Abstract:
BACKGROUND:Radiographic neuroimaging in minor pediatric head injuries contains risks of radiation-induced malignancy. The Pediatric Emergency Care Applied Research Network (PECARN) head injury protocol identifies head-injured children who are at very low risk of clinically important traumatic brain injuries and can safely not receive a head computed tomography (CT) scan. LOCAL PROBLEM:The identified urgent care facility had no facility-wide protocol to manage head injuries. METHODS:The purpose of the evidence-based practice project was to educate health care providers on the risks of indiscriminate head CT prescription and the utility of the PECARN head injury protocol in the management of minor pediatric head injuries. INTERVENTIONS:A knowledge assessment was conducted using pre- and posttests and the likelihood to adopt the PECARN head injury protocol in clinical practice was evaluated using the Evidence-Based Practice Attitude Scale. Additionally, rates of head CT scans ordered that were inappropriate according to the PECARN head injury protocol were calculated postproject and compared with preproject rates. RESULTS:Data analysis was performed using descriptive statistics. Findings included increase in provider knowledge on the use of the PECARN head injury protocol and high likelihood of intent to adopt the PECARN head injury protocol in clinical practice. In addition, rates of head CT prescription postproject were lower than preproject rates, and 82.61% of CT scans ordered postproject were appropriate according to the PECARN head injury protocol. CONCLUSIONS:Using the PECARN head injury protocol was associated with consistency of care, reduced unnecessary health care resource utilization, and health care costs.
journal_name
J Am Assoc Nurse Practauthors
Zarchi TBdoi
10.1097/JXX.0000000000000208subject
Has Abstractpub_date
2020-02-01 00:00:00pages
168-175issue
2eissn
2327-6886issn
2327-6924journal_volume
32pub_type
杂志文章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
pub_type: 杂志文章
doi:10.1097/JXX.0000000000000003
更新日期:2018-02-01 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: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::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
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doi:10.1097/JXX.0000000000000543
更新日期:2020-11-16 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
pub_type: 杂志文章
doi:10.1097/JXX.0000000000000192
更新日期:2019-12-01 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
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doi:10.1002/2327-6924.12198
更新日期:2015-07-01 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
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doi:10.1097/JXX.0000000000000500
更新日期:2020-09-01 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
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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
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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: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
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doi:10.1002/2327-6924.12468
更新日期:2017-07-01 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
pub_type: 杂志文章
doi:10.1097/JXX.0000000000000516
更新日期:2020-10-23 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
pub_type: 杂志文章
doi:10.1097/JXX.0000000000000331
更新日期:2020-12-01 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
pub_type: 杂志文章
doi:10.1097/JXX.0000000000000144
更新日期:2019-04-01 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::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
pub_type: 杂志文章,评审
doi:10.1002/2327-6924.12443
更新日期:2017-03-01 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
pub_type: 杂志文章
doi:10.1002/2327-6924.12489
更新日期:2017-08-01 00:00:00
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 ...
journal_title:Journal of the American Association of Nurse Practitioners
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更新日期:2020-05-06 00:00:00
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journal_title:Journal of the American Association of Nurse Practitioners
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doi:10.1097/JXX.0000000000000482
更新日期:2020-07-01 00:00:00
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journal_title:Journal of the American Association of Nurse Practitioners
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更新日期:2020-07-29 00:00:00
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journal_title:Journal of the American Association of Nurse Practitioners
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更新日期:2019-02-01 00:00:00
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journal_title:Journal of the American Association of Nurse Practitioners
pub_type: 杂志文章
doi:10.1097/JXX.0000000000000396
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journal_title:Journal of the American Association of Nurse Practitioners
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doi:10.1097/JXX.0000000000000197
更新日期:2019-12-01 00:00:00
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journal_title:Journal of the American Association of Nurse Practitioners
pub_type: 杂志文章
doi:10.1097/JXX.0000000000000515
更新日期:2020-09-01 00:00:00
abstract::Idiopathic anaphylaxis (IA), like immunologic and nonimmunologic anaphylaxis, is a life-threatening, sometimes fatal allergic disease. Although the priority is immediate recognition and initiation of treatment, long-term care planning is important to help reduce anxiety and promote healthy growth and development. Lear...
journal_title:Journal of the American Association of Nurse Practitioners
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doi:10.1097/JXX.0000000000000221
更新日期:2020-01-01 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
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journal_title:Journal of the American Association of Nurse Practitioners
pub_type: 杂志文章,评审
doi:10.1097/JXX.0000000000000106
更新日期:2019-02-01 00:00:00
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journal_title:Journal of the American Association of Nurse Practitioners
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更新日期:2020-10-01 00:00:00
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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
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journal_title:Journal of the American Association of Nurse Practitioners
pub_type: 杂志文章
doi:10.1002/2327-6924.12379
更新日期:2016-11-01 00:00:00