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Empowering Nurse Leadership in Public Office: Integrating Grassroots Advocacy and the Healing Politics Campaign School for Nurses and Midwives 授权护士领导公职:整合基层倡导和愈合政治运动学校护士和助产士
Pub Date : 2026-01-16 DOI: 10.1016/j.nurpra.2025.105675
Monica Barfield
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引用次数: 0
Advancing Cardiac Intensive Care: A Curriculum for Advanced Practice Providers 推进心脏重症监护:高级实践提供者课程
Pub Date : 2026-01-14 DOI: 10.1016/j.nurpra.2025.105663
Maxine Victoria Wanzer, Luke Simmons, Daniel Zachary Adams
The benefits of integrating nurse practitioners and physician assistants into the critical care team have been previously described. There is a notable lack of formalized training for complex subspecialty units (eg, cardiac intensive care units). Limited information exists on integrating and training advanced practice providers into subspecialized areas using a dedicated curriculum. This article addresses this gap by detailing the steps taken by a medical intensive care unit team to develop and implement a structured training curriculum to prepare for the expansion of the advanced practice provider role into the hospital's new cardiac intensive care unit.
将执业护士和医师助理纳入重症监护团队的好处已经在前面描述过。对于复杂的亚专科单位(如心脏重症监护单位),明显缺乏正规的培训。有限的信息存在整合和培训先进的实践提供者进入亚专业领域使用专门的课程。本文通过详细介绍医疗重症监护室团队开发和实施结构化培训课程的步骤来解决这一差距,以准备将高级实践提供者角色扩展到医院的新心脏重症监护室。
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引用次数: 0
Addison's Disease: The Critical Role of Timely Diagnosis 艾迪生病:及时诊断的关键作用
Pub Date : 2026-01-06 DOI: 10.1016/j.nurpra.2025.105669
Kathleen Armstrong, Heather Wade
Though rare, Addison's disease, or primary adrenal insufficiency, is life-threatening and requires timely diagnosis and treatment. Symptoms such as fatigue, nausea, vomiting, weight loss, hypotension, and hyperpigmentation are often nonspecific, increasing the risk of delayed care. Immediate treatment of adrenal crises with glucocorticoids and fluid replacement is critical. Education for patients and caregivers is essential and should include understanding crisis symptoms, wearing medical alert identification, carrying emergency glucocorticoids, and adhering to the prescribed treatment plan. Awareness and preparedness among both patients and providers are vital for improving outcomes in this uncommon but serious condition.
虽然罕见,阿狄森氏病,或原发性肾上腺功能不全,是危及生命的,需要及时诊断和治疗。疲劳、恶心、呕吐、体重减轻、低血压和色素沉着等症状通常是非特异性的,这增加了延迟治疗的风险。立即用糖皮质激素和补液治疗肾上腺危象至关重要。对患者和护理人员的教育是必不可少的,应包括了解危机症状,佩戴医疗警报标识,携带应急糖皮质激素,并遵守规定的治疗计划。患者和提供者之间的意识和准备对于改善这种罕见但严重的疾病的结果至关重要。
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引用次数: 0
Best Practices for Nurse Practitioners Caring for Patients With Non–English Language Preference: A Narrative Review 护理从业者照顾非英语语言偏好患者的最佳实践:叙述回顾
Pub Date : 2026-01-06 DOI: 10.1016/j.nurpra.2025.105653
Jaypee Benitez Buhisan, Donna Martin, Elsie Duff, Terilyn Hunter
Patients with non–English language preference (NELP) delay accessing health care, which challenges primary care providers in their health promotion role. A narrative review of the literature was conducted to describe best practices in caring for patients with NELP in primary care. In this narrative review, facilitators and barriers to language-concordant care were identified. A key finding was the benefits of language-concordant care with professional language interpreters that included higher adherence to treatment plans, fewer emergency visits and hospitalizations, and lower morbidity and mortality rates. It is imperative that nurse practitioners offer professional language interpreter services to patients with NELP.
非英语语言偏好(NELP)患者延迟获得卫生保健,这挑战了初级保健提供者的健康促进作用。本文对文献进行了叙述性回顾,以描述在初级保健中护理NELP患者的最佳做法。在这篇叙述性回顾中,语言和谐关怀的促进因素和障碍被确定。一项重要的发现是,由专业语言口译员提供语言协调护理的好处包括对治疗计划的更高依从性、更少的急诊和住院,以及更低的发病率和死亡率。护士从业人员必须为NELP患者提供专业的语言翻译服务。
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引用次数: 0
A Systematic Literature Review: Effectiveness of Social Cognitive Therapy on Hypertension Treatment Adherence 系统文献综述:社会认知疗法对高血压治疗依从性的影响
Pub Date : 2026-01-05 DOI: 10.1016/j.nurpra.2025.105676
Endang Triyanto, Dian Ramawati
Hypertension is a major risk factor for cardiovascular diseases, yet medication adherence remains low in many countries. The social cognitive theory (SCT) model emphasizes the role of self-efficacy, social support, and other cognitive factors in motivating health behaviors. This systematic review evaluates the evidence of SCT-based interventions and related cognitive factors on medication adherence in hypertensive patients, following Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Literature searches were conducted in PubMed and Scopus using keywords combining "hypertension," "social cognitive theory," "self-efficacy," "social support," and "medication adherence." Inclusion criteria included adults with hypertension, reporting medication adherence, and involving SCT variables or SCT-based interventions. Data extraction and bias risk assessment were performed using the Joanna Briggs Institute tools. From 80 records identified, 8 studies met the criteria. SCT-based interventions included positive affect and self-affirmation, motivational, interviewing, e-counseling, and smartphone applications. Study results indicated an improvement in medication adherence. Motivational interviewing increased the likelihood of adherence and enhanced self-efficacy. Applications improved adherence scores compared with controls. E-counseling interventions resulted in greater reductions in blood pressure and improved self-care behaviors. Cognitive factors, such as self-efficacy, social support, and medication literacy, also contributed to medication adherence. SCT-based interventions combining education, motivation, and social support show potential to enhance adherence, although effects were heterogeneous. Future studies should include controlled trials with robust methodologies, large sample sizes, and the use of objective adherence measures.
高血压是心血管疾病的主要危险因素,但在许多国家,药物依从性仍然很低。社会认知理论(SCT)模型强调自我效能感、社会支持和其他认知因素在促进健康行为中的作用。本系统综述遵循系统综述和荟萃分析指南的首选报告项目,评估了基于sct的干预措施和相关认知因素对高血压患者药物依从性的影响。在PubMed和Scopus中使用“高血压”、“社会认知理论”、“自我效能”、“社会支持”和“药物依从性”等关键词进行文献检索。纳入标准包括高血压患者,报告药物依从性,并涉及SCT变量或基于SCT的干预措施。使用Joanna Briggs研究所的工具进行数据提取和偏倚风险评估。从鉴定的80份记录中,有8项研究符合标准。基于sct的干预包括积极影响和自我肯定、动机、访谈、电子咨询和智能手机应用。研究结果表明药物依从性有所改善。动机性访谈增加了依从性和自我效能的可能性。与对照组相比,应用提高了依从性评分。电子咨询干预导致血压下降和自我护理行为的改善。认知因素,如自我效能、社会支持和药物素养,也有助于药物依从性。结合教育、动机和社会支持的基于sct的干预显示出增强依从性的潜力,尽管效果是异质性的。未来的研究应包括采用可靠方法、大样本量和使用客观依从性测量的对照试验。
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引用次数: 0
Women Living With Endometriosis: A Systematic Review 患有子宫内膜异位症的女性:一项系统综述
Pub Date : 2026-01-03 DOI: 10.1016/j.nurpra.2025.105668
Ashley Carruthers
This systematic review examines research on the lived experiences of women with endometriosis, synthesizing qualitative, quantitative, and mixed-methods studies to identify challenges, coping strategies, and gaps in care. Nine studies met the inclusion criteria. Participants ranged from 18 to 75 years old, with the diagnosis primarily confirmed surgically. Thematic analysis highlighted diagnostic delays, chronic pain, and quality-of-life effects, underscoring the need for comprehensive, patient-centered approaches. Endometriosis remains a complex condition requiring multidisciplinary management. Findings provide guidance for nurse practitioners to enhance communication, reduce delays, and deliver evidence-informed, empathetic care that addresses women’s unique needs.
本系统综述研究了子宫内膜异位症妇女的生活经历,综合定性、定量和混合方法研究,以确定挑战、应对策略和护理差距。9项研究符合纳入标准。参与者年龄从18岁到75岁不等,主要通过手术确诊。专题分析强调了诊断延迟、慢性疼痛和生活质量影响,强调需要采取全面的、以患者为中心的方法。子宫内膜异位症仍然是一个复杂的条件,需要多学科的管理。研究结果为护士从业人员提供了指导,以加强沟通,减少延误,并提供循证、移情的护理,以满足妇女的独特需求。
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引用次数: 0
Increasing Awareness and Screening for Cognitive Impairment in Adults Younger Than 65: A Literature Review 提高65岁以下成人认知障碍的意识和筛查:文献综述
Pub Date : 2026-01-02 DOI: 10.1016/j.nurpra.2025.105673
Tiney Ray
Cognitive impairment in adults younger than 65 years is increasingly reported but remains underdiagnosed in primary care. This literature review synthesizes recent studies (2020-2025) on prevalence, screening recommendations, and barriers to early detection, especially in nurse practitioner-led settings. Findings show cognitive impairment in this age-group is often missed or not identified due to limited guidelines, low awareness, and diagnostic overshadowing, with misconceptions and disparities further delaying care. Nurse practitioners are well-positioned to advance screening, education, and policy advocacy. There is an urgent need for age-inclusive protocols to support early detection and equitable cognitive health care for younger adults.
65岁以下成人认知障碍的报道越来越多,但在初级保健中仍未得到充分诊断。本文献综述综合了近期关于患病率、筛查建议和早期发现障碍的研究(2020-2025),特别是在护士领导的环境中。研究结果显示,由于指南有限、意识低下和诊断掩盖,这一年龄组的认知障碍往往被遗漏或未被发现,误解和差异进一步延误了护理。护士从业人员在推进筛查、教育和政策倡导方面处于有利地位。迫切需要制定年龄包容的协议,以支持早期发现和对年轻人公平的认知保健。
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引用次数: 0
Information for Readers 读者资讯
Pub Date : 2026-01-01 DOI: 10.1016/S1555-4155(25)00363-0
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引用次数: 0
AANP Forum 严重丧失论坛
Pub Date : 2026-01-01 DOI: 10.1016/j.nurpra.2025.105649
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引用次数: 0
Listening Between the Lines: AI Scribe Technology Advancing NP Care 聆听字里行间:AI Scribe技术推进NP护理
Pub Date : 2026-01-01 DOI: 10.1016/j.nurpra.2025.105613
Aurbrey Eikenhorst, Meghan Allred
Ambient listening artificial intelligence (AI) scribe technology has expanded exponentially in just a few short years and is now a part of everyday practice for many NPs. AI scribe technology has the potential to reduce documentation burden, improve patient-provider engagement, and decrease burnout. Understanding its history is key to understanding the significance and evolution of the AI scribe, laying the groundwork for examining its challenges, opportunities, and future recommendations. NPs should strategically harness evolving technology to strengthen the profession and drive meaningful change in health care.
环境听力人工智能(AI)抄写技术在短短几年内呈指数级增长,现在已成为许多np日常练习的一部分。人工智能抄写技术有可能减轻文档负担,提高患者与提供者的参与度,并减少倦怠。了解它的历史是理解人工智能的重要性和演变的关键,为研究它的挑战、机遇和未来的建议奠定了基础。国家卫生服务提供者应战略性地利用不断发展的技术来加强专业并推动卫生保健方面有意义的变革。
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引用次数: 0
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The Journal for Nurse Practitioners
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