Variations in follow-up after atrial fibrillation ablation.

Abstract:

BACKGROUND:A multidisciplinary patient-centered approach using evidence-based care is recommended in recent atrial fibrillation (AF) guidelines to achieve quality patient outcomes. Professional society guidelines are conflicting and vague in recommendations on timing of follow-up after AF ablation. PURPOSE:The aim of this secondary analysis was to examine whether the type and timing of follow-up care after AF ablation affected patient outcomes. METHODS:A 2-year, longitudinal, pilot study to explore patient experiences during the first 6 months following an AF ablation was conducted. Patients completed surveys and phone interviews before ablation, and at 1, 3, and 6 months after the ablation. Pearson correlations and repeated-measures analysis of variance were used for comparison of outcomes over time. RESULTS:The sample (N = 20) had a mean age of 65 (± 7) years, was 55% female, 35% paroxysmal AF, and 65% persistent AF pre-ablation. Timing of follow-up visits following AF ablation varied widely. Patients reported many concerns and difficulties reflecting the lack of knowledge and unrealistic expectations of post-ablation recovery. Better outcomes were noted in those who were seen at 1-week post-ablation by a nurse practitioner (NP) compared with those who were not seen until 1 or 3 months after ablation by a physician. IMPLICATIONS FOR PRACTICE:Atrial fibrillation ablation is routinely performed in the United States, yet there seems to be a lack of standardization concerning the type and timing of follow-up care after AF ablation. These preliminary findings support a standardized approach to include an NP visit at one week after AF ablation to achieve quality AF patient outcomes.

journal_name

J Am Assoc Nurse Pract

authors

Wood KA,Barnes AH

doi

10.1097/JXX.0000000000000424

subject

Has Abstract

pub_date

2020-05-06 00:00:00

eissn

2327-6886

issn

2327-6924

pub_type

杂志文章
  • Everything the nurse practitioner should know about pediatric feeding tubes.

    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

    pub_type: 杂志文章,评审

    doi:10.1002/2327-6924.12075

    authors: Hannah E,John RM

    更新日期:2013-11-01 00:00:00

  • An integrative review of nurse practitioner education models: Part three of a four-part series on critical topics identified by the 2015 Nurse Practitioner Research Agenda.

    abstract:BACKGROUND AND PURPOSE:Critical research topics were identified after nurse practitioner (NP) organization stakeholders participated in the Fellows of the American Association of Nurse Practitioner, 2015 Nurse Practitioner Research Agenda Roundtable. Strategies and recommendations were identified to support further wor...

    journal_title:Journal of the American Association of Nurse Practitioners

    pub_type: 杂志文章,评审

    doi:10.1097/JXX.0000000000000150

    authors: Kostas-Polston EA,Rawlett K,Miedema J,Dickins K

    更新日期:2018-12-01 00:00:00

  • Research translation and the evolving PhD and DNP practice roles: A collaborative call for nurse practitioners.

    abstract::Doctoral prepared nurse practitioners (NPs) are uniquely positioned for responsible leadership as essential members of the health care system and have a professional responsibility to contribute to research and clinical inquiry initiatives that advance health care delivery and improve outcomes. Academic preparation of...

    journal_title:Journal of the American Association of Nurse Practitioners

    pub_type: 杂志文章

    doi:10.1097/JXX.0000000000000266

    authors: Falkenberg-Olson AC

    更新日期:2019-08-01 00:00:00

  • Exploring the experience of nurse practitioners who have committed medical errors: A phenomenological approach.

    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

    pub_type: 杂志文章

    doi:10.1002/2327-6924.12468

    authors: Delacroix R

    更新日期:2017-07-01 00:00:00

  • Delivery of a community-based nutrition education program for minority adults.

    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

    pub_type: 杂志文章

    doi:10.1097/JXX.0000000000000144

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

    更新日期:2019-04-01 00:00:00

  • Use of direct oral anticoagulants for stroke prevention in elderly patients with nonvalvular atrial fibrillation.

    abstract:BACKGROUND AND PURPOSE:Four direct oral anticoagulants (DOACs) are available for the prevention of stroke in nonvalvular atrial fibrillation (NVAF): dabigatran (a direct thrombin inhibitor); and rivaroxaban, apixaban, and edoxaban (factor Xa inhibitors). This article summarizes the safety and efficacy of DOACs for the ...

    journal_title:Journal of the American Association of Nurse Practitioners

    pub_type: 杂志文章,评审

    doi:10.1002/2327-6924.12494

    authors: Oertel LB,Fogerty AE

    更新日期:2017-09-01 00:00:00

  • Leveraging health care reform to accelerate nurse practitioner full practice authority.

    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

    pub_type: 杂志文章

    doi:10.1097/JXX.0000000000000023

    authors: Brom HM,Salsberry PJ,Graham MC

    更新日期:2018-03-01 00:00:00

  • Evaluation of early wound leakage as a risk factor for prosthetic joint infection.

    abstract:BACKGROUND AND PURPOSE:Prosthetic joint infection (PJI) is a serious complication resulting from total knee arthroplasty (TKA) or total hip arthroplasty (THA). In this study, patients with a PJI are compared with patients with an uncomplicated postoperative course to identify relevant risk factors for PJI. METHODS:A m...

    journal_title:Journal of the American Association of Nurse Practitioners

    pub_type: 杂志文章

    doi:10.1097/JXX.0000000000000159

    authors: Kremers K,Leijtens B,Camps S,Tostmann A,Koëter S,Voss A

    更新日期:2019-06-05 00:00:00

  • Development of an advanced practice preceptor evaluation tool.

    abstract:BACKGROUND:Preceptors are essential in advanced practice registered nurse (APRN) and physician assistant (PA) fellowships; however, no tools exist for fellows to evaluate their preceptor. PURPOSE:The study's purpose was to examine the use of a modified preceptor evaluation tool (PET) in a new population APRNs and PAs ...

    journal_title:Journal of the American Association of Nurse Practitioners

    pub_type: 杂志文章

    doi:10.1097/JXX.0000000000000501

    authors: Klein CJ,Chan GK,Pierce L,Van Keuren-Parent K,Cooling M

    更新日期:2020-09-23 00:00:00

  • Unmet needs in the acute treatment of migraine attacks and the emerging role of calcitonin gene-related peptide receptor antagonists: An integrative review.

    abstract:BACKGROUND:Migraine is a prevalent and chronic disease associated with high rates of disability and significant financial and socioeconomic burden. Current acute treatments for migraine attacks include both migraine-specific (e.g., triptans, ergotamines) and nonspecific (e.g., nonsteroidal anti-inflammatory drugs) medi...

    journal_title:Journal of the American Association of Nurse Practitioners

    pub_type: 杂志文章

    doi:10.1097/JXX.0000000000000397

    authors: Mallick-Searle T,Moriarty M

    更新日期:2020-04-16 00:00:00

  • The changing landscape of nephrology physician assistants and nurse practitioners.

    abstract:BACKGROUND:Physician assistants (PAs) and nurse practitioners (NPs) have expanded roles in nephrology as both the patient load and acuity of care needed for this population have increased. PURPOSE:To evaluate workforce patterns of PAs and NPs working in nephrology over the past decade. METHODS:Using the biannual surv...

    journal_title:Journal of the American Association of Nurse Practitioners

    pub_type: 杂志文章

    doi:10.1097/JXX.0000000000000490

    authors: Davis J,Zuber K

    更新日期:2021-01-01 00:00:00

  • Organizational climate in primary care settings: implications for nurse practitioner practice.

    abstract:PURPOSE:The purpose of this review is to investigate literature related to organizational climate, define organizational climate, and identify its domains for nurse practitioner (NP) practice in primary care settings. DATA SOURCES:A search was conducted using MEDLINE, PubMed, HealthSTAR/Ovid, ISI Web of Science, and s...

    journal_title:Journal of the American Association of Nurse Practitioners

    pub_type: 杂志文章,评审

    doi:10.1111/j.1745-7599.2012.00765.x

    authors: Poghosyan L,Nannini A,Clarke S

    更新日期:2013-03-01 00:00:00

  • Malabsorption anemia and iron supplement induced constipation in post-Roux-en-Y gastric bypass (RYGB) patients.

    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

    pub_type: 杂志文章,评审

    doi:10.1002/2327-6924.12079

    authors: Sahebzamani FM,Berarducci A,Murr MM

    更新日期:2013-12-01 00:00:00

  • The nurse practitioner role in treating the homeless and rough-sleeper population.

    abstract::Homelessness has always existed worldwide and it presents challenges to society. Delivering health care can be challenging but relationships can be built by starting with wound care, a common problem. Often, the homeless and rough-sleepers need expert attention from caring individuals. However, this population does no...

    journal_title:Journal of the American Association of Nurse Practitioners

    pub_type: 杂志文章

    doi:10.1097/JXX.0000000000000391

    authors: Kirkland-Kyhn H

    更新日期:2020-04-01 00:00:00

  • Nurse practitioners and intent to retire.

    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

    pub_type: 杂志文章

    doi:10.1002/2327-6924.12406

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

    更新日期:2017-03-01 00:00:00

  • Improving the rate of colorectal cancer screening with the "80% in every community" campaign.

    abstract::Colorectal cancer (CRC) ranks third in both cancer diagnoses and cancer-related deaths in men and women in the United States. Fortunately, both incidence and deaths have declined due to the increased use of CRC screening to find and remove precancerous polyps and to diagnose CRC at earlier, more treatable stages. Deat...

    journal_title:Journal of the American Association of Nurse Practitioners

    pub_type: 杂志文章

    doi:10.1097/JXX.0000000000000465

    authors: Morrow L,Greenwald B

    更新日期:2020-07-29 00:00:00

  • MedManage: The development of a tool to assist medication reconciliation in a rural primary care clinic.

    abstract:BACKGROUND:Medication reconciliation is a critical step in the health care process to prevent hospital readmission, adverse drug events, and fall prevention. The purpose of the study was to pilot test a medication reconciliation process, MedManage, informed by the Medications at Transitions and Clinical Handoffs (MATCH...

    journal_title:Journal of the American Association of Nurse Practitioners

    pub_type: 杂志文章

    doi:10.1097/JXX.0000000000000197

    authors: Jarrett T,Cochran J,Baus A,Delmar K

    更新日期:2019-12-01 00:00:00

  • A Pap test does not screen for everything: nurse practitioner knowledge of ovarian cancer.

    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

    pub_type: 杂志文章

    doi:10.1002/2327-6924.12151

    authors: Loerzel VW,Hunt D,Rash E

    更新日期:2015-03-01 00:00:00

  • Recognizing obesity as a disease.

    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

    pub_type: 杂志文章

    doi:10.1097/JXX.0000000000000482

    authors: Christensen S

    更新日期:2020-07-01 00:00:00

  • Treating chronic pain and opioid misuse disorder among underserved populations in Colorado.

    abstract::The increased use of prescription opioids has resulted in widespread misuse. As a result, more than 40,000 Americans lost their lives to opiate overdose in 2016 alone. These data have led to a national movement focused on appropriate opioid prescribing practices. The Centers for Disease Control and Prevention (CDC) de...

    journal_title:Journal of the American Association of Nurse Practitioners

    pub_type: 杂志文章

    doi:10.1097/JXX.0000000000000238

    authors: Medina R,Sorrell T,Techau A,Weiss J

    更新日期:2019-12-01 00:00:00

  • Improving diabetes outcomes by an innovative group visit model: a pilot study.

    abstract:PURPOSE:To develop a group visit model that improves A1C, blood pressure, lipids, depression, and satisfaction among patients with diabetes that can be used in primary care practice settings. DATA SOURCES:Using a pre/post-test descriptive design, data were collected from 22 adult patients of a private family practice ...

    journal_title:Journal of the American Association of Nurse Practitioners

    pub_type: 临床试验,杂志文章

    doi:10.1111/j.1745-7599.2012.00796.x

    authors: Riley SB

    更新日期:2013-09-01 00:00:00

  • Revisiting the freshman "15": assessing body mass index in the first college year and beyond.

    abstract:PURPOSE:The purpose of this study was to examine body mass index (BMI) of college freshmen and compare with BMI in senior or graduate year of school. DATA SOURCES:A convenience sample was drawn from health records of students at a small private university in the northeast United States. BMIs were calculated for those ...

    journal_title:Journal of the American Association of Nurse Practitioners

    pub_type: 杂志文章

    doi:10.1002/2327-6924.12108

    authors: Nicoteri JA,Miskovsky MJ

    更新日期:2014-04-01 00:00:00

  • Factors influencing breast cancer screening and risk assessment among young African American women: An integrative review of the literature.

    abstract:PURPOSE:This integrative review was conducted to examine factors that influence mammography screening and use of cancer genetic services among younger African American women at increased risk for developing breast cancer. DATA SOURCES:Research articles were identified using PubMed, CINAHL, PsychINFO, and Cochrane libr...

    journal_title:Journal of the American Association of Nurse Practitioners

    pub_type: 杂志文章,评审

    doi:10.1002/2327-6924.12223

    authors: Jones TP,Katapodi MC,Lockhart JS

    更新日期:2015-09-01 00:00:00

  • Infant anaphylaxis: Diagnostic and treatment challenges.

    abstract::Immediate administration of intramuscular epinephrine to a patient experiencing anaphylaxis is the first-line therapy for this life-threatening allergic reaction. Alhough anaphylaxis is generally a rare occurrence, it has dire consequences if left untreated. In infants, anaphylaxis is typically triggered by exposure t...

    journal_title:Journal of the American Association of Nurse Practitioners

    pub_type: 杂志文章

    doi:10.1097/JXX.0000000000000386

    authors: Shroba JA

    更新日期:2020-02-01 00:00:00

  • Focus group testing of a mobile app for pharmacogenetic-guided dosing.

    abstract:BACKGROUND:A common barrier to implementation of precision medicine is the lack of use of published clinical practice guidelines. Consequently, a user-friendly mechanism to easily adopt these guidelines is imperative. PURPOSE:The purpose of this study was to evaluate the perceptions of a prototype of a clinical decisi...

    journal_title:Journal of the American Association of Nurse Practitioners

    pub_type: 杂志文章

    doi:10.1097/JXX.0000000000000392

    authors: Dodson CH,Baker E

    更新日期:2020-02-04 00:00:00

  • Implementation of a virtual patient-centered weight loss maintenance behavior competency assessment in adults with obesity.

    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

    pub_type: 杂志文章

    doi:10.1097/JXX.0000000000000192

    authors: Brunacini K

    更新日期:2019-12-01 00:00:00

  • Life after PACE (Program of All-Inclusive Care for the Elderly): A retrospective/prospective, qualitative analysis of the impact of closing a nurse practitioner centered PACE site.

    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

    pub_type: 杂志文章

    doi:10.1002/2327-6924.12379

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

    更新日期:2016-11-01 00:00:00

  • Autonomy of nurse practitioners in primary care: An integrative review.

    abstract:PURPOSE:This integrative review of the existing literature was conducted to identify dimensions related to nurse practitioner (NP) autonomy and to recommend future areas of research related to the important topic of NP autonomy in this era of cost-conscious healthcare reform. DATA SOURCES:Articles were identified from...

    journal_title:Journal of the American Association of Nurse Practitioners

    pub_type: 杂志文章,评审

    doi:10.1002/2327-6924.12288

    authors: Choi M,De Gagne JC

    更新日期:2016-03-01 00:00:00

  • After-hours/on-call experience during primary care nurse practitioner education utilizing standard scenarios and simulated patients.

    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

    pub_type: 杂志文章

    doi:10.1002/2327-6924.12526

    authors: Kelly MM,Blunt E,Nestor K

    更新日期:2017-12-01 00:00:00

  • Evolving role of pediatric nurse practitioners.

    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

    pub_type: 杂志文章

    doi:10.1002/2327-6924.12289

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

    更新日期:2016-02-01 00:00:00