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Nurse Practitioners ’ and Physician Assistants’ Knowledge, Attitudes, and Practices Regarding Meningococcal Vaccination for Healthy Adolescents and Young Adults in the United States
This study investigated knowledge, attitude, and practices among nurse practitioners and physician assistants regarding meningococcal vaccination. Although nurse practitioners and physician assistants play an important role in discussing and recommending vaccination, knowledge gaps regarding meningococcal disease and vaccination guidelines were identified. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - November 22, 2023 Category: Nursing Authors: Oscar Herrera-Restrepo, Carolyn Sweeney, Tiffany Mond, Eric Davenport, Jinyi Wang, Gary S. Marshall Tags: Original Research Source Type: research

Pharmacotherapy of Wolff-Parkinson-White (WPW): A Review for Nurse Practitioners
This report provides acute care nurse practitioners with an updated outline of the diagnostic criteria for WPW and sheds some light on its pharmacotherapy. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - November 22, 2023 Category: Nursing Authors: Mohamed Toufic El Hussein, Amy Phillips Tags: Featured Article Source Type: research

Psychosocial Dimension of Substance Use Disorder
This study used a phenomenological research approach to investigate the experiences of individuals in an eastern Turkey city who initiated substance use during childhood. Fourteen participants were selected using criterion sampling and engaged in semistructured, in-depth interviews. The interviews were recorded and transcribed, and a thematic analysis was applied to the data. The study revealed 3 overarching categories (reasons leading to substance use, effects of substance addiction, and coping with addiction) and 9 subthemes (familial factors, environmental factors, traumatic experiences, personal factors, psychological ...
Source: The Journal for Nurse Practitioners - November 20, 2023 Category: Nursing Authors: Çiçek Ediz, Sevda Uzun, Mehmed Burak Erdaş Tags: Original Research Source Type: research

Outcomes From a Decade of Risk Evaluation Mitigation Strategies and Safe Opioid Prescribing Education
Opioid overdose deaths are a major public health problem. Deaths from illicit drug use remain high, but mitigation strategies that provide safety measures and guidance to prescribers have resulted in a 50% decrease in the number of opioid prescriptions. The importance and impact of a decade-long process to develop and refine safety mechanisms and implement treatment guidelines are helping to break the cycle of prescription overdose deaths. The major mitigation outcomes as well as remaining barriers that have shifted prescription use to illicit use resulting in ongoing high numbers of overdose deaths are discussed. (Source:...
Source: The Journal for Nurse Practitioners - November 17, 2023 Category: Nursing Authors: Randall S. Hudspeth Tags: Featured Article Source Type: research

Utilizing Storytelling to Impact Faculty Attitudes and Beliefs About Transgender People
Health care education about transgender/gender-diverse (TGD) individuals is often lacking regarding the complex care of these patients. This educational research initiative aimed to assess the pedagogical impact of digital first-person narratives/storytelling (DST) on health care faculty to illuminate the particular health care needs of TGD patients. In a continuing education offering, empathy, self-knowledge, self-reflection, and bias-reduction were promoted while evaluating attitudes and beliefs of clinical faculty using a valid pre- and post- tool. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - November 13, 2023 Category: Nursing Authors: Elke Zschaebitz, Amy Culbertson, Karen McCrea, Nancy Crowell, Kelly Walker, Christopher Hampton, Mariangela Mihai, Melody Wilkinson Tags: By Faculty for Faculty Source Type: research

Assessing Acute Mild Traumatic Brain Injury via Telehealth
Mild traumatic brain injury (TBI), which accounts for up to 90% of TBIs that occur, is a common injury. Contrary to what the terminology infers, a “mild” TBI can result in morbidity from adverse neuropsychiatric sequelae and thus should be appropriately diagnosed and managed. Several tools exist that aid the primary care practitioner in obtaining an accurate assessment. This allows for the recognition of red flags that differentiate mild T BI from a more severe injury. This case presentation, which focuses on outpatient telehealth as an appropriate means of care delivery, reviews the pathophysiology, assessment, diagno...
Source: The Journal for Nurse Practitioners - November 13, 2023 Category: Nursing Authors: Kailey S. Kanaziz, Heather M. Jones Tags: Case Report Source Type: research

Recurrent Episodes of Weakness, Sweating, and Tremors
Hypoglycemia can be due to a variety of possible causes. Utilizing a detailed medical history, the differential diagnoses for a patient ’s hypoglycemia may be narrowed down. A patient’s symptoms may be multifactorial, indicating the involvement of multiple risk factors. Understanding and diagnosing the underlying causes is essential in the appropriate management and treatment of hypoglycemia. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - November 13, 2023 Category: Nursing Authors: Katherine Silvey-Lee, Nicole Kuhnly, Leon L. Chen Tags: Case Challenge Source Type: research

Letter to the Editor: Addressing the Complexity of Adolescent Vaping in Primary Care Settings
I recently read with great interest the article by Ward et  al1 titled “Current Practice to Address Adolescent Vaping in Primary Care” published in The Journal for Nurse Practitioners. The authors have done an excellent job outlining the growing concern of vaping among adolescents and the role primary care providers can play in screening and treating t his issue. However, I would like to offer some additional perspectives from my experience in addiction psychiatry. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - November 11, 2023 Category: Nursing Authors: LienChung Wei Tags: Letter to the Editor Source Type: research

Chest Pain, Ischemia Is Not Always the Culprit
Chest pain, chest heaviness, and shortness of breath can be a medical emergency. These symptoms tend to point medical professionals in the direction of cardiac ischemia, as they should. However, there are many causes of these symptoms, but ruling out cardiac ischemia is a priority. During the initial workup, differentials should be kept broad, and diagnostic workup should be in depth. In this article, we present a case of a 76-year-old man who developed chest heaviness, shortness of breath, and increased fatigue over a period of a couple of months with a reduction in exercise intolerance. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - November 10, 2023 Category: Nursing Authors: Chad Stencel, Jackson Hermanson Tags: Case Report Source Type: research

Letter to the Editor: Implementation of Point-of-Care Ultrasound Training Into Nurse Practitioner Student Education: A Cohort Study
We read with great interest and commend Ventura et  al1 for their forthcoming article in the Journal for Nurse Practitioners titled “Implementation of Point-of-Care Ultrasound Training Into Nurse Practitioner Student Education: A Cohort Study.” The study offers an essential framework for integrating point-of-care ultrasound (POCUS) into adult-g erontology acute care nurse practitioner (AGACNP) education and could serve as a model for other programs.1 (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - November 9, 2023 Category: Nursing Authors: Leon Chen, Danielle Zuma, Stacey Gouker, Carolina Tennyson Tags: Letter to the Editor Source Type: research

A Case Study of a Folliculitis Dilemma
This case report presents an adolescent with an erythematous vesiculopustular, papular rash that was ultimately diagnosed as folliculitis. Folliculitis is a skin condition that occurs when hair follicles become inflamed, often due to an infection with bacteria. Some basic strategies for identifying and treating infectious folliculitis are discussed. The diagnosis of infectious folliculitis type is not always clinically apparent and cultures are sometimes required to identify the causative microorganism. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - November 7, 2023 Category: Nursing Authors: Bhisnauth Churaman Tags: Case Report Source Type: research

Cervical Myelopathy
Cervical myelopathy is a common neurologic condition among adults that is caused by deterioration of the cervical vertebrae leading to narrowing of the spinal canal and progressive spinal cord dysfunction. Symptoms develop insidiously, mimicking many common neurologic conditions and contributing to misdiagnosis and delay in treatment. Classic symptoms include gait instability, decreased dexterity of the hands, extremity pain, neck pain, and bladder dysfunction. The symptoms are variable based on level of the spine affected and severity of compression. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - November 7, 2023 Category: Nursing Authors: Sherry Rivera Tags: Featured Article Source Type: research

Early Palliative Care Involvement for Acute Myeloid Leukemia
Advanced practice providers are relied on to recognize patients ’ need for palliative care, which has supported improved quality of life and reduced aggressive treatments near the end of life in patients with solid tumors. Hematological malignancies have similar disease trajectories and symptom burdens as solid tumors, yet palliative care is underutilized in a cute myeloid leukemia, which employs aggressive therapies for management. This systematic literature review examines the 3 studies of early palliative care in patients newly diagnosed with acute myeloid leukemia. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - November 6, 2023 Category: Nursing Authors: Catherine West Tags: Featured Article Source Type: research

Promoting Clinical Instructors ’ Success in Advance Practice Nursing Programs
Advance practice nursing programs use clinical instructors (CIs) to bridge the theory-practice gap and to maintain relationships with clinical preceptors. A clear understanding and support of the CI role for advanced practice nursing is needed to promote positive program outcomes. Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines and the Johns Hopkins Nursing Evidence-Based Practice Evidence Level and Quality Guide were used to conduct the review. Nineteen articles met the inclusion criteria. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - November 3, 2023 Category: Nursing Authors: Ashley Fenton, Leigh Montejo Tags: By Faculty for Faculty Source Type: research

Sunflower Syndrome: Shining Light on a Childhood Seizure Disorder
This case report describes a 9-year-old girl who presented with hand-waving episodes resulting in a diagnosis of sunflower syndrome, a form of epilepsy. Although sunflower syndrome is rare, it has characteristic symptoms that imitate other behaviors that present in pediatric primary care. Photosensitivity is the hallmark of this seizure type. Patients look toward the sun or bright light with hand-waving episodes, often without impaired consciousness. Sunflower syndrome is initially misdiagnosed as tics or stereotyped behaviors. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - November 2, 2023 Category: Nursing Authors: Sharon B. Stevenson, William D. Walters Tags: Case Report Source Type: research