Pub Date : 2025-12-06DOI: 10.1016/j.nurpra.2025.105642
Canan Kaş, Kamile Kirca, Selda Karaveli Çakir
Compassion fatigue is the intense emotional burden experienced by nurses when helping people. Over time, this burden wears nurses down, diminishing their ability to empathize and leading to emotional detachment. This study aimed to evaluate the relationship between compassion fatigue and moral sensitivity in palliative care nurses. The study revealed a statistically significant negative correlation between compassion fatigue and moral sensitivity. The data obtained in this study indicate that moral sensitivity decreases as compassion fatigue increases.
{"title":"Compassion Fatigue and Moral Sensitivity in Palliative Care Nurses","authors":"Canan Kaş, Kamile Kirca, Selda Karaveli Çakir","doi":"10.1016/j.nurpra.2025.105642","DOIUrl":"10.1016/j.nurpra.2025.105642","url":null,"abstract":"<div><div>Compassion fatigue is the intense emotional burden experienced by nurses when helping people. Over time, this burden wears nurses down, diminishing their ability to empathize and leading to emotional detachment. This study aimed to evaluate the relationship between compassion fatigue and moral sensitivity in palliative care nurses. The study revealed a statistically significant negative correlation between compassion fatigue and moral sensitivity. The data obtained in this study indicate that moral sensitivity decreases as compassion fatigue increases.</div></div>","PeriodicalId":101233,"journal":{"name":"The Journal for Nurse Practitioners","volume":"22 1","pages":"Article 105642"},"PeriodicalIF":0.0,"publicationDate":"2025-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145693617","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 : 2025-12-05DOI: 10.1016/j.nurpra.2025.105618
Erin Ziegler, Laura Istaboulian, Kyle Fajardo, Kylie Way
Effective communication during difficult conversations is essential for nurse practitioners, yet students often lack training in these high-stakes interactions. This study explored nurse practitioner students’ experiences with a simulation series designed to develop these skills. Using a qualitative design, 19 participants (average age 36.1 years; 9.8 years of nursing experience) from a Canadian program shared insights. Three themes emerged: building skills during role transition, developing confidence through reflection, and reinforcing empathy via realistic interactions. Findings show that simulation enhances confidence and competence in navigating challenging conversations, supporting its integration into curricula to better prepare students for patient-centered advanced practice.
{"title":"Difficult Conversation Skill-Building in Nurse Practitioner Education Through Simulation","authors":"Erin Ziegler, Laura Istaboulian, Kyle Fajardo, Kylie Way","doi":"10.1016/j.nurpra.2025.105618","DOIUrl":"10.1016/j.nurpra.2025.105618","url":null,"abstract":"<div><div>Effective communication during difficult conversations is essential for nurse practitioners, yet students often lack training in these high-stakes interactions. This study explored nurse practitioner students’ experiences with a simulation series designed to develop these skills. Using a qualitative design, 19 participants (average age 36.1 years; 9.8 years of nursing experience) from a Canadian program shared insights. Three themes emerged: building skills during role transition, developing confidence through reflection, and reinforcing empathy via realistic interactions. Findings show that simulation enhances confidence and competence in navigating challenging conversations, supporting its integration into curricula to better prepare students for patient-centered advanced practice.</div></div>","PeriodicalId":101233,"journal":{"name":"The Journal for Nurse Practitioners","volume":"22 1","pages":"Article 105618"},"PeriodicalIF":0.0,"publicationDate":"2025-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145693610","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 : 2025-12-03DOI: 10.1016/j.nurpra.2025.105638
Jill Kardously, Christina Campbell, Natalie Cheffer
Cannabis use during adolescence is rising, fueled by perceived safety and easy access, increasing risks for poor neuropsychiatric outcomes such as cannabis-induced psychosis. An adolescent boy was hospitalized for psychosis; workup identified cannabis as the likely etiology. Diagnoses included cannabis-induced psychosis, cannabis use disorder, and mild depression. Management included motivational interviewing, psychoeducation, and referrals to cognitive behavioral therapy. This case underscores psychiatric risks, specifically psychosis, of adolescent cannabis use and the critical role of primary care providers in prevention, early detection, and intervention. Evidence-based primary care approaches are vital to prevent, assess, and manage cannabis use.
{"title":"Marijuana Induced Psychosis: A Pediatric Case Report","authors":"Jill Kardously, Christina Campbell, Natalie Cheffer","doi":"10.1016/j.nurpra.2025.105638","DOIUrl":"10.1016/j.nurpra.2025.105638","url":null,"abstract":"<div><div>Cannabis use during adolescence is rising, fueled by perceived safety and easy access, increasing risks for poor neuropsychiatric outcomes such as cannabis-induced psychosis. An adolescent boy was hospitalized for psychosis; workup identified cannabis as the likely etiology. Diagnoses included cannabis-induced psychosis, cannabis use disorder, and mild depression. Management included motivational interviewing, psychoeducation, and referrals to cognitive behavioral therapy. This case underscores psychiatric risks, specifically psychosis, of adolescent cannabis use and the critical role of primary care providers in prevention, early detection, and intervention. Evidence-based primary care approaches are vital to prevent, assess, and manage cannabis use.</div></div>","PeriodicalId":101233,"journal":{"name":"The Journal for Nurse Practitioners","volume":"22 1","pages":"Article 105638"},"PeriodicalIF":0.0,"publicationDate":"2025-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145693613","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}
Launched in 2020, the Baby Steps model and program supports infants discharged from the neonatal intensive care unit (NICU) and their caregivers during the transition to home. This single-site 5-year evaluation examined program engagement, 30-day readmissions, and emergency department and urgent care utilization. Demographic and outcome data were summarized descriptively. Among 808 families, 76% received Baby Steps services and 38% utilized telehealth. 30-day readmissions declined compared with pre-implementation rates; care utilization varied by year. The Baby Steps model and program has provided sustained support resulting in clinical outcome improvements after NICU discharge, despite implementation challenges.
{"title":"Evaluating the Baby Steps Model: Reflection on Practice Implications","authors":"Alexa Parra, Yui Matsuda, Sarah Hardan, Jiye Lee, Isabel Maldonado, Danielle Altares Sarik","doi":"10.1016/j.nurpra.2025.105639","DOIUrl":"10.1016/j.nurpra.2025.105639","url":null,"abstract":"<div><div>Launched in 2020, the Baby Steps model and program supports infants discharged from the neonatal intensive care unit (NICU) and their caregivers during the transition to home. This single-site 5-year evaluation examined program engagement, 30-day readmissions, and emergency department and urgent care utilization. Demographic and outcome data were summarized descriptively. Among 808 families, 76% received Baby Steps services and 38% utilized telehealth. 30-day readmissions declined compared with pre-implementation rates; care utilization varied by year. The Baby Steps model and program has provided sustained support resulting in clinical outcome improvements after NICU discharge, despite implementation challenges.</div></div>","PeriodicalId":101233,"journal":{"name":"The Journal for Nurse Practitioners","volume":"22 1","pages":"Article 105639"},"PeriodicalIF":0.0,"publicationDate":"2025-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145693612","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 : 2025-12-02DOI: 10.1016/j.nurpra.2025.105620
Mohamed Toufic El Hussein, Sarah Duran
{"title":"When Common Symptoms Conceal a Critical Syndrome: A Case for Diagnostic Vigilance","authors":"Mohamed Toufic El Hussein, Sarah Duran","doi":"10.1016/j.nurpra.2025.105620","DOIUrl":"10.1016/j.nurpra.2025.105620","url":null,"abstract":"","PeriodicalId":101233,"journal":{"name":"The Journal for Nurse Practitioners","volume":"22 1","pages":"Article 105620"},"PeriodicalIF":0.0,"publicationDate":"2025-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145693615","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 : 2025-12-02DOI: 10.1016/j.nurpra.2025.105615
Rebecca Tsusaki, Daisy G. Mullassery
{"title":"Understanding Human Papillomavirus Latency in Men: The Current Evidence","authors":"Rebecca Tsusaki, Daisy G. Mullassery","doi":"10.1016/j.nurpra.2025.105615","DOIUrl":"10.1016/j.nurpra.2025.105615","url":null,"abstract":"","PeriodicalId":101233,"journal":{"name":"The Journal for Nurse Practitioners","volume":"22 2","pages":"Article 105615"},"PeriodicalIF":0.0,"publicationDate":"2025-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145646075","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 : 2025-12-02DOI: 10.1016/j.nurpra.2025.105614
Kelly Nichols, Lindsay Baukert, Kara Pravdo
After the Dobbs decision removing the legal right to abortion under the United States Constitution and allowing states to regulate abortion laws independently, there was a documented increase in the proportion of people choosing to self-manage their abortions. Increasingly medications, which may include mifepristone and/or misoprostol, are used. Nurse practitioners in settings including, but not limited to, sexual and reproductive health, family medicine, and emergency medicine, are likely to encounter patients who are considering self-managed abortion or are coming in after self-managing. Knowledge of medication abortion regimens and expected effects and warning signs is important for triaging patient concerns. Familiarity with legal and ethical considerations, as well as state and federal laws surrounding self-managed abortion, is also important to avoid criminalization of patients and clinicians.
{"title":"Self-Managed Abortion and the Role of the Nurse Practitioner","authors":"Kelly Nichols, Lindsay Baukert, Kara Pravdo","doi":"10.1016/j.nurpra.2025.105614","DOIUrl":"10.1016/j.nurpra.2025.105614","url":null,"abstract":"<div><div>After the Dobbs decision removing the legal right to abortion under the United States Constitution and allowing states to regulate abortion laws independently, there was a documented increase in the proportion of people choosing to self-manage their abortions. Increasingly medications, which may include mifepristone and/or misoprostol, are used. Nurse practitioners in settings including, but not limited to, sexual and reproductive health, family medicine, and emergency medicine, are likely to encounter patients who are considering self-managed abortion or are coming in after self-managing. Knowledge of medication abortion regimens and expected effects and warning signs is important for triaging patient concerns. Familiarity with legal and ethical considerations, as well as state and federal laws surrounding self-managed abortion, is also important to avoid criminalization of patients and clinicians.</div></div>","PeriodicalId":101233,"journal":{"name":"The Journal for Nurse Practitioners","volume":"22 1","pages":"Article 105614"},"PeriodicalIF":0.0,"publicationDate":"2025-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145693611","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 : 2025-12-02DOI: 10.1016/j.nurpra.2025.105637
Gale Adcock
{"title":"Three Things That Stick","authors":"Gale Adcock","doi":"10.1016/j.nurpra.2025.105637","DOIUrl":"10.1016/j.nurpra.2025.105637","url":null,"abstract":"","PeriodicalId":101233,"journal":{"name":"The Journal for Nurse Practitioners","volume":"22 2","pages":"Article 105637"},"PeriodicalIF":0.0,"publicationDate":"2025-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145646076","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 : 2025-12-01DOI: 10.1016/j.nurpra.2025.105636
Amy E. Delaney, Corrine Y. Jurgens, Michelle Gurvitz, Christopher S. Lee
Congenital heart disease (CHD) is the most common birth defect in the US. With advances in treatment, CHD has evolved from what was a life-limiting diagnosis to one that requires lifelong care. This study explored clinician perspectives on how emerging adults and their parents manage CHD. A cross-sectional descriptive qualitative study was conducted with survey responses from 30 clinicians. Thematic analysis identified insights. Three themes emerged: influencing family factors, underdeveloped self-care, and persistent systems barriers. Clinicians highlighted the need for improved transitions, advocacy, and support—roles that advanced practice nurses are well positioned to lead.
{"title":"Clinician Perspectives on Emerging Adults and Parents Managing Heart Disease","authors":"Amy E. Delaney, Corrine Y. Jurgens, Michelle Gurvitz, Christopher S. Lee","doi":"10.1016/j.nurpra.2025.105636","DOIUrl":"10.1016/j.nurpra.2025.105636","url":null,"abstract":"<div><div>Congenital heart disease (CHD) is the most common birth defect in the US. With advances in treatment, CHD has evolved from what was a life-limiting diagnosis to one that requires lifelong care<del>.</del> This study explored clinician perspectives on how emerging adults and their parents manage CHD. A cross-sectional descriptive qualitative study was conducted with survey responses from 30 clinicians. Thematic analysis identified insights. Three themes emerged: influencing family factors, underdeveloped self-care, and persistent systems barriers. Clinicians highlighted the need for improved transitions, advocacy, and support—roles that advanced practice nurses are well positioned to lead.</div></div>","PeriodicalId":101233,"journal":{"name":"The Journal for Nurse Practitioners","volume":"22 1","pages":"Article 105636"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145693616","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 : 2025-12-01DOI: 10.1016/j.nurpra.2025.105632
Deborah L. Harris, Pauline Brennan, Amy Hina, Nadine Gray
Nurse practitioners (NPs) are an integral part of New Zealand’s health care system, addressing workforce shortages and seeking to reduce health inequities. Despite their increasing presence, there remains limited evidence on patient, health service, and economic outcomes of NP-led care. Te Tiriti o Waitangi (Treaty of Waitangi), as New Zealand’s foundational document, establishes obligations for equity and partnership with Māori (indigenous people of New Zealand), yet considerable health care disparities persist.
This manuscript presents a co-designed research approach that emphasizes collaboration between Māori NPs and leaders and non-Māori using a marae moho (staying or living on a marae) approach. The marae moho is an immersive, culturally embedded practice ensuring that the research aligns with Te Tiriti o Waitangi obligations and Māori priorities. The marae moho created a culturally safe environment for relationship building, collective decision-making, and discussion about a research agenda that honors Māori leadership and self-determination (rangatiratanga). Key learnings from the co-design process underscore the importance of culturally responsive research methods, highlighting how such partnerships strengthen health care research, workforce development, and health equity initiatives.
This report provides insights into co-design approaches for indigenous health research, particularly in contexts without formal treaty obligations. This may be useful globally in countries such as Australia, Canada, and the United States. It reinforces the need for sustained investment in culturally safe and sensitive research to ensure equitable health care outcomes and meaningful systemic change.
{"title":"Navigating the Pathway to Co-designed Nurse Practitioner Research in Aotearoa New Zealand","authors":"Deborah L. Harris, Pauline Brennan, Amy Hina, Nadine Gray","doi":"10.1016/j.nurpra.2025.105632","DOIUrl":"10.1016/j.nurpra.2025.105632","url":null,"abstract":"<div><div>Nurse practitioners (NPs) are an integral part of New Zealand’s health care system, addressing workforce shortages and seeking to reduce health inequities. Despite their increasing presence, there remains limited evidence on patient, health service, and economic outcomes of NP-led care. Te Tiriti o Waitangi (Treaty of Waitangi), as New Zealand’s foundational document, establishes obligations for equity and partnership with Māori (indigenous people of New Zealand), yet considerable health care disparities persist.</div><div>This manuscript presents a co-designed research approach that emphasizes collaboration between Māori NPs and leaders and non-Māori using a marae moho (staying or living on a marae) approach. The marae moho is an immersive, culturally embedded practice ensuring that the research aligns with Te Tiriti o Waitangi obligations and Māori priorities. The marae moho created a culturally safe environment for relationship building, collective decision-making, and discussion about a research agenda that honors Māori leadership and self-determination (rangatiratanga). Key learnings from the co-design process underscore the importance of culturally responsive research methods, highlighting how such partnerships strengthen health care research, workforce development, and health equity initiatives.</div><div>This report provides insights into co-design approaches for indigenous health research, particularly in contexts without formal treaty obligations. This may be useful globally in countries such as Australia, Canada, and the United States. It reinforces the need for sustained investment in culturally safe and sensitive research to ensure equitable health care outcomes and meaningful systemic change.</div></div>","PeriodicalId":101233,"journal":{"name":"The Journal for Nurse Practitioners","volume":"22 1","pages":"Article 105632"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145693614","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}
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