A Nurse Practitioner ’s Guide to Airline Medicine
Several factors make commercial aircraft travel hazardous to passengers who may be sick or vulnerable to the strenuous environmental conditions of a modern jet airliner. These risk factors can expose a practitioner ’s license if the practitioner volunteers to help a passenger who is having a medical emergency aboard an airliner. Understanding the history of medical emergencies during flight, the pathophysiology encountered by passengers, and, subsequently, the legal basis of medical emergencies aboard a comm ercial airline can be a very valuable process for any health care practitioner. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - April 11, 2019 Category: Nursing Authors: Andrew Frados Tags: Featured Article Source Type: research

Medical and Supplement Use and Peripheral Neuropathies
Peripheral neuropathy often causes severe pain requiring an individualized approach to treatment. Guidelines emphasize stepwise treatment with a focus on both pharmacological and nonpharmacological therapy management. This retrospective, descriptive, cross-sectional study analyzed current prescription and over-the-counter medication and supplement use trends in 45 symptomatic patients attending a community-based, free peripheral neuropathy educational clinic. Before each visit, patients completed a self-reported questionnaire that consisted of demographic data as well as current prescription and over-the-counter medication...
Source: The Journal for Nurse Practitioners - April 11, 2019 Category: Nursing Authors: Melissa J. Ruble, Constance Visovsky, Amanda Lewis, Cindy Tofthagen Tags: Brief Report Source Type: research

The Diagnostic Challenge of Ankle Injuries in the Emergency Department
An ankle injury is a very common musculoskeletal problem that can be easily misdiagnosed. About 15% to 20% of these injuries result in fractures, whereas the rest can range from a simple sprain to more complicated injuries, including tears to ligaments and the interosseous membrane. Ankle injuries that are not properly assessed may result in a lifetime of joint instability, pain, and problems with ambulation. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - April 11, 2019 Category: Nursing Authors: Jean O'Neil Tags: Case Challenge Source Type: research

Women ’s Brains Should Be on Our Minds
I was 12 years old when the Beatles released Sgt. Pepper ’s Lonely Hearts Club Band. One of the songs on the album was “When I’m 64,” an idyllic description of an elderly couple who wanted assurance that someone would care for them, had to budget carefully to take a trip, and looked forward to caring for grandchildren. I didn’t imagine that when I reached 64, I would be highly productive, active in my profession, expanding my knowledge and skills, and living a full life. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - April 11, 2019 Category: Nursing Authors: Denise G. Link Tags: Quality Care for Women ’s Health Source Type: research

The Effect of Potential Climate Change on Infectious Disease Presentation
This report reviews how potential climate change might affect seasonal patterns of infectious diseases, including the impact on the agents that cause them and alterations in host behaviors/the environment that may modify the pattern of infectious diseases locally. This knowledge base will aid nurse practitioners in making accurate diagnosis/treatment plans for diseases they may not be familiar with currently. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - April 9, 2019 Category: Nursing Authors: Ellen Smith Tags: Featured Article Source Type: research

Setting or Patient Care Needs: Which Defines Advanced Practice Registered Nurse Scope of Practice?
The purpose of this article is to provide insight into the roles and population focus of both the family nurse practitioner and the adult gerontology/acute care nurse practitioner. The article looks at problems that seem to be increasing in prevalence in terms of who should be taking care of primary care patients and who should be taking care of acute care patients. Solutions are offered that could keep both types of practitioners out of the sphere of litigation. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - April 9, 2019 Category: Nursing Authors: Kenneth Miller Tags: Feature Article Source Type: research

Back Pain in a Female With Sjogren's Syndrome
Caring for patients with primary Sjogren's syndrome presents unique challenges to clinicians because of the complexity and unpredictability of the autoimmune process. Although this condition is characterized by dryness of the mucosal surfaces caused by immune complex deposits, consequences of Sjogren's syndrome can affect nearly any organ system. This case examines the significance of considering a patient ’s autoimmune status when evaluating a seemingly simple complaint of back pain and the importance of having an understanding of the autoimmune process to ensure a precise diagnosis and treatment plan. (Source: The ...
Source: The Journal for Nurse Practitioners - April 8, 2019 Category: Nursing Authors: Michelle Mesiano Tags: Case Challenge Source Type: research

CDC Anticoagulation Manager and Bipolar Disorder Test Mobile Apps
This month, the Centers for Disease Control and Prevention (CDC) Anticoagulation Manager app will be reviewed for clinicians, and the Bipolar Disorder Test app will be reviewed for patients and health care consumers using the NPMEDAPP criteria (https://doi.org/10.1016/j.nurpra.2015.10.005). The CDC Anticoagulation Manager app can be located at https://www.cdc.gov/mobile/mobileapp.html. The Bipolar Disorder Test app websites are https://itunes.apple.com/us/app/bipolar-disorder-test/id1410459416 for iTunes (Apple, Cupertino, CA) and https://play.google.com/store/apps/details?id=com.bipolar.test&hl=en_US for Google Play (...
Source: The Journal for Nurse Practitioners - April 8, 2019 Category: Nursing Authors: Patricia Biller Krauskopf Tags: Mobile Apps for NPs Source Type: research

Posttraumatic Stress Disorder Among Refugees
Refugees are being displaced from countries around the world and seeking asylum in North America. As a result, nurse practitioners (NPs) are delivering primary health care services to a growing number of refugees who have been exposed to a multitude of different traumas and frequently suffer from posttraumatic stress disorder (PTSD). Nurse practitioners face numerous barriers in the provision of mental health care to refugees. This clinical feature emphasizes the importance of using cross-cultural PTSD screening tools as well as trauma-informed care to initiate open dialogue with refugee patients. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - April 7, 2019 Category: Nursing Authors: Kaoutar El Maazouz Alaoui, Lynn Scruby Tags: Featured Article Source Type: research

Global Travel: What to Know Before They Go
The pretravel consultation presents an opportunity for nurse practitioners to promote the health and safety of individual patients and the communities to which they return. Nurse practitioners are responsible for education regarding disease transmission and avoiding illness and for providing immunotherapy and chemoprophylaxis to the traveler. Providers must establish duration, location, and motivation for travel, the patient ’s health status, and the living arrangements while away, all of which determine whether special actions are required. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - April 5, 2019 Category: Nursing Authors: Michelle P. Zappas, Candice Whitely, Sarah Carter Tags: Featured Article Source Type: research

Vector-borne Diseases: An Ongoing Threat
Vector-borne diseases (VBDs) are responsible for significant morbidity and mortality worldwide. In the United States, VBDs continue to increase, with 9 new VBDs identified since 2004 and most recently in 2017 a new vector, Haemaphysalis longicornis. Vectors such as ticks, mosquitoes, and fleas are capable of transmitting bacteria, viruses, and parasites. This updated review of the current recommendations for the diagnosis and treatment of Lyme disease, Rocky Mountain spotted fever, ehrlichiosis, and West Nile virus will help prepare nurse practitioners to provide safe, competent care for their patients and communities at l...
Source: The Journal for Nurse Practitioners - April 5, 2019 Category: Nursing Authors: Karen S. Moore Tags: Feature Article Source Type: research

Surveillance Screening to Reduce Carbapenem Resistance
Carbapenem-resistant Enterobacteriaceae (CRE) have become a global public health threat due to the widespread dissemination of these highly multidrug-resistant organisms. Colonization rates are especially prevalent in long-term acute care hospitals. The optimal approach for active surveillance screening to decrease CRE transmission is frequently lacking in health care facilities. The economic burden of this resistant organism is speculated to escalate with increasing prevalence. Billions of health care dollars and high mortality rates are attributed to this virulent superbug with limited treatment options, thus lending to ...
Source: The Journal for Nurse Practitioners - April 5, 2019 Category: Nursing Authors: Heather Arnett, Kristine Scordo Tags: Featured Article Source Type: research

Osteoporosis: Increasing Screening and Treatment for Postmenopausal Women
Postmenopausal women are at risk for osteoporosis, a skeletal loss of integrity, which predisposes them to increased fall rates and both primary and secondary skeletal fractures. The risk and cost of osteoporotic fractures is greater than the risks of strokes, myocardial infarction, and breast cancer combined. With the baby boomer population reaching postmenopausal ages, the burden of care and cost will likely become prohibitive if the current rates of screening and treatment continue. Nurse practitioners are at the forefront of the primary prevention of osteoporotic fractures, in addition to having the skill and education...
Source: The Journal for Nurse Practitioners - April 5, 2019 Category: Nursing Authors: Karen D. French, Donna Emanuele Tags: Featured Article Source Type: research

The Role of Direct Oral Anticoagulants in Cancer-Associated Venous Thromboembolism
Patients with cancer are at increased risk for developing venous thromboembolism due to disease-related and treatment-related risk factors. Low-molecular-weight heparins are the standard of care for prevention and treatment of venous thromboembolism in patients with cancer; however, direct oral anticoagulants offer a convenient dosing option for patients who have compelling reasons to avoid low-molecular-weight heparin. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - April 5, 2019 Category: Nursing Authors: Brooke Hueftle, Sarah Kator Tags: Prescription Pad Source Type: research

Are Medicare Wellness Visits Worthwhile?
As part of its realignment from fee-for-service to payment for quality and outcomes, all patients covered by Medicare have been eligible for an annual wellness visit (AWV) since 2011. AWVs, which are not subject to either a copay or deductible, are different from usual visits for both patients and providers. Rather than focus on problems and illness, AWVs are a time to assess a patient ’s knowledge and risks in areas such as safety and health promotion, with the goal of identifying those areas where patients might be at risk for adverse outcomes. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - April 5, 2019 Category: Nursing Authors: Donald Gardenier, Vicki Simpson, Nancy Edwards Tags: Point/Counterpoint Source Type: research

Heart Failure Self-care Program Effect on Outcomes
Heart failure costs are estimated to be $30.7 billion annually and are projected to increase to $69.7 billion by 2030. These high costs may be avoided with self-care interventions. The purpose of this study was to assess hospitalizations and self-care behaviors of patients with heart failure before and after Heart Failure: Self-care to Success was implemented by a nurse practitioner. Nurse practitioners need to implement self-care of heart failure programs to decrease hospitalizations and self-care maintenance behaviors in patients with heart failure. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - April 2, 2019 Category: Nursing Authors: Rebecca Bryant, Lina Himawan Tags: Original Research Source Type: research

The Effect of Tongue-Tie and Lip-Tie on Breastfeeding
This report discusses the effect of tongue-tie and lip-tie on breastfeeding and the role of frenotomy based on the existing recommendations and scientific literature. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - April 2, 2019 Category: Nursing Authors: Lisa Schaeg Merritt Tags: Featured Article Source Type: research

Collaborative Practice Agreements Between Nurse Practitioners and Pharmacists
As nurse practitioners (NPs) gain autonomous prescribing status in more states, their ability to work interprofessionally with pharmacists through collaborative practice agreements will increase. Interprofessional care provided by pharmacists and NPs can improve care, and so it is important to consider ways to make this care more efficient, such as through collaborative practice agreements. We focus on collaborative practice agreements between NPs and pharmacists in community settings or ambulatory care settings. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - April 2, 2019 Category: Nursing Authors: Kylee A. Funk, Krystalyn K. Weaver, Mary Benbenek, Jane K. Anderson Tags: Brief Report Source Type: research

The Tide of Equality Raises All Boats
When my husband and I were expecting our firstborn, we thought it would be a good idea for him to take time off from his job to be home to care for me and the new baby and support one another through early parenthood. There was a policy at his office for women to take time off without pay beyond the usual 6-week paid leave that included job protection for up to 1 year. We assumed that male staff could, too. Wrong. There was no equivalent policy for men. My husband ’s request for unpaid parental leave was denied. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - April 2, 2019 Category: Nursing Authors: Denise G. Link Tags: Quality Care for Women ’s Health Source Type: research

Does Undetectable  = Untransmissable?
In my experience training medical residents and nurses on the care of individuals with chronic hepatitis C, I found that their teaching points focused on our scientific knowledge of hepatitis C. Scientifically, sexual transmission of hepatitis C is rare, but, more to the point, I would tell my patients and my students that we should focus our educational points not just on the science but also on our patients ’ actual needs. So, in the same sentence explaining the rarity of sexual transmission, I would say, “but hepatitis C is not the only thing you want to prevent.” I am a scientist, and so the science c...
Source: The Journal for Nurse Practitioners - April 2, 2019 Category: Nursing Authors: Donald Gardenier, Jeffrey Kwong, Jon Colbert Tags: Point/Counterpoint Source Type: research

Nurses First
I often hear students in direct entry nurse practitioner (NP) programs express disdain for the RN part of their program. They are anxious to “get on with it” and become NPs. They are missing the vital fact that nursing is at the core of all we do as NPs. We are advanced practice RNs, after all. But what really makes us nurses? What is the essence of nursing? Can you describe what makes nursing unique from other health professions? (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - March 31, 2019 Category: Nursing Authors: Leslie Neal-Boylan Tags: Editorial Source Type: research

AANP Forum
By MaryAnne Sapio, VP, Federal Government Affairs (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - March 31, 2019 Category: Nursing Tags: AANP Forum Source Type: research

Racing to Conference
April is thought to be named after the Latin word for open. Spring is a time for the buds to open into flowers and leaves. For me April is not only the month U.S. taxes must be filed but a good time to register for the 2019 AANP National Conference in Indianapolis. This year ’s theme, Keeping Health Care on Track, represents our goal to help keep your career headed in the right direction, in the right lane and moving forward. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - March 31, 2019 Category: Nursing Authors: Joyce Knestrick Tags: From the AANP President Source Type: research

First Australian NPs to Develop a Nurse Led Model Which Integrates Palliative Care into Residential Aged Care
“The experience of dying improves if it is recognised and planned for.” Nikki Johnston, Palliative Care Nurse Practitioner (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - March 31, 2019 Category: Nursing Authors: Leanne Boase, Nikki Johnston Tags: From the Australian College of Nurse Practitioners Source Type: research

April 2019 Continuing Education Credit Application
(Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - March 31, 2019 Category: Nursing Tags: CE Test and Application Source Type: research

New Cystic Fibrosis Diagnostic Guidelines: What Does It Mean for Your Practice?
In February 2017, an International Consensus Committee organized by the Cystic Fibrosis Foundation published new diagnostic criteria for cystic fibrosis (CF) with a change in what is considered a normal chloride level. Unchanged is a chloride value of 60 mmol/L or greater, which is still considered positive for a diagnosis of CF. However, now if the chloride value is between 30 and 59 mmol/L, the results are considered indeterminate. If 29 mmol/L or less, the results are considered unlikely for a diagnosis of CF. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - March 19, 2019 Category: Nursing Authors: Kathryn Kinyon Tags: Feature Article Source Type: research

Interprofessional Teams: Lessons Learned From a Nurse-Led Clinic
This report details a nurse-led care model developed for a complex patient population in Archer, Florida. The practice, Archer Family Health Care, is a Rural Health Clinic providing integrated primary care and mental health services. The team model included nursing, medicine, and pharmacy professionals and expanded care for case management and mental health. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - March 18, 2019 Category: Nursing Authors: Denise Schentrup, Erik W. Black, Amy Blue, Karen Whalen Tags: Featured Article Source Type: research

Entrustable Professional Activities in Nurse Practitioner Education
How do you measure trust in nurse practitioner education? A growing body of literature is aimed at assessing health professional learners ’ clinical competencies from a readiness for clinical practice perspective via an evaluation of entrustable professional activities (EPAs). This review describes the clinical assessment process and tools as part of a major curriculum reform that faculty at the University of California San Francisc o, School of Nursing developed and implemented for evaluating Adult Gerontology Primary Care Nurse Practitioner students’ readiness for practice. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - March 18, 2019 Category: Nursing Authors: Miranda Surjadi, Suzan Stringari-Murray, JoAnne M. Saxe Tags: By Faculty for Faculty Source Type: research

Anxiety in Menopause: A Distinctly Different Syndrome?
Anxiety is a common mood symptom that may be experienced by some menopausal women; however, few studies have explored the concept of anxiety in the context of menopause. Consequently, the anxiety experience in menopause is not well defined and raises the question: Is menopausal anxiety a unique and distinctly different syndrome? The aim of this qualitative study was to gain an in-depth understanding of the experience of new-onset anxiety in menopausal women. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - March 17, 2019 Category: Nursing Authors: Eleanor Bremer, Nancy Jallo, Beth Rodgers, Patricia Kinser, Natalie Dautovich Tags: Original Research Source Type: research

Patient Preferences of Primary Care Support to Increase Physical  Activity
A free clinic in rural New England recently implemented an exercise prescribing program. As a follow-up, a pilot survey questionnaire was sent by mail to a sample of 206 patients to assess their preferences for support of physical activity efforts. A total of 57 surveys were returned for a response rate of 28%. Patients preferred low-impact, low-cost, and low-intensity physical activity. Survey respondents identified no clear preference for group activity versus individual activity. Key findings included patient preferences for the use of low-fidelity education materials, a fitness advisor, and peer support to encourage ph...
Source: The Journal for Nurse Practitioners - March 17, 2019 Category: Nursing Authors: Patricia Thompson Leavitt, Holly Morozov, David Wright Tags: Brief Report Source Type: research

Safe Motherhood Initiative and Planned Parenthood Direct Mobile Apps
The SMI app is designed to provide health care providers with quick convenient access to evidence-based approaches for handling obstetric emergencies associated with maternal mortality and morbidity focusing on the three leading causes of maternal death: severe hypertension in pregnancy, obstetric hemorrhage, and venous thromboembolism. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - March 14, 2019 Category: Nursing Authors: Patricia Biller Krauskopf Tags: Mobile Apps for NPs Source Type: research

WITHDRAWN: A Legislative Success Story: Sharing Virginia ’s Strategies
This article has been withdrawn at the request of the author(s) and/or editor. The Publisher apologizes for any inconvenience this may cause.The full Elsevier Policy on Article Withdrawal can be found at https://www.elsevier.com/about/our-business/policies/article-withdrawal. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - March 13, 2019 Category: Nursing Authors: Shelly Smith, Holly Buchanan, Rachel Cloutier Source Type: research

TEMPORARY REMOVAL: A Legislative Success Story: Sharing Virginia ’s Strategies
The publisher regrets that this article has been temporarily removed. A replacement will appear as soon as possible in which the reason for the removal of the article will be specified, or the article will be reinstated.The full Elsevier Policy on Article Withdrawal can be found at https://www.elsevier.com/about/our-business/policies/article-withdrawal. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - March 13, 2019 Category: Nursing Authors: Shelly Smith, Holly Buchanan, Rachel Cloutier Source Type: research

Family Nurse Practitioner Scope of Practice Issues When Treating Patients With Mental Health Issues
In primary care settings, family nurse practitioners (FNPs) are often the first to see patients with mental illnesses. FNPs can diagnose and treat patients with uncomplicated mental illness, such as depression and anxiety, within their scope of practice (SOP). However, FNPs should be aware of areas that fall outside of their SOP, such as diagnosing and treating patients with complicated or severe mental illnesses or exceeding prescribing authority for psychiatric medications. Any breach of their SOP could lead to civil liability and disciplinary actions. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - March 13, 2019 Category: Nursing Authors: Melanie L. Balestra Tags: Featured Article Source Type: research

Mindfulness-Based Practice to Reduce Blood Pressure and Stress in Priests
Literature exploring burnout and stress among clergy is well established, but recent research suggests this population faces higher risk of chronic comorbidities, including cardiovascular disease. A priest community approached a local school of nursing requesting blood pressure (BP) screening and health promotion through nonpharmacologic interventions. The purpose of this pilot study was to determine the effect of a mindfulness-based intervention on BP and stress over a period of 8 weeks. Stress scores and BPs before and  after the intervention were compared, yielding a statistically significant improvement. (Source: ...
Source: The Journal for Nurse Practitioners - March 13, 2019 Category: Nursing Authors: Joy Moceri, Patricia H. Cox Tags: Brief Report Source Type: research

A Legislative Success Story: Sharing Virginia ’s Strategies
During the 2018 legislative session, the Virginia General Assembly approved House Bill 793 Nurse practitioners; practice agreements, which supports a transitional licensing model for nurse practitioners with at least 5 years of full-time work equivalence in their area of certification. Political framing is a tool for issue analysis. Reframing the discussion of nurse practitioner scope of practice through purposeful actions including building a stakeholder coalition and sharing a united voice was a strategy used by Virginia ’s nursing advocates. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - March 13, 2019 Category: Nursing Authors: Shelly Smith, Holly Buchanan, Rachel Cloutier Tags: Health Policy Source Type: research

Exercises for Older Adults With Knee and Hip Pain
Half of all older adults report knee and/or hip pain. Obesity and sedentary lifestyle contribute to the incidence and prevalence of painful knee and hip conditions. Weight loss should be a priority in overweight or obese patients. Improving joint function over time requires a balance of rest and usage. Practitioners should assess joint disorders and recommend exercises for reducing knee and hip pain with patients when appropriate. Instruction should include a combination of 1) stretching and flexibility, 2) strength training, and 3) endurance conditioning exercises. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - March 12, 2019 Category: Nursing Authors: Neil E. Peterson, Kay D. Osterloh, M. Nichole Graff Tags: Featured Article Source Type: research

Overview of Pulmonary Arteriovenous Malformations and Hereditary Hemorrhagic Telangiectasia
Pulmonary arteriovenous malformations (PAVMs) are rare and commonly caused by an autosomal dominant disorder known as hereditary hemorrhagic telangiectasia (HHT). HHT is an often-missed vascular disorder causing symptoms of epistaxis, mucosal telangiectasia, AVMs, hemoptysis, dyspnea, and iron deficiency anemia. Large AVMs in the lungs, liver, and brain can be life-threatening. Early diagnosis and intervention are imperative to prevent serious complications of massive hemoptysis, stroke, cerebral abscess, and gastrointestinal bleeding. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - March 7, 2019 Category: Nursing Authors: Donna Gullette, Leonie DeClerk Tags: Featured Article Source Type: research

Improving Human Papillomavirus Vaccine Uptake in the Family Practice Setting
Low uptake of the human papillomavirus (HPV) vaccine is a challenging problem in the primary care setting. Interventions are needed to dispel barriers, improve patient education, and increase provider recommendation. The purpose of this quality improvement project was to evaluate the use of a provider-based intervention to help meet this challenge. A survey was used to assess for changes in HPV knowledge, perceived barriers, and vaccine recommendations. The results showed 12% improvement in HPV knowledge and a decrease in perceived provider/system barriers; there was no significant change in recommendations shown. (Source:...
Source: The Journal for Nurse Practitioners - March 7, 2019 Category: Nursing Authors: Barbara Austin, Hilary Morgan Tags: Brief Report Source Type: research

Preventing Rehospitalization by Bringing Primary Care to the Bedside
Several interventions have been developed to combat the problem of excess hospital readmissions. This pilot study examines the effectiveness of a 3-phase transition-to-care intervention led by a primary care nurse practitioner and is unique in that a nurse practitioner visited the patient while hospitalized to start the discharge planning process. Findings illuminate the challenges and benefits of proper primary care follow-up and suggest that this intervention may be useful in preventing 30-day rehospitalization. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - March 7, 2019 Category: Nursing Authors: Katie S. Wingate, Stephanie Woods, Charlene Whitaker-Brown, William S. Kelly Tags: Brief Report Source Type: research

Nurse Practitioners ’ Pivotal Role in Ending the Opioid Epidemic
A tremendous treatment gap exists for the care of persons with opioid use disorder. The vast majority of waivered practitioners, more than 90%, are in urban United States counties. The Comprehensive Addiction and Recovery Act of July 2016 enabled nurse practitioners to help fill that gap by prescribing buprenorphine for opioid use disorder. Free training is available for nurse practitioners who can play a key part in stemming the opioid epidemic in the US by obtaining a Drug Enforcement Administration waiver to prescribe buprenorphine, which is a mainstay treatment for opioid addiction. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - March 6, 2019 Category: Nursing Authors: Dorothy James Moore Tags: Feature Article Source Type: research

Hand Injuries: Boxer Fractures and Fight Bites
This article addresses the need to evaluate closed-fist injuries for skin abrasions, to identify conditions and situations that increase suspicion for fight bites from closed fist injuries, and to recognize clinical signs requiring referral to higher level of care. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - March 5, 2019 Category: Nursing Authors: Suzanne Alton, Nikoletta Carayannopoulos Tags: Featured Article Source Type: research

Prediction of Osteoporosis Among Vietnamese Women
This study compared the predictive value of 2 prescreening tools, the Osteoporosis Self-Assessment Tool for Asians and the Fracture Risk Assessment Tool. A 6-month retrospective health record review was completed on 149 postmenopausal Vietnamese American women, 45 to 64 years old, in a primary care setting in Southern California. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - March 5, 2019 Category: Nursing Authors: Donna Tran, Dana N. Rutledge, Sue Robertson Tags: Original Research Source Type: research

Preventing Outpatient Health Care –associated Infections
With the shift of care delivery from inpatient to outpatient settings, outpatient health care –associated infections are gaining attention, and experts are recommending that serious measures be taken to prevent them. By adhering to strict hand hygiene and facilitating the adoption and use of the Centers for Disease Control and Prevention’s “Guide to Infection Prevention for Outpatient Settings: Minimum Expectations for Safe Care,” nurse practitioners can help prevent these costly and potentially fatal infections. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - March 5, 2019 Category: Nursing Authors: Ann Marie Hart Tags: Feature Article Source Type: research

Ehlers-Danlos Syndrome: It ’s Not Your Normal Hoofbeats
This article will assist the nurse practitioner in recognizing EDS and offer guidance for treatment. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - March 5, 2019 Category: Nursing Authors: Laura C. Hein, Cristy B. DeGregory, Fattona Umari Tags: Feature Article Source Type: research

An Update on Calcium and Vitamin D Supplements Intake
Approximately 2 million fractures related to osteoporosis occurred in the United States in 2005, and this number is expected to increase to 3 million by 2025 due to the aging population.1 Factures negatively affect the functional status of patients, resulting in approximately 300,000 hospitalizations annually and, in some cases, may lead to death.1 Fracture usually results from weakened bone mass under a stress, such as a fall. Risk factors include low bone mass, older age, history of falls, female sex, smoking, and use of glucocorticoids or other medications that may affect risk. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - March 5, 2019 Category: Nursing Authors: Yuliana Toderika Tags: Prescription Pad Source Type: research

Living in the Aisle
In these contentious political times when we seem surrounded by divisive speech from elected leaders, bombarded by incivility on social media, and confronted with uncomfortable conversations with friends and family, I have just embarked on my third term in the North Carolina (NC) House of Representatives. You are not the only one scratching their head. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - March 5, 2019 Category: Nursing Authors: Gale Adcock Tags: Under the Dome Source Type: research

Advance Your Practice to Include Joy and Reduce Burnout
The Agency for Health Care Research and Quality characterizes burnout as emotional exhaustion resulting in depersonalization and decreased personal work accomplishment.1 There is a real danger for the loss of the human capacity for empathy. A 2017 Institute for Healthcare Improvement white paper about joy in work indicates that like burnout, lack of joy can lead to lower levels of staff engagement, customer (patient) experience, productivity, and increased risk of accidents.2 These all significantly affect organizations ’ financial bottom line. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - March 5, 2019 Category: Nursing Authors: Sharon A. Watts Tags: In My Opinion Source Type: research

Clinical Outcomes of a Pediatric Asthma Outreach Program
This clinical pilot research project evaluated clinical outcomes for asthmatic children enrolled in a home-based Asthma Outreach Program. Through a quasi-experimental single-group intervention design, a convenience sample of 37 children, ranging in age from 6 to 16 years, was used for this study. At 6 months after enrollment in the Asthma Outreach Program, patients reported significantly fewer nighttime symptoms and primary care provider visits compared with the 6 months preceding enrollment. Patients also reported significantly fewer hospital and intensive care unit admissions and courses of oral steroids. (Source: The Jo...
Source: The Journal for Nurse Practitioners - March 4, 2019 Category: Nursing Authors: Martha K. Swartz, Mikki Meadows-Oliver Tags: Brief Report Source Type: research

Implementing Substance Use Screening in Family Planning
This study explored barriers and facilitators to SBIRT through qualitative analysis of focus groups with family planning providers. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - March 4, 2019 Category: Nursing Authors: Heather J. Gotham, Katherine Wilson, Kimberly Carlson, Gabrielle Rodriguez, Araba Kuofie, Jacki Witt Tags: Original Research Source Type: research