Pub Date : 2025-02-01DOI: 10.1016/j.nurpra.2024.105300
Lucy Hanrahan
Buprenorphine is increasingly favored over methadone for treating opioid use disorder in Australia due to its superior safety profile. Traditional methods for transferring from methadone to buprenorphine often involve dose tapering and withdrawal, posing barriers for many patients. To address this, the buprenorphine microdosing induction method, known as “the Bernese method,” was developed to enhance access to treatment. However, evidence on its safety and efficacy is limited. This review evaluates the risks and benefits of the Bernese method to guide patient selection in a community-based nurse practitioner-led opioid agonist treatment model in regional Australia.
{"title":"Buprenorphine Microdosing the “Bernese Method”: Patient Selection in Opioid Treatment","authors":"Lucy Hanrahan","doi":"10.1016/j.nurpra.2024.105300","DOIUrl":"10.1016/j.nurpra.2024.105300","url":null,"abstract":"<div><div>Buprenorphine is increasingly favored over methadone for treating opioid use disorder in Australia due to its superior safety profile. Traditional methods for transferring from methadone to buprenorphine often involve dose tapering and withdrawal, posing barriers for many patients. To address this, the buprenorphine microdosing induction method, known as “the Bernese method,” was developed to enhance access to treatment. However, evidence on its safety and efficacy is limited. This review evaluates the risks and benefits of the Bernese method to guide patient selection in a community-based nurse practitioner-led opioid agonist treatment model in regional Australia.</div></div>","PeriodicalId":101233,"journal":{"name":"The Journal for Nurse Practitioners","volume":"21 2","pages":"Article 105300"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143182455","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-01-25DOI: 10.1016/j.nurpra.2024.105307
Latarsha S. Cheatham, Omobola Oyeleye, Melissa Domingeaux Ethington
As more nurses become nurse practitioners and pursue further graduate education, the tendency to ignore their well-being increases. This review addresses factors that can negatively impact wellness during academic pursuits. Preadmission strategies, such as adequate preparation and time management are discussed. Midprogram strategies to address challenges, such as imposter syndrome, time constraints, and social isolation, are enumerated. Furthermore, it highlights legal provisions under the Americans with Disabilities Act and Section 504 of the Rehabilitation Act of 1973, which assist with disability- and pregnancy-related issues. These provisions are essential in preventing academic, emotional, and psychological difficulties that may compromise overall well-being and wellness.
{"title":"Nurse Practitioner Well-Being and Self-Care When Pursuing Graduate Education","authors":"Latarsha S. Cheatham, Omobola Oyeleye, Melissa Domingeaux Ethington","doi":"10.1016/j.nurpra.2024.105307","DOIUrl":"10.1016/j.nurpra.2024.105307","url":null,"abstract":"<div><div>As more nurses become nurse practitioners and pursue further graduate education, the tendency to ignore their well-being increases. This review addresses factors that can negatively impact wellness during academic pursuits. Preadmission strategies, such as adequate preparation and time management are discussed. Midprogram strategies to address challenges, such as imposter syndrome, time constraints, and social isolation, are enumerated. Furthermore, it highlights legal provisions under the Americans with Disabilities Act and Section 504 of the Rehabilitation Act of 1973, which assist with disability- and pregnancy-related issues. These provisions are essential in preventing academic, emotional, and psychological difficulties that may compromise overall well-being and wellness.</div></div>","PeriodicalId":101233,"journal":{"name":"The Journal for Nurse Practitioners","volume":"21 3","pages":"Article 105307"},"PeriodicalIF":0.0,"publicationDate":"2025-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143148838","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-01-24DOI: 10.1016/j.nurpra.2024.105309
Laura Liggett, Brandi Snow, Carolina Tennyson
An innovative, low-cost, low-fidelity tabletop simulation was developed that addresses several of the American Association of Colleges of Nursing 2021 “Essentials” domains, which prepares nurse practitioner students to transition into practice through the exploration of knowledge of nursing practice, professional leadership, quality and safety, and person-centered care. The students act as hospitalist nurse practitioners, triaging patients with acute issues presented throughout the simulation to influence prioritization and the need to communicate and collaborate with the interdisciplinary team. Finally, we explore health care system initiatives and metrics to address system-based practice that may influence clinical decision-making alongside patient acuity.
{"title":"Simulation to Enhance the Triage Skills of Nurse Practitioner Students","authors":"Laura Liggett, Brandi Snow, Carolina Tennyson","doi":"10.1016/j.nurpra.2024.105309","DOIUrl":"10.1016/j.nurpra.2024.105309","url":null,"abstract":"<div><div>An innovative, low-cost, low-fidelity tabletop simulation was developed that addresses several of the American Association of Colleges of Nursing 2021 “Essentials” domains, which prepares nurse practitioner students to transition into practice through the exploration of knowledge of nursing practice, professional leadership, quality and safety, and person-centered care. The students act as hospitalist nurse practitioners, triaging patients with acute issues presented throughout the simulation to influence prioritization and the need to communicate and collaborate with the interdisciplinary team. Finally, we explore health care system initiatives and metrics to address system-based practice that may influence clinical decision-making alongside patient acuity.</div></div>","PeriodicalId":101233,"journal":{"name":"The Journal for Nurse Practitioners","volume":"21 3","pages":"Article 105309"},"PeriodicalIF":0.0,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143148790","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-01-23DOI: 10.1016/j.nurpra.2024.105303
Lauren J. Houser, Jennifer E. Wilson
Nurse practitioners (NP) are well poised to lead evidence-based practice, quality improvement initiatives to improve preventative health screening outcomes. Mobile mammography units (MMU) have effectively increased Breast Cancer Screening (BCS) in underserved populations. This rural NP-led family practice initiative housed an MMU in the clinic’s parking lot, which was visible and available to the local community. BCS rates increased 448%. The MMU also performed bone density screening, which increased 433%. Additionally, the NP was appointed to the community’s Main Street Board, a city council–selected advisory board for downtown revitalization, historic preservation, and economic growth, highlighting the impact of NP leadership beyond clinical settings.
{"title":"Advancing Breast Cancer Screening Through Mobile Mammography: An EBPQI Initiative","authors":"Lauren J. Houser, Jennifer E. Wilson","doi":"10.1016/j.nurpra.2024.105303","DOIUrl":"10.1016/j.nurpra.2024.105303","url":null,"abstract":"<div><div>Nurse practitioners (NP) are well poised to lead evidence-based practice, quality improvement initiatives to improve preventative health screening outcomes. Mobile mammography units (MMU) have effectively increased Breast Cancer Screening (BCS) in underserved populations. This rural NP-led family practice initiative housed an MMU in the clinic’s parking lot, which was visible and available to the local community. BCS rates increased 448%. The MMU also performed bone density screening, which increased 433%. Additionally, the NP was appointed to the community’s Main Street Board, a city council–selected advisory board for downtown revitalization, historic preservation, and economic growth, highlighting the impact of NP leadership beyond clinical settings.</div></div>","PeriodicalId":101233,"journal":{"name":"The Journal for Nurse Practitioners","volume":"21 3","pages":"Article 105303"},"PeriodicalIF":0.0,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143148787","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-01-23DOI: 10.1016/j.nurpra.2024.105304
Toby Bressler, Aluem Tark
The growing demands on nurse practitioners’ workload have led to alarming rates of burnout, a factor contributing to a potential workforce shortage. Often, the prioritization of patient care compromises the practitioner’s own health, leaving limited time for self-care. Disruptions to work–life balance can negatively impact personal relationships and physical and mental well-being. This article explores actionable strategies such as task prioritization, digital wellness, and self-care practices, all of which can enhance job satisfaction and resilience and foster a supportive work environment, ultimately helping NPs maintain a healthier work–life balance.
{"title":"Pursuing Work–Life Balance: Practical Strategies for Today’s Nurse Practitioners","authors":"Toby Bressler, Aluem Tark","doi":"10.1016/j.nurpra.2024.105304","DOIUrl":"10.1016/j.nurpra.2024.105304","url":null,"abstract":"<div><div>The growing demands on nurse practitioners’ workload have led to alarming rates of burnout, a factor contributing to a potential workforce shortage. Often, the prioritization of patient care compromises the practitioner’s own health, leaving limited time for self-care. Disruptions to work–life balance can negatively impact personal relationships and physical and mental well-being. This article explores actionable strategies such as task prioritization, digital wellness, and self-care practices, all of which can enhance job satisfaction and resilience and foster a supportive work environment, ultimately helping NPs maintain a healthier work–life balance.</div></div>","PeriodicalId":101233,"journal":{"name":"The Journal for Nurse Practitioners","volume":"21 3","pages":"Article 105304"},"PeriodicalIF":0.0,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143148839","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-01-21DOI: 10.1016/j.nurpra.2024.105297
Rebecca D. Suttle, Sabrina D. Kopf, Somali H. Nguyen, Hiboombe M. Haamankuli, Tracie L. White
Validating skills competence is essential in advanced practice nursing education. Distance-based programs often pair asynchronous teaching with on-campus validation. This produces high anxiety with mediocre performance requiring teaching during the validation. Rapid cycle deliberate practice (RCDP) is founded on principles of repeated performance, rigorous assessment, and real-time feedback. In this study, the validation process was redesigned using RCDP principles. More than 100 students participated across 2 cohorts. Feedback revealed high levels of confidence and satisfaction with the method. RCDP is an effective tool for nurse educators teaching distance-based nurse practitioner students.
{"title":"Mastering Clinical Skills: Rapid Cycle Deliberate Practice Skills Validation with Nurse Practitioner Students","authors":"Rebecca D. Suttle, Sabrina D. Kopf, Somali H. Nguyen, Hiboombe M. Haamankuli, Tracie L. White","doi":"10.1016/j.nurpra.2024.105297","DOIUrl":"10.1016/j.nurpra.2024.105297","url":null,"abstract":"<div><div>Validating skills competence is essential in advanced practice nursing education. Distance-based programs often pair asynchronous teaching with on-campus validation. This produces high anxiety with mediocre performance requiring teaching during the validation. Rapid cycle deliberate practice (RCDP) is founded on principles of repeated performance, rigorous assessment, and real-time feedback. In this study, the validation process was redesigned using RCDP principles. More than 100 students participated across 2 cohorts. Feedback revealed high levels of confidence and satisfaction with the method. RCDP is an effective tool for nurse educators teaching distance-based nurse practitioner students.</div></div>","PeriodicalId":101233,"journal":{"name":"The Journal for Nurse Practitioners","volume":"21 3","pages":"Article 105297"},"PeriodicalIF":0.0,"publicationDate":"2025-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143148840","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-01-17DOI: 10.1016/j.nurpra.2024.105298
Cara Guthrie-Chu
{"title":"I Hear You. Do You Hear Me?","authors":"Cara Guthrie-Chu","doi":"10.1016/j.nurpra.2024.105298","DOIUrl":"10.1016/j.nurpra.2024.105298","url":null,"abstract":"","PeriodicalId":101233,"journal":{"name":"The Journal for Nurse Practitioners","volume":"21 3","pages":"Article 105298"},"PeriodicalIF":0.0,"publicationDate":"2025-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143148843","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-01-01DOI: 10.1016/j.nurpra.2024.105274
Christina Campbell, Laura J. Conahan
Health care providers (HCPs) encounter patients with headache complaints frequently in both outpatient and emergency department settings. Although HCPs are well-educated regarding migraine, tension-type, and cluster headaches, they may not be as familiar with the clinical presentation and management of the other primary headaches. Other primary headaches are less common and can be a diagnostic challenge for providers. Increasing awareness about the epidemiology, clinical presentation, diagnostic criteria, and recommended management of this fourth category of primary headaches enables HCPs to rule out more serious secondary causes, leading to a more timely diagnosis and treatment plan.
{"title":"Beyond Migraine, Tension, and Cluster Headaches: The Other Primary Headaches","authors":"Christina Campbell, Laura J. Conahan","doi":"10.1016/j.nurpra.2024.105274","DOIUrl":"10.1016/j.nurpra.2024.105274","url":null,"abstract":"<div><div>Health care providers (HCPs) encounter patients with headache complaints frequently in both outpatient and emergency department settings. Although HCPs are well-educated regarding migraine, tension-type, and cluster headaches, they may not be as familiar with the clinical presentation and management of the other primary headaches. Other primary headaches are less common and can be a diagnostic challenge for providers. Increasing awareness about the epidemiology, clinical presentation, diagnostic criteria, and recommended management of this fourth category of primary headaches enables HCPs to rule out more serious secondary causes, leading to a more timely diagnosis and treatment plan.</div></div>","PeriodicalId":101233,"journal":{"name":"The Journal for Nurse Practitioners","volume":"21 1","pages":"Article 105274"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143095263","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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