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

The Relationship Between Somatic Symptoms and Mental Health in Primary Care Patients at a College Health Setting
The purpose of this study is to explore the relationship between somatic symptoms and mental health in a convenience sample of 221 students who presented to college health for primary care services. A retrospective chart review was conducted, and aggregate data were analyzed. Receiving counseling had a significant inverse relationship to the number of primary care encounters. Those who have not reported participating in counseling had a 1.75 higher mean number of encounters than those with counseling (t  = 2.154, P (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - September 11, 2023 Category: Nursing Authors: Nadine M. Aktan, Jill Nocella, Jill Guzman, Emily Mahon Tags: Original Research Source Type: research

National Nurse Practitioner Week is Nearing: Recognizing Heroes in Health Care
Save the date for National Nurse Practitioner (NP) Week, kicking off next month from Nov. 12-18. NP Week is one of my favorite times to celebrate as an NP, and the theme for this year is “Recognizing Heroes in Health Care.” For NP Week in 2022, I had the opportunity to stand with a few hundred of my NP colleagues on the Plaza at the Today Show while another group of NPs were at Good Morning America. We held NP Week signs, spoke to the hosts, and spread the word about the work of NPs responsible for over 1 billion patient visits annually. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - September 11, 2023 Category: Nursing Authors: Stephen A. Ferrara Tags: From the AANP President Source Type: research

Current Practice to Address Adolescent Vaping in Primary Care
Adolescent vaping usage has grown exponentially over the last decade. Studies have demonstrated increased vaping use in adolescents because of the ease of concealment and the use of vaping and e-cigarette devices. Provider knowledge of this problem; screening recommendations; and treatment with pharmacotherapy, nicotine cessation programs, and behavioral considerations are important for physician and advanced practice registered nurse providers. The purpose of this article is to educate health care providers about the current practices surrounding screening and treatment for adolescents who vape. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - September 9, 2023 Category: Nursing Authors: Nicole Ward, Fermin Renteria, Elizabeth Riley, Marilyn Faye Hughes, Teresa Whited, Jessica Binz Tags: Featured Article Source Type: research

Uncontrolled Asthma and Laryngeal Candidiasis in Primary Care
This case report describes a patient that presents to her family nurse practitioner with chief complaint of laryngitis and uncontrolled moderate persistent asthma. During the initial interview, the patient ’s voice was noted to be hoarse, almost a whisper, and strained. The past 4 months she has been on/off prednisone, nebulized medications, and antibiotics along with maintenance medications. The patient was not in respiratory distress. The patient’s history, along with assessment findings, diagno stic testing, differential diagnoses, and management, are thoroughly reviewed as well as pathophysiology of the diagnosis. ...
Source: The Journal for Nurse Practitioners - September 8, 2023 Category: Nursing Authors: Kristen C. Johnston, Tonya D. Shanahan Tags: Case Report Source Type: research

Lecanemab, a Novel Amyloid β-Directed Antibody for Early Alzheimer Disease
Alzheimer disease (AD) is a progressive neurodegenerative disorder that affects>6 million Americans.1 Symptoms of AD include impaired memory and cognitive functions that may lead to mild, moderate, and severe stages of AD.2 Furthermore, diminished cognitive symptoms effect patients ’ instrumental and then basic activities of daily living. Such debilitating at the later stage disease has limited treatment options. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - September 7, 2023 Category: Nursing Authors: Yuliana Toderika, Jadwiga Najib Tags: Prescription Pad Source Type: research

Transitions
Over the past year, I have challenged myself to read or listen to more books that are not related to nursing. A few of the books have addressed self-care, finances, religion, politics, and leadership development. A few fiction books have been in the rotation for entertainment as well. However, there has been one book that has been quite enlightening and timely. The Tension of Transition addressed transition. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - September 7, 2023 Category: Nursing Authors: Courtney J. Pitts Tags: Editorial Source Type: research

Fostering Nursing Faculty Practices Within a University-Based Student Health Care Center
Graduate-level clinical nursing faculty who maintain clinical practice can ensure clinical relevancy in the classroom and serve as clinical preceptors for doctor of nursing practice students. Finding flexible and supportive clinical practice sites can be challenging for nursing faculty. Using a continuous quality improvement approach, an academic-practice partnership was formed between a college of nursing and a university-based student health care center to serve both organizations. Integrating 1 clinical faculty member increased patient visits and provider availability during semesters with high patient demand while offe...
Source: The Journal for Nurse Practitioners - September 6, 2023 Category: Nursing Authors: Bryce Catarelli, Kirsty Freshwater, Michael D. Bumbach, Rene Love Tags: By Faculty for Faculty Source Type: research

Fatigue, Stress, and Blood Pressure Medication Adherence by Race After Myocardial Infarction
This study explored fatigue, stress, and blood pressure (BP) medication adherence in Black and White adults (N  = 152) who had experienced a myocardial infarction. Moderate to severe fatigue was reported by 55% of the sample. The regression model explained up to 40% of the variance (P (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - September 6, 2023 Category: Nursing Authors: Carolyn E. Horne, Willie M. Abel, Patricia B. Crane Tags: Original Research Source Type: research