Relative value units in health care: Friend, foe, or necessary evil?

abstract：BACKGROUND AND PURPOSE:Caring for frail older adults is a significant healthcare concern as the frailest 10% of the population account for over 70% of healthcare expenditures. Research reveals the use of comprehensive models, such as Program of All-Inclusive Care for the Elderly (PACE), leads to improved functional out...

journal_title：Journal of the American Association of Nurse Practitioners

authors： Meunier MJ,Brant JM,Audet S,Dickerson D,Gransbery K,Ciemins EL

更新日期：2016-11-01 00:00:00

abstract：BACKGROUND/PURPOSE:The growth of advanced practice nursing specialties requires additional expertise for practice that goes beyond entry-level competencies, knowledge, skills, and abilities. A practice standards model for specialty nurse practitioners (PSMSNPs) is introduced that differentiates entry-to-practice popula...

journal_title：Journal of the American Association of Nurse Practitioners

authors： Ramirez E,Schumann L,Agan D,Hoyt KS,Wilbeck J,Tyler D,Evans DD

更新日期：2018-10-01 00:00:00

abstract：PURPOSE:To report and interpret findings from national pediatric nurse practitioner (PNP) job analysis surveys reflecting the changes in the knowledge and skills required for advanced practice. DATA SOURCES:National role delineation studies (RDS) conducted by American Nurses Credentialing Center (ANCC) in 2003, 2008, ...

journal_title：Journal of the American Association of Nurse Practitioners

authors： Aruda MM,Griffin VJ,Schartz K,Geist M

更新日期：2016-02-01 00:00:00

abstract：BACKGROUND AND PURPOSE:The past two decades brought changes in cervical cancer screening guidelines. Frequent modifications and earlier lack of agreement about recommendations created confusion. The purpose of this study was to explore to what extent advanced practice nurses (APNs) adopted cervical cancer screening gui...

journal_title：Journal of the American Association of Nurse Practitioners

authors： Cappiello JD,Boardman M

更新日期：2018-02-01 00:00:00

abstract：BACKGROUND AND PURPOSE:Since development of the nurse practitioner (NP) role, NPs have been advocating for policy allowing them to practice to the full extent of their training. The aim of this research was to determine whether passage of the Affordable Care Act (ACA) had an impact on expansion of NPs' scope of practic...

journal_title：Journal of the American Association of Nurse Practitioners

authors： Brom HM,Salsberry PJ,Graham MC

更新日期：2018-03-01 00:00:00

abstract：PURPOSE:Guidelines for the prevention and treatment of cardiovascular disease (CVD) have recently changed. Goals of these guidelines have shifted to the promotion of health and control of risk rather than solely on treatment of CVD. This article summarizes the six new cardiovascular screening, prevention, and treatment...

journal_title：Journal of the American Association of Nurse Practitioners

authors： Lefler LL,Hadley M,Tackett J,Thomason AP

更新日期：2016-05-01 00:00:00

abstract：PURPOSE:To enhance outcomes of patients with chronic noncancer pain (CNCP) treated with opioids in a primary care setting by implementing an evidence-based quality improvement project. DATA SOURCES:The project consisted of the implementation of a 6-week cognitive behavioral therapy (CBT) program. Twenty-two patients w...

journal_title：Journal of the American Association of Nurse Practitioners

authors： Whitten SK,Stanik-Hutt J

更新日期：2013-07-01 00:00:00

abstract：BACKGROUND:Evidence shows that 95%-98% of individuals who undergo a diet for weight loss purposes will gain back their weight within 5 years. LOCAL PROBLEM:No standardized method exists to assess weight loss maintenance (WLM) behavior competencies in patients who lose weight within a telehealth nutritional counseling ...

journal_title：Journal of the American Association of Nurse Practitioners

authors： Brunacini K

更新日期：2019-12-01 00:00:00

abstract：PURPOSE:The aim of two national studies was to identify characteristics of nurse practitioners (NPs) who precept and the benefits, incentives, and barriers associated with the NP preceptor role. METHODS:Stratified randomized sampling was used to invite a representative number of NPs from each state to participate in a...

journal_title：Journal of the American Association of Nurse Practitioners

authors： Roberts ME,Wheeler KJ,Tyler DO,Padden DL

更新日期：2017-08-01 00:00:00

abstract：PURPOSE:To provide an overview of the current feeding tubes in use in the pediatric population including feeding tube complications, and specific guidance for patients at the initiation, throughout the use of, and at the discontinuation of tube feeding. DATA SOURCES:A review of the literature was performed using multi...

journal_title：Journal of the American Association of Nurse Practitioners

authors： Hannah E,John RM

更新日期：2013-11-01 00:00:00

abstract：BACKGROUND AND PURPOSE:Long-acting reversible contraception (LARC) is one of the most effective forms of contraception available. The utilization of LARC remains low despite being recommended by major health organizations such as Centers for Disease Control and Prevention, American Congress of Obstetricians and Gynecol...

journal_title：Journal of the American Association of Nurse Practitioners

authors： Phillips J,Sandhu P

更新日期：2018-04-01 00:00:00

abstract：BACKGROUND AND PURPOSE:To explore the experience of committing medical error from the perspective of nurse practitioners (NPs). Overall, the purpose of the study is to discern NPs' behaviors, perceptions, and coping mechanisms in response to having made a medical error. METHODS:Qualitative research based on two face-t...

journal_title：Journal of the American Association of Nurse Practitioners

authors： Delacroix R

更新日期：2017-07-01 00:00:00

abstract：BACKGROUND AND PURPOSE:A large degree of variation in clinical practice exists among clinicians evaluating and treating individuals with minor head injuries. Noncontrast head computerized tomography (CT) scans are commonly used to assess for intracranial damage in patients presenting with head injury. This practice is ...

journal_title：Journal of the American Association of Nurse Practitioners

authors： Zakhari R,Sterrett SE

更新日期：2016-12-01 00:00:00

abstract：:Primary care practitioners (PCPs) are playing an increasingly important role in the management and care of psoriasis. Thus, it is important for PCPs to be knowledgeable about the disease and to be able to differentiate between common myths and facts related to diagnosis and treatment. By building relationships with th...

journal_title：Journal of the American Association of Nurse Practitioners

authors： Young M,Aldredge L,Parker P

更新日期：2017-03-01 00:00:00

abstract：PURPOSE:The intracerebral hemorrhage (ICH) score utilizes a 0- to 6-point scoring system to predict 30-day mortality in ICH patients. The purpose of this analysis was to (a) validate the ICH score in an international, heterogeneous population of ICH patients; and (b) assess the usefulness of a 72-h ICH score. DATA SOU...

journal_title：Journal of the American Association of Nurse Practitioners

authors： Meyer DM,Begtrup K,Grotta JC,Recombinant Activated Factor VII Intracerebral Hemorrhage Trial Investigators.

更新日期：2015-07-01 00:00:00

abstract：PURPOSE:Nurse practitioners (NPs) are in a prime position to educate women about initial signs and symptoms of ovarian cancer (OC) and perform appropriate screening tests. However, little is known about NPs knowledge regarding OC. This article's purpose is to present the outcomes of a focused OC awareness program for N...

journal_title：Journal of the American Association of Nurse Practitioners

authors： Loerzel VW,Hunt D,Rash E

更新日期：2015-03-01 00:00:00

abstract：:Expert nurse practitioners (NPs) grounded in clinical practice are needed to prepare the future NPs. This article discusses key considerations for moving from the role of expert clinician to nurse educator. The considerations for making the move to the educator role including reflection on rewards associated with teac...

journal_title：Journal of the American Association of Nurse Practitioners

authors： Marfell J,Mc Mullen PC,Onieal ME,Scheibmeir M,Hawkins-Walsh E

更新日期：2017-08-01 00:00:00

abstract：BACKGROUND:Atherosclerotic cardiovascular disease is the leading cause of morbidity and mortality for people with type 2 diabetes mellitus (T2DM). Previous pharmacological management recommendations focused primarily on glucose lowering. However, new data demonstrate that select glucagon-like peptide 1 receptor agonist...

journal_title：Journal of the American Association of Nurse Practitioners

authors： Battise DM,Olin JL

更新日期：2020-10-23 00:00:00

abstract：OBJECTIVE:To explore negative self-evaluation following weight loss surgery (WLS). METHODS:In-depth interviews were conducted with 11 women who had WLS. Thematic analysis was conducted through an iterative process, allowing categories and themes to emerge. To ensure rigor, two coders analyzed the data. Data were colle...

journal_title：Journal of the American Association of Nurse Practitioners

authors： Alegría CA,Larsen B

更新日期：2015-03-01 00:00:00

abstract：BACKGROUND AND PURPOSE:Demand for primary care services is rising. Nurse practitioners (NPs) serve vital roles in meeting primary care demands. Workforce planning requires understanding NP retirement intentions. This study examines factors that relate to NPs, aged 55 years and older, and their intent to retire within 5...

journal_title：Journal of the American Association of Nurse Practitioners

authors： Falk NL,Rudner N,Chapa D,Greene J

更新日期：2017-03-01 00:00:00

abstract：PURPOSE:Vitamin D deficiency and asthma share risk factors. Epidemiologists suggest that the U.S. prevalence of Vitamin D deficiency has increased as a result of the Westernization of culture and less time spent outdoors. Numerous studies support a patient's Vitamin D deficiency as a contributing cause to increased ast...

journal_title：Journal of the American Association of Nurse Practitioners

authors： Rance K

更新日期：2014-05-01 00:00:00

abstract：PURPOSE:To describe an intervention among overweight and obese hypertensive patients, encouraging Dietary Approaches to Stop Hypertension (DASH) diet and lifestyle changes, designed and led by a primary care nurse practitioner (NP). DATA SOURCES:A pre- and postintervention quasi-experimental time-series design was imp...

journal_title：Journal of the American Association of Nurse Practitioners

authors： Jarl J,Tolentino JC,James K,Clark MJ,Ryan M

更新日期：2014-09-01 00:00:00

abstract：:The evaluation of new-onset seizure activity must raise a much broader differential than just epilepsy. This case study highlights that broad differential and identifies an important, but less common, cause of seizure activity in specific patient populations. Information is summarized from recent primary research, cas...

journal_title：Journal of the American Association of Nurse Practitioners

authors： Gersch K,Spencer TR

更新日期：2020-12-01 00:00:00

abstract：BACKGROUND AND PURPOSE:Weight loss is recommended as first-line therapy for many chronic illnesses, including obesity. Most patients who do successfully lose weight are unable to maintain their reduced weight. Recent research findings are reviewed and synthesized to explain the biology of obesity, adaptation to weight ...

journal_title：Journal of the American Association of Nurse Practitioners

authors： Rogge MM,Gautam B

更新日期：2017-10-01 00:00:00

abstract：BACKGROUND:Syphilis staging is important to determine treatment, post-treatment monitoring, and sexual partner follow-up. Many prescribers find syphilis staging to be challenging. Current guidelines for the management of patients diagnosed with syphilis provide little direction aside from an overview of some common sym...

journal_title：Journal of the American Association of Nurse Practitioners

authors： Orser L,OʼByrne P,Bourgault A,Scherling N

更新日期：2020-02-20 00:00:00

abstract：BACKGROUND:Postgraduate programs, specialized academic programs, and national health organizations such as the Institute of Medicine (IOM) have identified and begun addressing the gap in knowledge, skills, and factors for successful transition into practice. PURPOSE:The purpose of this study is to examine the relation...

journal_title：Journal of the American Association of Nurse Practitioners

authors： Soco C,Simonovich SD,Dillon D,Bishop-Royse J,Lattner C

更新日期：2020-09-01 00:00:00

abstract：BACKGROUND AND PURPOSE:Few nurse practitioner (NP) programs include an after-hours/on-call component in their clinical preparation of NP students. This role is expected in many primary and specialty care practices, and is one that students feel unprepared to competently navigate. METHODS:Utilizing simulated callers as...

journal_title：Journal of the American Association of Nurse Practitioners

authors： Kelly MM,Blunt E,Nestor K

更新日期：2017-12-01 00:00:00

abstract：BACKGROUND AND PURPOSE:Chronic diseases such as heart disease, type 2 diabetes, and obesity disproportionately affect minority adults, including African Americans. Engaging in lifestyle changes such as improving dietary habits and increasing physical activity can decrease the incidence and severity of these chronic dis...

journal_title：Journal of the American Association of Nurse Practitioners

authors： Downes LS,Buchholz SW,Bruster B,Girimurugan SB,Fogg LF,Frock MS

更新日期：2019-04-01 00:00:00

abstract：:Obesity is a chronic, progressive, relapsing disease that impairs health and quality of life and shortens lifespan. Genetic and environmental factors contribute to its development and persistence. If left untreated, it worsens and leads to serious health consequences for those affected, as well as their offspring and ...

journal_title：Journal of the American Association of Nurse Practitioners

authors： Christensen S

更新日期：2020-07-01 00:00:00

abstract：PURPOSE:Over 250,000 bariatric surgical procedures for the management of morbid obesity are performed in the United States annually. The Roux-en-Y gastric bypass (RYGB) is an effective bariatric procedure because of its efficacy in achieving significant weight loss, low complication rates, and outcomes in reducing card...

journal_title：Journal of the American Association of Nurse Practitioners

authors： Sahebzamani FM,Berarducci A,Murr MM

更新日期：2013-12-01 00:00:00