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) developed its Guidelines for Prescribing Opioids for Chronic Pain (2017), a template for pain management and substance assessment in primary care. These CDC guidelines aim to prevent misuse/deaths and early identification of substance use disorders. Although the guidelines are appropriate for initiation of opioid therapy, they are not sufficient to manage patients who have already developed misuse disorders. Other modalities such as medication-assisted treatment (MAT) have been described as beneficial for patients with high risk for or who have an opioid misuse disorder. This article builds on the CDC's 2017 advisory document by applying it in praxis: first, non-opioid medication therapy options and nonmedication therapy options are explored; next, a case study is presented of an integrated primary care-managed patient who presented with both chronic pain and established opioid use disorder. Although the CDC guidelines were not followed in the patient's initial prescription opioid treatment regimen, those guidelines were used as a starting point for follow-up treatment, helping both to assess the patient's risk for opioid misuse disorder and to determine that MAT was an appropriate method of treatment.
journal_name
J Am Assoc Nurse Practauthors
Medina R,Sorrell T,Techau A,Weiss Jdoi
10.1097/JXX.0000000000000238subject
Has Abstractpub_date
2019-12-01 00:00:00pages
766-772issue
12eissn
2327-6886issn
2327-6924journal_volume
31pub_type
杂志文章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:PURPOSE:The purpose of this article is to present the Arrow Framework for Research Design, an organizing framework that facilitates teaching and learning of research methods, providing logical organization of interrelationships between concepts, content, and context of research methods, and practice application. The Ar...
journal_title:Journal of the American Association of Nurse Practitioners
pub_type: 杂志文章
doi:10.1002/2327-6924.12080
更新日期:2014-01-01 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
pub_type: 杂志文章
doi:10.1002/2327-6924.12262
更新日期:2016-05-01 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: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
更新日期:2017-03-01 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: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: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: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:To provide an overview of irritable bowel syndrome (IBS), specifically the efficacy and tolerability of treatment options for diarrhea-predominant IBS (IBS-D). DATA SOURCES:Research articles available via PubMed were reviewed. CONCLUSIONS:IBS is a chronic multifactorial disorder that has a negative impact on ...
journal_title:Journal of the American Association of Nurse Practitioners
pub_type: 杂志文章,评审
doi:10.1002/2327-6924.12387
更新日期:2016-07-01 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
pub_type: 杂志文章
doi:10.1002/2327-6924.12151
更新日期:2015-03-01 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:INTRODUCTION:Advanced pediatric nurse practitioners (APNPs) working in acute settings are represented in pediatric hospitals, clinics, and wards around the world. They work independently and autonomously. The aim of this study was to compare the role of APNPs in four different countries to gain knowledge on the qualifi...
journal_title:Journal of the American Association of Nurse Practitioners
pub_type: 杂志文章
doi:10.1097/JXX.0000000000000252
更新日期:2019-12-01 00:00:00
abstract::Alcohol and substance-related disorders affect individuals throughout the global community. It is important that nurse practitioners understand the use of screening, brief intervention, and referral to treatment (SBIRT) in recognizing these disorders before development of chronic disease conditions. The SBIRT curricul...
journal_title:Journal of the American Association of Nurse Practitioners
pub_type: 杂志文章
doi:10.1097/JXX.0000000000000423
更新日期:2020-05-21 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
pub_type: 杂志文章
doi:10.1002/2327-6924.12124
更新日期:2014-09-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Criteria for admission to nurse practitioner (NP) and other professional programs provide a snapshot of students' potential for success in those programs. Critical examination of admission criteria is a vital component of ensuring timely matriculation and completion of NP programs. The purpose of...
journal_title:Journal of the American Association of Nurse Practitioners
pub_type: 杂志文章
doi:10.1002/2327-6924.12502
更新日期:2017-10-01 00:00:00
abstract:PURPOSE:To explore current studies on metabolic syndrome (MetS), including its complex pathophysiology and to describe the unique role of the advanced practice nurse including management and ethical decision making utilizing a case study to exemplify salient points. DATA SOURCES:From original research articles extract...
journal_title:Journal of the American Association of Nurse Practitioners
pub_type: 杂志文章,评审
doi:10.1002/2327-6924.12048
更新日期:2013-12-01 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: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:Identifying the locations of advanced practice registered nurses (APRNs) in the state is challenging without data readily available, which can adversely affect stakeholder initiatives. The purpose of this project was to develop an online interactive map reflecting distribution of APRNs licensed b...
journal_title:Journal of the American Association of Nurse Practitioners
pub_type: 杂志文章
doi:10.1097/JXX.0000000000000091
更新日期:2019-01-01 00:00:00
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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: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
pub_type: 杂志文章
doi:10.1097/JXX.0000000000000500
更新日期:2020-09-01 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
pub_type: 杂志文章
doi:10.1111/j.1745-7599.2012.00800.x
更新日期:2013-07-01 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: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
更新日期:2013-12-01 00:00:00
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
更新日期:2019-06-05 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
pub_type: 杂志文章
doi:10.1002/2327-6924.12504
更新日期:2017-10-01 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
pub_type: 杂志文章
doi:10.1097/JXX.0000000000000144
更新日期:2019-04-01 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: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