The Journal for Nurse Practitioners This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.

Nausea, Vomiting, and Nonbloody Diarrhea in the Emergency Department
Nausea, vomiting, and diarrhea are frequent co-occurring symptoms that can mask or mimic commonly occurring conditions, or rarely, more serious concerns. The focus of the Centers for Disease Control and Prevention on increased widespread use of preexposure prophylaxis (PrEP), a biomedical HIV prevention strategy, highlights the importance of discussing common clinical management scenarios. The use of oral PrEP formulations has demonstrated a “startup syndrome” that involves gastrointestinal upset. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - September 27, 2023 Category: Nursing Authors: Nathaniel Albright, Stephen McGhee, Dianne Morrison-Beedy Tags: Case Report Source Type: research

Intrathoracic Hematoma Following Diagnostic Pericardiocentesis
We report on a patient that underwent a diagnostic and therapeutic pericardiocentesis for persistent pericardial effusion in the setting of follicular lymphoma. She later developed acute anemia and atrial tachycardia in the setting of hemorrhage into her right chest requiring a thoracotomy and evacuation of a large intrathoracic hematoma. A rare but potentially fatal complication following pericardiocentesis. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - September 26, 2023 Category: Nursing Authors: Chad Stencel, Nicole Selle, Arashk Motiei Tags: Case Report Source Type: research

Heterogeneity in Acute Kidney Injury Management in Critically Ill Patients: National Survey
We conducted a descriptive survey study with 365 multidisciplinary critical care providers to examine the heterogeneity in using tools for diagnosing acute kidney injury (AKI) in critical care settings. Results indicated that 52% of respondents used point-of-care ultrasound, followed by 15% using novel biomarkers and 8% using formal kidney ultrasound imaging for diagnostic testing. Cystatin C was the most commonly used novel biomarker (72% of respondents). Only 6% used prediction models and an integrated clinical decision support system to identify patients at high-risk for developing AKI. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - September 26, 2023 Category: Nursing Authors: Khaled Shawwa, Kwame Akuamoah-Boateng, Carrie Griffiths, Connor Nevin, Nicole Scherrer, Paul McCarthy, Matthew A. Sparks, Kianoush Kashani, Javier A. Neyra, Ankit Sakhuja Tags: Original Research Source Type: research

Presurgical Evaluation in Primary Care: A Case Study Approach
Presurgical evaluations are an important component of perioperative services but also pose challenges for nurse practitioners (NPs) in primary care regarding disease optimization, interdisciplinary communication, knowledge of surgical risk, and potential for surgical delays. The complexities of comorbid conditions, advancements in surgical procedures, and nuances of pharmacologic therapy compound perioperative management. Application of evidence-based information for perioperative decision-making helps NPs perform comprehensive, high-quality evaluations with an emphasis on the overall reduction of perioperative morbidity a...
Source: The Journal for Nurse Practitioners - September 25, 2023 Category: Nursing Authors: Olivia Croskey, Amalia Gedney-Lose Tags: Featured Article Source Type: research

Letter to the Editor: “Point-of-Care Ultrasonography for Advanced Practice Providers: A Training Initiative”
Dr. Rath ’s recent publication, “Point-of-Care Ultrasonography for Advanced Practice Providers: A Training Initiative,”1 is a commendable step in illustrating the importance of point-of-care ultrasound (POCUS) in the care of critically ill patients. It underscores the vital role and evolving responsibi lities of advanced practice providers (APPs) in modern critical care and offers insight into a foundational training initiative. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - September 25, 2023 Category: Nursing Authors: Leon Chen Tags: Letter to the Editor Source Type: research

Case Report: Care of the Adolescent Patient With Lymphoma
Pediatric primary care providers (PCPs) are the facilitators of health care for their patients. Pediatric lymphoma cases present a unique problem for patients and their families. Non-Hodgkin lymphoma is an often-treatable form of cancer; when identified early, a timely intervention can ensue. Care coordination will require the PCP to work in consultation with a pediatric oncologist to obtain the appropriate serum tests and radiologic scans. Once diagnosis is confirmed, the PCP ’s role involves supportive care. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - September 25, 2023 Category: Nursing Authors: Stacy B. Buchanan Tags: Case Report Source Type: research

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