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 decision support tool through a mobile application for pharmacogenetics. METHODOLOGICAL ORIENTATION:A case study on a patient requiring pharmacogenetic testing was provided to the participants. The participants were given up to 30 minutes to identify the correct dosing in the clinical decision support tool based on clinical evidence-based guidelines. Immediately after the utilization of the mobile app, focus group interviews were conducted to identify the perceptions of the tool, obstacles associated with the tool, and suggestions for improvement of the tool. SAMPLE:Focus group interviews with 23 nurse practitioners and nurse practitioner students were conducted. Field notes and audio recordings were taken. CONCLUSIONS:Specific feedback for improvement in the font and size of text, color contrast, use of drug calculator, automatic input, and desire for further development of education portal were found within the data. The findings revealed useful feedback to adjust the prototype to improve the ease of use among nurse practitioners. IMPLICATIONS FOR PRACTICE:The revision of this mobile app will improve user friendliness to increase applicability within health care. The mobile app can be used for future research to identify improvements in patient outcomes after implementing this tool.
journal_name
J Am Assoc Nurse Practauthors
Dodson CH,Baker Edoi
10.1097/JXX.0000000000000392subject
Has Abstractpub_date
2020-02-04 00:00:00eissn
2327-6886issn
2327-6924pub_type
杂志文章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
更新日期:2018-03-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Overweight and obesity are sensitive issues to address with pediatric patients during any visit. Patients and families may not recognize that their child is overweight or obese and may not be ready to make change. The goals for this study were to collect overall statistics on the clinic in regard...
journal_title:Journal of the American Association of Nurse Practitioners
pub_type: 杂志文章
doi:10.1002/2327-6924.12463
更新日期:2017-07-01 00:00:00
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
更新日期:2020-04-01 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
pub_type: 杂志文章
doi:10.1002/2327-6924.12482
更新日期:2017-08-01 00:00:00
abstract:BACKGROUND:Despite the widely known and well-established benefits of advance care planning, it is estimated that 15-30% of American adults have completed advance directives (ADs). Evidence suggests that the best place for advance care planning (ACP) is in primary care, but many barriers to this practice exist. LOCAL P...
journal_title:Journal of the American Association of Nurse Practitioners
pub_type: 杂志文章
doi:10.1097/JXX.0000000000000289
更新日期:2020-10-01 00:00:00
abstract::Many studies are available in the literature considering effects of deployment on older school age and adolescent children, but less is known about the effects on younger children. The purpose of this study was to describe the experience of deployment/separation for military children aged 4-10 years from both the depl...
journal_title:Journal of the American Association of Nurse Practitioners
pub_type: 杂志文章
doi:10.1097/JXX.0000000000000543
更新日期:2020-11-16 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
pub_type: 杂志文章
doi:10.1002/2327-6924.12262
更新日期:2016-05-01 00:00:00
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
更新日期:2016-11-01 00:00:00
abstract::Although generic oral contraceptives (OCPs) can improve adherence and reduce health care expenditures, use of generic OCPs remains low, and the factors that affect generic prescribing are not well understood. We aimed to understand the barriers and facilitators of generic OCP prescribing and potential solutions to inc...
journal_title:Journal of the American Association of Nurse Practitioners
pub_type: 杂志文章
doi:10.1097/JXX.0000000000000349
更新日期:2020-01-01 00:00:00
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
更新日期:2019-08-01 00:00:00
abstract:PURPOSE:To explore rural parents' behaviors and expectations regarding acute respiratory infections (ARIs) in children. DATA SOURCES:A random digit dial telephone survey administered to 655 rural adults; 176 answered questions regarding care of their children. CONCLUSIONS:Increasing fluid intake was the action most p...
journal_title:Journal of the American Association of Nurse Practitioners
pub_type: 杂志文章
doi:10.1111/j.1745-7599.2012.00802.x
更新日期:2013-08-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Accessibility to health care services remains a global challenge, and this has affected the quality of services delivered. This has affected the quality of health care services. Poor accessibility to health care services in Tanzania has hindered the achievements of health care system goals. The d...
journal_title:Journal of the American Association of Nurse Practitioners
pub_type: 杂志文章
doi:10.1097/JXX.0000000000000168
更新日期:2019-09-01 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
pub_type: 杂志文章
doi:10.1097/JXX.0000000000000139
更新日期:2018-10-01 00:00:00
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
更新日期:2019-12-01 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
pub_type: 杂志文章,评审
doi:10.1002/2327-6924.12075
更新日期:2013-11-01 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
pub_type: 杂志文章
doi:10.1002/2327-6924.12526
更新日期:2017-12-01 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
pub_type: 杂志文章
doi:10.1002/2327-6924.12289
更新日期:2016-02-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Female athletes struggle harder than male athletes to lose body fat and maintain a leaner physique. The purpose of this study was to determine the effects of an educational and cognitive behavioral therapy (CBT)-based intervention on knowledge, body composition, anxiety, stress, and nutritional i...
journal_title:Journal of the American Association of Nurse Practitioners
pub_type: 杂志文章
doi:10.1002/2327-6924.12359
更新日期:2016-04-01 00:00:00
abstract:BACKGROUND:There are few opportunities for nurse practitioner (NP) students to develop relationships and exchange ideas with international counterparts. In addition, discovering differences in instructional pedagogy between programs is beneficial for every student. PURPOSE:To facilitate an international understanding ...
journal_title:Journal of the American Association of Nurse Practitioners
pub_type: 杂志文章
doi:10.1097/JXX.0000000000000525
更新日期:2021-01-08 00:00:00
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
更新日期:2020-04-16 00:00:00
abstract:PURPOSE:The TeLL Dating Violence Project was created by three advanced practice nurses to mitigate the risk of dating violence on a college campus through establishment of an innovative program of education and policy change. DATA SOURCES:Literature regarding dating and domestic violence and the subsequent health effe...
journal_title:Journal of the American Association of Nurse Practitioners
pub_type: 杂志文章
doi:10.1002/2327-6924.12095
更新日期:2014-03-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Although wound care guidelines are available for primary care providers, barriers to assessment and treatment remain. This article examines current evidence supporting wound management, wound guidelines, and provider comfort with wound management in primary care and discusses the need for improve...
journal_title:Journal of the American Association of Nurse Practitioners
pub_type: 杂志文章
doi:10.1097/JXX.0000000000000100
更新日期:2019-02-01 00:00:00
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
更新日期:2013-03-01 00:00:00
abstract:PURPOSE:To conduct a pilot survey to assess acceptance of mobile teledermoscopy (MTD) by primary care nurse practitioners (NPs) working in Arizona. DATA SOURCES:Sixty-two participants recruited from NP and academic listservs in Arizona completed an online survey prefaced by a MTD definition, device photographs, and a ...
journal_title:Journal of the American Association of Nurse Practitioners
pub_type: 杂志文章
doi:10.1002/2327-6924.12313
更新日期:2016-06-01 00:00:00
abstract:PURPOSE:To describe the challenges shared by schools of nursing and precepting institutions in meeting the clinical rotation requirements for nurse practitioner (NP) students. A formal process was developed to screen students and provide appropriate clinical placement with ongoing evaluations. Detailed description of a...
journal_title:Journal of the American Association of Nurse Practitioners
pub_type: 杂志文章
doi:10.1002/2327-6924.12265
更新日期:2015-12-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Communication about risk factors for diabetes between nurse practitioners and college students may not be occurring as the prevalence of Type 2 diabetes increases. The purpose of this secondary analysis was to evaluate if college students are being told of their risk for diabetes based on known r...
journal_title:Journal of the American Association of Nurse Practitioners
pub_type: 杂志文章
doi:10.1097/JXX.0000000000000051
更新日期:2018-07-01 00:00:00
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
更新日期:2014-04-01 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
pub_type: 杂志文章
doi:10.1002/2327-6924.12468
更新日期:2017-07-01 00:00:00
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
更新日期:2017-09-01 00:00:00
abstract:PURPOSE:The aim of the study was to assess hypertensive patients' self-care agency and any correlation with the patient's lifestyle changes and the nurse's degree of patient centeredness after counseling training. DATA SOURCES:Nurses in the intervention group (IG; n = 19) working at nurse-led clinics at health centers...
journal_title:Journal of the American Association of Nurse Practitioners
pub_type: 杂志文章,随机对照试验
doi:10.1002/2327-6924.12222
更新日期:2015-11-01 00:00:00