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The Journal for Nurse Practitioners
Pub Date : 2024-11-01 DOI: 10.1016/j.nurpra.2024.105247
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引用次数: 0
Use of Benzodiazepines in Women’s Health 苯二氮卓类药物在妇女健康中的应用
The Journal for Nurse Practitioners
Pub Date : 2024-11-01 DOI: 10.1016/j.nurpra.2024.105199
Diane N. Solomon
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引用次数: 0
Essential Elements of a Workload Measurement Instrument for Nurse Practitioners 护士工作量测量工具的基本要素
The Journal for Nurse Practitioners
Pub Date : 2024-10-25 DOI: 10.1016/j.nurpra.2024.105214
Véronique Landry, Kelley Kilpatrick
The assessment of nurse practitioner (NP) workload is complex and requires stakeholder involvement to fully understand it. This study describes stakeholders’ information needs and elements for an NP workload measurement instrument in primary care. This was a descriptive, qualitative study with purposeful sampling and semistructured interviews (February 2020-September 2021). Content analysis and descriptive statistics were used. The participants (n = 31) cited several reasons to develop an NP workload instrument (eg, equitable expectations, NP contribution, and well-being). Key elements include client type, appointments type, NP experience, and organizational context. This study provides recommendation for developing an NP workload instrument.
执业护士（NP）工作量的评估非常复杂，需要利益相关者的参与才能充分了解。本研究描述了利益相关者的信息需求以及初级护理中 NP 工作量测量工具的要素。这是一项描述性定性研究，采用有目的的抽样和半结构式访谈（2020 年 2 月至 2021 年 9 月）。研究采用了内容分析和描述性统计方法。参与者（n = 31）提出了开发 NP 工作量工具的几个原因（例如，公平期望、NP 贡献和福祉）。关键因素包括客户类型、预约类型、护士经验和组织背景。本研究为开发 NP 工作量工具提供了建议。
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引用次数: 0
Mobile Medicine in Ukraine 乌克兰的流动医疗
The Journal for Nurse Practitioners
Pub Date : 2024-10-24 DOI: 10.1016/j.nurpra.2024.105194
Ryan Anson
Global Care Force, an international health nongovernmental organization, sent teams of physicians, physician assistants, nurses, and nurse practitioners every month to Ukraine to provide primary care for war-affected communities. I had the opportunity to partner with GCF in May 2024 during its monthly mission trip to this conflict-ravaged country. I described this medical outreach initiative in a first-person narrative in order to relay to a wider audience the realities of warfare for Ukrainian patients and health care workers. Our team treated chronic diseases in northern as well as southern Ukrainian villages near the front line near Kherson. We set up mobile medical clinics in these regions and delivered medications to patients suffering from blast injuries, hyperglycemia, hypertension, and posttraumatic stress disorder.
全球关怀力量是一个国际非政府医疗组织，每月都会向乌克兰派遣由医生、医生助理、护士和执业护士组成的团队，为受战争影响的社区提供初级医疗服务。2024 年 5 月，在 GCF 每月前往这个饱受冲突蹂躏的国家执行任务期间，我有机会与 GCF 合作。我以第一人称的叙述方式描述了这次医疗外展活动，以便向更多受众转述乌克兰病人和医护人员所面临的战争现实。我们的团队在赫尔松附近前线附近的乌克兰北部和南部村庄治疗慢性疾病。我们在这些地区设立了流动医疗诊所，为患有爆炸伤、高血糖、高血压和创伤后应激障碍的病人送医送药。
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引用次数: 0
Improving Opioid Use Disorder Treatment With Buprenorphine: A Quality Improvement Project 用丁丙诺啡改善阿片类药物使用障碍的治疗：质量改进项目
The Journal for Nurse Practitioners
Pub Date : 2024-10-24 DOI: 10.1016/j.nurpra.2024.105213
Lemuel Scott, Consuelo Williams, Charles Browning, Gloria McNeil, Sean Convoy
The intervention described here effectively changed prescriber behavior, increasing the use of evidence-based treatments for opioid withdrawal with minimal adverse events. Standardized protocols led to increased buprenorphine utilization, impacting clinical practice. However, there was no observed improvement in linkage to outpatient MAT services, possibly because of external factors such as insurance limitations and patient preferences. Our findings support the effectiveness of standardized protocols in increasing buprenorphine utilization. Thakrar et al1 similarly observed improved buprenorphine initiation rates after implementing protocols in an emergency department.
本文所述的干预措施有效地改变了处方者的行为，增加了阿片类药物戒断循证疗法的使用，并将不良反应降至最低。标准化方案提高了丁丙诺啡的使用率，对临床实践产生了影响。然而，在与门诊 MAT 服务的联系方面没有观察到改善，这可能是由于保险限制和患者偏好等外部因素造成的。我们的研究结果支持标准化方案在提高丁丙诺啡使用率方面的有效性。Thakrar 等人1 同样观察到，在急诊科实施协议后，丁丙诺啡的使用率有所提高。
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引用次数: 0
Medical Science Liaisons: A Guide for Advanced Practice Registered Nurses 医学科学联络员：高级执业注册护士指南
The Journal for Nurse Practitioners
Pub Date : 2024-10-23 DOI: 10.1016/j.nurpra.2024.105211
Joyce Chen, Gregory Burns, Crystal Kelly, Dawn Vanderhoef, Jessica Johnson
Medical science liaisons (MSLs) are part of the field medical affairs (FMA) department of pharmaceutical companies and are scientific resources for advanced practice registered nurses (APRNs). Following strict regulations and antikickback statutes, MSLs operate differently from sales and engage in unbiased, nonpromotional scientific exchange to provide clinical resources to APRNs. They also collaborate with shareholders like professional organizations, clinical trial sites, and academic institutions. Understanding MSL engagement allows APRNs multiple avenues both externally and within the pharmaceutical industry to leverage their experience to enhance clinical practice.
医学科学联络员 (MSL) 隶属于制药公司的现场医疗事务 (FMA) 部门，是高级执业注册护士 (APRN) 的科学资源。根据严格的法规和反回扣条例，MSL 的运作有别于销售，他们参与公正、非促销性的科学交流，为高级执业注册护士提供临床资源。它们还与专业组织、临床试验机构和学术机构等股东合作。了解了 MSL 的参与情况，全科医生就可以从外部和制药行业内部获得多种途径，利用他们的经验加强临床实践。
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引用次数: 0
Primary Care Considerations for Individuals With Duchenne Muscular Dystrophy 杜兴氏肌肉萎缩症患者的初级保健注意事项
The Journal for Nurse Practitioners
Pub Date : 2024-10-23 DOI: 10.1016/j.nurpra.2024.105230
Ashley Derbowka, Ashley Hardy
Duchenne muscular dystrophy (DMD) is an uncommon genetic neuromuscular condition manifesting as progressive and irreversible muscular weakness. It is usually diagnosed in childhood, and, unfortunately, individuals living with DMD have a shortened lifespan. DMD has an effect on multiple body systems, leading to complications such as cardiomyopathy, respiratory infections, fragility fractures, and mood disorders. Nurse practitioners working in the primary care setting are in a key position to support the individual by approaching the disease from a multisystem lens, incorporating preventive care to maximize health and well-being at varying stages of the disease process.
杜兴氏肌营养不良症（DMD）是一种不常见的遗传性神经肌肉疾病，表现为进行性和不可逆的肌肉无力。它通常在儿童时期被诊断出来，不幸的是，DMD 患者的寿命会缩短。DMD 会影响身体多个系统，导致心肌病、呼吸道感染、脆性骨折和情绪障碍等并发症。在初级保健机构工作的执业护师处于支持患者的关键位置，他们从多系统的角度来看待疾病，在疾病过程的不同阶段提供预防性护理，以最大限度地提高患者的健康和福祉。
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引用次数: 0
Changes in Motivation, Barriers, and Student Impact on Preceptors Since COVID-19: A Mixed Methods Study 自 COVID-19 以来动机、障碍和学生对戒酒师影响的变化：混合方法研究
The Journal for Nurse Practitioners
Pub Date : 2024-10-23 DOI: 10.1016/j.nurpra.2024.105215
Rebecca McCann, Marilou Shreve, Callie Bradley, Martha Butler

Objective

The study aimed to examine factors influencing preceptors’ willingness to precept nurse practitioner students before and after COVID-19.

Design

A mixed methods design followed up on an earlier survey exploring preceptor perceptions before the COVID-19 pandemic.

Results

Two themes emerged for motivators: altruism and mentorship. Time commitment identified as a barrier was broken down into subthemes: personal time and student preparedness. Most participants reported that COVID-19 no longer had an impact on their willingness to precept students.

Conclusions

Many preceptors accept students to give back to the profession. Increased time commitment continues to hinder the experience for preceptors.
研究目的该研究旨在探讨在 COVID-19 之前和之后影响戒酒师对执业护师学生进行戒酒的意愿的因素。设计采用混合方法设计，对早前一项探讨 COVID-19 大流行之前戒酒师看法的调查进行跟踪。作为障碍的时间承诺被细分为两个子主题：个人时间和学生准备情况。大多数参与者表示，COVID-19 不再影响他们对学生进行戒毒的意愿。时间承诺的增加继续阻碍着戒酒师的经验。
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引用次数: 0
Improving Skin Cancer Knowledge and Screening Among Older Chinese Americans 提高美国华裔老年人的皮肤癌知识和筛查水平
The Journal for Nurse Practitioners
Pub Date : 2024-10-22 DOI: 10.1016/j.nurpra.2024.105208
Yan (Olive) Wang, Anne Derouin, Barbara Turner, Hanzhang Xu
Asian Americans often experience delays in skin cancer diagnoses, which may be due to low awareness and limited skin cancer knowledge. Prior evidence has suggested that total body skin examination (TBSE) is a simple yet effective way to identify skin cancer early. This nurse practitioner-led quality improvement project aimed to increase skin cancer knowledge and TBSE uptake among 77 Chinese Americans aged ≥65 years. A culturally tailored skin health education was implemented in a dermatology office and a senior center. After the education session, participants demonstrated a significant increase in skin cancer knowledge and were more willing to receive TBSE.
亚裔美国人在皮肤癌诊断方面经常会遇到延误，这可能是由于对皮肤癌的认识不足和皮肤癌知识有限造成的。先前的证据表明，全身皮肤检查（TBSE）是早期发现皮肤癌的一种简单而有效的方法。这个由执业护士主导的质量改进项目旨在提高 77 名年龄≥65 岁的美籍华人对皮肤癌的认识和全身皮肤检查的接受率。该项目在皮肤科诊所和老年活动中心开展了针对不同文化背景的皮肤健康教育。教育课程结束后，参与者的皮肤癌知识显著增加，并更愿意接受 TBSE。
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引用次数: 0
Diagnosis and Treatment of Adults with Attention-Deficit/Hyperactivity Disorder (ADHD) 成人注意力缺陷/多动障碍 (ADHD) 的诊断和治疗
The Journal for Nurse Practitioners
Pub Date : 2024-10-22 DOI: 10.1016/j.nurpra.2024.105217
Brittany Haskell, Mary Carter-Orbke, Rose Vick, Brandee Madden, LeTizia Smith
Attention-deficit/hyperactivity disorder (ADHD) is a mental health diagnosis that affects an individual’s brain development and activity, resulting in inattention and/or hyperactivity-impulsivity that interferes with functioning in many aspects of life. A growing number of adults have a diagnosis of ADHD, with approximately one-third of those being diagnosed in adulthood rather than childhood. Symptoms and treatment of adults with ADHD are different than in the pediatric population. Evidence-based practices on identification, diagnosis, and treatment for adults with ADHD will be explored. Clinicians in primary care must be knowledgeable of treatment for adults with ADHD to meet this growing demand.
注意力缺陷/多动障碍（ADHD）是一种心理健康诊断，它会影响一个人的大脑发育和活动，导致注意力不集中和/或多动冲动，影响生活中许多方面的功能。越来越多的成年人被诊断患有多动症，其中约有三分之一是在成年后而不是儿童时期被诊断出来的。成人多动症的症状和治疗方法与儿童不同。我们将探讨识别、诊断和治疗成人多动症的循证实践。初级保健的临床医生必须了解成人多动症的治疗方法，以满足日益增长的需求。
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