Virtual Headache Screening: A Guide for Primary Care
Headache management is among the top presenting concerns for patients in primary care. Accurate diagnosis and treatment of headache disorders are vital to restoring quality of life and recognizing life-threatening conditions. Primary care providers have a critical role in headache assessment for patients ’ timely access to care. The COVID-19 pandemic was a challenge for nurse practitioners in the rapid uptake of virtual care, and more so for patients presenting with a headache. The purpose of this article is to present evidence-based information about the nurse practitioner’s virtual headache as sessment. (Source: The ...
Source: The Journal for Nurse Practitioners - February 16, 2024 Category: Nursing Authors: Britt Ludkiewicz, Elsie Duff Tags: Featured Article Source Type: research

Clinical Challenge: Acute Onset of Chest Pain and Dyspnea
The purpose of this Clinical Challenge is to educate nurse practitioners who are employed in the acute care setting on the diagnosis and management of a spontaneous pneumothorax. A spontaneous pneumothorax affects males more than females and tends to impact the adolescent male population. Evidence-based guidelines from the American College of Chest Physicians and the British Thoracic Society are reviewed. Treatment modalities for a spontaneous pneumothorax such as needle aspiration, thoracostomy tube placement, video-assisted thoracostomy, and open thoracotomy are discussed. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - February 16, 2024 Category: Nursing Authors: Stephanie P. Arceneaux Tags: Case Challenge Source Type: research

Reasons Over Risks: NPs and HIV Prevention for Black Women
This article serves as a call to action to critically examine and challenge the prevailing risk-centric framework that has traditionally guided HIV assessment and prevention strategies. We propose a shift from a risk-centric framework to one that is reason centric and rooted in equitable and holistic sexual health care. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - February 14, 2024 Category: Nursing Authors: Ragan Johnson, Brenice Duroseau, Schenita Randolph, Rasheeta Chandler Tags: Brief Report Source Type: research

The Implementation of a Clinical Pathway to Improve Child Abuse Screening in Young Children With Fractures: A Quality Improvement Analysis
The American Academy of Pediatrics recommends screening children under 2 years of age with a concerning fracture for physical abuse with a skeletal survey (SS). Nationally, 30% to 77% of children are not screened appropriately in emergency department settings. After implementation of an electronic clinical pathway for pediatric emergency department providers, guideline adherence improved from 61% to 81%. Among infants, SS performance increased from 79% to 81%. More non-White children received an SS, indicating potential implicit bias in screening practices. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - February 14, 2024 Category: Nursing Authors: Stephanie L. Schaller, Kate K. Chappell, Amanda M. Felder, Alicia K. Ribar Tags: Featured Article Source Type: research

Using Interprofessional Education to Prepare Health Care Professionals for Practice
Multidisciplinary education and team-based care continue to be standard in academia and practice because they have been shown to improve patient care and outcomes. Health care programs offer interprofessional educational experiences to best prepare clinicians for practice. Faculty from advanced practice nursing and athletic training collaborated to create an interprofessional educational experience using simulation and case studies. The collaborative learning experience helped to broaden role identification and scope of practice and enhance understanding of the health care delivery system. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - February 14, 2024 Category: Nursing Authors: Shannon L. David, Heidi Saarinen, Adam Hohman, Nicole German Tags: By Faculty for Faculty Source Type: research

The Future is Bright for Nurse Practitioners
Earlier this year, U.S. News& World Report ranked its “Best Jobs” for 2024, listing the nurse practitioner (NP) profession first in three categories: 100 Best Jobs, Best Health Care Jobs and Best STEM Jobs. The U.S. News& World Report ’s annual rankings are a composite measure of several key factors, including job market health, growth potential, average salary, employment rates and job satisfaction. This ranking is a tremendous acknowledgement of the work of over 385,000 NPs in the U.S. and indicates a bright future for our pr ofession! (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - February 14, 2024 Category: Nursing Authors: Stephen A. Ferrara Tags: From the AANP President Source Type: research

AUDIO: A Mnemonic for Best Practice Considerations in Audio-Only Telehealth
This article presents the AUDIO mnemonic as a suggested tool for best practice considerations to guide the development of metrics that can inform policy. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - February 12, 2024 Category: Nursing Authors: Mahrokh M. Kobeissi Tags: Featured Article Source Type: research

Parentification: Identifying Young Caregivers at Risk
This article describes the potential adverse effects of parentification on the young caregiver and provides strategies for assessment, support, and advocacy for this vulnerable population. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - February 12, 2024 Category: Nursing Authors: Leslie Sharpe Tags: Featured Article Source Type: research

Piperacillin-Tazobactam Drug-Induced Thrombocytopenia: Diagnosis Based on Clinical Criteria
Drug-induced thrombocytopenia (DITP) is an uncommon but well-documented adverse drug reaction. DITP can be diagnosed based on clinical and laboratory criteria. Clinical criteria include severe acute thrombocytopenia (platelet nadir (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - February 9, 2024 Category: Nursing Authors: Al-Zada Aguilar Tags: Case Report Source Type: research

Nurse Practitioners ’ Perceptions of Crisis Leadership and Their Readiness for Public Health Emergencies
Disasters and public health emergencies are becoming more intense and frequent. Opportunities to develop nurse leadership equipped to deal with surge capacity, reduced staffing, austere conditions, and decisiveness under stress is now more important than ever. Nurse practitioners (NPs) can be a formidable force in not only responding to public health emergencies but in their mitigation and prevention, thus reducing suffering and loss of life. The purpose of this study was to evaluate the relationship between perceived ability of NPs to make critical decisions with minimal information and their perception of public health e...
Source: The Journal for Nurse Practitioners - February 8, 2024 Category: Nursing Authors: Dana Reed, Joyce Fitzpatrick Tags: Featured Article Source Type: research

Management Strategies for Pediatric Cases of Severe Plastic Bronchitis: Addressing Acute Respiratory Failure in the Context of Human Bocavirus Infection
This report aims to document the rescue and nursing experience in managing a pediatric patient presenting with severe plastic bronchitis accompanied by acute respiratory failure attributed to human bocavirus infection. Emergency bronchoscopy surgery was promptly and effectively performed to address the immediate medical needs. Subsequently, rigorous monitoring of pulmonary signs and optimized airway management were implemented to strengthen postoperative care. Proactive measures were taken to address airway reobstruction and hypercapnia promptly while maintaining active control over infections. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - February 8, 2024 Category: Nursing Authors: Wangfang Xie, Jihua Zhu, Xiaofang Lou, Bin Xu Tags: Case Report Source Type: research

Retropharyngeal Abscess: One Case, An Unusual History
Sore throat is a common complaint encountered in the primary care setting. Differential diagnoses include streptococcal pharyngitis, allergic rhinitis, gastroesophageal reflux disease, and even gonococcal pharyngitis. A less often considered diagnosis is a retropharyngeal abscess. Although more common in children under 5 years old due to the immature lymph system, adults can nonetheless be afflicted with this potentially life-threatening infection. This case presentation reviews a case involving a 22-year-old man who presented to a primary care clinic for persistent pharyngitis. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - February 7, 2024 Category: Nursing Authors: Barbara Ann Joe Tags: Case Report Source Type: research

The Role of Nurse Practitioners in Helping Refugees and Asylees Thrive in a New Country
This article provides an overview of some of the common health problems faced by refugees and how the NP can address them. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - February 5, 2024 Category: Nursing Authors: Lois Wessel, Lesvia Galo Valasquez Tags: Featured Article Source Type: research

Rural Access to a Psychiatric Pharmacist for Seniors
Medication therapy management is a patient-centered process that involves assessment and evaluation of a patient ’s complete medication regimen by a pharmacist to prevent medication-related morbidity and mortality. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - February 3, 2024 Category: Nursing Authors: Margaret Hammersla, Stacey Pascoe, Lou Fogg Tags: Brief Report Source Type: research

Legislators Must Act to Address Primary Care Workforce Shortages
I did it. After years of training, I landed my dream job as a pediatric nurse practitioner (NP) in an underserved primary care clinic. Although I had been warned that even those with the best intentions have a hard time continuing in underresourced clinics where staff are underpaid and overworked compared to their non –primary care counterparts, I knew that would never be me—right? After all, the NP position was originally developed to address primary care shortages, but after a few years, even I left primary care. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - February 2, 2024 Category: Nursing Authors: Athena Theodora Samaras Tags: In My Opinion Source Type: research