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Recognizing and managing primary aldosteronism in hypertension. 认识和管理原发性高血压醛固酮增多症。
IF 0.9 Q4 NURSING
NURSE PRACTITIONER
Pub Date : 2026-01-01 Epub Date: 2025-12-23 DOI: 10.1097/01.NPR.0000000000000399
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引用次数: 0
UpToDate®.
IF 0.9 Q4 NURSING
NURSE PRACTITIONER
Pub Date : 2026-01-01 Epub Date: 2025-12-23 DOI: 10.1097/01.NPR.0000000000000398
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引用次数: 0
The shifting landscape of NP practice authority: Progress and challenges. NP实践权威的转变：进展与挑战。
IF 0.9 Q4 NURSING
NURSE PRACTITIONER
Pub Date : 2026-01-01 Epub Date: 2025-12-23 DOI: 10.1097/01.NPR.0000000000000396
Beth Haney
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引用次数: 0
Advocacy as an NP: Shaping healthier food system policies. 作为NP的倡导：制定更健康的食品系统政策。
IF 0.9 Q4 NURSING
NURSE PRACTITIONER
Pub Date : 2026-01-01 Epub Date: 2025-12-23 DOI: 10.1097/01.NPR.0000000000000379
Beth Haney
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引用次数: 0
38th Annual APRN Legislative Update: Transformative change through APRN practice authority progress. 第38届年度APRN立法更新：通过APRN实践权威进展的变革性变革。
IF 0.9 Q4 NURSING
NURSE PRACTITIONER
Pub Date : 2026-01-01 Epub Date: 2025-12-23 DOI: 10.1097/01.NPR.0000000000000400
Susanne J Phillips

Abstract: The 38th Annual APRN Legislative Update provides a comprehensive state-by-state analysis of the legislative and regulatory landscape shaping the advanced practice nursing profession across the United States. Drawing on survey data collected from relevant authorities in all 50 states and Washington, D.C., the report highlights significant progress in 2025 toward full practice authority and prescriptive authority expansion for advanced practice registered nurses (APRNs). It also provides an overview of statutory and regulatory changes enacted or passed in 2025 that affect APRN practice nationwide. Key themes among these changes include steps toward administrative modernization, pathways to independent prescribing, and incremental gains in reimbursement parity. Persistent challenges remain, particularly in required transition to practice periods and equitable payment models. This year's edition of the Legislative Update underscores accelerating momentum toward dismantling APRN practice barriers and increasing APRN utilization to improve care access, quality, and cost-effectiveness.

摘要：第38期APRN年度立法更新提供了对美国高级护理专业立法和监管格局的全面分析。根据从所有50个州和华盛顿特区相关部门收集的调查数据，该报告强调了2025年在高级执业注册护士（APRNs）全面执业权限和规定性权限扩大方面取得的重大进展。它还提供了2025年颁布或通过的影响全国APRN实践的法律和监管变化的概述。这些变化的关键主题包括迈向行政现代化的步骤，独立开处方的途径，以及补偿均等的增量收益。持续的挑战仍然存在，特别是在向实践期和公平支付模式的必要过渡方面。今年的立法更新强调了加速消除APRN实践障碍和提高APRN利用率的势头，以改善护理的可及性、质量和成本效益。
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引用次数: 0
UpToDate®.
IF 0.9 Q4 NURSING
NURSE PRACTITIONER
Pub Date : 2025-12-01 Epub Date: 2025-11-20 DOI: 10.1097/01.NPR.0000000000000392
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引用次数: 0
Assessment and management of major depressive disorder in adults. 成人重度抑郁症的评估与治疗。
IF 0.9 Q4 NURSING
NURSE PRACTITIONER
Pub Date : 2025-12-01 Epub Date: 2025-11-20 DOI: 10.1097/01.NPR.0000000000000393
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引用次数: 0
Psychotropic medications and oral health for the primary care nurse practitioner. 精神药物和口腔健康的初级保健护士执业。
IF 0.9 Q4 NURSING
NURSE PRACTITIONER
Pub Date : 2025-12-01 Epub Date: 2025-11-20 DOI: 10.1097/01.NPR.0000000000000386
Trae Stewart

Abstract: This article explains how medications used to treat mental health conditions can negatively affect oral health, causing issues like xerostomia, bruxism, and dysgeusia. It highlights the important role of nurse practitioners in recognizing these side effects and integrating dental care into overall treatment to improve patients' well-being.

摘要：本文解释了用于治疗精神疾病的药物如何对口腔健康产生负面影响，导致口干症、磨牙症和语难症等问题。它强调了护士从业人员在认识这些副作用和整合牙科护理到整体治疗，以提高患者的福祉的重要作用。
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引用次数: 0
The importance of collaborative care within the telepsychiatric care setting: A series of clinical case examples. 远程精神病学护理环境中协作护理的重要性：一系列临床案例。
IF 0.9 Q4 NURSING
NURSE PRACTITIONER
Pub Date : 2025-12-01 Epub Date: 2025-11-20 DOI: 10.1097/01.NPR.0000000000000388
Brayden Kameg, Kirstyn Kameg

Abstract: In 2024, approximately 25% of adults in the United States, or 60 million persons, had a mental health condition. It is well established that those with psychiatric diagnoses experience a reduction in life expectancy compared to those without and are more likely to experience a greater burden of medical comorbidity. Despite the increased risk of multiple medical comorbidities among those with psychiatric diagnoses, as many as 20% of individuals experiencing mental health challenges do not receive primary care services. In some cases, psychiatric providers might be the only source of medical care for those receiving mental health treatment. While psychiatric providers often focus on the psychiatric interview and mental status examination, it is also imperative that providers adequately identify medical comorbidities to facilitate referral to primary care as needed. This article provides a brief overview of three clinical cases, underscoring the importance of addressing medical comorbidities and engaging in collaborative care within the outpatient telepsychiatric setting. Case examples include hypertensive crisis requiring emergency evaluation; Wolff-Parkinson-White syndrome in a patient with anxiety; and lithium-exacerbated hypothyroidism, each underscoring the need for psychiatric providers to be cognizant of medical comorbidities that warrant referral or emergency evaluation.

摘要：在2024年，大约25%的美国成年人，即6000万人，有精神健康问题。众所周知，那些被诊断患有精神疾病的人的预期寿命比那些没有精神疾病的人短，而且更有可能承受更大的医疗合并症负担。尽管在那些被诊断患有精神疾病的人中，多种医疗合并症的风险增加，但多达20%的经历精神健康挑战的个人没有得到初级保健服务。在某些情况下，精神科医生可能是接受精神健康治疗的人的唯一医疗护理来源。虽然精神科医生通常把重点放在精神病面谈和精神状态检查上，但医生也必须充分识别医疗合并症，以便在需要时转诊到初级保健。这篇文章提供了三个临床病例的简要概述，强调了解决医疗合并症和参与门诊远程精神病学设置协作护理的重要性。案例包括需要紧急评估的高血压危象；焦虑患者的沃尔夫-帕金森-怀特综合征；以及锂加重的甲状腺功能减退，每一个都强调精神科医生需要认识到需要转诊或紧急评估的医疗合并症。
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引用次数: 0
Psychotropic medications and oral health for the primary care nurse practitioner. 精神药物和口腔健康的初级保健护士执业。
IF 0.9 Q4 NURSING
NURSE PRACTITIONER
Pub Date : 2025-12-01 Epub Date: 2025-11-20 DOI: 10.1097/01.NPR.0000000000000394
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引用次数: 0
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