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1.
J Am Assoc Nurse Pract ; 33(2): 97-99, 2021 Feb 09.
Artigo em Inglês | MEDLINE | ID: mdl-33560749

RESUMO

ABSTRACT: The year 2020 was one of tremendous challenge and change for our communities and our profession. As the next decade unfolds, the doctor of nursing practice (DNP) will be required for entry to practice as a nurse practitioner (NP), and we will all continue to recover individually and as a nation from the experiences of the year 2020. Doctor of nursing practice-prepared NPs need to be equipped to take the lead in post-COVID recovery and the challenges the US health care system faces through an increased emphasis on curricula and clinical experiences focused on health disparities, community health, and health promotion.


Assuntos
/enfermagem , Currículo , Educação de Pós-Graduação em Enfermagem/organização & administração , Profissionais de Enfermagem/educação , Profissionais de Enfermagem/normas , Cuidados de Enfermagem/normas , Guias de Prática Clínica como Assunto , Adulto , Competência Clínica , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Estados Unidos
2.
J Am Assoc Nurse Pract ; 33(1): 2-4, 2021 Jan 01.
Artigo em Inglês | MEDLINE | ID: mdl-33395028

RESUMO

ABSTRACT: JAANP Fellow Dr. Leslie-Faith Morritt Taub, NYU Adult-Gerontology Primary Care Program Director, describes the emotional, political, and social impact of COVID-19 on one graduating cohort of nurse practitioner (NP) students at New York University and one incoming cohort of students. Through the lens of a seasoned professor she describes the changes to her teaching methods because she leads these students through the course work and clinical work required to take on the role of the NP in the midst of a global pandemic in the heart of New York City.


Assuntos
/psicologia , Profissionais de Enfermagem/educação , Profissionais de Enfermagem/psicologia , Estudantes de Enfermagem/psicologia , /enfermagem , Humanos , New York , Estados Unidos
3.
Pediatrics ; 146(4)2020 10.
Artigo em Inglês | MEDLINE | ID: mdl-32989082

RESUMO

OBJECTIVES: We tested a Public Health Service 5As-based clinician-delivered smoking cessation counseling intervention with adolescent smokers in pediatric primary care practice. METHODS: We enrolled clinicians from 120 practices and recruited youth (age ≥14) from the American Academy of Pediatrics Pediatric Research in Office Settings practice-based research network. Practices were randomly assigned to training in smoking cessation (intervention) or social media counseling (attentional control). Youth recruited during clinical visits completed confidential screening forms. All self-reported smokers and a random sample of nonsmokers were offered enrollment and interviewed by phone at 4 to 6 weeks, 6 months, and 12 months after visits. Measures included adolescents' report of clinicians' delivery of screening and counseling, current tobacco use, and cessation behaviors and intentions. Analysis assessed receipt of screening and counseling, predictors of receiving 5As counseling, and effects of interventions on smoking behaviors and cessation at 6 and 12 months. RESULTS: Clinicians trained in the 5As intervention delivered more screening (ß = 1.0605, P < .0001) and counseling (ß = 0.4354, P < .0001). In both arms, clinicians more often screened smokers than nonsmokers. At 6 months, study arm was not significantly associated with successful cessation; however, smokers in the 5As group were more likely to have quit at 12 months. Addicted smokers more often were counseled, regardless of study arm, but were less likely to successfully quit smoking. CONCLUSIONS: Adolescent smokers whose clinicians were trained in 5As were more likely to receive smoking screening and counseling than controls, but the ability of this intervention to help adolescents quit smoking was limited.


Assuntos
Aconselhamento/educação , Motivação , Abandono do Hábito de Fumar/psicologia , Adolescente , Feminino , Humanos , Masculino , não Fumantes/estatística & dados numéricos , Profissionais de Enfermagem/educação , Pediatras/educação , Assistentes Médicos/educação , Fumantes/estatística & dados numéricos , Fumar
5.
J Am Assoc Nurse Pract ; 32(6): 416-418, 2020 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-32511190

RESUMO

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 shortage. Adult-gerontology acute nurse practitioners (GACNPs) can play a vital part in relieving that shortage. But with the increased role, there is an increased responsibility and need for expansion of AGACNP skill set. This includes the training and utilization of point-of-care ultrasound (POCUS). The case reports and data available from countries that have already combated COVID-19 outbreak show POCUS can play a key part in managing critically ill patients on isolation precautions. This article provides my perspective on POCUS training and competency achievement for AGACNPPs.


Assuntos
Competência Clínica/normas , Enfermagem Geriátrica/normas , Profissionais de Enfermagem/educação , Sistemas Automatizados de Assistência Junto ao Leito/normas , Ultrassonografia/normas , Idoso , Idoso de 80 Anos ou mais , Betacoronavirus , Infecções por Coronavirus/prevenção & controle , Cuidados Críticos/normas , Avaliação Geriátrica/estatística & dados numéricos , Humanos , Pandemias/prevenção & controle , Pneumonia Viral/prevenção & controle
6.
Nurs Outlook ; 68(4): 385-387, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32593461

RESUMO

Nurse practitioner (NP) employment in specialty practice areas, such as subspecialty ambulatory practices and inpatient units is growing substantially. The Consensus Model provides guidelines to help states aligning NP education and certification with specialty practice area. Despite expansion of the Consensus Model, significant misalignment exists between specialty NPs' education, certification, and practice location. Therefore, further implementation of the Consensus Model across states could have significant impact on health systems and NPs working in specialty settings. More than 10 years after its introduction, it is time to evaluate the policy and practice implications of the Consensus Model. Important next steps include examination of the impact of the Consensus Model and how to help health systems with alignment when and if the Model is more widely implemented.


Assuntos
Certificação/estatística & dados numéricos , Consenso , Emprego/estatística & dados numéricos , Profissionais de Enfermagem/educação , Profissionais de Enfermagem/normas , Padrões de Prática em Enfermagem/estatística & dados numéricos , Padrões de Prática em Enfermagem/normas , Adulto , Certificação/normas , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Modelos de Enfermagem , Estados Unidos
7.
Nurs Clin North Am ; 55(2): 163-174, 2020 06.
Artigo em Inglês | MEDLINE | ID: mdl-32389251

RESUMO

Nurse practitioners (NPs) play an increasingly greater role in the delivery of orthopedic patient care. NPs practice in a wide variety of orthopedic settings having a significant positive impact on orthopedic care delivery. Few formal educational outlets exist for training NPs for orthopedic care. Many new orthopedic NPs rely on continuing education and an apprenticeship model of learning "on the job" with their surgeon counterparts. This article describes the preparation, role, and impact that today's NPs have on orthopedic care delivery.


Assuntos
Prática Avançada de Enfermagem , Doenças Musculoesqueléticas/enfermagem , Profissionais de Enfermagem , Humanos , Profissionais de Enfermagem/educação , Papel do Profissional de Enfermagem , Pesquisa em Avaliação de Enfermagem , Ortopedia/organização & administração
9.
Womens Health Issues ; 30(3): 167-175, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32334910

RESUMO

OBJECTIVES: We examined advanced practice clinicians' (APCs: nurse practitioners [NPs], certified nurse midwives [CNMs], physician assistants) interest in training to provide medication and aspiration abortion in Colorado, where abortion provision by APCs is legal. METHODS: We surveyed a stratified random sample of APCs, oversampling women's health (CNMs/women's health nurse practitioners [WHNPs]) and rural APCs. We examined prevalence and predictors of interest in abortion training using weighted χ2 tests. RESULTS: Of 512 participants (21% response), the weighted sample is 50% NPs, 41% physician assistants, and 9% CNMs/WHNPs; 55% provide primary care. Only 12% are aware they can legally provide abortion. A minority of participants disagree that medication abortion (15%) or aspiration abortion (25%) should be in APC scope of practice. Almost one-third (29%) are interested in medication abortion training and 16% are possibly interested; interest is highest among CNMs/WHNPs (52%) (p < .01). Interest in aspiration abortion training is 15% with another 11% who are possibly interested; interest is highest among CNMs/WHNPs (34%) (p < .01). There are no significant differences in abortion training interest by rural practice location or by receipt of abortion education in graduate school. Participants not interested in medication and aspiration abortion training cited abortion being outside their specialty practice scope (44% and 38%, respectively) and religious or personal objections (42% and 34%). Among clinicians interested in medication abortion training, 33% believe their clinical facility is likely to allow them to provide this service, compared with 16% for aspiration abortion. CONCLUSIONS: Interest in abortion training among Colorado APCs is substantial. However, facility barriers to abortion provision must be addressed to increase abortion access with APCs.


Assuntos
Aborto Induzido/educação , Conhecimentos, Atitudes e Prática em Saúde , Enfermeiras Obstétricas/educação , Profissionais de Enfermagem/educação , Assistentes Médicos/educação , Colorado , Feminino , Humanos , Masculino , Gravidez , População Rural , Inquéritos e Questionários
11.
J Am Assoc Nurse Pract ; 32(3): 187-189, 2020 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-32132455

RESUMO

Academic and health care institutions are charged with improving quality-of-care outcomes by creating culturally educated health care professionals to practice in a global health care environment. International short-term service learning experiences provide nurse practitioner students an opportunity to meet clinical competency skills aligned with course curricula. Faculty can directly observe students' clinical practice, and students broaden diagnostic reasoning skills while earning credit for clinical hours. As project and research ideas are formulated, students develop system-level thinking to implement evidence-based practices and disseminate their knowledge and experience of caring for the underserved. Students who participate in service-learning opportunities foster their awareness of cultural humility, easing transition into practice. Some academic institutions established short-term service-learning opportunities for students, and evidence supports faculty and students' sense of well-being after participation. We describe an example of a short-term, international service-learning opportunity in Haiti where students work with an interprofessional team and experience the effect of social determinants of health on delivering quality care.


Assuntos
Competência Cultural/psicologia , Educação Continuada em Enfermagem/métodos , Internacionalidade , Profissionais de Enfermagem/educação , Estudantes de Enfermagem/psicologia , Humanos , Profissionais de Enfermagem/psicologia , Profissionais de Enfermagem/estatística & dados numéricos , Estudantes de Enfermagem/estatística & dados numéricos , Ensino/psicologia , Ensino/normas
12.
J Am Assoc Nurse Pract ; 32(3): 200-217, 2020 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-32132457

RESUMO

BACKGROUND: Competency-based education (CBE) has been recommended for nurse practitioner (NP) education. To implement CBE, existing NP core competencies need to be reduced in number and refined. PURPOSE: This study refined and reduced redundancy in the National Organization of Nurse Practitioner Faculties (NONPF) and the American Association of Colleges of Nursing (AACN) NP core competencies through the consensus of experts in NP practice. This study used the current NP Core Competencies (NONPF, 2017), the Essentials of Doctoral Education for Advanced Nursing Practice (AACN, 2006), and the Common Advanced Practice Registered Nurse Doctoral-Level Competencies (AACN, 2017a) because these documents are the competencies-accredited NP programs commonly used in curriculum development. The primary aim of this study was to refine and reduce redundancy of these competencies; a secondary aim was to ensure that the final competencies were clear and measurable. METHODS: A Delphi approach was used to reach consensus among an expert panel who reviewed the core competencies via an online questionnaire. Descriptive statistics were used to calculate median and interquartile ranges; content analysis was conducted with qualitative data. RESULTS: Consensus was reached after 3 rounds and resulted in 49 final core competencies. IMPLICATIONS FOR PRACTICE: This study provides the NP community with a manageable list of relevant, clear, and measurable competencies that faculty members can use to implement CBE in their programs.


Assuntos
Competência Clínica/estatística & dados numéricos , Educação de Pós-Graduação em Enfermagem/métodos , Profissionais de Enfermagem/educação , Currículo/normas , Currículo/tendências , Técnica Delfos , Educação de Pós-Graduação em Enfermagem/tendências , Humanos , Profissionais de Enfermagem/normas , Profissionais de Enfermagem/estatística & dados numéricos , Inquéritos e Questionários
14.
PLoS One ; 15(3): e0229895, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32150584

RESUMO

BACKGROUND: Neonatal nurse practitioners are often the front line providers in discussing unexpected news with parents. This study seeks to evaluate whether a simulation based Difficult Conversations Workshop for neonatal nurse practitioners leads to improved skills in conducting difficult conversations. METHODS: We performed a randomized controlled study of a simulation based Difficult Conversations Workshop for neonatal nurse practitioners (n = 13) in a regional level IV neonatal intensive care unit to test the hypothesis that this intervention would improve communication skills. A simulated test conversation was performed after the workshop by the intervention group and before the workshop by the control group. Two independent blinded content experts scored each conversation using a quantitative communication skills performance checklist and by assigning an empathy score. Standard statistical analysis was performed. RESULTS: Randomization occurred as follows: n = 5 to the intervention group, n = 7 to the control group. All participants were analyzed in each group. Participation in the simulation based Difficult Conversations Workshop increases participants' empathy score (p = 0.015) and the use of communication skills (p = 0.013) in a simulated clinical encounter. CONCLUSIONS: Our study demonstrates that a lecture and simulation based Difficult Conversations Workshop for neonatal nurse practitioners improves objective communication skills and empathy in conducting difficult conversations.


Assuntos
Comunicação , Empatia , Relações Enfermeiro-Paciente , Humanos , Recém-Nascido , Unidades de Terapia Intensiva Neonatal , Profissionais de Enfermagem/educação , Pais , Estudos Prospectivos
15.
Nurse Pract ; 45(4): 42-47, 2020 04.
Artigo em Inglês | MEDLINE | ID: mdl-32205674

RESUMO

NP organizations can complement academic programs by providing DNP students with experiential learning and mentorship. This article focuses on a regional NP organization that provided mentoring to DNP students who joined their leadership board. Students gained leadership, advocacy, policy, and advanced practice experience, and the organization experienced growth and innovation.


Assuntos
Educação de Pós-Graduação em Enfermagem/organização & administração , Empoderamento , Mentores , Profissionais de Enfermagem/educação , Sociedades de Enfermagem/organização & administração , Estudantes de Enfermagem/psicologia , Humanos , Liderança , Aprendizagem Baseada em Problemas , Estados Unidos
16.
PLoS One ; 15(2): e0228372, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32027686

RESUMO

Social media is increasingly utilized as a resource in healthcare. We sought to identify perceptions of using social media as an educational tool among healthcare practitioners. An electronic survey was distributed to healthcare administrators, nurses, nurse practitioners, pharmacists, physicians, and physician assistants f hospital systems and affiliated health science schools in Georgia, Maryland, South Carolina, and Wisconsin. Survey questions evaluated respondents' use and views of social media for educational purposes and workplace accessibility using a Likert scale (1 = strongly disagree, 5 = strongly agree). Nurses (75%), pharmacists (11%), and administrators (7%) were the most frequent respondents. Facebook® (27%), Pinterest® (17%), and Instagram® (17%) were the most frequently accessed social media platforms. Nearly 85% agreed or strongly agreed that social media can be an effective tool for educational purposes. Among those who had social media platforms, 43.0% use them for educational purposes. Pinterest® (30%), Facebook® (22%), LinkedIn® (16%), and Twitter® (14%) were most frequently used for education. About 50% of respondents had limited or no access to social media at work. Administrators, those with unlimited and limited work access, and respondents aged 20-29 and 30-39 years were more likely to agree that social media is an educational tool (OR: 3.41 (95% CI 1.31 to 8.84), 4.18 (95% CI 2.30 to 7.60), 1.66 (95% CI 1.22 to 2.25), 4.40 (95% CI 2.80 to 6.92), 2.14 (95% CI 1.53 to 3.01) respectively). Residents, physicians, and those with unlimited access were less likely to agree with allowing social media access at work for educational purposes only. Healthcare practitioners frequently utilize social media, and many believe it can be an effective educational tool in healthcare.


Assuntos
Educação Continuada/métodos , Pessoal de Saúde , Percepção , Mídias Sociais , Adulto , Feminino , Georgia/epidemiologia , Pessoal de Saúde/educação , Pessoal de Saúde/psicologia , Pessoal de Saúde/estatística & dados numéricos , Humanos , Disseminação de Informação/métodos , Internato e Residência/estatística & dados numéricos , Masculino , Maryland/epidemiologia , Profissionais de Enfermagem/educação , Profissionais de Enfermagem/psicologia , Profissionais de Enfermagem/estatística & dados numéricos , Farmacêuticos/psicologia , Farmacêuticos/estatística & dados numéricos , Assistentes Médicos/educação , Assistentes Médicos/psicologia , Assistentes Médicos/estatística & dados numéricos , Médicos/psicologia , Médicos/estatística & dados numéricos , Mídias Sociais/normas , South Carolina/epidemiologia , Inquéritos e Questionários , Wisconsin/epidemiologia , Adulto Jovem
17.
Nurse Pract ; 45(3): 44-49, 2020 03.
Artigo em Inglês | MEDLINE | ID: mdl-32068657

RESUMO

NP educators are challenged to ensure their students have opportunities to learn how to apply skills within a telehealth context. This article presents an integration of telehealth into clinical learning, depicting the connectedness possible when a healthcare professional and patient are challenged by geographic distance.


Assuntos
Educação de Pós-Graduação em Enfermagem/organização & administração , Profissionais de Enfermagem/educação , Treinamento por Simulação/organização & administração , Telemedicina/organização & administração , Austrália , Humanos , Pesquisa em Educação de Enfermagem
18.
J Forensic Nurs ; 16(1): 22-28, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32068676

RESUMO

INTRODUCTION: The need for trauma care and forensic services is among the top five reasons for seeking healthcare in the United States. Critical aspects of caring for a forensic patient include early recognition of the need for implementing forensic approaches to care: assessment, evidence collection and preservation, and forensic documentation. The intent of this study was to examine fundamental forensic knowledge and perceived ability of graduate-level emergency nurse practitioner students. METHODS: The study was designed to assess fundamental forensic knowledge of graduate-level emergency nurse practitioners using a pretest-and-posttest prospective design utilizing simulation. RESULTS: Students showed an increase in their knowledge of forensic nursing concepts from pretest to posttest (t(39) = 9.63, p < 0.001). In addition, there was an increase in students' perceived ability (confidence) to recognize the forensic aspects of patient care. Two unexpected findings were revealed during debriefing. Although the students were interested in gaining forensic knowledge, they felt it was more important to know when to refer a patient rather than to gain the requisite knowledge to perform forensic functions on their own. Furthermore, students developed an awareness of how their previous clinical experiences influenced their care. CONCLUSION: Findings from this study will inform further development of graduate-level nursing education to include forensic and multidisciplinary simulation exercises.


Assuntos
Competência Clínica , Enfermagem em Emergência , Enfermagem Forense/educação , Profissionais de Enfermagem/educação , Treinamento por Simulação , Avaliação Educacional , Feminino , Humanos , Masculino , Estudos Prospectivos
20.
IEEE Trans Haptics ; 13(1): 183-190, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-31985441

RESUMO

Sphincter tone examination, as part of digital rectal examination (DRE), can provide essential information to support the early detection of colorectal cancer. Mastering DRE skills for junior doctors is always challenging due to the lack of real training cases. In this article, we developed a soft pneumatic active actuator,made of a compound of silicone rubber materials, to mimic human sphincter muscles and simulate various anal sphincter tones for the purpose of training. Different pumping actuation (syringe and bellows) and driving mechanisms (linear, stepper, and servo motor) were implemented and compared for their effect on the rendered tones. A further comparison was made with a previous prototype based on a cable-driven mechanism. Both quantitative and qualitative assessments were conducted to evaluate the performance of each mechanism. A differential pressure sensor was used to measure applied pressure on a catheter balloon placed inside the sphincter, comparing the readings with anorectal manometry data obtained from real patients. Qualitative feedback was gathered through a user study with ten colorectal expert practitioners. Four questions were asked targeting reaction/response time, pressure level, pressure quality, and similarity to a real case. The results show the capacity and limitation of each mechanism, with the one based on a servo motor and a bellows being the most favourably rated.


Assuntos
Canal Anal , Exame Retal Digital/instrumentação , Exame Retal Digital/métodos , Retroalimentação Sensorial , Percepção do Tato , Desenho de Equipamento , Humanos , Profissionais de Enfermagem/educação
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