Journal of the American Academy of Nurse PractitionersThis is an RSS file. You can use it to subscribe to this data in your favourite RSS reader, such as GoogleReader, or to display this data on your own website or blog. Subscribe to this data using MyMedWorm.Subscribe to this data using GoogleReader.Subscribe to this data using Bloglines.Subscribe to this data using MyYahoo.

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2009 AANP membership surveyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Journal of the American Academy of Nurse Practitioners)
Source: Journal of the American Academy of Nurse Practitioners - November 3, 2009 Category: Nursing Authors: Mary Jo Goolsby Tags: AANP NEWS Source Type: journals

Patient satisfaction with nurse practitioner-delivered primary healthcare servicesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Although many studies using a variety of healthcare-related patient satisfaction instruments have demonstrated acceptable patient satisfaction with NPs, few have investigated patient satisfaction with NPs in the outpatient primary care occupational health arena. Overall the population seeking health care was satisfied with NP services. In particular, married or cohabitating subjects reported general satisfaction scores that were statistically significantly higher than those who were single and never married. No other differences were found.Implications for practice: The provision of on-site, employer-sponsored...
Source: Journal of the American Academy of Nurse Practitioners - November 3, 2009 Category: Nursing Authors: Lucie J. Agosta Tags: RESEARCH Source Type: journals

Multidrug-resistant and extensively drug-resistant tuberculosis: The new face of an old diseaseEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: One hundred twenty-five years after the discovery of Mycobacterium tuberculosis, the disease remains a persistent threat and a leading cause of death worldwide. Medication adherence and prevention are critical to successfully treating and ultimately eradicating this killer disease. Healthcare providers need to be knowledgeable in the detection and diagnosis of TB and to understand that they assume responsibility for public health by monitoring treatment adherence and/or appropriate referral.Implications for practice: The persistent and increasing threat of MDR-TB and XDR-TB is a significant public health threa...
Source: Journal of the American Academy of Nurse Practitioners - November 3, 2009 Category: Nursing Authors: Laurie Anne Ferguson, Jacqueline Rhoads Tags: PRACTICE Source Type: journals

Careful counsel: Management of unintended pregnancyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: The practice of counseling women and couples in a nondirective manner and providing comprehensive overview of options is paramount and should be the standard practice for all clinicians, especially within organizations funded by Title X funds.Implications for practice: As we strive toward diligent patient advocacy, it is essential that NPs implement and endorse the ethical provision of options counseling through promoting values clarification and continuing education. (Source: Journal of the American Academy of Nurse Practitioners)
Source: Journal of the American Academy of Nurse Practitioners - November 3, 2009 Category: Nursing Authors: Monica O'Reilly Tags: PRACTICE Source Type: journals

Alzheimer's disease: Seeing the signs earlyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: There are a number of simple, accurate, and fast tools to facilitate case detection, including the Mini-Mental State Examination. Once a diagnosis has been made, healthcare providers, patients, and caregivers can evaluate treatment options. Several medications are available for symptomatic treatment of AD, including the cholinesterase inhibitors donepezil, galantamine, and rivastigmine, and for later stage disease, the N-methyl D-aspartate (NMDA) receptor antagonist, memantine.Implications for Practice: Early intervention is critical because a delay in treatment is associated with nonreversible symptom progres...
Source: Journal of the American Academy of Nurse Practitioners - November 3, 2009 Category: Nursing Authors: Bennett P. Leifer Tags: PRACTICE Source Type: journals

Nurse practitioners in Holland: Definition, preparation, and prescriptive authorityEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Journal of the American Academy of Nurse Practitioners)
Source: Journal of the American Academy of Nurse Practitioners - November 3, 2009 Category: Nursing Authors: Annemarie Sipkes Donato Tags: INTERNATIONAL Source Type: journals

Fellowship in the American Academy of Nurse PractitionersEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The purpose of this column is to describe the process of application and selection for fellowship in the Fellows of the American Academy of Nurse Practitioners (FAANP). Fellows are invited and selected based on their accomplishments in four priority areas: research, practice, education, and policy. Based on the 10-year history of the FAANP, current members provide guidance for potential applicants on the steps necessary for making a successful application. (Source: Journal of the American Academy of Nurse Practitioners)
Source: Journal of the American Academy of Nurse Practitioners - November 3, 2009 Category: Nursing Authors: Rodney W. Hicks, Christell O. Bray, Roger Green, Karen Koozer Olson Tags: FELLOWS COLUMN Source Type: journals

Understanding, recognizing, and managing chronic critical illness syndromeEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Patients with CCIS are a distinct group of critically ill patients whose care needs are different from those of patients who are acutely critically ill. These patients demonstrate widespread tissue and organ damage. The widespread tissue and organ damage results in a syndrome of interrelated elements, which include neuroendocrine problems, severe malnutrition, wounds, infections, bone loss, polyneuropathy and myopathy, delirium and depression, and suffering.Implications for practice: In caring for patients with CCIS, NPs need to focus on treating the elements of the syndrome as a cohort of interrelated element...
Source: Journal of the American Academy of Nurse Practitioners - November 1, 2009 Category: Nursing Authors: Ann Bellar, Kathleen Kunkler, Mary Burkett Tags: CE ARTICLE Source Type: journals

Patient satisfaction with retail health clinic careEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: We found that clients with varied incomes and different ethnicities valued the same attributes of retail health clinic care as those found in initial studies: convenient location, no appointment necessary, short wait time, and low cost.Implications for Practice: The high degree of patient satisfaction found for retail health clinic care indicates that this type of entrepreneurial primary health care will continue to increase in numbers. Retail health clinics are a viable source of employment for FNPs. (Source: Journal of the American Academy of Nurse Practitioners)
Source: Journal of the American Academy of Nurse Practitioners - September 30, 2009 Category: Nursing Authors: Lauren P. Hunter, Charles E. Weber, Anthony P. Morreale, James H. Wall Tags: RESEARCH Source Type: journals

Job satisfaction as self-care within a restrictive regulatory environment: Nevada's studyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: The eligible NP sample was 315, or 61.5% of the total advanced nursing population. The sample was racially diverse, with a high male population. Job satisfaction was just over midway between "minimally satisfied" to "satisfied," with the highest satisfaction in "challenge/autonomy" and the lowest in "professional growth." Income was positively correlated with satisfaction for northern NPs earning less income and working fewer hours; bonuses were positively correlated for all. Those interested in higher education (e.g., doctorate) were younger, less experienced, part-time, professional members, and urban (south...
Source: Journal of the American Academy of Nurse Practitioners - September 30, 2009 Category: Nursing Authors: Linda J. Dunaway, Alice Running Tags: RESEARCH Source Type: journals

Recipients' of implanted cardioverter-defibrillators actual and perceived adaptation: a review of the literatureEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: Multiple themes pertaining to adjustment to ICD therapy were identified, which warrants further study for potential therapeutic interventions. Themes identified by ICD recipients and their partners include perception of fear, anxiety, and dependence, and the desire for enhanced support and information. Increasing awareness of the complex adaptation issues related to ICD implantation should be a priority of primary care clinicians who provide follow-up care for these patients.Implications for Practice: ICD recipients have reported multiple physical and psychological adjustment issues that require further study t...
Source: Journal of the American Academy of Nurse Practitioners - September 30, 2009 Category: Nursing Authors: Susan Zayac, Nancy Finch Tags: REVIEW Source Type: journals

Assessing postprandial glucose using 1,5-anhydroglucitol: An integrative literature reviewEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: 1,5AG was found to be a reliable indicator of PPHG, even when HbA1C levels were within target ranges. 1,5AG may be a simple and effective tool for primary care providers to identify those at risk for macrovascular complications, who would otherwise go unnoticed if assessed by HbA1C alone. (Source: Journal of the American Academy of Nurse Practitioners)
Source: Journal of the American Academy of Nurse Practitioners - September 30, 2009 Category: Nursing Authors: Brian Lee Christensen, Mary Williams Tags: REVIEW Source Type: journals

Posttraumatic stress disorder and community violence: An update for nurse practitionersEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Violence takes place in our communities and in our larger social world every day. In the face of increasing disasters and violent events, there is growing concern over the overall impact of violence on mental health. PTSD, a type of anxiety disorder, may develop as a result of exposure to these events.Implications for Practice: NPs have an important role to play in recognizing and treating PTSD symptoms in persons following exposure to a severe psychological trauma. (Source: Journal of the American Academy of Nurse Practitioners)
Source: Journal of the American Academy of Nurse Practitioners - September 30, 2009 Category: Nursing Authors: Sarah J. Blizzard, Jeanne Kemppainen, Julie Taylor Tags: PRACTICE Source Type: journals

Primary care management of childhood and adolescent hypertensionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Increasing rates of hypertension in children and adolescents are correlated to risk for coronary artery disease in adulthood. Nonpharmacologic management includes lifestyle modifications addressing weight reduction, physical activity, and dietary modification. Pharmacologic management is typically reserved for patients with severe hypertension or those who do not respond to lifestyle modifications. Early intervention is critical for preventing target-organ damage and complications of long-term hypertension.Implications for practice: Nurse practitioners must identify and address elevated blood pressure levels i...
Source: Journal of the American Academy of Nurse Practitioners - September 30, 2009 Category: Nursing Authors: Abigail Anglum Tags: PRACTICE Source Type: journals

Culturally tailored education to promote lifestyle change in Mexican Americans with type 2 diabetesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Results suggest a positive effect of the intervention on physical activity level, weight, and sense of control over diabetes self-management. Intervention participants had a statistically significant increase in the number of steps walked per day and a statistically significant mean weight loss of five pounds. Focus group results indicate that participants were satisfied with the culturally tailored intervention and that they and their families benefited from the intervention.Implications for practice: A culturally tailored diabetes self-management program may result in improved outcomes for Mexican Americans ...
Source: Journal of the American Academy of Nurse Practitioners - August 31, 2009 Category: Nursing Authors: Deborah Vincent Tags: RESEARCH Source Type: journals

Level of autonomy of primary care nurse practitionersEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: The total mean score for the DPBS in this study was 127 (SD = 10.25), indicating a very high level of autonomy of the NPs. The Empowerment subscale had the lowest overall mean score, and the Valuation subscale had the highest. There was no statistically significant relationship between level of autonomy and age, years worked as an RN, and years worked as an NP.Implications for practice: This study provided evidence that PCNPs are highly autonomous professionals and continue to struggle with empowerment. NPs educationally prepared with a better knowledge of legal and political issues will be better suited to in...
Source: Journal of the American Academy of Nurse Practitioners - August 31, 2009 Category: Nursing Authors: Alex Bahadori, Joyce J. Fitzpatrick Tags: RESEARCH Source Type: journals

Getting to the heart of pleural effusions: A case studyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Pleural effusions are common sequelae of numerous pathophysiological processes.Implications for practice: Knowledge of the underlying physiological and pathophysiological mechanisms enables the NP to obtain an accurate and comprehensive assessment, establishes a differential diagnosis, and provides the timely initial management necessary to optimize patient care outcomes. (Source: Journal of the American Academy of Nurse Practitioners)
Source: Journal of the American Academy of Nurse Practitioners - August 31, 2009 Category: Nursing Authors: Susan Mertin, Jo-Ann V. Sawatzky, William L. Diehl-Jones Tags: CASE STUDY Source Type: journals

Female sexual dysfunction: A primary care perspectiveEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: Sexual dysfunction in women is a health issue often overlooked by medical personnel, but it is a topic of great importance to both the patient and her sexual partner(s). It has been well established that quality of sex, that is, satisfaction with one's sex life, is a major quality-of-life indicator. But specifically as concerns the female patient, the issue has been overlooked by much of the healthcare community, perhaps because the topic of female sexual dysfunction is multifaceted and complex in nature.Implications for practice: Clinicians have an obligation to develop self-awareness and clinical intuition to...
Source: Journal of the American Academy of Nurse Practitioners - August 31, 2009 Category: Nursing Authors: Raymond Zakhari Tags: PRACTICE Source Type: journals

Childhood and adolescent attention-deficit hyperactivity disorder: Diagnosis, clinical practice guidelines, and social implicationsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: The diagnostic criteria and guidelines are important to make an accurate clinical assessment and manage a child with ADHD. Early diagnosis and treatment of ADHD decreases academic failure, family conflict, social isolation, substance abuse, and occupational adversity in later years for these children.Implications for practice: Often primary care nurse practitioners are the first healthcare provider a child with ADHD will see. Awareness of the diagnostic criteria and treatment for children with ADHD can assist with early identification and perhaps eliminate much impairment that accompanies this chronic disorder...
Source: Journal of the American Academy of Nurse Practitioners - August 31, 2009 Category: Nursing Authors: Patricia A. Salmeron Tags: PRACTICE Source Type: journals

Emerging concepts in cardiovascular disease risk assessment: Where do women fit in?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: The assessment of CVD risk for women is currently an evolving science. Limitations in the ability of the Framingham score to accurately estimate risk in women from diverse populations are increasingly recognized. Vastly different treatment goals between the genders for similar levels of risk factors have led to a re-evaluation of this strategy in women. While the Framingham score is still useful for guiding cholesterol treatment goals, the current preventive guidelines for women emphasize assessing a woman's risk throughout her lifetime. The future development of tools for improved risk stratification that inc...
Source: Journal of the American Academy of Nurse Practitioners - August 31, 2009 Category: Nursing Authors: Deborah Gleeson, Deborah L. Crabbe Tags: PRACTICE Source Type: journals

Risks and benefits of parent/child bed sharingEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: The decision to bed share ultimately lies with the parent, but it is the responsibility of the nurse practitioner (NP) to discuss risks and benefits of parent preferences and to help families make a safe decision regarding the sleeping arrangement for their child.Implications for practice: If NPs know the benefits and risks regarding co-sleeping and bed sharing, they can better promote safe and culturally congruent family centered care. (Source: Journal of the American Academy of Nurse Practitioners)
Source: Journal of the American Academy of Nurse Practitioners - August 31, 2009 Category: Nursing Authors: Mary C. Sobralske, Megan E. Gruber Tags: PRACTICE Source Type: journals

The differential diagnosis and management of asthma in the preschool-aged childEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Proper diagnosis leads to appropriate treatment of asthma in preschool-aged children, which facilitates asthma control. Well-controlled asthma results in fewer asthma exacerbations, fewer nighttime awakenings, and an increased ability to engage in normal childhood activities.Implications for practice: Advanced practice nurses are in the position to aid in the initial diagnosis of asthma in preschool-aged children through taking detailed medical histories, providing thorough physical examinations, and, if needed, initiating a therapeutic trial with an inhaled corticosteroid. Proper diagnosis and management of a...
Source: Journal of the American Academy of Nurse Practitioners - August 31, 2009 Category: Nursing Authors: Kathleen C. Ellis Tags: SPONSORED REVIEW Source Type: journals

Chronic cough: Stepwise application in primary care practice of the ACCP guidelines for diagnosis and management of coughEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: The ACCP guidelines offer a systematic approach that uses trials of empirical therapies to diagnose and resolve the very common, often perplexing complaint of chronic cough. The major diagnoses reached are upper airway cough syndrome, cough-variant asthma, gastroesophageal reflux disease, and nonasthmatic eosinophilic bronchitis.Implications for practice: Cough is the most common reason that patients seek an office visit. Many coughs resolve spontaneously, but coughs that persist significantly impair the quality of life. Use of the ACCP guidelines allows a stepwise empirical approach to the problem of unexplai...
Source: Journal of the American Academy of Nurse Practitioners - July 29, 2009 Category: Nursing Authors: Mary Gahbauer, Patricia Keane Tags: CE ARTICLE Source Type: journals

New Fellows of the American Academy of Nurse PractitionersEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Journal of the American Academy of Nurse Practitioners)
Source: Journal of the American Academy of Nurse Practitioners - July 27, 2009 Category: Nursing Tags: AANP NEWS Source Type: journals

Nurse practitioners' use of clinical preventive servicesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Based on content analysis of the transcribed interviews, only a small majority of NPs (60.4%) used at least one CPS per visit. From the post-survey results, it appears that what NPs think they do varies greatly from what they actually do in clinical practice.Implications for practice: The knowledge gained about the use of recommended CPSs may help promote better clinical practice among NPs and foster improvement in graduate school preparation of NP students. (Source: Journal of the American Academy of Nurse Practitioners)
Source: Journal of the American Academy of Nurse Practitioners - July 27, 2009 Category: Nursing Authors: Judith A. Berry Tags: RESEARCH Source Type: journals

A phenomenological perspective on advanced practice nurse–physician collaboration within an interdisciplinary healthcare teamEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: This phenomenological analysis reveals that the lived experience of these professionals affirms four thematic clusters (meaning units) as essential for collaboration: approachability, interpersonal skills, listening, and verbal message skills. However, APNs and MDs diverge in their perceptions of the behaviors currently operative or required to achieve the collaboration components sought. The invariants[mdash]that without which a phenomenon cannot be[mdash]differ for APNs and MDs.Implications for practice: Although both parties reference identical terms, when the language is unpacked, different behaviors are s...
Source: Journal of the American Academy of Nurse Practitioners - July 27, 2009 Category: Nursing Authors: Jill L. O'Brien, Donald R. Martin, Judith A. Heyworth, Nancy R. Meyer Tags: RESEARCH Source Type: journals

Anal Pap smears: Should we be doing them?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Performing anal Pap smears is a valuable tool to detect cytologic changes associated with some strains of HPV infection. For persons participating in receptive anal intercourse, this diagnostic procedure provides the opportunity for early detection to guide appropriate follow-up and interventions.Implications for practice: Appropriate screening can be incorporated easily into a primary care practice. High-risk groups that would benefit from this screening include men who have sex with men, HIV-infected men and women, immunocompromised men and women, women with a history of cervical or vulvar cancer (or high-gr...
Source: Journal of the American Academy of Nurse Practitioners - July 27, 2009 Category: Nursing Authors: Kimberley Lindsey, Claire DeCristofaro, Janet James Tags: PRACTICE Source Type: journals

Best-practice intervention for care of clients who self-mutilateEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: The guideline is an information sheet, containing the definition of self-mutilation, background of the problem, target population affected, and intervention. The three components of the intervention are (a) the NP's self-evaluation of values, beliefs, and assumptions about individuals who self-mutilate; (b) a focused, in-depth assessment of the client; and (c) therapeutic strategies to address the emotional, social, and biological dimensions of self-mutilation.Implications for practice: This Best-Practice Intervention for Care of Clients Who Self-Mutilate guideline provides direction for NPs to address a preve...
Source: Journal of the American Academy of Nurse Practitioners - July 27, 2009 Category: Nursing Authors: K. Madalyn Hicks, Susan M. Hinck Tags: PRACTICE Source Type: journals

Burning mouth syndrome: Identification, diagnosis, and treatmentEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: BMS is a common, chronic disorder of unknown etiology with no underlying or systemic causes or oral signs identified. It affects more than 1 million people in the United States, predominantly postmenopausal women. Despite the common nature of the disorder, it is often misunderstood. Palliative treatment, education, and support should be offered to the patient with idiopathic BMS. A variety of treatment options exist, including benzodiazepines, tricyclic antidepressants, anticonvulsants, alpha-lipoic acid, topical capsaicin, and cognitive therapy can be added to the medication regimen for greater benefit.Implic...
Source: Journal of the American Academy of Nurse Practitioners - July 27, 2009 Category: Nursing Authors: Carey Rivinius Tags: PRACTICE Source Type: journals

An intervention to change clinician behavior: Conceptual framework for the multicolored simplified asthma guideline reminder (MSAGR)Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article discusses the Multicolored, Simplified Asthma Guideline Reminder (MSAGR), an algorithm chart intervention for helping change clinicians' behavior for better adherence to the NAEPP guidelines, and describes the conceptual framework underpinning this intervention as a means of predicting better outcomes for providers and children. (Source: Journal of the American Academy of Nurse Practitioners)
Source: Journal of the American Academy of Nurse Practitioners - July 27, 2009 Category: Nursing Authors: Mary C. O'Laughlen, Patricia Hollen, Stanislaus Ting Tags: CLINICAL PRACTICE GUIDELINES COLUMN Source Type: journals

Hypertensive management in the elderly patient at risk for fallsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Hypertension management in the frail elder at risk for fall must include a thoughtful assessment of the relative risks and benefits of treatments that are most likely to preserve function, independence, and quality of life. Stringent adherence to guidelines may not be appropriate for all patients. The periodic use of a standardized fall risk screening tool can assist the nurse practitioner (NP) to identify patients at risk for falls and adjust medication management accordingly.Implications for practice: This article will assist the NP to weigh management options in the context of the complex elderly patient. (...
Source: Journal of the American Academy of Nurse Practitioners - June 23, 2009 Category: Nursing Authors: Amy J. Sirkin, Noel G. Rosner Tags: REVIEW Source Type: journals

Obsessive-compulsive disorder in children: The role of nurse practitionersEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: OCD is now recognized as a common psychiatric disorder that may go unrecognized during childhood, leading to interference with a child's development and daily functioning. Early identification and treatment of OCD are crucial for a child's psychosocial functioning and quality of life.Implications for practice: NPs familiar with OCD in children can identify patients and make informed judgments about assessment, treatment, and referral. (Source: Journal of the American Academy of Nurse Practitioners)
Source: Journal of the American Academy of Nurse Practitioners - June 23, 2009 Category: Nursing Authors: Rebecca Sturm Tags: REVIEW Source Type: journals

Advanced practice nursing: A principle-based concept analysisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Conceptualization of a core definition of advanced practice nursing will enhance external legitimacy and recognition; understanding advanced practice nurse (APN) roles, sub-roles, and competencies will enhance internal cohesion. The outcome of this concept analysis is a greater understanding of the conceptual basis of advanced practice nursing and a current best estimate of the probable truth surrounding advanced practice nursing.Implications for practice: A greater understanding of the conceptual basis of advanced practice nursing will help to gain clarity, internal cohesion, external legitimacy, and acceptan...
Source: Journal of the American Academy of Nurse Practitioners - June 23, 2009 Category: Nursing Authors: Jennifer Ruel, Carrie Motyka Tags: RESEARCH Source Type: journals

Feasibility of a patient-driven approach to recruiting older adults, caregivers, and clinicians for provider–patient communication researchEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: About half of the patients and caregivers (n = 54; 51%) and most of the PCPs (n = 31; 76%) who we approached agreed to an audiorecording of the patient's next PCP visit. Characteristics of patient, caregiver, and PCP participants were compared to those of nonparticipants. Patient characteristics did not differ by participation status. Caregivers who volunteered for the study were more likely to be female and married than were those who declined to participate. Compared to nonparticipants, PCPs who agreed to the study were appraised slightly more favorably by patients' caregivers on a measure of satisfaction wi...
Source: Journal of the American Academy of Nurse Practitioners - June 23, 2009 Category: Nursing Authors: Jennifer H. Lingler, Lynn M. Martire, Amanda E. Hunsaker, Michele G. Greene, Mary Amanda Dew, Richard Schulz Tags: RESEARCH Source Type: journals

Chest pain with angiographic clear coronary arteries: A provider's approach to cardiac syndrome XEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: The causes of CSX remain unknown; however, CSX is easy to diagnose and can be treated. Medication therapy and risk factor modification can greatly improve the quality of life by decreasing pain occurrence and lessening pain intensity.Implications for practice: Too often, providers reassure patients of a healthy heart because of normal coronary arteries despite persistent chest pain and ST segment changes on the electrocardiogram. Chest pain, one of the primary signs and symptoms of CSX, can be reduced through common medications and interventions if the diagnosis of CSX is initiated. (Source: Journal of the Ame...
Source: Journal of the American Academy of Nurse Practitioners - June 23, 2009 Category: Nursing Authors: Wes Larsen, Barbara Mandleco Tags: PRACTICE Source Type: journals

Managing high-acuity-depressed adults in primary careEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: Accurate diagnosis is best accomplished using screening instruments as an adjunct to a thorough history and assessment. The goal of interventions is remission of symptoms as opposed to a partial response. Patient preferences regarding choice of intervention must be considered. Initial pharmacotherapy must include adequate doses and a trial of adequate duration. Patients who do not respond to two medication trials are at risk for suicide and/or have a co-occurring substance use disorder may require: (a) a combination of medications coupled with psychotherapy; or (b) referral to mental health specialists to achie...
Source: Journal of the American Academy of Nurse Practitioners - June 23, 2009 Category: Nursing Authors: Janet Ambrogne Sobczak Tags: PRACTICE Source Type: journals

What do you mean you want me to teach, do research, engage in service, and clinical practice? Views from the trenches: The novice, the expertEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The purpose of this column is to explicate two points of view[mdash]the novice and the expert nurse practitioner (NP) faculty member, highlighting the importance of mentoring new faculty NP members into the diverse faculty roles relating to both general academic requirements and those particular roles related to NP education. For example, arranging clinical placements is one of the most important and time-consuming responsibilities of NP faculty. Learning to juggle all the roles is a challenge to new faculty members. Such mentoring may help alleviate the phenomenon of young faculty members leaving academia and returning to...
Source: Journal of the American Academy of Nurse Practitioners - June 23, 2009 Category: Nursing Authors: Joellen W. Hawkins, Holly Fontenot Tags: FELLOWS COLUMN Source Type: journals

Quality of life of adult patients with sickle cell diseaseEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: The average QOLS scores for healthy populations are 90. The overall mean QOL score in this study of 83.6 (SD = 13.2) was lower than those of the general population. In this study, scores ranged from 52 to 112. Approximately 35% (n = 22) of participants' scores ranged from 52 to 75; approximately 35% (n = 22) of participants' scores ranged from 75 to 85; and approximately 30% (n = 17) of participants' scores ranged from 85 to 112. Other results were nonsignificant for all variables except the variable that assessed the extent to which participants consider themselves to be spiritual. Future research is needed t...
Source: Journal of the American Academy of Nurse Practitioners - June 3, 2009 Category: Nursing Authors: Valerie Mann-Jiles, Diana Lynn Morris Tags: RESEARCH Source Type: journals

Stress-induced somatization in spouses of deployed and nondeployed servicemenEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Spouses of deployed servicemen had significantly higher perceived stress scores than spouses of nondeployed service members (p (Source: Journal of the American Academy of Nurse Practitioners)
Source: Journal of the American Academy of Nurse Practitioners - June 3, 2009 Category: Nursing Authors: Tracy Burton, David Farley, Anthony Rhea Tags: RESEARCH Source Type: journals

The mental health needs of refugee children: A review of literature and implications for nurse practitionersEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Review of the current literature suggests that while some refugee children will suffer poor mental health outcomes, such as post-traumatic stress disorder, depression, and anxiety, others may not. Several groups of researchers concluded that refugee children are actually a high functioning group. Many coping and protective factors as well as risk factors for poor outcomes have been identified by the research.Implications for practice: Because many refugee children will experience adverse psychosocial outcomes during the resettlement period, it is essential that the mental health screenings be performed during ...
Source: Journal of the American Academy of Nurse Practitioners - June 3, 2009 Category: Nursing Authors: Caitlin Crowley Tags: REVIEW Source Type: journals

Sensory processing disorder: Any of a nurse practitioner's business?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Sensory integration disorders have only begun to be defined during the past 35 years. They are not currently included in the DSM IV standard terminology, and are not yet substantively incorporated into most health disciplines' curricula or practice, including those of the NP.Implications for practice: NPs are in a unique position to test hypothesized terminology for Sensory Processing Disorder (SPD) by contributing precise clinical descriptions of children who match as well as deviate from the criteria for three proposed diagnostic groups: Sensory Modulation Disorder (SMD), Sensory Discrimination Disorder (SDD...
Source: Journal of the American Academy of Nurse Practitioners - June 3, 2009 Category: Nursing Authors: Mary W. Byrne Tags: PRACTICE Source Type: journals

Diarrhea A to Z: America to ZimbabweEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Because of ever-increasing international travel, immigration, and rising awareness of global health issues, NPs must be current on the prevention, diagnosis, and treatment of diarrhea.Implications for Practice: Increased awareness of diarrhea as a significant international health issue mandates that NPs counsel clients who travel to high-risk areas about preventive measures to avoid exposure or manage symptoms while traveling. Guidelines for evidence-based treatments of diarrheal illness are widely available and should be followed. (Source: Journal of the American Academy of Nurse Practitioners)
Source: Journal of the American Academy of Nurse Practitioners - June 3, 2009 Category: Nursing Authors: Lori A. Spies Tags: PRACTICE Source Type: journals

The U.S. Preventive Services Task Force: An evidence-based prevention resource for nurse practitionersEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: A core competency for NPs working in primary care is knowledge about and provision of appropriate preventive services for their patients. The U.S. Preventive Services Task Force, an independent panel of experts in prevention and primary care, is an important resource for NPs.Implications for Practice: NPs can use Task Force recommendations to guide their screening, counseling, and preventive medication decisions. They can also educate patients about the missed prevention opportunities related to underuse of effective services and the potential harms of overuse of inappropriate preventive services. (Source: Jou...
Source: Journal of the American Academy of Nurse Practitioners - June 1, 2009 Category: Nursing Authors: Tricia Trinite, Carol Loveland-Cherry, Lucy Marion Tags: RESOURCES FOR PRACTICE Source Type: journals

The unique role of advanced practice nurses at the National Institutes of Health: Results of a 2006 surveyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: In the 20 years they have been at NIH, the number of NPs has grown from less than 10 to more than 100. NIH NPs combine clinical research responsibilities with the provision of comprehensive medical management to patients enrolled on NIH protocols, blending clinical, research, educational, and administrative tasks into a unique and multifaceted role. There is a high level of satisfaction among NPs employed at the NIH, and they are considered an integral part of the research team.Implications for practice: This survey shows the variability in practice opportunities available to NPs in a research environment and t...
Source: Journal of the American Academy of Nurse Practitioners - May 31, 2009 Category: Nursing Authors: Dawn B. Wallerstedt, Janet Sangare, Linda D. Bartlett, Sheila F. Mahoney Tags: SPECIAL ARTICLE Source Type: journals

Examining the evidence for the use of vitamin C in the prophylaxis and treatment of the common coldEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Vitamin C is frequently used for the treatment and prophylaxis of the common cold; however, no published recommendations were found in a review of the nurse practitioner literature that specifically address the efficacy of vitamin C for the common cold. Our literature review revealed that vitamin C is not effective at preventing the common cold in the general adult population; however, it is effective at preventing colds when consumed regularly by athletes training in subarctic conditions. We also found that regular vitamin C consumption may reduce the duration of cold symptoms in both adults and children, but...
Source: Journal of the American Academy of Nurse Practitioners - May 1, 2009 Category: Nursing Authors: Kathryn A. Heimer, Ann Marie Hart, Linda Gore Martin, Sherrie Rubio-Wallace Tags: REVIEW Source Type: journals

Cervical cytology in vulnerable pregnant womenEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: This study provides information on the risk factors associated with abnormal Pap smears in pregnancy in a population at high risk. A significant relationship was seen between a positive marijuana toxicology screen and an abnormal Pap smear. In addition, the younger the patient age, the higher the probability of having a positive toxicology result. As expected, human papillomavirus (HPV) was the only sexually transmitted infection associated with an abnormal Pap smear in those that had reflex testing with liquid based cytology. Patients with primary care providers were much more likely to return for cervical ca...
Source: Journal of the American Academy of Nurse Practitioners - May 1, 2009 Category: Nursing Authors: Dianne M. Loomis, Patricia A. Pastore, Karol Rejman, Karen L. Gutierrez, Bridget Bethea Tags: RESEARCH Source Type: journals

The effects of nurse practitioner cultural competence on Latina patient satisfactionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Latina patients reported greater satisfaction with NPs of Latina origin who were certified, had received cultural competence training, could speak Spanish, and had attended master's level programs. Latina patients were also most satisfied with decreased clinic waiting time. The two NPs with the highest levels of cultural competency scores were non-Latinas. Noticeable differences were found in the amount of cultural competence exhibited by NPs.Implications for practice: The provision of culturally competent care leads to negotiation, mutual exchange of information, increased compliance, and improved patient-pro...
Source: Journal of the American Academy of Nurse Practitioners - May 1, 2009 Category: Nursing Authors: Anabell Castro, Ester Ruiz Tags: RESEARCH Source Type: journals

Breast cancer risk elements and nurse practitioners' knowledge, use, and perceived comfort level of breast cancer risk assessmentEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Assessing women's risk for the development of breast cancer is important in providing primary and secondary preventive strategies such as chemoprevention, lifestyle changes, and enhanced surveillance that may reduce a woman's risk for developing the disease. Although 51.4% of NPs reported providing breast cancer risk assessment, few (37%) reported use of family history or the Gail model (6%) to determine their patients' breast cancer risk. NPs' knowledge of breast cancer risk assessment and use of empiric risk assessment models were low. The majority (71%) of NPs felt uncomfortable or a low level of comfort in...
Source: Journal of the American Academy of Nurse Practitioners - May 1, 2009 Category: Nursing Authors: Quannetta T. Edwards, Ann Maradiegue, Diane Seibert, Sherri Saunders-Goldson, Susanne Humphreys Tags: RESEARCH Source Type: journals

Outpatient management of asthma in children age 5–11 years: Guidelines for practiceEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Recent research has revealed that children suffering from asthma in the United States are underdiagnosed and their asthma is poorly controlled. Compelling evidence supports that children classified as having persistent asthma following NAEPP-EPR3 guidelines benefit from daily inhaled corticosteroid therapy, yet many are misclassified and undertreated.Implications for practice: With application of current guidelines from NAEPP-EPR3, NPs can more effectively assess, diagnose, treat, and foster a collaborative self-management plan for children age 5[ndash]11 years. These interventions will result in an improved q...
Source: Journal of the American Academy of Nurse Practitioners - May 1, 2009 Category: Nursing Authors: Barbara Watts Tags: PRACTICE Source Type: journals

New tobacco trends: Waterpipe (hookah) smoking and implications for healthcare providersEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Waterpipe smoking is a new trend in tobacco use that is associated with multiple health problems, including addiction. Healthcare providers should be aware of new tobacco trends that may affect patients, such as waterpipe smoking, that are potential gateways to nicotine addiction.Implications for practice: Tobacco comes in many forms, all of which are addicting. Healthcare providers must be knowledgeable about new forms of tobacco to address all types of tobacco use with patients. Healthcare providers also have a responsibility to educate patients about the health risks inherent in these products to help preve...
Source: Journal of the American Academy of Nurse Practitioners - May 1, 2009 Category: Nursing Authors: Devon Noonan, Pamela A. Kulbok Tags: PRACTICE Source Type: journals