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 Gynecologists, American Academy of Pediatrics, American Academy of Family Physicians, and the National Committee for Quality Assurance. Health care professionals play an essential role in the potential increased use of LARC. This review aims to highlight key barriers to the utilization of LARC and discuss interventions to address this issue. METHODS:A systematic review of 14 peer-reviewed articles focused on LARC utilization rates that help identify barriers to the utilization of LARC in current education and practice. Articles were evaluated for strength of research design using the Johns Hopkins Nursing Evidence-Based Practice Research Evidence Appraisal tool. CONCLUSIONS:Three categories affecting LARC utilization emerged: deficits in provider education/competency, lack of hands-on training, and barriers to practice. IMPLICATIONS FOR PRACTICE:The importance of including LARC training and education in the advanced practice nursing curriculum and providing opportunities for continuing education with LARC is demonstrated.
journal_name
J Am Assoc Nurse Practauthors
Phillips J,Sandhu Pdoi
10.1097/JXX.0000000000000019subject
Has Abstractpub_date
2018-04-01 00:00:00pages
236-243issue
4eissn
2327-6886issn
2327-6924pii
01741002-201804000-00007journal_volume
30pub_type
杂志文章,评审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: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:PURPOSE:To present case studies of a 36-year-old woman and a 73-year-old man who presented with the syndrome of acromegaly, and to provide primary care nurse practitioners (NPs) with the understanding of the clinical and laboratory features needed for early recognition and treatment of this fascinating disease. DATA S...
journal_title:Journal of the American Association of Nurse Practitioners
pub_type: 杂志文章
doi:10.1002/2327-6924.12076
更新日期:2014-03-01 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::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: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::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: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
更新日期:2015-09-01 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: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: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::Genetic and genomic information has the potential to improve patient care and outcomes by improving clinicians' ability to identify patients at increased risk of disease and, in some cases, personalize treatment and management. However, many clinicians report that they feel unprepared and lack confidence in talking ab...
journal_title:Journal of the American Association of Nurse Practitioners
pub_type: 杂志文章
doi:10.1097/JXX.0000000000000182
更新日期:2019-01-01 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: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
pub_type: 杂志文章
doi:10.1002/2327-6924.12402
更新日期:2016-12-01 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: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::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
更新日期:2020-07-29 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: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: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: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
pub_type: 杂志文章
doi:10.1002/2327-6924.12158
更新日期:2015-03-01 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::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::Our health care landscape is rapidly changing. With the aging population and seemingly increasing outbreak of communicable diseases, it is expected that there will be a continued demand for inpatient/critical care providers. The current COVID-19 pandemic provides a glimpse of a health care system in severe provider sh...
journal_title:Journal of the American Association of Nurse Practitioners
pub_type: 杂志文章
doi:10.1097/JXX.0000000000000448
更新日期:2020-06-01 00:00:00
abstract:PURPOSE:To evaluate if pharmacogenetic testing (PT) holds value for pain-management practitioners by identifying the potential applications of pharmacogenetic research as well as applications in practice. DATA SOURCES:A review of the literature was conducted utilizing the databases EBSCOhost, Biomedical Reference Coll...
journal_title:Journal of the American Association of Nurse Practitioners
pub_type: 杂志文章
doi:10.1002/2327-6924.12154
更新日期:2014-10-01 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
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: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: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: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: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
更新日期:2020-02-04 00:00:00