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Reflections, Realizations, and Roads Less Traveled
The Journal for Nurse Practitioners
Pub Date : 2025-01-01 DOI: 10.1016/j.nurpra.2024.105296
Karen S. Moore PhD, DNP, APRN, ANP-BC, FNP-C, CGNC, FAANP, FAAN (Editor in Chief)
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引用次数: 0
Lipoprotein(a): Screening and Care of the High-Risk Cardiovascular Disease Patient
The Journal for Nurse Practitioners
Pub Date : 2025-01-01 DOI: 10.1016/j.nurpra.2024.105227
Elizabeth Matthews, Pamela Biernacki
Despite rigorous efforts to mitigate comorbidities contributing to cardiovascular events, the prevalence of heart disease continues to rise. This report highlights the role of lipoprotein (Lp)(a) a low-density lipoprotein, as a causal risk factor for cardiovascular disease. The impact of Lp(a) on heart disease has been well established, and testing is widely available; yet, screening for Lp(a) continues to be underperformed. The role of Lp(a) in the development of cardiovascular diseases as well as the clinical guidelines for screening patients in primary and secondary prevention populations are reviewed. Finally, clinical practice strategies for patients with elevated Lp(a) are presented.
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引用次数: 0
Information for Readers
The Journal for Nurse Practitioners
Pub Date : 2025-01-01 DOI: 10.1016/S1555-4155(24)00387-8
{"title":"Information for Readers","authors":"","doi":"10.1016/S1555-4155(24)00387-8","DOIUrl":"10.1016/S1555-4155(24)00387-8","url":null,"abstract":"","PeriodicalId":101233,"journal":{"name":"The Journal for Nurse Practitioners","volume":"21 1","pages":"Article 105311"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143095305","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}
引用次数: 0
Improving Adult Immunization Uptake: An Expanded Role for the Nurse Practitioner
The Journal for Nurse Practitioners
Pub Date : 2025-01-01 DOI: 10.1016/j.nurpra.2024.105268
Ruth Carrico, Dawn Balcom, John Hudson Garrett Jr., Debra Kosko, Barbara Resnick

Clinical Problem

Adult immunization rates have declined primarily due to access barriers and vaccine hesitancy, leading to public health and health equity concerns. Nurse practitioners play a role in development of vaccination plans and must be equipped with knowledge and operational support.

Approaches

Approaches include outlining elements of a comprehensive vaccine and adult immunization knowledge base, and offering implementation strategies that nurse practitioners can use in any practice setting as they begin, build, or strengthen interventions.

Conclusions

Equipping the nurse practitioner with knowledge regarding vaccines and their administration as well as operational and implementation support enables patient access to and acceptance of vaccines.
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引用次数: 0
In Our Nurse Practitioner Era
The Journal for Nurse Practitioners
Pub Date : 2025-01-01 DOI: 10.1016/j.nurpra.2024.105271
Jayne Jennings Dunlap
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引用次数: 0
AANP Turns 40: A Tribute to Nurse Practitioners and Their Impact
The Journal for Nurse Practitioners
Pub Date : 2025-01-01 DOI: 10.1016/j.nurpra.2024.105289
Stephen Ferrara DNP, FNP-BC, FNAP, FAANP, FAAN
{"title":"AANP Turns 40: A Tribute to Nurse Practitioners and Their Impact","authors":"Stephen Ferrara DNP, FNP-BC, FNAP, FAANP, FAAN","doi":"10.1016/j.nurpra.2024.105289","DOIUrl":"10.1016/j.nurpra.2024.105289","url":null,"abstract":"","PeriodicalId":101233,"journal":{"name":"The Journal for Nurse Practitioners","volume":"21 1","pages":"Article 105289"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143094958","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}
引用次数: 0
AANP Forum
The Journal for Nurse Practitioners
Pub Date : 2025-01-01 DOI: 10.1016/j.nurpra.2024.105290
{"title":"AANP Forum","authors":"","doi":"10.1016/j.nurpra.2024.105290","DOIUrl":"10.1016/j.nurpra.2024.105290","url":null,"abstract":"","PeriodicalId":101233,"journal":{"name":"The Journal for Nurse Practitioners","volume":"21 1","pages":"Article 105290"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143094959","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}
引用次数: 0
Evaluating the Feasibility of Utilizing Telehealth With Youth in Foster Care
The Journal for Nurse Practitioners
Pub Date : 2025-01-01 DOI: 10.1016/j.nurpra.2024.105267
Tracy W. Halasz, Elizabeth Wallis, James R. Roberts, Tina Gustin
Children in foster care are a highly vulnerable population. Consistent care, medication adherence, and clinic engagement are difficult with this population. This study evaluated the use of a telehealth initiative for youth in foster care utilizing a retrospective chart review to compare medication adherence and clinic engagement between 2 groups: those who had a 2-week follow-up telehealth visit and those who did not have a telehealth visit. Although participation in telehealth visit was promising, no differences in medication adherence and clinic engagement were identified between the 2 groups. Of interest, despite multiple barriers to care, families were actively engaged in the telehealth visits and expressed satisfaction with usage. Group home placements were also identified as having better engagement with telehealth visits compared with foster home placements. Further research is needed to explore the use of telehealth with youth in foster care to improve medication adherence and clinic engagement as well as broader health outcomes for this vulnerable population.
{"title":"Evaluating the Feasibility of Utilizing Telehealth With Youth in Foster Care","authors":"Tracy W. Halasz,&nbsp;Elizabeth Wallis,&nbsp;James R. Roberts,&nbsp;Tina Gustin","doi":"10.1016/j.nurpra.2024.105267","DOIUrl":"10.1016/j.nurpra.2024.105267","url":null,"abstract":"<div><div>Children in foster care are a highly vulnerable population. Consistent care, medication adherence, and clinic engagement are difficult with this population. This study evaluated the use of a telehealth initiative for youth in foster care utilizing a retrospective chart review to compare medication adherence and clinic engagement between 2 groups: those who had a 2-week follow-up telehealth visit and those who did not have a telehealth visit. Although participation in telehealth visit was promising, no differences in medication adherence and clinic engagement were identified between the 2 groups. Of interest, despite multiple barriers to care, families were actively engaged in the telehealth visits and expressed satisfaction with usage. Group home placements were also identified as having better engagement with telehealth visits compared with foster home placements. Further research is needed to explore the use of telehealth with youth in foster care to improve medication adherence and clinic engagement as well as broader health outcomes for this vulnerable population.</div></div>","PeriodicalId":101233,"journal":{"name":"The Journal for Nurse Practitioners","volume":"21 1","pages":"Article 105267"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143095265","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}
引用次数: 0
Expert Clinician to Novice Educator Using an Academic Nurse Residency
The Journal for Nurse Practitioners
Pub Date : 2025-01-01 DOI: 10.1016/j.nurpra.2024.105280
Elizabeth A. Gazza, Melissa Mehrlich, Crystal S. Earp, Coleen O’Brien, Pamela Balogh, Kassandra Stoffer
A comprehensive strategy that supports the transition of clinical experts, including nurse practitioners, to academia can foster the recruitment and retention of academic nurse educators and help alleviate the nurse faculty shortage. An evidence-based Academic Nurse Residency (ANR) program was conceptualized and implemented at school of nursing in the southeastern United States. The ANR program included a robust orientation, development and engagement activities, and a continuous improvement process that included reflective practice. Evaluation data indicate that the ANR program effectively supported their transition and revealed opportunities for enhancing program components. Implementing an ANR program can strengthen and preserve the academic nurse educator workforce.
{"title":"Expert Clinician to Novice Educator Using an Academic Nurse Residency","authors":"Elizabeth A. Gazza,&nbsp;Melissa Mehrlich,&nbsp;Crystal S. Earp,&nbsp;Coleen O’Brien,&nbsp;Pamela Balogh,&nbsp;Kassandra Stoffer","doi":"10.1016/j.nurpra.2024.105280","DOIUrl":"10.1016/j.nurpra.2024.105280","url":null,"abstract":"<div><div>A comprehensive strategy that supports the transition of clinical experts, including nurse practitioners, to academia can foster the recruitment and retention of academic nurse educators and help alleviate the nurse faculty shortage. An evidence-based Academic Nurse Residency (ANR) program was conceptualized and implemented at school of nursing in the southeastern United States. The ANR program included a robust orientation, development and engagement activities, and a continuous improvement process that included reflective practice. Evaluation data indicate that the ANR program effectively supported their transition and revealed opportunities for enhancing program components. Implementing an ANR program can strengthen and preserve the academic nurse educator workforce.</div></div>","PeriodicalId":101233,"journal":{"name":"The Journal for Nurse Practitioners","volume":"21 1","pages":"Article 105280"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143095266","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}
引用次数: 0
Evaluating Advance Practice Provider–Driven Initiatives to Reduce Time to Treatment
The Journal for Nurse Practitioners
Pub Date : 2025-01-01 DOI: 10.1016/j.nurpra.2024.105257
Peggy Fairchild, Emerson B. Nairon, Maria Denbow, DaiWai M. Olson
Patients referred for chronic pain and spasticity management are often prescribed evaluation for intrathecal pump (ITP) placement. The purpose of this study was to determine whether an ITP protocol bundle decreased time from referral to ITP trial. Data were abstracted from an existing database for time from referral to advanced practice provider appointment, pump trial, and pump placement. The mean ± SD time from referral to trial was similar before and after implementation (81.9 ± 60.6 days vs 54.7 ± 36.9 days; P = .084). Although several factors were found to influence outpatient care, this bundle shows the potential to reduce time from ITP referral to ITP placement.
{"title":"Evaluating Advance Practice Provider–Driven Initiatives to Reduce Time to Treatment","authors":"Peggy Fairchild,&nbsp;Emerson B. Nairon,&nbsp;Maria Denbow,&nbsp;DaiWai M. Olson","doi":"10.1016/j.nurpra.2024.105257","DOIUrl":"10.1016/j.nurpra.2024.105257","url":null,"abstract":"<div><div>Patients referred for chronic pain and spasticity management are often prescribed evaluation for intrathecal pump (ITP) placement. The purpose of this study was to determine whether an ITP protocol bundle decreased time from referral to ITP trial. Data were abstracted from an existing database for time from referral to advanced practice provider appointment, pump trial, and pump placement. The mean ± SD time from referral to trial was similar before and after implementation (81.9 ± 60.6 days vs 54.7 ± 36.9 days; <em>P</em> = .084). Although several factors were found to influence outpatient care, this bundle shows the potential to reduce time from ITP referral to ITP placement.</div></div>","PeriodicalId":101233,"journal":{"name":"The Journal for Nurse Practitioners","volume":"21 1","pages":"Article 105257"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143095264","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}
引用次数: 0
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