source Type: research

Use of a Poverty Screening Question to Predict Social Determinants
This study examined the relationship of SDoH to poverty and evaluated whether screening revealed needs previously unknown to providers. An SDoH Survey with an embedded poverty screening question was completed by 144 urban and 141 rural primary care patients. Nine of 10 SDoH were correlated with positive poverty screening. Needs previously unknown to providers were identified. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - January 19, 2022 Category: Nursing Authors: Jacqueline R. Meyer, Ruselle S. DeBonis, Lisa D. Brodersen Tags: Original Research Source Type: research

Overview of Recognition and Prevention of Child Sex Trafficking in the Primary Care Setting: A Primer for Nurse Practitioners
Child sex trafficking (CST) has become a global public health crisis and is a $150 billion criminal enterprise. Nurse practitioners are key in the recognition and prevention of CST in health care settings. Evidence demonstrates that up to 80% of CST victims have had a recent health care encounter. It is the role of the NP in practice to understand risk factors, screen for CST, and educate parents and caregivers on signs of victimization and prevention. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - January 17, 2022 Category: Nursing Authors: Brigit VanGraafeiland, Ellen Chiocca, Diana Perks, Haley Dietzman, Gail Horner Tags: Featured Article Source Type: research

A Retrospective Evaluation of a Nurse Practitioner-Led Cancer Genetics Program
Genetics research is not routinely disseminated into gastroenterology clinical practice, thereby missing opportunities to identify hereditary cancer syndromes. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - January 14, 2022 Category: Nursing Authors: Carrie A. Thompson, Jane Tiedt, Mirjeta Beqiri, Deborah W. Smith Tags: Featured Article Source Type: research

Venipuncture-Related Lateral Antebrachial Cutaneous Nerve Injury in Primary Care Settings
Given the close proximity of nerves to veins commonly accessed for phlebotomy, venipuncture at the antecubital fossa has resulted in nerve injury, including damage to the lateral antebrachial cutaneous nerve. Although rare, direct needle trauma can cause paresthesia, radiating arm pain, and weakness of the hand or forearm. This case report describes a healthy female who experienced 3 weeks of venipuncture-related paresthesia and pain after an atraumatic venipuncture in the primary care setting. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - January 12, 2022 Category: Nursing Authors: Jessica Szydlowski Pitman, Emily M. Funk, Christian Falyar Tags: Case Report Source Type: research

Consultation With Nurse Practitioners Over the Telephone in Prison Health
The nurse practitioner (NP) role presents opportunities to improve access to care for the management of those in prisons, including telephone consultations with the nursing team after hours. This qualitative study used semistructured interviews with prison nurses to gain insights into the role and capability of NPs to provide telephone advice and direction within an after-hours prison health model of care. Three main themes emerged: value and capability, nursing team, and safety of the on-call model. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - January 12, 2022 Category: Nursing Authors: Anthony Schoenwald, Blake Ponting, Raquel How, Yolanda Mansfield, Tom Meehan Tags: Original Research Source Type: research

Identification and Evidence-Based Treatment of Post –Acute Withdrawal Syndrome
Post –acute withdrawal syndrome (PAWS) refers to a cluster of psychological and mood-related symptoms that can last for months to years after acute withdrawal from a substance and is a major contributing factor for relapse. PAWS symptoms exist for many individuals after withdrawal from alcohol, opioids , and benzodiazepines with underlying brain changes. Health care providers are in a prime position to identify and treat PAWS symptoms to decrease this risk of relapse. A synthesis of evidence on the state of the science of the limited but growing evidence on PAWS is explored. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - January 10, 2022 Category: Nursing Authors: Brittany Haskell Tags: Featured Article Source Type: research

Motivational Interviewing Screening Tool to Address Pediatric Obesity
The aim of this quality improvement project was to increase the providers ’ awareness of pediatric patients with overweight and obesity and initiate change behavior conversations. A healthy weight motivational interviewing survey tool was adapted from the University of Connecticut Rudd Center and was implemented at all well-child visits in patients aged 10 to 18 years a t a rural pediatric health care clinic in Alabama. A comparative analysis was conducted on the baseline and postintervention data. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - January 8, 2022 Category: Nursing Authors: Heather Hyde, Steadman L. McPeters Tags: Featured Article Source Type: research

Reducing Inappropriate Antibiotic Prescribing for Upper Respiratory Infections
Acute upper respiratory infections account for most urgent care visits, and most do not require antibiotics. A quality improvement project was conducted at an urgent care clinic in Texas over a 1-month period with the intent of improving antibiotic prescribing practices for acute upper respiratory infections. The rates of antibiotic prescribing before and after the implementation were compared, and focus group discussions were conducted for insight. A significant decrease in the rates of antibiotics prescribed was noted when prescribing rates before and after implementation were compared. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - January 7, 2022 Category: Nursing Authors: Daniel Garcia, Michael Iversen, Julie A. Thompson, Ragan Johnson, Margaret A. Bush Tags: Brief Report Source Type: research

Race to Beat the Heat: Climate Change Impacts Physical Activity
Climate change has led to increased frequency, intensity, and duration of extreme heat events with dire consequences for health. These are the deadliest of climate change impacts with preventable mortality from heat-related illnesses and increased threat to safe participation in physical activity and sports. Nurse practitioners can collaborate with community and professional sports health organizations to ensure evidence-based health and safety policies to reduce health-related risks. Adverse consequences on engagement in key health-promoting physical activity and sports may catalyze urgent action to address climate change...
Source: The Journal for Nurse Practitioners - January 7, 2022 Category: Nursing Authors: Adrienne Wald, Shanda Demorest Tags: Featured Article Source Type: research

You Are Here
In 1960, just 4 years after Victor Gruen built the first indoor shopping mall in Edina, MN, 4,500 malls had sprouted up across the country. Malls became ubiquitous, dominating the retail landscape for the next half century. On my first visit to Crabtree Valley Mall, I vividly remember standing in front of the large back-lit directory, trying to get my bearings in 1.3 million square feet of merchandizing possibilities. A rush of relief hit when I finally found my location, marked with a red dot and the reassuring words, You Are Here. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - January 7, 2022 Category: Nursing Authors: Gale Adcock Tags: Under the Dome Source Type: research

Depression Screening in Adolescents: Implications for Primary Care Nurse Practitioners
The majority of all mental health disorders, including depression, emerge before the age of 24. However, many symptoms go undetected and thus untreated. Primary care nurse practitioners are well positioned to recognize high-risk situations, routinely screen for depression, and provide first-line evidence-based treatment as appropriate in their adolescent patients. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - January 4, 2022 Category: Nursing Authors: Leslie L. Davis, Madina Leon Tags: Featured Article Source Type: research

Central Line –Associated Bloodstream Infections and Advanced Practice Providers: Identifying Opportunities for Prevention Efforts
Central venous catheters can be a vital part of patient care in the hospital setting but are at high risk of infection. Central line –associated bloodstream infections pose a high risk of morbidity, mortality, and increased hospital costs. The purpose of this project is to assess the practices and learning needs of advanced practice providers (nurse practitioners and physician assistants) in the provision of evidence-based care to patients with central venous catheters in the hospital setting. This can guide further educational initiatives for central line–associated bloodstream infection prevention. (Source: T...
Source: The Journal for Nurse Practitioners - January 4, 2022 Category: Nursing Authors: Shawna S. Mudd, Tammy Slater, Melanie Curless Tags: Brief Report Source Type: research

A Buprenorphine Program Evaluation Before and During the COVID-19 Pandemic
The purpose of this project was to evaluate the service delivery (i.e., attendance rate) of a buprenorphine management treatment program and compared patient recovery-related information between service methods. This is a chart review and cross-sectional comparison of pre- versus post-COVID 19 data. In the sample of 28 adults, there was no significant difference in mean attendance rates pre- (99.46%) vs. during-pandemic (96.13%) (t=1.92, p=0.07). There was a significant difference in patient participation in therapy pre- and during-pandemic ( Χ2=1.98, p=0.03). (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - January 4, 2022 Category: Nursing Authors: Thomas M. Hageman, Joshua Palmer, Prabir Mullick, Heeyoung Lee Tags: Featured Article Source Type: research

What Is Your STI IQ?
As a result of the emergence of SARS-CoV-2 (COVID-19), preventable and treatable conditions proliferated and exacerbated. Aailability of vaccines to prevent COVID, and adherence to basic public health strategies have enabled a return to routine health care to near pre-COVID levels. We are now engaged in the task of achieving and exceeding pre-COVID performance on quality-of-care measures. Standardization of care using guidelines produced by agencies such as the Centers for Disease Control and Prevention (CDC), whose mission is to protect the public health, is the most effective means to measure progress in achieving optima...
Source: The Journal for Nurse Practitioners - January 3, 2022 Category: Nursing Authors: Denise Link Tags: Quality Care for Women ’s Health Source Type: research

The Journal for Nurse Practitioners Continuing Education Credit Application
(Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - January 1, 2022 Category: Nursing Tags: CE Test and Application Source Type: research

AANP Forum
By Tay Kopanos, DNP, NP, VP, AANP State Government Affairs (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - January 1, 2022 Category: Nursing Tags: AANP Forum Source Type: research

New Year, New Commitment to Nurse Practitioner (NP) Excellence
Welcome to 2022! My, this past year flew by quickly! Although 2021 brought many challenges, it also highlighted the tremendous value NPs bring to patient care and practice each and every day. It has been amazing to see NPs leading at every turn, in practice, education, advocacy, research and leadership. United in our commitment to excellence, NP organizations, educational programs and associations are coming together across the globe to advocate for quality, equitable patient care and for support of each NP ’s and nurse’s health and well-being. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - January 1, 2022 Category: Nursing Authors: April N. Kapu Tags: From the AANP President Source Type: research

Cover 1
(Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - January 1, 2022 Category: Nursing Source Type: research

Information for Readers
(Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - January 1, 2022 Category: Nursing Source Type: research

Table of Contents
(Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - January 1, 2022 Category: Nursing Source Type: research

Editorial Board
(Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - January 1, 2022 Category: Nursing Source Type: research

Estimation of Glomerular Filtration Rate and Drug Dosing
The glomerular filtration rate (GFR) represents an index of kidney function and can be estimated (eGFR) by using various equations and/or formulas with markers such as inulin, iohexol, iothalamate, creatinine, cystatin C, and others.1 The GFR is the rate at which the glomerulus filters plasma and can be assessed from clearance. A good GFR is approximately ≥120 mL/min/1.73 m2, and represents the best overall assessment of kidney function.1,2 Assessment of the GFR is essential in clinical practice because the kidneys play important roles in metabolism and excretion of substances, blood pressure regulation, production of e...
Source: The Journal for Nurse Practitioners - December 31, 2021 Category: Nursing Authors: Timothy Nguyen Tags: Prescription Pad Source Type: research

Managing the Breast Cancer Survivor in Primary Care
Early detection and improved treatments for breast cancer are increasing survival rates, thereby growing the number of survivors to almost 4 million in the United States. Continuing care after treatment is frequently provided in primary care. Evidence-based care includes a history review, physical examination, and imaging for recurrence and new cancers, along with health maintenance and health promotion. Additionally, survivors often experience long-term side effects from their disease and/or treatment, affecting health and quality of life. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - December 29, 2021 Category: Nursing Authors: Mary Alison Smania, Barbara A. Corey, Kara Elena Schrader Tags: Featured Article Source Type: research

Improving Outcomes for Women With Heart Disease: Implications for Nurse Practitioners
Each year the first Friday of February is designated National Wear Red Day ® by the American Heart Association to raise awareness that cardiovascular disease (CVD) is the number cause of death and disability for women.1 Despite the fact that approximately 335,000 women are hospitalized yearly for acute coronary syndrome, the acute manifestation of coronary artery disease (CAD),2 the significance of CVD in women is largely underappreciated. Furthermore, care provided for women with CVD continues to be based heavily on men’s experiences because far fewer women have been enrolled in cardiovascular studies to date. (...
Source: The Journal for Nurse Practitioners - December 24, 2021 Category: Nursing Authors: Leslie L. Davis Tags: Quality Care for Women ’s Health Source Type: research

Forty Years of HIV Care: Optimism and Challenges
The year 2021 marks the 40th anniversary of the first case of Pneumocystis carinii pneumonia (PCP), Kaposi ’s sarcoma (KS), and the associated diagnosis of acquired immunodeficiency syndrome (AIDS) appearing in Centers for Disease Control and Prevention (CDC) reporting.1 Since 1981, great strides have been made to isolate, manage, and prevent transmission of the causative agent commonly known as the hu man immunodeficiency virus (HIV). During these past 4 decades, HIV has gone from a quickly debilitating and lethal disease to a chronic manageable condition. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - December 23, 2021 Category: Nursing Authors: Karen S. Moore, Courtney J. Pitts Tags: Guest Editorial Source Type: research

Advanced Practice Registered Nurse Subspecialty Compassion Satisfaction and Compassion Fatigue
To explore compassion satisfaction and compassion fatigue, measured by 2 subscales of burnout and secondary traumatic stress among advanced practice registered nurse (APRN) subspecialties. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - December 23, 2021 Category: Nursing Authors: Robyn Stamm, Josh Lambert, Nicole Garritano, Julie Miller, Amy Donnellan Tags: Original Research Source Type: research

Rural Midwestern Primary Care Nurse Practitioners ’ Transition to Practice
Transition to practice experiences for new primary care nurse practitioners (NPs) is of interest, particularly considering the lack of requirements and options for formal training programs. The purpose of this article is to describe new primary care NPs ’ experience and perceived needs of transitioning to practice. New Nebraska NPs were surveyed. The main findings include increased confidence and perceived preparedness after 3 months of practice, as well as challenges and helpful supportive services for transitioning to practice. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - December 23, 2021 Category: Nursing Authors: Kelly Gonzales, Teresa Barry Hultquist, LeAnn Holmes, Amelia Stoltman, Kathryn Fiandt Tags: Featured Article Source Type: research

Cabotegravir and Rilpivirine: A Long-Acting Injectable Antiretroviral Treatment for Human Immunodeficiency Virus
There have been significant developments in effective human immunodeficiency virus treatment since the first antiretroviral was approved. A significant number of people living with human immunodeficiency virus have not been able to maintain viral suppression on oral therapy. A long-acting monthly injectable antiretroviral regimen consisting of cabotegravir and rilpivirine has been approved for individuals who are virally suppressed. This regimen is a good option for those who struggle with adherence on a daily oral regimen or prefer a long-acting regimen. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - December 21, 2021 Category: Nursing Authors: Adam Leonard, Janessa Broussard, Natalie Wilson, Carol Dawson-Rose Tags: Featured Article Source Type: research

Implementing PrEP to Decrease HIV Transmission Rates Among Females
In 2018, 5.1 per 100,000 persons in the United States assigned females at birth (AFAB) live with human immunodeficiency virus (HIV). HIV prevention tools, including daily oral pre-exposure prophylaxis (PrEP), screening for sexually transmitted infections, treatment, and sexual health counseling, can be implemented into clinical practice to address the prevalence of HIV infection among this population. Historically, this population has had a decreased opportunity to be screened for HIV or offered PrEP to protect them from HIV. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - December 18, 2021 Category: Nursing Authors: Ingrid V. Martinez, Justin M. Waryold Tags: Featured Article Source Type: research

Integrating Climate Change in the Curriculum: Using Instructional Design Methods to Create an Educational Innovation for Nurse Practitioners in a Doctor of Nursing Practice Program
An applied epidemiology course for doctor of nursing practice students was revised to include a module on the impact of climate change on population health. The Analyze, Design, Develop, Implement, and Evaluate (ADDIE) model of instructional design is a gold standard framework for creating course content and guided the module development. A nurse content expert discussed the environmental impacts of climate change on health using literature, actual clinical scenarios, and the application of epidemiologic data. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - December 17, 2021 Category: Nursing Authors: Stacen A. Keating, Mary Jo Vetter, Robin Toft Klar, Fay Wright Tags: By Faculty for Faculty Source Type: research

Alignment of Pediatric Nurse Practitioner Licensure, Accreditation, Certification, and Education for Employers
Advanced practice registered nurses (APRNs) are a critical member of the health care team, providing essential frontline care to patients and families. Given the evolution of the use of pediatric-focused APRNs in more acute and critical care settings, it is essential to understand the APRN consensus model. Understanding the APRN consensus document and its relationship to selecting the pediatric nurse practitioner who is appropriately qualified for the population of interest is crucial. Compliance with regulatory guidelines during the credentialing and privileging processes, along with organized clinical onboarding after hi...
Source: The Journal for Nurse Practitioners - December 17, 2021 Category: Nursing Authors: Ann-Marie Brown, Imelda Reyes, Rosie Zeno, Teresa Whited Tags: Health Policy Source Type: research

Children With Hearing Impairment and Cochlear Implants
Cochlear implants are an effective option for children with hearing impairment. A multidisciplinary approach includes primary care recommendations and expectant management for a useful surgical intervention. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - December 15, 2021 Category: Nursing Authors: Ruth Madden Foreman, Michelle P. Zappas, Julia Lavelle Tags: Featured Article Source Type: research

The Referral Paradox
As a primary care nurse practitioner (NP), a referral to a specialist is sometimes necessary. When a patient presents with a complaint outside of our scope of care or when a procedure we do not perform is required, a referral to a specialist is necessary. However, the referral process is fraught with problems. These include over-referring, low patient completion rate, and the lack of effective communication between the specialist and primary care provider (PCP). The referral may be unnecessary, thus wasting the patient ’s time and health care dollars. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - December 10, 2021 Category: Nursing Authors: Ruth Woroch Tags: In My Opinion Source Type: research

Case Challenge: Nulliparous Cardiac Challenges: A Diagnostic Case
In this case challenge, a healthy 27-year-old woman presents for a routine new patient visit to establish care and is found to be pregnant. The assessment detects an audible heart murmur. Pregnancy-induced murmurs are a common finding. In this case, however, the key to understanding causation includes a thorough individual and family health history. In this situation, knowing when and who to refer patients to is essential in optimizing the health of the mother and infant. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - December 9, 2021 Category: Nursing Authors: Mary Roseanne Butler, Cynthia Zaletel, Rachelle Lancaster Tags: Case Challenge Source Type: research

Universal HIV Screening in Ambulatory Care Settings
Statistics reveal that clinicians are not offering or recommending routine HIV screening in almost all health care settings, despite strongly recommended clinical guidelines published in 2006 and 2013. The Centers for Disease Control and Prevention estimates that less than half of the US population aged 18 –64 years has ever been tested for HIV.1,2 To increase HIV screening rates, it is crucial to provide education on the guidelines and a mechanism for readily available testing to increase HIV screening rates. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - December 6, 2021 Category: Nursing Authors: Heather N. Wade, Natalie L. Baugher Tags: Featured Article Source Type: research

Hwa-byung: Recommendations for Culturally Sensitive Diagnosis and Care
Hwa-byung refers to a suppressed anger syndrome that is specific to Korean culture and is found predominantly in middle-aged and older women. Because hwa-byung involves a complex mechanism of long-standing subjective anger that forms differently in Western cultures, an understanding of cultural dynamics and etiology is warranted for health care providers to diagnose and treat this condition accurately. The cultural formulation interview developed by the American Psychiatric Association is an excellent tool to discover and discuss this culturally sensitive health condition. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - December 4, 2021 Category: Nursing Authors: Heesook Cheon, Sandra K. Cesario Tags: Original Research Source Type: research

Determinants of nurse practitioner independent panel management in primary care
In this study, we examine nurse practitioner (NP) practice and regulatory factors associated with NP independent panel management. We use survey data from 1,244 NPs from 6 states. Independent panel management was not associated with NP demographic characteristics. NP work environments, practice type, and practice size were associated with independent practice management. NPs practicing in states with more restrictive regulatory environments had less independent panel management. NP workforce can play an important role in increasing access to primary care, but facilitators and barriers to NP independence must be scrutinized...
Source: The Journal for Nurse Practitioners - December 4, 2021 Category: Nursing Authors: Grant R. Martsolf, Do Kyung Kim, Hayley D. Germack, Jordan M. Harrison, Lusine Poghosyan Tags: Featured Article Source Type: research

Psychometric Testing of a Tool Assessing Nurse Practitioner Clinical Educator Competence
A convenience sample of 137 nurse practitioner (NP) clinical educators completed the Academic Clinical Nurse Educator Skill Acquisition Tool (ACNESAT). NP clinical educators reported extreme confidence (M  = 173.57, SD = 4.34) with 40 clinical educator activities, the most confidence with Demonstrates Clinical Expertise (M = 4.56, SD = .554), and the least confidence with Applies Theory to Clinical Practice during Clinical Nursing Education Experiences (M = 4.07, SD = .846). The 40-item tool de monstrated high internal consistency reliability (α = .972). (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - December 3, 2021 Category: Nursing Authors: Aaron M. Sebach Tags: By Faculty For Faculty Source Type: research

An Interdisciplinary Collaboration for Environmental Education
This article describes a webinar hosted by the Sarah P. Duke Gardens in partnership with the Duke University School of Nursing. Our webinar provided an opportunity for attendees to understand how gardening can mitigate climate change, the important relationship between human and environmental health, and nurses ’ role in climate crisis. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - December 3, 2021 Category: Nursing Authors: Alicia J. Gibbs, Kati Henderson, Maegan Luckett, Lindsey Luks, AnnMarie Lee Walton Tags: By Faculty for Faculty Source Type: research

Risk Stratification and Management of Febrile Cancer Patients: Australian Perspective
The primary role of the oncology nurse practitioner in an acute tertiary cancer hospital in Australia is to provide comprehensive symptom management to adult patients undergoing systemic chemotherapy or immunotherapy. A common presentation to this service is acute febrile illness. There is a dearth of awareness surrounding the risk stratification of this patient group in Australia, which may contribute to unnecessary hospital admissions, increased nosocomial infections, and missed opportunities for maintaining quality of life. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - November 30, 2021 Category: Nursing Authors: Rebecca Julie Booth Tags: Featured Article Source Type: research

Ending the HIV/AIDS Epidemic
The White House Office of National AIDS Policy announced the Ending the HIV/AIDS Epidemic in the U.S. (EHE) initiative in 2019. The goals of EHE are to end the HIV epidemic in 10 years; decrease by 75% new infections by 2025 and by 90% by 2030.1 While this might sound impossible at first, I think it is possible after listening to a presentation by Dr. Harold Phillips, director of Office of National AIDS Policy, last month. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - November 30, 2021 Category: Nursing Authors: Julee B. Waldrop Tags: Editorial Source Type: research

Cross-Addiction in Bariatric Surgery Candidates
This study was conducted to determine the risk of substance use and internet addiction in patients with and without food addiction before bariatric surgery. The descriptive cross-sectional study was conducted with 203 patients. The results showed that 54.7% of the patients who had food addiction before undergoing bariatric surgery were at risk of internet addiction, and 22.0% were at risk of substance use. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - November 29, 2021 Category: Nursing Authors: Meral Özkan, Mustafa Kavak Tags: Featured Article Source Type: research

Prescribing Contraindications and Cautions for HIV
Pharmacotherapy may be indicated to treat a variety of conditions for patients living with human immunodeficiency virus. It is important for nurse practitioners (NPs) to be aware of clinically significant interactions involving antiretroviral therapy and other prescribed drugs or over-the-counter products, herbal therapies, and dietary supplements. Drug interactions may result in adverse clinical outcomes by increasing or decreasing drug levels, which subsequently may compromise viral control, enhance risk of toxicity, or have other unintended effects. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - November 25, 2021 Category: Nursing Authors: Angelina Anthamatten Tags: Featured Article Source Type: research

Implementing Telemental Health to Improve Access to Mental Health Care in Rural Vermont
Mental health care shortages in the United States are most pronounced in rural areas. This practice-change project aimed to increase access to quality mental health care in rural areas for the treatment of depression and anxiety via telemental health delivery of care. The project yielded improvements across project aims, including an increased percent of enrolled patients from Healthcare Provider Shortage Areas; a decrease in quality measures for depression, anxiety, and disability; and increased patient satisfaction with care. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - November 25, 2021 Category: Nursing Authors: Julia McDougal Ronconi, Sun Kim, Jennifer Hackel, Lisa Kelly, Lingling Zhang Tags: Brief Report Source Type: research

A Mock Telephone Triage Experience for Nurse Practitioner Students
The ability to manage patient telephone calls competently and confidently is an important skill for nurse practitioners (NPs). A curriculum intervention was implemented in a pediatric NP program to promote this skill. Thirty-nine NP students participated in a mock telephone triage experience to determine whether triage, involving student/faculty mock parent telephone calls, would increase the student ’s confidence and competence. A Likert scale pre/post questionnaire surveying perceived confidence, competence, and readiness to practice revealed an increase in students’ confidence in decision making, assessing t...
Source: The Journal for Nurse Practitioners - November 25, 2021 Category: Nursing Authors: Brigit VanGraafeiland, Deborah W. Busch, Shawna S. Mudd, Kimberly McIltrot, Kristen Brown, Martha Abshire Saylor, Joanne Silbert-Flagg, Elizabeth Sloand Tags: By Faculty for Faculty Source Type: research

The “No Look Pass”
At 6 foot 9 inches, basketball legend Earvin “Magic” Johnson was the tallest point guard in National Basketball Association (NBA) history when the Los Angeles Lakers selected him as their first-round draft pick in 1979. Johnson possessed near mystical on-court skills that awed opponents, fans and teammates. He was named one of the 50 great est players in NBA history in 1996 and was inducted into the Naismith Memorial Basketball Hall of Fame in 2002. One of his patented moves was the “no look pass” that reliably faked out opponents and electrified audiences. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - November 23, 2021 Category: Nursing Authors: Gale Adcock Tags: Under the Dome Source Type: research

Barriers to Screening for Adverse Childhood Experiences
This pilot study provides a baseline understanding of nurse practitioners ’ (NPs’) and NP students’ current knowledge and reported barriers to screening for adverse childhood experiences. A 23-question survey was distributed by email to NP and NP student members of 2 local chapters of a state NP organization. Results showed that a significant number of practitioners understood the importance of adverse childhood experiences screening but failed to perform screening due to multiple barriers. A review of barriers identified a need for improved screening methods, provider education, allocation of time, and f...
Source: The Journal for Nurse Practitioners - November 23, 2021 Category: Nursing Authors: Alyssa M. Clark, Heather M. Jones Tags: Original Research Source Type: research

Examining Acute Coronary Syndrome Across Ethnicity, Sex, and Age
Acute coronary syndrome (ACS) remains one of the leading causes of death in the United States. With its heightened prevalence, considerable variabilities in the disease process exist across ethnicities, sex, and age. This creates substantial disparities in the recognition and management of ACS, which consequently contributes to poor outcomes. It is of utmost importance that nurse practitioners remain vigilant, cognizant, and maintain a high index of suspicion to accurately identify ACS presentations and thus efficaciously intervene to successfully manage the disease process. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - November 18, 2021 Category: Nursing Authors: Kristofer De Leon, Elizabeth J. Winokur Tags: Featured Article Source Type: research

Exploring Stressors Experienced During Graduate Nursing Education
Students in graduate nursing programs balance family and work responsibilities with rigorous didactic and clinical courses. These demands can impact academic success and health. Graduates of our master ’s in nursing and post-master’s doctor of nursing practice programs were surveyed to explore the personal stressors they experienced during their educational programs and changes in their health and health promotion habits. Personal time, sleep, exercise, relationships, and finances were negativ ely affected. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - November 18, 2021 Category: Nursing Authors: Karen Higgins, Adrienne Hartgerink Tags: By Faculty for Faculty Source Type: research