Preceptorship and Telehealth: Nurse Practitioners ’ Perspectives
During the coronavirus disease 2019 pandemic, universities and preceptors pivoted to telehealth as a learning method. The purpose of our study was to describe nurse practitioner (NP) experiences of preceptorship while using telehealth. This was a phenomenological study using semi-structured interviews and a demographic survey. The sample included 27 NPs. Four major themes arose: (1) barriers encountered during the clinical experience, (2) strategies to overcome barriers, (3) augmenting clinical education, and (4) transforming clinical education via telehealth. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - September 22, 2023 Category: Nursing Authors: Leonie DeClerk, Cheryl Wells, Steven Chasteen, Jonathan Baxter, Jessica Martinez, Martha Rojo Tags: By Faculty for Faculty Source Type: research

Innovative Digital Pedagogy: Adaptive Learning Platform Integration in Nurse Practitioner Curriculum
Adaptive learning platforms are designed to augment health care professional and trainee education by providing engaging, learner-centered content. These technologies can foster learning and improve clinical competency in nurse practitioners (NPs) and students. The integration and engagement of an adaptive learning platform across 2 NP student cohorts is described. Use data demonstrated students ’ engagement with platform features. Faculty integration measures influenced use. A program evaluation revealed positive learning style alignment and satisfaction. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - September 20, 2023 Category: Nursing Authors: Erin Tharalson, Michelle Morgan, Debra Ilchak, Danielle Sebbens, Lauren Shurson Tags: By Faculty for Faculty Source Type: research

Can Simulation Prevent Prescribing Cascades? A Pilot Study
Prescribing cascades occur when an adverse drug reaction (ADR) is not recognized, and a second medication is prescribed to treat the ADR. Thirty-two family nurse practitioner students were included in this study. Students self-selected 1 of 2 days for a simulation experience. A coin toss determined the experimental group (day 1) and the control group (day 2). The experimental group scenario involved an ADR, whereas the control group scenario did not. Four months later, all students participated in a different ADR scenario. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - September 19, 2023 Category: Nursing Authors: Ruth A. Woroch, Mary Ann Shinnick Tags: By Faculty for Faculty Source Type: research

Discordance Between Self-Reported and Lab-Measured A1C Among Adults With Diabetes
Patient knowledge and understanding of hemoglobin A1C (A1C) are considered essential requirements for diabetes self-management. Using data from the National Health and Nutrition Examination Survey, this study examined characteristics associated with knowing one ’s A1C value and the correlation between self-reported and lab-measured A1C. Twenty-two percent of participants reported not knowing their A1C value which was associated with identifying as a racial or ethnic group other than White, having a lower income, and having less formal education. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - September 19, 2023 Category: Nursing Authors: Aneesh Kamath, Christopher C. Imes Tags: Original Research Source Type: research

A Case of Pulmonary Embolism on Computed Tomography With Negative D-Dimer and Elevated Troponins
We present the case of an obese 35-year-old man who had been seeing his local primary care provider for shortness of breath over a couple of months. He reported that most of his shortness of breath occurred during exertion and would subside with rest. He was treated for anxiety and what was thought to be reactive airway disease. He was evaluated in the local emergency room for acute shortness of breath and midsternal chest pain. The initial diagnosis was pulmonary embolism with subsegmental and segmental pulmonary emboli. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - September 19, 2023 Category: Nursing Authors: Chad Stencel, Mackram Eleid Tags: Case Report Source Type: research

Navigating the Cold and Flu Aisle: Information for Nurse Practitioners
Antibiotics are inappropriate for treating the common cold, but many over-the-counter (OTC) medications are available. The U.S. News and World Report 2023 pharmacist survey was used to identify the most highly recommended OTC cold medications. A total of 388 articles were reviewed. The strength and quality of the evidence for antitussives, decongestants, and antihistamines across 26 articles were reviewed. Results indicated that coughs should be treated with dextromethorphan and nasal symptoms alleviated with pseudoephedrine. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - September 18, 2023 Category: Nursing Authors: Elizabeth Edwards, Katreena Merrill, Karlen E. (Beth) Luthy Tags: Featured Article Source Type: research

Food Assistance and Children ’s Bullying: Parental Frustration as a Mediator
This study explored whether parental frustration mediated the association between food assistance and children ’s bullying and victimization. The sample (N = 34,579) was obtained from the 2016 National Survey of Children’s Health and included parents and guardians of children, 6 to 17 years old. Caregivers receiving food assistance risk experiencing parental frustration (β = .16, p (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - September 18, 2023 Category: Nursing Authors: Jun Sung Hong, Jeoung Min Lee, Hassan Arab Tags: Original Research Source Type: research

An Unexpected Finding in a Patient Presenting With Acute Ear Pain
Atypical skin lesions are common incidental findings in patients across all settings where nurse practitioners practice, and it is imperative that each provider is competent to identify and address concerning findings. In patients with limited access to care, this becomes especially important and can be more challenging. This case study describes the unique approach to the evaluation and treatment of a patient experiencing several barriers to accessing the care he needed promptly. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - September 16, 2023 Category: Nursing Authors: Margaret Jamerson Selph, Shelli Gibbs Tags: Case Challenge Source Type: research

Provider Vaccine Hesitancy in the Setting of Recurrent Herpes Zoster
Vaccinations are one of the most effective measures against infection and complications due to vaccine-preventable diseases. Despite the advantages and efficacy of vaccines, recommendations of appropriately needed vaccinations are lacking by health care providers. Recent guidelines on herpes zoster inoculation have indicated coverage for individuals aged 19 to 49 years with immunocompromising conditions and risk factors. Despite this 2022 guideline expansion, inequitable access to vaccines and missed opportunities for immunization remains. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - September 15, 2023 Category: Nursing Authors: Michelle Anderson, Nathan Spann, Elaine Nguyen, Kevin Cleveland, Kristy Crownhart Tags: Case Report Source Type: research

Exploring the Challenges of Sexual Orientation Disclosure Among Lesbian, Gay, Bisexual, Transgender, Queer Individuals
This qualitative study sought to understand lesbian, gay, bisexual, transgender, queer (LGBTQ) individuals ’ experiences of sexual orientation disclosure in health care settings and ways health care providers (HCPs) can create supportive and inclusive relationships with patients. Participants (n = 375) responded to questions about disclosure in health care settings on an anonymous online survey. Resul ts identified themes of ease, difficulty, and safety in disclosure, and ways HCPs can provide outward support of LGBTQ individuals, such as nonjudgmental communication, elimination of provider assumptions, and increased LG...
Source: The Journal for Nurse Practitioners - September 15, 2023 Category: Nursing Authors: Amie Koch, Maya Rabins, Jaime Messina, Jill Brennan-Cook Tags: Original Research Source Type: research

Congenital Syphilis —What Nurse Practitioners Need to Know
Congenital syphilis (CS) is associated with significant negative health consequences. Rates of CS have skyrocketed in the United States and Canada since the early 2000s. Despite effective treatment with penicillin, CS rates are impacted by socioenvironmental factors that further complicate the treatment of this transmissible infection. The emergence of point-of-care syphilis testing offers novel screening and prevention modalities for rapid detection and treatment. Nurse practitioners can help prevent CS by promptly identifying and treating syphilis in pregnancy and reduce disease burden by being aware of its clinical pres...
Source: The Journal for Nurse Practitioners - September 15, 2023 Category: Nursing Authors: Sarah Chaki, Ashley Hardy Tags: Featured Article Source Type: research

Resilience Training in the Emergency Department
The objective of this study was to support resilience and quality of life for ED advanced practice providers experiencing increased occupational stress. This quality improvement project tested the effect of a 1-hour Community Resiliency Model training on pre-post resilience and quality of life, including burnout, secondary traumatic stress, and compassion satisfaction. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - September 14, 2023 Category: Nursing Authors: Caitlin Burnett, Leslie Jeter, Ingrid Duva, Nicholas Giordano, Ronald Eldridge Tags: Brief Report Source Type: research

Patient-Reported Enablement After Consultation With Advanced Nurse Practitioners: A Cross-Sectional Study
Patient enablement is an outcome of importance to advanced nurse practitioners (ANPs) and an indication of patients ’ perceptions of their ability, confidence, and empowerment in managing their health care needs. Using a patient-reported experience measure (PREM), the Patient Enablement and Satisfaction Survey—Advanced Nurse Practitioner measure, this cross-sectional study found that consultation with an ANP in a urology outpatient/ambulatory care setting resulted in a high-level patient enablement. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - September 14, 2023 Category: Nursing Authors: Robert McConkey, Louise Murphy, Therese Kelly, Rachael Dalton, Geraldine Rooney, Donna Coy, Michelle Healy, Melinda Meeker, Marie O ’Loughlin, Maura Dowling Tags: Original Research Source Type: research

AANP Forum
By Alex Fernandez, AANP Content Marketing Specialist (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - September 13, 2023 Category: Nursing Tags: AANP Forum Source Type: research

Pharmacotherapy of Obesity: An Updated Overview
Obesity is an emerging epidemic in Canada that poses a threat to public health. Pharmaceutical weight management is an option for managing excess weight. In this review, we briefly discuss the pathophysiology of obesity and present the current pharmacotherapy for its treatment, focusing on orlistat, naltrexone/bupropion, liraglutide, and semaglutide. In addition, we briefly discuss upcoming pharmacotherapies for the management of obesity. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - September 11, 2023 Category: Nursing Authors: Mohamed El Hussein, Daniel Favell Tags: Featured Article Source Type: research