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

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

Development and Accreditation of an Advanced Practice Provider Fellowship at an Acute Care Pediatric Hospital
Advanced practice providers (APPs) are essential to the care of patients in a complex health care system. There are a multitude of graduate education programs available for advanced practice in the field of pediatrics. Newly graduated APPs often have a long lead time to full productivity and limited exposure to subspecialties before practice entry. This requires onboarding and training to introductory advanced practice that is often time-consuming and not satisfying to preceptors. Additionally, this model forces a newly hired APP in the field of pediatrics to choose a subspecialty without certainty of clinical practice wit...
Source: The Journal for Nurse Practitioners - February 1, 2024 Category: Nursing Authors: Johannah H. Crogan, Ronna K. Smith, Emily F. Moore Tags: Featured Article Source Type: research

Information for Readers
(Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - February 1, 2024 Category: Nursing Source Type: research

Table of Contents
(Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - February 1, 2024 Category: Nursing Source Type: research

Editorial Board
(Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - February 1, 2024 Category: Nursing Source Type: research

Intermittent Fasting: Exploring Approaches, Benefits, and Implications for Health and Weight Management
This article presents an overview of intermittent fasting, its pathophysiology, associated health benefits, and adverse effects, and provides a guide for the provider in prescribing it. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - February 1, 2024 Category: Nursing Authors: Kathleen Nye, Craig Cherrin, Jan Meires Tags: Featured Article Source Type: research

A Cross-sectional Study of Opioid Agonist Therapy Barriers and Facilitators
In this study, we conducted a cross-sectional online survey of NP respondents (N  = 114) in Alberta, Saskatchewan, and Manitoba in 2021 of OAT practice, with a focus on NPs as a point-of-care access for patients with substance dependence. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - January 30, 2024 Category: Nursing Authors: Elsie Duff, Cindy Fehr, Shahid Shams, Steven Wintoniw, Ashley Devenney, Diana Ashfield, Tammy O'Rourke Tags: Original Research Source Type: research

Picture This
Last year I helped my mom downsize from her 3-bedroom brick ranch to a townhome roughly half the size. Sorting through decades of possessions and memorabilia prompted a few tears and many chuckles. Closets bulged with clothing so “vintage” it was once again fashionable (bell bottoms, anyone?). Cabinets hid enough dishes for a White House state dinner. Towering banker boxes held a photo archive of documentary proportions. That massive assortment of images—professional portraits, glossy black and white snapshots from my first Kodak Brownie, cardboard-stiff Polaroids, and satin prints from digital film—were reminders ...
Source: The Journal for Nurse Practitioners - January 29, 2024 Category: Nursing Authors: Gale Adcock Tags: Under the Dome Source Type: research

Hepatic Abscess in a Previously Healthy Adolescent Female
Hepatic abscesses in the adolescent population are uncommon. A hepatic abscess is an intra-abdominal infection usually disseminated from the bile duct or portal circulation. Early diagnosis and treatment can prevent serious complications and reduce mortality. This case report focuses on an adolescent patient who presented to a telemedicine urgent care with ongoing episodes of fever, chills, and body aches with developing abdominal pain and shoulder pain. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - January 29, 2024 Category: Nursing Authors: Cinthya Sotelo, Ayman Tailakh Tags: Case Report Source Type: research

“You Do More Difficult Things Than This”: A National Study of Nurse Practitioner Buprenorphine Prescribing
Nearly 300 Americans die every day from unintentional drug overdoses, most involving opioids. Buprenorphine is an effective but underused treatment for opioid use disorder. This quantitative, descriptive study used data from a national survey to explore nurse practitioner buprenorphine prescribing. The study finds associations between full practice authority environments and buprenorphine prescribing propensity. The study also finds stigma and medication misconceptions may inhibit prescribing. To increase access to this lifesaving medication, policymakers, patient advocates, educators, and clinicians should focus on reduci...
Source: The Journal for Nurse Practitioners - January 29, 2024 Category: Nursing Authors: Chandra Speight, Jennifer Perry, Olga Smirnova Tags: Original Research Source Type: research

Evaluating a Scribe Program in Reducing Provider Burnout
Burnout causes decreased job satisfaction, mental health issues, and leads to poor patient care. A large contributor is the electronic health record. Primary care providers from a medical group completed the Professional Fulfillment and Burnout Index survey showing high rates of burnout, and a scribe program was initiated. This quality improvement project evaluated the scribe program and its effects on burnout, documentation burden, and productivity for primary care physicians and nurse practitioners. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - January 22, 2024 Category: Nursing Authors: Lisa Abbondanza, Patricia White Tags: Brief Report Source Type: research

Suicide Education to Improve Knowledge and Confidence of Nurse Practitioners
A focused educational session on suicide prevention was implemented after a gap identifying a gap in suicide training in the curriculum. Knowledge, confidence, and attitudes about identifying and managing suicide risk before and after an educational session were measured using a self-reporting questionnaire. The same questionnaire was given to a comparison group who did not attend the focused educational session. Forty-one nurse practitioner students were evaluated. There was a statistically significant improvement in all areas of focus after the education intervention. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - January 18, 2024 Category: Nursing Authors: Holly Langster, Kimberly Sartain, Loi Booher Tags: By Faculty for Faculty Source Type: research

Management of Frostbite Injury in Primary Care
Frostbite is cold-related tissue ischemia and damage that occurs after exposure to freezing temperatures. Appropriate classification of frostbite injury allows for timely diagnosis and early intervention, which can affect long-term sequelae, function, and overall well-being. Severe frostbite injury is irreversible and requires in-hospital interventions to maximize tissue salvage. Superficial frostbite injury is reversible and can be effectively managed in primary care settings. In collaboration with a multidisciplinary team, nurse practitioners can effectively manage frostbite-related complications with pharmacologic and a...
Source: The Journal for Nurse Practitioners - January 17, 2024 Category: Nursing Authors: YuWa Wu, Elsie Duff Tags: Featured Article Source Type: research

The Masquerading Disseminated Gonococcal Infection: A Case Report
Disseminated gonococcal infection is a rare disorder that can occur at any age. Diagnosis is typically delayed given the vague presentation and asymptomatic mucosal infection. This case report describes a patient presenting to the emergency department complaining of fever, myalgia, sore throat, and arthralgia for 7 days. The patient presented during a global pandemic and was concerned about COVID-19. Physical examination findings, diagnostics, and management challenges faced when presented with complex cases of communicable diseases are explored. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - January 16, 2024 Category: Nursing Authors: Nicole Martinez Tags: Case Report Source Type: research

How Will You Leap Into 2024?
This year, as is tradition every 4 years, we have a leap year. That is, there are 29 days in February instead of the usual 28 days. Looking ahead to 2024, I started thinking about what it means “to leap.” I pictured someone leaping to their feet in excitement when their team makes the game winning point. Or I thought about the old adage look before you leap. Both of these mental images align with the Cambridge Dictionary’s definition of leap: “to make a large jump or sudden movemen t, usually from one place to another.”1 By now you may be asking: What does leaping have to do with nurse practitioner (NP) practice,...
Source: The Journal for Nurse Practitioners - January 16, 2024 Category: Nursing Authors: Leslie L. Davis Tags: Editorial Source Type: research