The Identification and Management of Military Sexual Trauma in Veterans: Ask the Question!
Military sexual trauma (MST) is a serious and pervasive problem in the US military and results in the occurrence of physical, psychological, and psychosocial negative health consequences in female and male veterans. The prevalence of MST is increasing, and more veterans are seeking health care outside of the Veteran Affairs Medical Centers (VHA). Consequently, nurse practitioners as non-VHA health care providers may treat this population in the community. Insufficient knowledge precludes the ability to identify and manage MST. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - March 5, 2021 Category: Nursing Authors: Corinne A. Lee Tags: Featured Article Source Type: research

Sodium –Glucose Cotransporter-2 Inhibitors for Heart Failure: The New Kid on the Block
Sodium –glucose cotransporter-2 (SGLT2) inhibitors recently emerged as an effective therapy for heart failure (HF) with reduced ejection fraction. Recent published clinical trials have confirmed these agents substantially reduce mortality and HF hospitalization among patients with established HF with red uced ejection fraction, with or without type 2 diabetes. Ongoing studies are evaluating the effects of SGLT2 inhibitors on clinical outcomes for patients with HF with preserved ejection fraction. Nurse practitioners must understand the indications and mechanisms of SGLT2 inhibitors when prescribing. (Source: The Jour...
Source: The Journal for Nurse Practitioners - March 5, 2021 Category: Nursing Authors: Jaime McDermott, Carolina Tennyson, Elizabeth Bell-McClure Tags: Original Research Source Type: research

Interactive, Case-Based Teaching Design Strategies for Nurse Practitioner Students
The Centers for Disease Control and Prevention reports that 7.5% of children under the age of 18 in the United States have an asthma diagnosis. Nurse practitioners will manage asthma for pediatric patients in well and acute primary care clinic visits. In both types of visits, nurse practitioner students must be able to assess the child and develop a treatment plan. When presented with a patient case, learners must have opportunities to demonstrate clinical reasoning progress through appropriate assessment and the ability to develop an evidence-based intervention or plan of care. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - March 4, 2021 Category: Nursing Authors: Jennifer Ridgway, Carrie Sennett, Diana Vasquez, Natasha McClure Tags: By Faculty for Faculty Source Type: research

Enhancing Patient Care: Value of Pharmaceutical Medical Information Services
Information concerning medications is a necessity for nurse practitioners and other clinicians. Pharmaceutical companies ’ Medical Information services are an option for evidence-based, scientifically balanced information. This survey elicited clinicians’ opinions regarding the use and utility of Medical Information services. The top reasons cited for not using the services included bias, awareness, and lack of tr ansparency. Awareness of availability and quality of information from Medical Information services and addressing bias and transparency issues are needed. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - March 2, 2021 Category: Nursing Authors: Dominick Albano, Stacey Follman, Yesha D. Patel, Sandeep Gantotti, Patrick Reilly, Evelyn R. Hermes-DeSantis Tags: Original Research Source Type: research

Dual-Track Education for Nurse Practitioners: Current and Future Directions
This article describes dual-preparation programs, reports how 1 program is structured and implemented, and examines challenges of such programs. NP programs should create opportunities for NP students to be seamlessly prepared for more than 1 role through dual-track NP programs. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - March 1, 2021 Category: Nursing Authors: Daniel E. Wesemann, Mary S. Dirks, Susan N. Van Cleve Tags: By Faculty for Faculty Source Type: research

Evaluation of Telehealth Use in Prenatal Care for Patient and Provider Satisfaction: A Step Toward Reducing Barriers to Care
Prenatal care in preparation for childbirth improves maternal-child outcomes. While prenatal care is essential for care of mother and baby, barriers exist to participation in the frequent face-to-face office visits with a provider for prenatal care. The costs associated with work disruptions, child care, and travel, and often long office waiting times, limit one ’s ability to fully engage in a meaningful and productive in prenatal visit. This pilot study evaluated patient and provider satisfaction with participation in prenatal care that includes telehealth visits. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - February 26, 2021 Category: Nursing Authors: Gretchen A. Nelson, Carrie Holschuh Tags: Brief Report Source Type: research

Buprenorphine Induction in Primary Care Using an In-Office Approach
Opioid use disorder is an under-recognized and undertreated clinical problem frequently encountered in primary care. Buprenorphine is an efficacious medication that can be safely and easily initiated in a busy, primary care setting to treat opioid use disorder. The following report provides the classic presentation of opioid use disorder with a practical approach to transition from methadone to buprenorphine using an in-office induction. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - February 26, 2021 Category: Nursing Authors: Tyler D. Terry Tags: Original Research Source Type: research

Keeping Advocacy Alive
As I finish this column just before New Year ’s Day, the coronavirus pandemic shows no signs of slowing down or even leveling off in the United States, 1 year after the first case was reported in China. Right now, the best news since last March is the administration of the first coronavirus vaccines to frontline health care providers and oth er essential workers. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - February 26, 2021 Category: Nursing Authors: Gale Adcock Tags: Under the Dome Source Type: research

Utilizing Academic –Service Partnerships to Advance the Care of Veterans
Challenges encountered in both advanced practice registered nursing (APRN) education and veteran health care include an aging workforce, limited resources, and faculty/staff shortages, which ultimately affect patient outcomes. Academic –service partnerships (ASP) address these challenges by increasing workforce capacity and engagement, promoting interprofessional collaboration and evidence-based practice, creating educational opportunities for nursing students to work with underserved populations, and offering a mechanism for re cruitment and retention. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - February 25, 2021 Category: Nursing Authors: Lauren Shurson, Timian Godfrey, Kristie Flamm, Matthew Bertsch, Eve Broughton, Allen Prettyman Tags: By Faculty for Faculty Source Type: research

Comparison of Rural and Urban Utilization of Nurse Practitioners in States With Full Practice Authority
Full practice authority (FPA) has been enacted for nurse practitioners in 23 states and Washington, DC, to combat provider shortages and improve access of care. No studies have investigated the utilization of NPs after the legislative change. The aim of this study is to describe the utilization of NPs in states with FPA using 4 components of utilization (ie, billing, privileges, supervision, and prescriptive authority) and to examine differences in utilization between rural and urban areas. A cross-sectional, descriptive, correlational design was used. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - February 23, 2021 Category: Nursing Authors: Jana Zwilling, Kathryn Fiandt, Rashid Ahmed Tags: Featured Article Source Type: research

Screening for Military Service History and Risk for Suicide in a Civilian Internal Medicine Clinic
More than half of United States military veterans receive medical care outside the Veterans Health Administration. Civilian providers do not routinely screen for military service history or increased risk for suicide in veterans. This quality improvement project used the model for improvement to implement screening for military service history and suicide risk using the “VA/DoD Clinical Practice Guideline for the Assessment and Management of Patients at Risk for Suicide” in a civilian clinic. Four hundred ninety-three of 845 patients were evaluated; 13% (n = 64) were identified as veterans. (Source: The Jo...
Source: The Journal for Nurse Practitioners - February 23, 2021 Category: Nursing Authors: Krista Roberts, Annette Jakubisin Konicki, Joy Elwell, Sean Collins Tags: Brief Report Source Type: research

Intermittent Fasting: Clinical Considerations
This article summarizes the current state of knowledge regarding IF and discusses clinical implications for the nurse practitioner. Nurse practitioners can provide proactive and evidence-based counsel regarding popular diets such as IF to ensure dietary guidance includes physical and mental health. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - February 23, 2021 Category: Nursing Authors: Shari Harding Tags: Featured Article Source Type: research

Nursing Professionals ’ Stress Level During COVID-19: A Looming Workforce Issue.
The purpose of this study was to assess the impact of COVID-19 on perceived stress experienced by nurse practitioners/nurses and their desire to remain employed as healthcare providers. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - February 23, 2021 Category: Nursing Authors: Karen S. Moore, Christopher R. Hemmer, John M. Taylor, Amelia R. Malcom Tags: Featured Article Source Type: research

BITTEN at the Bedside: An Application Guide for Nurse Practitioners
Patients with complex medical conditions may have a medical history that includes multiple negative/traumatic experiences with the health care system over the course of their diagnosis and treatment. The BITTEN (Betrayal history by health-related institutions; Indicator for health care engagement; Trauma symptoms related to health care; Trust in health care providers; Expectation of patient; Needs of patient) model posits that health care providers can recognize and respond in a way that encourages resisting patient retraumatization. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - February 18, 2021 Category: Nursing Authors: Chrystal L. Lewis, Emma C. Lathan, Candice N. Selwyn, Gabrielle A. Agnew, Sean D. McCabe, Margaret E. Gigler, Jennifer Langhinrichsen-Rohling Tags: Featured Article Source Type: research

Substance Use Disorder Treatment via Telemedicine During Coronavirus Disease 2019
Telemedicine has been effective at bridging the gap among patients, providers, and health systems. Authors from a large academic medical center in Baltimore, MD, anecdotally found that digital tools were beneficial in supporting substance use disorder recovery during a global pandemic. Audiovisual tools like Zoom (Zoom Video Communications, Inc, San Jose, CA) and Doximity (Doximity, Inc, San Francisco, CA), as well as increased frequency of communication with patients, have been most helpful to supporting recovery. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - February 18, 2021 Category: Nursing Authors: Mary Zekan, Nancy Goldstein Tags: Featured Article Source Type: research

From Warrior Ethos to Obscurity: Veteran Reintegration Literature Review
Reintegration into the civilian sector is a lived experience military members traverse as they complete their military service and earn the title “veteran.” Although the transition may be relatively smooth, a subset of veterans experiences challenges with potential impacts on health and well-being. The aim of this article is to explore veteran reintegration research findings and to inform nurse practitioners of veteran experiences. Findin gs revealed concepts representing protective factors and constructs of connection, veteran-civilian identity, loss (culture, community, identity, and purpose), mental health, ...
Source: The Journal for Nurse Practitioners - February 15, 2021 Category: Nursing Authors: Kirsten M. Verkamp Tags: Featured Article Source Type: research

Management of Diabetes During a Dual Pandemic
The dual pandemics of coronavirus disease-19 (COVID-19) and diabetes among patients are associated with 2- to 3-times higher intensive care admissions and higher mortality rates. Whether sheltering at home, quarantined with a positive COVID-19 test, or hospitalized, the person living with diabetes needs special considerations for successful management. Having diabetes and being COVID-19 –positive increases the risk of poor outcomes and death. Providers need to give anticipatory pharmacologic guidance to patients with diabetes during COVID-19 lockdown. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - February 15, 2021 Category: Nursing Authors: Susan J. Appel, Theresa M. Wadas, Mudasir S. Andrabi Tags: Featured Article Source Type: research

A Novel Partnership With Low-Income Housing to Support Healthy Aging
This descriptive cohort study describes the pilot project of a novel partnership between a university college of nursing and 2 low-income housing organizations serving older adults. The partnership allowed for the creation of onsite primary care clinics eliminating transportation as a barrier to care. Data from intake visits and medical record audits indicated this patient population had a higher prevalence of health disparities, such as more chronic conditions, medications, depression, anxiety, and isolation, than the general United States population older than 65 years. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - February 12, 2021 Category: Nursing Authors: Della Hughes Carter, Sarah J. Faubert, Elizabeth Henschel Tags: Original Research Source Type: research

Evaluating Entrustable Professional Activities in a Nurse Practitioner Readiness for Practice Simulation
Competency-based education embracing principles of entrustable professional activities and experiential learning are emerging as the foundation for assessment of learner outcomes. The goal of our program is to prepare competent, entrustable, and practice-ready nurse practitioners. One way to capture entrustability is through faculty-evaluated simulation. This review describes an evaluation documenting entrustable professional activities during simulation activities of Adult-Gerontology Acute Care Nurse Practitioner students in their final year of study. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - February 9, 2021 Category: Nursing Authors: Stefanie Keating, Renee McLeod-Sordjan, Mary Lemp, Donna Willenbrock, Anne Marie Fried, Michael Cassara Tags: By Faculty for Faculty Source Type: research

It ’s Not About Sex
In my early years as a women ’s health nurse practitioner, the health maintenance organization director informed me that a member had filed a complaint about a routine visit that I had completed for a young woman who requested oral contraceptives for the management of dysmenorrhea. The patient’s mother was upset because the visit included a gynecologic examination. This was the late 1970s, and the standard of care for prescribing oral contraceptives included several blood tests, sexually transmitted infection (STI) screening, and a Pap test. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - February 8, 2021 Category: Nursing Authors: Denise G. Link Tags: Quality Care for Women ’s Health Source Type: research

Should Requirements for Nurses Be Relaxed During Health Emergencies?
Most recently during the Coronavirus Disease 2019 (COVID-19) pandemic and throughout history there are examples of extraordinary circumstances during which nurses have been called upon to go “above and beyond” our usual duties. Such reliance on nurses is logical – we have skills and knowledge that benefit society and the demand for nursing increases during a health emergency. But the availability nurses does not necessarily increase to meet that demand, and so nurses find themselv es deployed to new jobs, working longer hours, or taking care of more patients and otherwise trying to do more with less. (Sou...
Source: The Journal for Nurse Practitioners - February 2, 2021 Category: Nursing Authors: Donald Gardenier, Fayette Nguyen Truax, Lisa R. Roberts Tags: Point/Counterpoint Source Type: research

The Journal for Nurse Practitioners Continuing Education Credit Application
(Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - February 1, 2021 Category: Nursing Tags: CE Test and Application Source Type: research

AANP Forum
By MaryAnne Sapio, VP, AANP Federal Government Affairs (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - February 1, 2021 Category: Nursing Tags: AANP Forum Source Type: research

Taking Steps to a Healthier Future
We have been living in the dark reality of the COVID-19 virus for a year now, and our personal and professional lives have been upended and impacted in ways we could never have previously comprehended. I ’m so proud of you, my nurse practitioner (NP) colleagues! I’ve witnessed all the ways you’ve evolved your practices and accepted the challenges to meet the needs of patients with the virus. NPs are testing and treating COVID-19 patients in multiple settings, including volunteering in testing and vaccination sites. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - February 1, 2021 Category: Nursing Authors: Sophia L. Thomas Tags: From the AANP President Source Type: research

Cover 1
(Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - February 1, 2021 Category: Nursing Source Type: research

Information for Readers
(Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - February 1, 2021 Category: Nursing Source Type: research

Table of Contents
(Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - February 1, 2021 Category: Nursing Source Type: research

Editorial Board
(Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - February 1, 2021 Category: Nursing Source Type: research

The Utility of CardioMEMS, a Wireless Hemodynamic Monitoring System in Reducing Heart Failure Related Hospital Readmissions
This article will briefly explain how CardioMEMs also helps to reduce the risk of Covid-19 in patients with heart failure. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - February 1, 2021 Category: Nursing Authors: Rosha Joshi, Ajith Nair Tags: Featured Article Source Type: research

Opioid Overdose Prevention Training for Health Care Teams in Underserved Communities
This report focuses on advanced practice nurses ’ efforts to provide opioid education and naloxone training to a network of primary care clinics in underserved communities surrounding downtown Chicago. Postsurvey data revealed positive results, showing an increased awareness regarding the opioid crisis and naloxone administration. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - February 1, 2021 Category: Nursing Authors: Janey Kottler, Virginia Reising Tags: Brief Report Source Type: research

An Infant with Bruising and Lethargy
A newborn who presents for care with bruising, lethargy, or poor feeding requires immediate evaluation. It is important to take a complete history and physical examination to determine what further testing is warranted. Differential diagnoses should include, but are not limited to, nonaccidental trauma, sepsis, or clotting disorders. A history for the baby should include newborn medications after birth, vaccination history, nutrition, and any social information pertinent to the living situation. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - January 31, 2021 Category: Nursing Authors: Sharon L. Holley, Carly Detterman, Sarah E. Thayer Tags: Case Challenge Source Type: research

Match, Chat, Mate: A Narrative Analysis of Online Dating and Sexual Experiences Among Women
In this study, we qualitatively explored women’s experiences in using online dating sites and applications. Th e following significant key themes emerged: 1) motivation, 2) matching, 3) communication, 4) face-to-face interaction, 5) rules and safety, and 6) sexual well-being. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - January 31, 2021 Category: Nursing Authors: Jill McCartney, Susan Hellier Tags: Featured Article Source Type: research

Preoperative Home-Based Exercises to Decrease Postoperative Complications: A Clinical Practice Innovation
Cardiac surgery is associated with postoperative pulmonary complications that increase length of stay (LOS). The literature supports the use of preoperative exercise therapy to improve postoperative outcomes. This practice innovation implemented a home-based exercise program for adult patients who undergo elective cardiac operations. The purpose of this innovation was to decrease LOS and postoperative pulmonary complications in those patients. No statistically significant differences were noted between the 2 groups, however, there was a trend toward decreased LOS in the innovation group. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - January 31, 2021 Category: Nursing Authors: Tracy Vernon-Platt, Margaret Bowers, John Ikonomidis, Thomas Caranasos, Devon Beer Tags: Brief Report Source Type: research

Facilitating Adherence to Evidence-Based Practices for Adults With Type 2 Diabetes Mellitus
Comprehensive diabetes care management guides individuals with type 2 diabetes mellitus to maintain optimal health. An evidence-based quality improvement project that redesigned primary clinic processes, including an electronic health records alert system, provider/clinical staff diabetes education, comprehensive diabetes management flow sheet, completion of routine laboratory tests, and documentation of preventive measures, was initiated to facilitate adherence to the best practices of long-term care management. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - January 30, 2021 Category: Nursing Authors: Yazmin Valencia, Jean Dowling Dols Tags: Brief Report Source Type: research

Scaffolding Role Development and Clinical Reasoning for Online AG-ACNP Students
Scaffolding is a common strategy in undergraduate nursing education; however, scaffolding education for nurse practitioner students is largely unexplored. Adult-Geriatric Acute Care Nurse Practitioner (AG-ACNP) students need activities to maximize improvement and opportunities for repeated practice and feedback on core skills and competencies. An on-campus residency experience was developed to scaffold skill development for AG-ACNP students and enable assessment by faculty. Each semester of their clinical sequence, students came to campus to participate in activities to improve their clinical reasoning skills and prepare f...
Source: The Journal for Nurse Practitioners - January 30, 2021 Category: Nursing Authors: Roxanne Marie Buterakos, Megan Keiser Tags: By Faculty For Faculty Source Type: research

Human Immunodeficiency Virus Pre-Exposure Prophylaxis: Use of Emtricitabine/Tenofovir Alafenamide
Pre-exposure prophylaxis (PrEP) involves the use of antiretroviral medication in concert with safer sex practices to significantly reduce the risk of type 1 human immunodeficiency virus infection. In October 2019, daily use of emtricitabine/tenofovir alafenamide (FTC/TAF) 200 mg/25 mg was approved as a newer agent for PrEP to prevent HIV-1 infection in at-risk adults and adolescents. The purpose of this article is to: 1) provide an overview of the FTC/TAF regimen and its safety and efficacy profiles, 2) discuss indications and contraindications of FTC/TAF as PrEP, 3) provide a focused comparison of FTC/TDF with FTC/TAF, an...
Source: The Journal for Nurse Practitioners - January 30, 2021 Category: Nursing Authors: Christopher W. Blackwell, Humberto Lopez Castillo Tags: Featured Article Source Type: research

Social Networking, Social Support, and Well-being for the Military Spouse
Military spouses experience unique stressors due to service member deployments and frequent relocations. Our purpose is to examine how military spouses use social networking groups, such as Facebook, and determine how this use was related to perceived social support and well-being. We found more frequent Facebook use was associated with decreased well-being compared with those who reported using Facebook less frequently. Practitioners may enhance the care provided to military spouses by inquiring about their circumstances, social media use, and helping them to identify social support services that may mitigate stress and i...
Source: The Journal for Nurse Practitioners - January 29, 2021 Category: Nursing Authors: Erika S. Seagle, Jiayun Xu, Nancy Edwards, Sara A. McComb Tags: Original Research Source Type: research

Considerations When Using Telemedicine As the Advanced Practice Registered Nurse
This report addresses considerations to take into account when advanced practice registered nurses use telehealth to facilitate access to care. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - January 26, 2021 Category: Nursing Authors: Mary Beth Frey, Sheau-Huey Chiu Tags: Featured Article Source Type: research

Connecting Kids to Care: Developing a School-Based Telehealth Program
School-based telehealth is an efficient and effective way to overcome barriers to care and improve health equity for children in rural and underserved communities. Empowering health care providers, such as nurse practitioners, to develop successful, sustainable programs may contribute to improved access to care and improved health outcomes for the children served. Using a structured framework for program development is essential to successful implementation when connecting school-age children to care through a school-based telehealth program. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - January 26, 2021 Category: Nursing Authors: Kelli Garber, Elana Wells, Kathryn C. Hale, Kathryn King Tags: Featured Article Source Type: research

Experiences of Scope of Practice of the Taiwanese Nurse Practitioner
In Taiwan, nurse practitioner (NP) scope of practice regulations were enacted in 2016, but limited information exists about how NPs view their scope of practice. The aim of this study was to gain an understanding of NPs ’ perspectives on their scope of practice. A qualitative phenomenographic approach was applied. Thirty Taiwanese NPs were interviewed. Five themes emerged related to the NP experience of their scope of practice: assisting with medical administrative work, performing daily routine care, engaging in interprofessional collaboration, practicing nursing autonomy, and demonstrating advanced care in nursing....
Source: The Journal for Nurse Practitioners - January 23, 2021 Category: Nursing Authors: Show-Show Lin, Su-Li Chen, Chuh-Chih Lin, Suzanne Goopy, Li-Hsiang Wang, Chin-Yen Han Tags: Original Research Source Type: research

Transition of Nurse Practitioner Faculty Practice and Student Clinicals to Telehealth: Response to the COVID-19 Pandemic
This article describes the transition of patient visits to telehealth by nurse practitioner faculty at an academic medical center to maintain continuity of care of underserved patient populations. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - January 22, 2021 Category: Nursing Authors: Lauren Diegel-Vacek, Karen Cotler, Virginia Reising, Susan J. Corbridge Tags: By Faculty for Faculty Source Type: research

Telehealth Education of Nurse Practitioner Students
This article provides a high-level overview of the structure, process, and outcomes of how telehealth was integrated into an NP program of study, inclusive of didactic, experiential, and clinical components. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - January 22, 2021 Category: Nursing Authors: Katherine E. Chike-Harris Tags: By Faculty for Faculty Source Type: research

Establishing Organizational Support for Nurse Practitioner/Physician Assistant Transition to Practice Programs
The benefits of transition to practice programs are well supported in the literature. Despite this support, there are often numerous organizational barriers to the implementation of such a program. Key strategies to establish organizational support include securing leadership buy-in, having a clear advanced practice registered nurse/physician assistant leadership model, and creating a business case to financially support a transition to practice program. Essentia Health ’s advanced practice registered nurse/physician assistant transition to practice pilot used engagement, turnover, and productivity data, which were p...
Source: The Journal for Nurse Practitioners - January 21, 2021 Category: Nursing Authors: Christie Ehle Erickson, Debra Steen, Karla French-Baker, Laurel Ash Tags: Brief Report Source Type: research

Augmented Vector Right ST-Segment Elevation: Pearls and Pitfalls
ST-segment elevation myocardial infarction (STEMI) is characterized by ST-segment elevation in at least 2 contiguous leads, chest discomfort, and the release of biomarkers requiring emergent revascularization. In 2013, the American College of Cardiology Foundation/American Heart Association revised STEMI guidelines to include augmented vector right (aVR) ST-segment elevation to be treated as a STEMI equivalent. However, aVR ST-segment elevation with multilead ST depression can occur in presentations other than occlusive myocardial infarctions. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - January 21, 2021 Category: Nursing Authors: Jessica D. Jenkins, Margaret Henninger, Mikaela J. Robertson, Adrienne Rommens, Lisa N. Wieler, Nancy M. Clark Tags: Featured Article Source Type: research

Service Impact on Veteran Health: Case Examples From Recent Eras
This article describes the unique attributes of veteran clients. Two recent military eras are discussed, and their potential impact on health is presented using case examples. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - January 20, 2021 Category: Nursing Authors: April Bigelow, Carol Ann Fausone Tags: Featured Article Source Type: research

An Expanded Paradigm of Primary Care Diabetes Chronic Disease Management
The ability to address the comprehensive needs of diabetes chronic disease management is seriously challenged by staffing and time constraints within primary care visits. The purpose of this article is to outline the evidence for the use of community referrals to diabetes education, medical nutrition therapy, and mental health care providers. These referrals can expand the reach of achievable diabetes chronic care management to mitigate barriers to care and to improve outcomes. There is a strong evidence base to support these referrals, as well as the added benefits of patient safety and satisfaction, and decrease constrai...
Source: The Journal for Nurse Practitioners - January 20, 2021 Category: Nursing Authors: Sharon A. Watts, Dana Yelverton Tags: Feature article Source Type: research

Enhancing Annual Wellness Visit Outcomes: Patient Perceptions and Provider Practices
This brief report describes factors that impact the effectiveness of Medicare ’s Annual Wellness Visit (AWV). Patients who participated in an AWV at a large accountable care organization were contacted monthly via phone for up to 1 year to discuss their health promotion efforts. Data from visit narratives and secondary review of AWV documentation by researchers indicate tha t improved efforts are needed to ensure personalization of recommendations and support patient health promotion efforts. Enhancement of the AWV process, workflow redesign, and development of strategies to provide ongoing support between AWVs are v...
Source: The Journal for Nurse Practitioners - January 19, 2021 Category: Nursing Authors: Vicki Simpson, Nancy Edwards, Melissa Kovich Tags: Brief Report Source Type: research

How Do We Move Forward With Trauma-Informed Care?
Trauma is not limited to adverse childhood events or abuse, but also a host of situations of loss, chronic stressors, and now the COVID-19 pandemic. Interprofessional teams must be able to recognize and treat trauma on the frontlines and behind the scenes. Understanding, assessing, and educating staff and patients on trauma, its physical and mental effects, and using trauma-informed approaches in practices throughout the health care system is vital for nursing and the multidisciplinary team. We provide an overview of trauma and its effects and how to help patients at all levels of recovery moving forward. (Source: The Jour...
Source: The Journal for Nurse Practitioners - January 16, 2021 Category: Nursing Authors: JoEllen Schimmels, Lora Cunningham Tags: Featured Article Source Type: research

Reducing Unnecessary Head Computed Tomographic Scans in an Adult Emergency Department
The objective of this project was to decrease unnecessary head CT scans for patients presenting with minor head injury. A clinical decision pathway using the Canadian CT Head Rule was implemented. There was a 12% decrease in head CT use over 8 weeks, and no brain injuries were missed. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - January 16, 2021 Category: Nursing Authors: Jessica S. Kim, Melissa Carlucci Tags: Brief Report Source Type: research

The Essence of Hypertensive Crises —A Mnemonic Approach
Hypertensive crises (HCs) are common occurrences and can result in immediate or delayed organ damage. Given the complex pathophysiological process associated with HCs, selecting the appropriate treatment can be a challenge. The goal of this report is to provide nurse practitioners with an up-to-date and evidence-based mnemonic tool to help effectively manage HCs. Using an alphabetized mnemonic provides nurse practitioners with quick recall into the treatment options of HCs. The ABCD mnemonic will cover antihypertensive drug classes such as Arterial/venous dilators, Beta ( β)-blockers, Calcium channel blockers, and Diu...
Source: The Journal for Nurse Practitioners - January 16, 2021 Category: Nursing Authors: Mohamed Toufic El Hussein, Andrew Nguyen Tags: Featured Article Source Type: research