Discovery of Methods to Enhance the Care of the LGBTQ+ Community
Lesbian, gay, bisexual, transgender, and queer/questioning (LGBTQ+) patients have a greater risk of suicide, depression, anxiety, and sexually transmitted infections. Provider interactions with different cultures related to sexual orientation and gender identification often lack LGBTQ+-specific competence. Marginalized patients may gain greater access to health care with telehealth. A convenience sample of embedded participants, nurse practitioner faculty, and nurse practitioner students participated in the study. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - August 27, 2021 Category: Nursing Authors: Desiree A. D íaz, Dawn O. Eckhoff, Michael Nunes, Mindi Anderson, Melanie Keiffer, Isaac Salazar, Lex Knurr, Steven Talbert, Jodi B. Duncan Tags: Original Research Source Type: research

Letter to the Editor
The COVID-19 pandemic and lockdown has had a great psychologic impact on the vulnerable population of adolescents. During this time period, adolescents may experience stressful life events, extended confinement within their homes, grief, intrafamilial violence, lack of normal social interaction with peers, and overuse of electronics, which can contribute to symptoms of depression.1 A systematic review by Cambridge University found nearly 60% of participants met the clinical criteria for mental health disorders during COVID-19. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - August 26, 2021 Category: Nursing Authors: Lauren Micalizio, Caroline Ravenel, Thrisann Weathers, Lacey Shambo, Kayla Windham Tags: Letter to the Editor Source Type: research

The Effects of COVID-19 and Depression in Adolescents
Adolescents are a vulnerable population profoundly affected by mental health disorders such as anxiety and depression. This has been exacerbated by the COVID-19 pandemic, as they face new challenges with social isolation, abuse and decreased access to care. The purpose of this letter is to discuss the effects of COVID -19 on adolescence, outline signs and symptoms of depression and screening tools clinician can use to identify depression in adolescents. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - August 26, 2021 Category: Nursing Authors: Lauren Micalizio, Caroline Ravenel, Thrisann Weathers, Lacey Shambo, Kayla Windham Tags: Letter to the Editor Source Type: research

Preventing HIV With Pre-exposure Prophylaxis: Current and Emerging Modalities
This article describes current and emerging modalities to prevent HIV with PrEP. Safe prescribing and monitoring of PrEP is presented to enable the nurse practitioner to incorporate HIV prevention into their routine clinical practice and minimize barriers to this valuable strategy. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - August 21, 2021 Category: Nursing Authors: Cindy Broholm, Charles Yingling, Rona Vail Tags: Featured Article Source Type: research

The Use of Marijuana Derivatives in Primary Care: An Evidence-Based Approach to Cannabidiol
Changes in the legality of marijuana for medicinal use and the further legalization for recreational use have brought about renewed interest in the properties of the cannabis plant. Cannabidiol (CBD), a derivative of the cannabis plant, has emerged as a widely available panacea. The purpose of this review is to discuss the differences in the active ingredients of the cannabis plant as well as the mechanisms by which CBD may provide benefit. In addition, the evidence for pain management and anxiety are evaluated. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - August 18, 2021 Category: Nursing Authors: Curtis Fowler Tags: Continuing Education Source Type: research

Documentation of Cognitive Rest After Concussion by Pediatric Primary Care Providers
Pediatric primary care providers manage the initial assessment of children with concussions and guide ongoing care for cognitive and physical rest until all acute symptoms resolve. The goal of this study was to identify if there were gaps in provider documentation for cognitive rest and if the use of a concussion tool improved discharge instructions. A retrospective chart review was completed on patients 5 to 18 years old who presented to our ambulatory pediatric practices with a concussion. The results showed that although few providers adopted a concussion tool in their practice, those who did were more likely to incorpo...
Source: The Journal for Nurse Practitioners - August 17, 2021 Category: Nursing Authors: Susan Butler, Cynthia Dimovitz, Alison Muller, Temilolaoluwa Daramola, Sahin Becirovic, Louis Mancano, Adrian Ong Tags: Featured Article Source Type: research

Nurturing Novice Faculty: Successful Mentorship of Nurse Practitioners
This article describes the best practices of a multifaceted mentorship program that uniquely supports novice NP faculty and is based on the National League for Nursing Core Competencies for Academic Nurse Educators. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - August 17, 2021 Category: Nursing Authors: Hilary Ashton Glover, Amanda Hitt, Grace Zills, Wendy Darby, Clarissa Hall, Tera Kirkman Tags: By Faculty for Faculty Source Type: research

Atrial Fibrillation: Overview of Antiarrhythmic Drugs With Rhythm Control Strategy
Atrial fibrillation (AF) is a common supraventricular tachyarrhythmia associated with various health complications and socioeconomic impact.1 The incidence of AF has been projected to continue to increase by the year 2050, with approximately 6 to 16 million people affected in the United States.1,2 A number of risk factors may contribute to the development of AF, including older age, obesity, hypertension, coronary artery disease, heart failure, hyperthyroidism, excess alcohol consumption, and sleep apnea. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - August 17, 2021 Category: Nursing Authors: Elaine Wong Tags: Prescription Pad Source Type: research

Global Signature Recognition for Nurse Practitioners in California
There are differences in state laws and regulations that restrict nurse practitioners (NPs) from performing certain patient care functions, such as signature recognition. In California, it has been a slow, incremental process for NPs to gain the ability to sign and/or certify forms that facilitate patient care. States are moving forward to ensure NP signatures are recognized either by updating language in their state laws and allowing NPs to sign specific forms or adopting statutes that provide NPs with global signature recognition (GSR). (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - August 17, 2021 Category: Nursing Authors: Theresa Brown, Ahlam Jadalla, Demtra Bastas-Bratkic, Margaret Brady Tags: Health Policy Source Type: research

Implementation of Objective Structured Clinical Examination in Midwifery Education
Evaluation is a fundamental component of the teaching process. Hence, a set of objective structured clinical examination standardized stations was prepared for the evaluation of midwifery students. Data on students ’ perception of the value of the experience were also collected. The results of the evaluation documented the level of success and failure for each student. The majority of students (94%) were satisfied with the assessment techniques and enjoyed the learning experience. The integration of the obje ctive structured clinical examination into the curriculum provided useful information on students’ clini...
Source: The Journal for Nurse Practitioners - August 9, 2021 Category: Nursing Authors: Omaima Changuiti, Doha Achak, Mohamed Benfatah, Abdelghafour Marfak, Elmadani Saad, Abderraouf Hilali, Ibtissam Youlyouz-Marfak Tags: By Faculty for Faculty Source Type: research

Impact of a Breast Cancer Screening Algorithm on Early Detection
This article discusses the current breast cancer screening guidelines and the impact of the development and implementation of a Breast Cancer Screening Algorithm (BCSA). The BCSA combined the most conservative screening guidelines from the Centers for Disease Control and Prevention and the Breast Cancer Genetics Referral Screening Tool. Implementation occurred at an employer-based health center in Indiana with an order rate of 5.6% for screening mammograms among women ages 40 to 74. Compared with the Healthy People 2030 target of 77.1% for screening mammograms, this employer-provided health center demonstrated need for imp...
Source: The Journal for Nurse Practitioners - August 6, 2021 Category: Nursing Authors: Carrie L. Sullivan, Ryan Butler, Jennifer Evans Tags: Brief Report Source Type: research

Optimization of Patient Scheduling in a Hematology Outpatient Setting
A sequelae of increased cancer incidence is the need for specialized outpatient care. The purpose of this project was to improve scheduling of multifaceted treatments and care within an outpatient clinic. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - August 6, 2021 Category: Nursing Authors: Heather Jackson, Shelton Harrell, Ana Maria Collins, Nicole Lopez, Emily Skotte, Karen Hande Tags: Brief Report Source Type: research

Facilitating Well-Rounded Clinical Experience for Psychiatric Nurse Practitioner Students
There is a steady increase in demand for mental health services and a lack of providers. Recent societal changes resulting from the COVID-19 pandemic have increased these needs. Psychiatric mental health nurse practitioners (PMHNP) are well suited to offer these services. High-quality clinical PMHNP student experiences are based on well-rounded curricula in a variety of clinical settings. Meeting the need for clinical education and finding high-quality preceptors is especially challenging during the pandemic due to the lack of preceptors and access to care for in-person services. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - August 4, 2021 Category: Nursing Authors: Joan Fraino, Nancy Selix Tags: By Faculty for Faculty Source Type: research

Frailty in Adults With HIV: Identification, Assessment, and Management
This article provides a brief overview of the principles of frailty and discusses strategies to identify prefrail or frail individuals. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - August 3, 2021 Category: Nursing Authors: Jeffrey Kwong Tags: Featured Article Source Type: research

Should Nurse Practitioners be Referred to as “Advanced Practice Providers”?
“What's in a name? That which we call a rose by any other name would smell as sweet.”1 With all due respect to Juliet (she had a lot on her mind), I disagree. Smell notwithstanding, a “nontulip perennial flowering plant” is not a rose. Likewise, when we nurse practitioners (NPs) are referred to as nonphysician providers, thus describing us as what we aren’t, all we really do is obfuscate. NPs have also been called midlevel providers, a term that cements our place in a hypothetical hierarchy that I believe we were meant to be grateful not to be at the bottom of. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - August 2, 2021 Category: Nursing Authors: Donald Gardenier, Cynthia Edwards-Tuttle, Janet Selway Tags: Point/Counterpoint Source Type: research

Preprints: New option for research studies at the Journal for Nurse Practitioners
Beginning in September, when you submit a research study for potential publication in the Journal for Nurse Practitioners (JNP), you will have the option of automatically posting your manuscript to SSRN (https://www.ssrn.com/index.cfm/en/nursingrn/nursingrn-ejournals/), a preprint repository. The corresponding author will be asked to indicate whether they would like to opt-in to post their manuscript as a preprint. Elsevier will post the preprint when it starts peer review, and it will remain globally available to read free on SSRN whether the journal accepts or rejects the manuscript. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - August 2, 2021 Category: Nursing Authors: Julee B. Waldrop Tags: Editorial Source Type: research

Diagnosing and Managing Spinal Stenosis in the Adult Patient
Spinal pain is one of the most common presenting complaints globally. Differentiating and determining the specific type of spinal pain is a challenge for the practicing nurse practitioner. Obtaining a thorough past medical and surgical history and performing a comprehensive spinal examination will assist in determining the appropriate diagnostics, medical management, and spinal specialty referral. The skilled and competent nurse practitioner who gains important subjective and objective findings that suggest spinal stenosis can prevent neurologic consequences and help to maintain the patient ’s physical functioning an...
Source: The Journal for Nurse Practitioners - July 30, 2021 Category: Nursing Authors: Kim Kuebler, Jess Acure, Armin Oskouei Tags: Featured Article Source Type: research

Promoting a Shared Medication Adherence Practice: A Call to Action
This study trained primary care staff at an urban Federally Qualified Health Center to address medication nonadherence. It included a single educational workshop that described medication nonadherence, demonstrated validated assessment tools to formulate evidence-based interventions, and incorporated motivational interviewing techniques. Evaluations conducted at pre-post training and at 4 weeks showed an increase in staff knowledge (29%), self-confidence (46%), and self-reported practice change (77%). (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - July 28, 2021 Category: Nursing Authors: Elizabeth Ebeywa, Valerie Gruss, Michael Koronkowski Tags: Brief Report Source Type: research

Vericiguat —A New Addition for Heart Failure With Reduced Ejection Fraction
Heart failure (HF) with reduced ejection fraction (HFrEF) is a complex clinical syndrome caused by structural and/or functional myocardial dysfunction that results in the body ’s inability to maintain adequate metabolic supply to the organs and tissues.1 The mainstay of treatment for initial and long-term management of HFrEF is guideline-directed medical therapy (GDMT). GDMT has been proven to improve the overall survival rate of patients living with HFrEF.2 (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - July 28, 2021 Category: Nursing Authors: Deedra Harrington, Christy McDonald Lenahan Tags: Prescription Pad Source Type: research

Evaluating Advanced Practice Nurses ’ Burnout and Potential Helping Modalities
Health care providers are experiencing increased stress during the coronavirus disease 2019 pandemic. While it is understood that increased stress leads to burnout, limited research has been conducted to evaluate advance practice nurse response to coronavirus disease 2019, and more specifically, self-identified modalities that may decrease stress in the workplace or at home. This pilot study evaluated advance practice nurse-perceived burnout and evaluated perceived needs and/or perception of modalities aimed at reducing stress and improving well-being, such as essential oils, quiet room, soothing music, art therapy, pet th...
Source: The Journal for Nurse Practitioners - July 27, 2021 Category: Nursing Authors: Christine Stallter, Tina S. Gustin Tags: Brief Report Source Type: research

Reading For a Change
Nurse practitioners (NPs) and other advanced practice registered nurses (APRNs), regardless of practice setting, years of experience, or current level of policy engagement, are in a prime position —physically and metaphorically—to excel in the role of advocate. Our problem-solving orientation, use of compelling stories, and skill at building and sustaining relationships are just some of the reasons we are a good fit for the advocacy space. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - July 26, 2021 Category: Nursing Authors: Gale Adcock Tags: Under the Dome Source Type: research

Daily Moisturization for Atopic Dermatitis: Importance, Recommendations, and Moisturizer Choices
Topical moisturizers are the core treatment for atopic dermatitis (AD), with treatment guidelines recommending at least daily thorough moisturization of both lesional and nonlesional skin. Ultimately, moisturizer selection is an individual, personal choice, but, surprisingly, few moisturizers have published efficacy and acceptability data to support decision making. This clinical feature emphasizes the value of daily moisturization for AD and summarizes the moisturizer types available. Nurse practitioners/physician assistants manage and educate patients and caregivers on optimizing this key aspect of disease management. (S...
Source: The Journal for Nurse Practitioners - July 24, 2021 Category: Nursing Authors: Noreen Heer Nicol, Frank Rippke, Teresa M. Weber, Adelaide A. Hebert Tags: Featured Article Source Type: research

Pharmacogenetics in Practice: Drug Management Amidst Rare Genomic Testing
This article provides the experienced clinician with the background, clinical utility, and applicability of pharmacogenetics in medications commonly prescribed such as selective serotonin reuptake inhibitors, tricyclic antidepressants, beta blockers, clopidogrel, statins, proton pump inhibitors, and codeine. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - July 21, 2021 Category: Nursing Authors: Michelle Zappas, Ruth Madden Foreman Tags: Featured Article Source Type: research

Comparison Between Prolonged Intubation and Reintubation Outcomes After Cardiac Surgery
This study was undertaken to determine how prolonged intubation>48 hours or reintubation contributed to postoperative outcomes. Regression analyses have demonstrated that reintubation caused worse postoperative outcomes than prolonged intubation: more acute kidney injury stage 1 –3, coma/encephalopathy, postoperative transfusion, increased intensive care unit length of stay, and hospital mortality beyond the contributions of other risk factors. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - July 21, 2021 Category: Nursing Authors: Joanne Thanavaro, John Taylor, Linda Vitt, Mary S. Guignon Tags: Original Research Source Type: research

The Effect of Green Tea Drinking on the Depression of Elderly People
The world ’s older population continues to grow at an unprecedented rate. Iran is 1 of the countries where the aging population is higher than the global average. Depression is 1 of the most common issues in older adults that can be managed by nonpharmacologic interventions such as the consumption of green tea. The aim of this study was to determine the effect of green tea consumption on depression in the elderly people. In this quasi-experimental study, 76 elderly people who were residents in a nursing home and met the inclusion criteria were selected through simple random sampling. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - July 15, 2021 Category: Nursing Authors: Mohammad Esmaeilpour-Bandboni, Zinat Seyedpourchafi, Ehsan Kahneh Tags: Featured Article Source Type: research

The Perfect Storm: Thunderstorm-Related Asthma
Thunderstorm asthma refers to the increase in acute asthma symptoms during or immediately after severe storm activity, especially during certain seasons. Epidemic thunderstorm asthma occurs when large numbers of patients are affected by thunderstorm activity. These thunderstorm asthma cases can be anywhere from mild to severe symptoms and requiring serious medical attention. Epidemic thunderstorm asthma events emphasize the importance of preventative and ongoing asthma and allergic rhinitis identification and management along with community education and awareness. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - July 15, 2021 Category: Nursing Authors: Nancy Cantey Banasiak, Sarah Ann Keil Heinonen, Amanda C. Filippelli Tags: Featured Article Source Type: research

Time to Stop Offering Incentives for Contraception Use
Incentives for receiving a COVID-19 vaccination have made the news recently. Inducements range from a free beer to airline tickets, even a chance at a million-dollar lottery. Incentivizing individual healthy behaviors is not a new concept; it has been used for decades to influence family planning. In 1956, India, as a means of population control, offered 30 rupees ($7 US) to anyone who underwent sterilization.1 I am aware of a social service agency that serves young adults with mental illness that offers $50 for each dose of long-acting progesterone an individual receives. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - July 15, 2021 Category: Nursing Authors: Ruth A. Woroch Tags: Quality Care for Women ’s Health Source Type: research

A Critical Analysis of Funding Models: Sustainability of the Nurse Practitioner Role in Canada
Numerous barriers inhibit the integration of full role components of nurse practitioners (NPs) in Canada. Although the number of NPs in Canada has increased substantially over the past decade, the contributions made by NPs to patient care and the health system are undervalued and insufficiently recognized. A critical analysis of the current state of Canadian NP funding models utilizing the Sustainability of Innovation Framework was conducted. Our analysis suggest that Canadian NP funding models need to be flexible, modern, affordable, responsive to the needs of a wide range of patient populations and support the work of he...
Source: The Journal for Nurse Practitioners - July 10, 2021 Category: Nursing Authors: Raelene Marceau, Tammy O ’Rourke, Stephanie Montesanti, Kathleen Hunter Tags: Health Policy Source Type: research

Transcatheter Aortic Valve Replacement: Clinical Update for Nurse Practitioners
Aortic stenosis is one of the most prevalent types of valvular heart disease in the United States, and nurse practitioners in multiple practice settings can play a vital role in the care of these patients. Early identification and treatment are key to improved patient outcomes. Treatment options have advanced over the last decade and include a less invasive procedure called transcatheter aortic valve replacement. The purpose of this article is to improve nurse practitioner ’s knowledge of aortic stenosis, discuss treatment options with a focus on transcatheter aortic valve replacement, and provide their patients with...
Source: The Journal for Nurse Practitioners - July 8, 2021 Category: Nursing Authors: Christina Cantey Tags: Featured Article Source Type: research

Multisystem Inflammatory Syndrome in Children
Multisystem inflammatory syndrome in children (MIS-C), which was first documented in the United Kingdom and later recognized in other countries, is a postinfectious immune response to coronavirus disease 2019 (COVID-19). Its clinical manifestation resembles that of other inflammatory processes. Differentiation can be accomplished through epidemiology, a positive temporal relationship to COVID-19, and multiorgan involvement. Health care providers should maintain a high level of suspicion for MIS-C during the COVID-19 pandemic. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - July 6, 2021 Category: Nursing Authors: Barbara Holstein Tags: Featured Article Source Type: research

Implementation of Telehealth: Normalization Process Theory and NoMAD-Ex.
This nurse practitioner –led project facilitated integration of telehealth services in a women’s clinic. Normalization Process Theory and the Normalization Measures Development (NoMAD) instrument were identified as tools. The NoMAD survey was augmented with a request for 2–3 sentences of explanation for each item. Th ese data were then evaluated using inductive content analysis to identify specific facilitators and barriers. Results were presented to an interdisciplinary team charged with the responsibility of making modifications to the existing telehealth workflow. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - July 6, 2021 Category: Nursing Authors: Nicholas R. Wagner, Tracy Tesdall Melin, Felecia Wood Tags: Brief Report Source Type: research

Will Facts Convince Our Patients To Be Vaccinated?
In a recent telehealth visit, a patient with multiple chronic problems asked if I thought she should be vaccinated. Vaccination was not the purpose of our visit, but my teachable moment had clearly arrived. She had barely been out of her house over the course of the year, but she was still afraid. So we went through the evidence. We looked at risk vs benefit. We talked about public health vs individual risk: all the usual arguments that a nurse practitioner (NP) would consider convincing. As nurses we are scientists, so we think a certain way and we also appreciate that our patients —with different risks and experien...
Source: The Journal for Nurse Practitioners - July 6, 2021 Category: Nursing Authors: Donald Gardenier, Mary Beth Koslap-Petraco, Rebecca Ott Tags: Point/Counterpoint Source Type: research

An Evidence-Based Guideline for Treating Dyslipidemia in Statin-Intolerant Patients
This report will briefly explain how to rechallenge the statin-intolerant patient and the secondary therapies that are available to decrease cardiovascular morbidity and mortality. Algorithms for rechallenging the statin-intolerant patient and secondary therapies are also provided. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - July 2, 2021 Category: Nursing Authors: Dylan Lempp Tags: Featured Article Source Type: research

CE Application for A Primer on Mast Cell Activation Disease for the NP
(Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - July 1, 2021 Category: Nursing Tags: CE Test and Application Source Type: research

The July Effect
Early in my career, as a staff nurse in the emergency department of a teaching hospital, I recall how a new cohort of medical students, residents, and interns would enter their positions every July. As seasoned nurses, we would (metaphorically) put our arms around the rookies to gently guide them as they learned the ropes. We knew that many did not ask questions for fear of being seen as a novice, so we provided a team-oriented culture to signal our vested interest in them delivering quality health care. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - July 1, 2021 Category: Nursing Authors: Leslie L. Davis Tags: Editorial Source Type: research

Keeping “PEARL” at the Forefront as NPs Look to the Future in Health Care
Our light, our voice, and our strength as nurse practitioners (NPs) shine brighter than ever. The COVID-19 pandemic has been fraught with tragedy and challenge, but NPs have led the way, caring for patients and families, and providing innovative solutions to care at every turn. Over and over again, they have stepped up to lead throughout one of the most poignant times in our history. Your compassion, collaboration and commitment to excellent care has shined. I am deeply grateful to the many NPs who have served throughout the pandemic, from the beginning with mass COVID-19 testing, to the inpatient areas where patients and ...
Source: The Journal for Nurse Practitioners - July 1, 2021 Category: Nursing Authors: April N. Kapu Tags: From the AANP President 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 - July 1, 2021 Category: Nursing Tags: AANP Forum Source Type: research

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

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

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

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

Use of Statistical Tests in Doctor of Nursing Practice Projects
A working knowledge of statistical tests, their application, and interpretation is vital to evidence-based practice. A purposive sample of Doctor of Nursing Practice (DNP) projects listed in ProQuest (N  = 667) were assessed for general use of statistics and data on the most frequently used statistical tests were compiled. Results enumerated the top 10 tests used with the top 3 methods reliant on basic and descriptive statistics. Application to practice and contributions to the evidence-base from DNP Projects are discussed. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - July 1, 2021 Category: Nursing Authors: Matthew Jones, Maria deValpine, Maria McDonald, Carolyn Schubert Tags: By Faculty for Faculty Source Type: research

A Case Study of Pancytopenia During the Novel 2019 Coronavirus Pandemic
Patients with pancytopenia may present as either clinically stable or unstable. Although there are many common causes of pancytopenia, a new cause that has been recently documented in patient case studies is the novel 2019 Coronavirus. Nurse practitioners in all practice environments need to be able to identify pancytopenia, be aware of associated complications and emergencies, and provide appropriate intervention including a hematology consult. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - June 26, 2021 Category: Nursing Authors: Jean E. Jauregui Tags: Case Challenge Source Type: research

Student Success Factors in a Nurse Practitioner Program
Student exit surveys are a unique means of extracting data for program evaluation. An exploratory study of 5 years of data (n  = 440) from a 115-question Master of Science in Nursing student online exit survey examined whether race, sex, age, and prior work experience as a registered nurse predicted academic success. Findings indicated a statistically positive relationship between self-reported outcomes and prior register ed nurse work experience. There were significant findings related to the effect of race and years of nursing experience on students’ self-reported learning outcomes. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - June 22, 2021 Category: Nursing Authors: Aijun Anna Li, Jennie C. De Gagne, Valerie Howard, Deirdre Thornlow, Benjamin S. Smallheer, Angela Richard-Eaglin, Kathryn Evans Kreider Tags: By Faculty for Faculty Source Type: research

Broadening the Differential for Unilateral Knee Pain: A Diagnostic Case Study
In this diagnostic case study, a 26-year-old woman presented to a community internal medicine practice with a complaint of chronic, atraumatic, unilateral knee pain. Distinguishing red flag symptoms within the patient history can guide the nurse practitioner in formulating a broad differential diagnosis with age considerations to pick up on uncommon diagnoses manifesting in common primary care symptoms. Subsequently, this influences the decision-making process for radiographic imaging necessity in a common chief complaint. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - June 22, 2021 Category: Nursing Authors: Elizabeth A. Kelsey Tags: Case Challenge Source Type: research

A Distance Accessible Education Model: Teaching Skills to Nurse Practitioners
Health care providers in rural areas are often unable to attend continuing education trainings due to limited staffing coverage. The coronavirus pandemic has created a unique situation, requiring many health care providers to obtain continuing education through virtual offerings. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - June 18, 2021 Category: Nursing Authors: Tedra S. Smith, Aimee C. Holland, Tracie White, Bryan Combs, Penni Watts, Jacqueline Moss Tags: By Faculty for Faculty Source Type: research

DNP or PhD? Dispelling Misconceptions
Language used to describe the role of the doctor of nursing practice (DNP) is being used haphazardly within both education and practice settings and has led to misunderstanding. The purpose of this article is to clarify the intended role of the DNP-prepared nurse and dispel misconceptions related to educational preparation and praxis so that the rigor and contribution of those with the DNP degree is respected. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - June 18, 2021 Category: Nursing Authors: Glenda L. Smith, Celeste M. Schultz, Cynthia A. Danford Tags: By Faculty for Faculty Source Type: research

A Primer on Mast Cell Activation Disease for the Nurse Practitioner
The primary care literature lacks information on mast cell activation disease (MCAD) and, more specifically, mast cell activation syndrome, yet it affects approximately 17% of the population. Because many providers remain unaware of MCAD, this article provides a primer on mast cell diseases, including triggers, signs and symptoms, diagnosis, treatment, and resources for patients and providers. Primary care nurse practitioners are uniquely positioned and qualified to identify patients with multiple, diffuse complaints and chronic, multisystem symptoms —the hallmark of MCAD—and refer them for further diagnosis an...
Source: The Journal for Nurse Practitioners - June 16, 2021 Category: Nursing Authors: Betsy Selleck, Cynthia Selleck Tags: Featured Article Source Type: research

Perceptions of Nurse Practitioners as Clinical Leaders in the Military
This study addresses the following 2 research questions: What are Army primary care clinicians ’ perceptions of NPs as clinical leaders? and Are there differences in these perceptions? In this study, we used a survey that captured clinicians’ perceptions of NP leadership. Overall, respondents favored NPs as clinical leaders. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - June 16, 2021 Category: Nursing Authors: Jeffrey C. Ransom, Qiuping Zhou Tags: Featured Article Source Type: research

Technology and Human Connection to Prevent Diabetes in Rural United States
This quality improvement pilot project implemented a diabetes prevention program using physical activity trackers and human connection to increase physical activity (PA) and reduce the risk of diabetes among adults with prediabetes from a rural primary care clinic. The outcomes included PA steps, PA minutes, the achievement of self-established PA goals, hemoglobin A1C level, weight, and body mass index. During the 3  months of the project, PA steps significantly increased, and most participants reached self-established PA goals. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - June 16, 2021 Category: Nursing Authors: Theresa A. Dachel, Dalete Mota Tags: Brief Report Source Type: research