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Supplemental Digital Content is Available in the Text. There is a wide variation in the curricular emphasis and implementation nationally across programs for teaching quality improvement (QI) in family nurse practitioner (FNP) programs. This variation among curriculum plans often leaves NP graduates unsure as to how to identify and effect change within their organizations. This manuscript describes the development of an initial QI curriculum and subsequent enhancements over a 3-year time frame and outlines the curriculum development process, implementation, and program outcomes within an FNP residency program. This report also focuses on the importance of reinforcing the role of QI within the personal identity of the FNP, ensuring quality care to patients. [ABSTRACT FROM AUTHOR]

Aim: To illuminate nurses' experiences of communicating with families in home health care. Design: A qualitative inductive approach. Background: An increasing number of ageing and sick people are being granted home health care. Nurses' duties involve caring for both patients and their families, which includes the important task of meeting and talking with them. Methods: Fourteen registered nurses working in home health care in Sweden participated in individual narrative semistructured interviews. The interviews were analysed with content analysis. To make sure all components of the study were clear, the Standards for Reporting Qualitative Research checklist was used as a guide. Result: Communication with families was viewed as a crucial action for building rapport to facilitate the involvement and support of families in difficult situations. The nurses highlighted the struggles they sometimes faced in communication when they found it difficult to reach the family. When the communication was supportive for the family, the nurses felt that they were empowering the family members to empower themselves. Conclusion: This study highlights the vital role of communication in home health care nursing. Effective communication fosters trust and enables nurses to meet family needs. Implications for the Profession: Effective communication between nurses and families in home health care is crucial from a health care perspective. Building reciprocal relationships fosters trust, enabling nurses to efficiently identify and address family needs and enhancing the quality of care. Patient or Public Contribution: No patient or public contribution. [ABSTRACT FROM AUTHOR]

ABSTRACT Aim To illuminate nurses' experiences of communicating with families in home health care. Design A qualitative inductive approach. Background An increasing number of ageing and sick people are being granted home health care. Nurses' duties involve caring for both patients and their families, which includes the important task of meeting and talking with them. Methods Fourteen registered nurses working in home health care in Sweden participated in individual narrative semistructured interviews. The interviews were analysed with content analysis. To make sure all components of the study were clear, the Standards for Reporting Qualitative Research checklist was used as a guide. Result Communication with families was viewed as a crucial action for building rapport to facilitate the involvement and support of families in difficult situations. The nurses highlighted the struggles they sometimes faced in communication when they found it difficult to reach the family. When the communication was supportive for the family, the nurses felt that they were empowering the family members to empower themselves. Conclusion This study highlights the vital role of communication in home health care nursing. Effective communication fosters trust and enables nurses to meet family needs. Implications for the Profession Effective communication between nurses and families in home health care is crucial from a health care perspective. Building reciprocal relationships fosters trust, enabling nurses to efficiently identify and address family needs and enhancing the quality of care. Patient or Public Contribution No patient or public contribution.

AbstractMotivation is defined as human effort, striving, stimulation process for successful work, and achievement of organizational goals. The purpose of the research is to study the factors determining the motivation and job satisfaction of primary healthcare personnel in Georgia. The relevance of the issue is indicated by the poorly development of the primary healthcare system in Georgia, which is confirmed by the fact that the number of referrals to outpatient medical institutions is 3.6 per capita per year, while it reaches 7.5 in European countries. A quantitative study was conducted in this research. As a result of the research, it was determined that motivation and job satisfaction are complex constructs. The following main factors that influence the job satisfaction of employees in primary care organizations were identified: individual characteristics, financial and non-financial incentives, organizational structures and processes, including supervision, leadership, fairness, and responsibility for the distribution of resources, staff dynamics, and team cohesion, relationships with colleagues and management, relationships with patients, intellectual stimulation, opportunities for continuing medical education. A family physician’s and family nurse practitioner’s job satisfaction significantly improves the services and has a positive impact on the patient’s well-being. Health policymakers and managers need to critically analyze the importance of providing additional incentives. In order to improve the job satisfaction of primary health care workers, in addition to salary, special emphasis should be placed on supporting family life, creating decent living conditions, adequate free time, educational prospects, and better opportunities for professional development and promotion. [ABSTRACT FROM AUTHOR]

Aim. The primary purpose was to map the opinions and experiences nurses acquired during the COVID-19 pandemic, identify significant problems that need to be addressed before the next pandemic, and determine the prestige of nurses before and during the COVID-19 pandemic. Material and methods. The design was descriptive and cross-sectional. A representative sample using sociological research methods was conducted using a non-standardized questionnaire. The sample of nurses was constructed using quota sampling; its structure corresponded to the composition of the overall nursing population in terms of age, sex, and region. The sample consisted of 1197 nurses. Results. The most significant changes reported by nurses during this period include increased physical workload (89.6%), changes in social (88.4%), and personal lives (76.7%). According to respondents, the prestige of their profession increased during the pandemic compared to the period before the COVID-19 pandemic. Based on the two-tailed t-test, the prestige of the nursing profession increased statistically significantly during the COVID-19 pandemic compared to the pre-pandemic period. Conclusions. During the COVID-19 pandemic, nurses experienced increased physical stress and changes in their social and personal lives. However, the prestige of nurses increased due to their crucial role in the fight against the pandemic. [ABSTRACT FROM AUTHOR]

Introduction: In health professionals, skills that allow them to deal with their own emotions and those of others guarantee the quality of care provided and an effective therapeutic relationship. Hence, they are fundamental for nurses, namely for those who work in family health units. Objective: To analyze the relationship between the emotional competence of nurses working in family health units in a group of health centers in the north of Portugal and their sociodemographic and professional characteristics. Method: Quantitative methodology, of the transversal descriptive-correlational type. Data collected through an electronic questionnaire that consisted of two parts: sociodemographic and professional characteristics of the participants and emotional competence questionnaire. 66 nurses composed the sample. Results: The nurses in the study showed high levels of emotional competence (mean = 205.1, standard deviation = 20.9). There were no statistically significant differences between sociodemographic and professional characteristics and emotional competence. Conclusions: Although the relationship between emotional competence and sociodemographic and professional characteristics is unclear, the importance of emotional intelligence in care practice is certain. [ABSTRACT FROM AUTHOR]

Objective: To analyze nurses' perception of autonomy to exercise their practices in the context of primary health care. Methods: A descriptive study with a qualitative approach that analyzed 108 interviews carried out with nurses from the four capitals of the southeastern region of Brazil. The interviews, guided by a semi-structured script, were recorded and transcribed. The data produced were processed and explored with the help of the NVIVO® software. Results: Most of the participants were women, white, lived in the same city where they work, and graduated from private institutions. Two categories were organized: repercussions of autonomy and its consequences for solving users' health needs; and (lack of) knowledge about the regulation of nursing practices: challenges for autonomy. Conclusion: Nurses understand the importance of autonomy for their practices, but they face interference in their daily work, either by management, the structure of services or the need for protocols that guarantee the exercise of their professional activity. [ABSTRACT FROM AUTHOR]

Background: The study of nursing workload is of interest because inadequate workload impacts the quality of care, patient satisfaction, professional health, and organizational outcomes. Objective: To identify predictors of nursing workload in the diabetes surveillance consultation. Methodology: A descriptive cross-sectional study was conducted using a quantitative approach. A sample of 242 people diagnosed with diabetes mellitus and 44 nurses was used. Data were collected through self-completion by the nurses who participated in the study. Results: The predictors of workload are distributed between care and non-care interventions. In the care domain, the assessing, monitoring, and educating interventions have the highest predictive value. The non-care interventions are care documentation and continuity of care procedures. The workload is reflected in the time spent carrying out the interventions, with a mean consultation time of 44.4 minutes. Conclusion: Care interventions have the highest predictive value for nursing workload, but the non-care domain should be considered. [ABSTRACT FROM AUTHOR]

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ABSTRACT Objective: to develop, in a participatory way, an educational technology to assist nurses in the management of tuberculosis cases in Primary Health Care. Methods: methodological research with a qualitative approach. Data were collected between June and October 2022, in 25 Basic Health Units, with 41 nurses interviewed individually. Thematic content analysis was carried out to guide technology elaboration. Results: three empirical categories were organized, demonstrating the facilities and difficulties in tuberculosis management, the conceptions about educational technology as a facilitator of the teaching-learning process in Primary Health Care and participatory development of technology. Nurses were in favor of constructing an instructional guide technology, and made suggestions to encourage its creation and use in daily service routine. Final considerations: the participatory process made it possible to create technology to assist nurses in the teaching-learning process in Primary Health Care about caring for people with tuberculosis.

Copyright of Revista Foco (Interdisciplinary Studies Journal) is the property of Revista Foco and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Purpose: Policymakers are increasingly interested in using nurse practitioners (NPs) to provide health care to rural populations, yet little is known about NP autonomy and physician collaboration. The purpose of this study was to examine NP autonomy and collaboration with physicians based on practice setting. Sample: We obtained data from the 2018 National Sample Survey of Registered Nurses (NSSRN). For our analysis, we included NPs certified as Family Nurse Practitioners (FNPs) who indicated they cared for their own panel of patients. Methods: We grouped the FNPs by practice setting; Critical Access Hospitals, Rural/Underserved Settings, and Urban Settings. We compared indicators of FNP practice autonomy and physician collaboration based on practice setting. Findings: FNPs practicing in rural settings were more likely to have a collaborative practice relationship with a physician, less likely to bill under their own National Provider Identification number, and less likely to feel as though they were considered equal colleagues with physicians. Conclusion: The rural physician population is aging out and is not being replaced by younger physicians. To meet the need of rural and underserved populations, NPs are in a unique position to step into the care void. Increasing NP autonomy and reducing barriers to practice will be essential aspects of NP practice going forward. [ABSTRACT FROM AUTHOR]

ABSTRACT Objective To evaluate prenatal and puerperium care levels received and identify their association with sociodemographic and obstetric characteristics. Methods This cross-sectional study was conducted from May to December 2020 and included women who gave birth at the Municipal Hospital of Fazenda Rio Grande, Paraná, Brazil. Data were collected through interviews and review of portfolios and medical records. The variables extracted from the prenatal protocols of Paraná and the Ministry of Health were grouped into five compliance indices: CI1 - clinical examination; CI2 - health education; CI3 - queries; CI4 - examinations and vaccines; and CI5 - postpartum appointments. Prenatal care was considered adequate when 80% or more adequacy was obtained. Results A total of 307 women participated in this study. Prenatal compliance was 16.6% considering the entire set of variables. The best performance was for CI4 (54.7%) and the worst for CI5 (13.3%). The lowest adequacy occurred among single women (10.9%) compared to those who lived with a partner (19.9%) (p=0.043) and among women with black/brown skin color (9.5%) compared to those with white/yellow skin color (20.3%) (p=0.016). Conclusion Most women did not receive adequate care, with those in situations of greater social vulnerability received worse quality care.

Background: Human Immunodeficiency Virus (HIV) infection is a public health issue. Family nurses play a significant role in HIV Infection Prevention and Control (IPC). Objective: To analyze nurses' self-perceived competencies in HIV IPC and determine their association with training in the area. Methodology: Quantitative and descriptive-correlational study. The sample was selected from family nurses from the Northern Regional Health Administration who agreed to participate. A form that included the ECAPC-VIH_CSP scale was applied. Data were analyzed through descriptive and inferential statistics in IBM SPSS Statistics, version 25.0. Results: Nurses had an average level (M = 4.44 ± 1.24) of self-perceived competencies in HIV IPC. Nurses with specific training had higher self-perceived competence. Conclusion: The results show that nurses had an average level of self-perceived competencies in HIV IPC. Nurses require training to develop competencies in HIV IPC, improving the quality and safety of care. [ABSTRACT FROM AUTHOR]

• Participants used OSCEs to develop competencies from content knowledge. • OSCEs were rehearsals for clinical experiences and participants wanted more. • OSCEs informed frameworks and routines that participants use as new FNPs. • Simulation design impacted reactions and learning. • Faculty development is needed to implement simulation best practices. This study aimed to explore recent Family Nurse Practitioners (FNP) graduates' perceptions of Objective Structured Clinical Examinations (OSCE) simulation on competency development. OSCEs are a method to educate and assess competency-based behaviors but lack FNP-specific research. Understanding learner perceptions of behavior change can influence OSCE utilization in FNP education. This qualitative phenomenological study explored the lived experiences of nine recent FNP graduates from U.S. programs participating in formative OSCEs. A constructed theoretical framework inclusive of Kolb's Experiential Learning Theory and Miller's Pyramid of Professional Competence Framework was used with modified Braun and Clarke's thematic analysis method to analyze the interview data. Four themes emerged: Becoming competent and "making it stick," Design impacts reactions and learning, "dress rehearsal" for clinical experiences, and Establishing routines for practice. Through OSCEs, learners developed competencies and confidence to support clinical experiences that continued into their early FNP practice. Learner insight demonstrated the importance of evidence-informed simulation pedagogy to prepare them for scope-specific practice. [ABSTRACT FROM AUTHOR]

Objective: to know the perspectives of nurses on the use of telenursing during the COVID-19 pandemic. Methods: exploratory and qualitative approach, carried out between January and February 2021, in a municipality of Mato Grosso, Brazil. For data collection, individual interviews were used, analyzed using the content analysis technique under the light of Afaf Ibrahim Meleis' theory of transitions. Results: the participants were receptive to telenursing, but the low accessibility and lack of knowledge about this resource by the population can influence its applicability and reach. On the other hand, there were participants who highlighted the importance of face-to-face care associated with telenursing. As patients, nurses were not unanimous about their acceptance. Conclusion:: the participants recognize the optimization that technology can offer, however, given the incipience of the insertion of telenursing in the Brazilian context and the particular ways of understanding the need to advance and improve practices, there is a portion that still presents difficulties in this process transition, whether for the realization of this form of assistance or in the use for their personal care. [ABSTRACT FROM AUTHOR]

Objective: To evaluate prenatal and puerperium care levels received and identify their association with sociodemographic and obstetric characteristics. Methods: This cross-sectional study was conducted from May to December 2020 and included women who gave birth at the Municipal Hospital of Fazenda Rio Grande, Paraná, Brazil. Data were collected through interviews and review of portfolios and medical records. The variables extracted from the prenatal protocols of Paraná and the Ministry of Health were grouped into five compliance indices: CI1 - clinical examination; CI2 - health education; CI3 - queries; CI4 - examinations and vaccines; and CI5 - postpartum appointments. Prenatal care was considered adequate when 80% or more adequacy was obtained. Results: A total of 307 women participated in this study. Prenatal compliance was 16.6% considering the entire set of variables. The best performance was for CI4 (54.7%) and the worst for CI5 (13.3%). The lowest adequacy occurred among single women (10.9%) compared to those who lived with a partner (19.9%) (p=0.043) and among women with black/brown skin color (9.5%) compared to those with white/yellow skin color (20.3%) (p=0.016). Conclusion: Most women did not receive adequate care, with those in situations of greater social vulnerability received worse quality care. [ABSTRACT FROM AUTHOR]

Objective: To understand the perception of nurses who work in Primary Health Care in Icapuí about the nursing consultation on sexual and reproductive health. Method: Qualitative, descriptive and interpretative research with data collected through semi-structured interviews, analyzed and represented through the Discourse of the Collective Subject with nurses from Icapuí, as well as a socio-demographic questionnaire. Results: It revealed that the research participants perceive the moment of the sexual and reproductive health consultation as a space of integrality in which all aspects of the user should be considered. Final considerations: It was perceived that difficulties persist in the implementation of good consultation in sexual and reproductive health arising from structural issues resulting from the devaluation and dismantling of public policies and the Unified Health System. Regarding cultural issues, the denial of womens sexuality making it difficult for them to play a leading role in this important part of everyones life.

Objectives: Intensive health services’ utilization is common in older individuals affected by chronic diseases. This study assessed whether a structured family nurse-led educational intervention would be effective in reducing health services’ use (readmissions and/or emergency service access) among older people affected by chronic conditions. Methods: This is a non-randomized before-after pilot study. A sample of 78 patients was recruited from two general practices in Italy and 70 among them were followed for 8 months. Standard home care was provided during the first four months’ period (months 1–4), followed by the educational intervention until the end of the study (months 5–8). The intervention, based on the teach-back method, consisted of by-weekly 60-min home sessions targeting aspects of the disease and its treatment, potential complications, medication adherence, and health behaviours. Rates of health services’ use were collected immediately before (T0), and after the interventions (T1). Differences in utilization rates were examined by the McNemar’s test. Potential factors associated with the risk of health services’ use were explored with a Cox proportional hazard regression model. Results: The sample (n = 78) was predominantly female (n = 50, 64.1%), and had a mean age of 76.2 (SD = 4.8) years. Diabetes mellitus was the most frequent disease (n = 27, 34.6%). McNemar’s test indicated a significant reduction in health services’ use at T1 (McNemar χ2 = 28.03, P

Copyright of Saúde Coletiva is the property of MPM Comunicacao and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

• The National Sample Survey of Registered Nurses oversampled Advanced Practice Registered Nurses in 2018 Survey. • The majority of family nurse practitioners are prepared at the master's level. • Regardless of employment setting, the Family Nurse Practitioner workforce lacks racial diversity. • Family nurse practitioners in rural settings feel less prepared for practice when compared to their colleagues in non-rural practice settings. • Partnerships between rural health care centers and academic institutions are needed to create immersive experiential learning and a better appreciation of health inequities and population specific health needs. Policymakers are increasingly interested in using nurse practitioners to provide health care to rural populations, yet little is known about their characteristics and preparation for independent practice. We obtained data from the 2018 National Sample Survey of Registered Nurses and compared characteristics of family nurse practitioners (FNPs) employed in rural areas versus those employed in non-rural areas. Regression analysis was used to determine the relationship between the outcome variable of interest, preparation for practice and other covariates. FNPs practicing in a rural setting felt less prepared for independent practice than their counterparts in non-rural settings except for those prepared with a doctoral degree. The majority of FNPs working in rural areas believed they were not as well prepared for independent practice. Because rural FNPs often practice autonomously and without medical back up, nursing educators need to educate FNPs with the skills and knowledge necessary to practice effectively in rural settings. [ABSTRACT FROM AUTHOR]

Copyright of Investigacion & Educacion en Enfermeria is the property of Universidad de Antioquia, Facultad de Enfermeria and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Background: In this pilot study, the breastfeed care plus intervention program was implemented to support women and their families in breastfeeding success. Primary interests were women's self-efficacy in breastfeeding and exclusive breastfeeding. Methods: A pilot study was developed in the region of Aveiro–Portugal in two Family Health Units. The experimental and control groups consisted of sixteen women each, initially. Four home visits with assessment and guidance focused on breastfeeding support aimed at women and families were delivered in the experimental group, while the control group received conventional care. Both groups were followed between the 5th and the 120th day postpartum and were subjected to three evaluation moments. Results: On the 120th day postpartum, eleven women completed the BCP intervention program (three women stopped breastfeeding), and nine women received conventional care (seven women stopped breastfeeding). Both interventions proved to be effective in improving the 'perception of breastfeeding self-efficacy,' with higher scores being found in the experimental group (p < 0.001). The proportion of exclusive breastfeeding was also higher in the experimental group. Conclusions for Practice: The BCP intervention program, during the first 120 days postpartum, showed promissory results in improving 'perception of breastfeeding self-efficacy' compared to conventional care, favoring breastfeeding duration and exclusivity, and cumulative breastfeeding competence of women/families. [ABSTRACT FROM AUTHOR]

Copyright of Ciencia, Cuidado e Saude is the property of Universidade Estadual de Maringa and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Background: Nurse practitioners (NPs) are being used to meet the increased demand for rural primary care. Purpose: The purpose of this study was to explore the perceptions and experiences of rural NPs while they transitioned from being registered nurses to family NPs (FNPs). In addition, the study examined if and how new FNPs experienced their professional identity formation in their first year of rural primary care practice. Methodological orientation: A qualitative phenomonological research design was used. Sample: A sample of 12 FNPs who graduated from one of three Midwestern university programs, worked, and provided primary care at a rural health care facility located in one of four full-practice states were used within the study. Conclusions: Participants experienced new nurse practitioner professional identity formation beginning in their education programs, which continued throughout their first year of practice. Four themes emerged from the data analysis: learning new knowledge, skills, roles, and responsibilities; interactions with patients, providers, and interprofessional team members; incentive to learn and practice in rural health care; and professional identity formation. Implications for practice: The emerging model, The Process of Professional Identity Formation for Rural Family NPs , shows potential for use as a framework to guide rural NP curriculum and professional development programs. Policy makers must also continue the push to increase the number of states allowing NPs full independent practice. These efforts could promote rural NP support, recruitment, and retention that will be key to meeting the primary care needs of rural and vulnerable populations. [ABSTRACT FROM AUTHOR]

Copyright of Saúde Coletiva is the property of MPM Comunicacao and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Mental health disorders accounted for approximately 5% of outpatient child and adolescent visits between 2008 and 2011, and 34.8% of these children were seen by a primary care provider. As primary care providers, family nurse practitioners (FNP) are positioned to address mental health issues across the lifespan; however, they require appropriate training and experience. The study examined pediatric mental health assessment clinical experiences in a national survey of FNP students. A secondary analysis was performed on a data set of FNP students (N = 3940). Frequencies and chi-square analyses were performed to examine pediatric mental health assessment clinical experiences. Nearly 30% (n = 1118) of FNP students reported experiencing two or fewer pediatric mental health assessments during their clinical rotations. More than half (53%) of these students were required to set up their own preceptors and clinical sites. Despite the growing need for mental health care in the U.S, students reported lacking pediatric mental health assessment clinical opportunities. Moreover, students who set up their own clinical sites and preceptors were even less likely to assess pediatric patients' mental health. FNP educators and programs are encouraged to provide students with the support and opportunity for adequate pediatric practice, including mental health assessment. • Secondary analysis of data from a national sample of 3940 FNP students • 1118 students reported having two or fewer pediatric mental health assessment experiences. • Adult mental health assessment experiences far exceeded those of the pediatric population. • Securing preceptors independently was associated with fewer pediatric mental health assessment experiences. [ABSTRACT FROM AUTHOR]

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Background and Purpose: Skin cancer, the most commonly diagnosed cancer in the United States, is a serious health care concern. Early skin cancer detection improves prognosis; most common early detection approach is a comprehensive clinical skin examination (CSE). A CSE consists of skin cancer risk assessment, head-to-toe skin examination, and skin lesion assessment. Nurse practitioners (NPs) currently lack adequate training and confidence to conduct CSE. The goal of this systematic review was to learn more about published interventions targeting CSE training for primary care NPs and/or other primary care providers. The findings were categorized based on the established procedures for intervention development. Methods: The databases PubMed, Google Scholar, CINAHL, and Web of Science were searched. Using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, 10 articles were selected for data extraction. Conclusions: There is a paucity of articles that report rigorously developed interventions aimed at educating primary care NPs to conduct CSE. Existing CSE interventions were not tested for efficacy or effectiveness, and the implementation methods were weak or not reported. A synthesis of the review findings revealed inadequately reported sample characteristics, vague intervention goals, unspecified frequency or duration of interventions, and lack of standardized intervention protocols. Implications for practice: This review builds a foundation for more rigorously developed interventions to improve CSE and provides guidance for NPs to select education on CSE and other clinical foci. Future research will guide the development and evaluate the effectiveness of CSE education, which ultimately could improve skin cancer prognosis interventions and lack of standardized intervention protocols. [ABSTRACT FROM AUTHOR]

Background: Primary care serves as an entry point for many patients to access health care services, especially those who reside in medically underserved areas. Because an initiative exists for family nurse practitioners (FNPs) to fill primary care gaps in medically underserved areas, they must be included in educational strategies to provide quality behavioral health care within their scope of practice., Method: An academic-practice partnership was used to provide FNP residents the opportunity to learn to work within their scope of practice in a behavioral health integration model., Results: The residents noted satisfaction with the learning environment, supervisory relationship, and role of the faculty., Conclusion: Innovative continuing education activities are needed to prepare novice FNPs to safely practice and enter into a health care workforce pipeline focused on reducing disparities in medically underserved areas. [ J Contin Educ Nurs . 2024;55(4):203-208.] .

The prevalence of mental health disorders in primary care is high and challenges related to the COVID pandemic warrant further training of the family nurse practitioner. A telehealth simulation learning experience that included common primary care diagnoses in mental health-general anxiety, depression, and substance use disorder-was incorporated into a non-clinical behavioral health course. Formative evaluation provided by licensed nurse practitioners confirmed the need for improving interviewing techniques, engaging clients, and promoting safety among this population. Students' confidence during the encounter was measured using the Simulation Effectiveness Tool . Findings suggest a simulation learning experience is an effective resource for training nurse practitioner students to treat mental health disorders.

Researchers have found that many primary care providers are not following developmental screening recommendations. Few studies exist on the screening behaviors of advanced practice nurses. A qualitative descriptive study explored the screening behaviors, skills, and environmental facilitators/constraints of 24 family nurse practitioners (FNPs) who cared for pediatric patients from birth to 5 years of age in primary care settings. An inductive approach to content analysis was used to interpret the data. Five main themes emerged: (a) Developmental Screening Behaviors During Well-Child Visits , (b) Developmental Screening Behaviors When a Concern Was Raised , (c) Need for Additional Developmental Screening Skills , (d) Factors That Support Developmental Screening , and (e) Factors That Limit Developmental Screening. Sixteen subthemes supported the main themes. Most FNPs were not using standardized tools. Behaviors mainly consisted of actions that were informal. FNPs were not familiar with current recommendations, and they had difficulty describing most instruments. [ABSTRACT FROM AUTHOR]

Telehealth is becoming a vital option for increasing access to health care. Family Nurse Practitioners (FNPs) are often the primary providers for rural and disadvantaged populations. They may be the first to encounter patients experiencing depression and other psychiatric problems. This article describes a two-part simulated telehealth education initiative to build FNP student competencies in the use of telehealth technology to interview clients with depressive symptoms. In Part 1, students completed didactic modules that introduced them to telehealth concepts. In Part 2, they participated in a simulated telehealth encounter with a standardized patient experiencing depression. Preparation included a review of care of patients with depression and focused content on telehealth etiquette. After the encounter, they received feedback from the standardized patient, debriefed with faculty, and documented their simulated telehealth visit. The activity was evaluated through post-education surveys and a one-time focus group. Students were overwhelmingly positive regarding the relevance of the educational activity to their graduate preparation and future practice. Many shared suggestions for refinement of the activity. Integration into the current curriculum and use of existing resources increased the feasibility, cost-effectiveness, and potential for long-term sustainability of the educational initiative., Competing Interests: Declaration of competing interest None., (Copyright © 2023 Elsevier Inc. All rights reserved.)

Introduction: Team building is a real-world necessity in military and civilian health care settings. Interprofessional education (IPE) is therefore an essential component of health care education. At the Uniformed Services University, there are continued, deliberate attempts for IPE to occur to successfully prepare students to work together and adapt to ever-changing contexts. Although past quantitative research has analyzed interprofessional collaboration among military medical students, this study explores the interprofessional experiences of family nurse practitioner (FNP) students during a military medical field practicum., Materials and Methods: This study was reviewed by the Uniformed Services University Human Research Protections Program Office (Protocol DBS.2021.257). We used the qualitative transcendental phenomenological approach to design our study. We analyzed the reflection papers of 20 family nurse practitioner students who participated in Operation Bushmaster in order to explore their interprofessional experiences. Our research team coded and categorized the data, developing textural and structural descriptions of these categories, which served as the results of our study., Results: We present the study's three key findings that students expressed and include perspectives from their viewpoints to illustrate each theme. The three themes related to IPE are (1) quality of integration determines perception of experience, (2) challenges inspire continued growth, and (3) increased self-awareness of one's own strengths., Conclusions: It is important for educators and leaders to find ways to allow for positive team integration and cohesion so that students do not feel overwhelmed by their perceived lack of knowledge or experience. Educators can use that perception to motivate a growth mindset so that they can continually seek out ways to improve and grow. Additionally, educators can prepare students with adequate knowledge to ensure that each team member meets mission success. Finally, to continually develop, students need to have awareness of their own strengths as well as areas for growth to enhance their own performance as well as that of the military interprofessional health care teams., (Published by Oxford University Press on behalf of the Association of Military Surgeons of the United States 2023. This work is written by (a) US Government employee(s) and is in the public domain in the US.)

Abstract: Family nurse practitioners (FNPs) are filling the provider gaps in primary care. Primary care patients require referrals to different types of specialty providers that are not always readily available. The use of electronic consultations (e-consults) can fill this gap. FNPS may not be aware of e-consults or may feel they are not beneficial in their practice, likely because of a lack of training. This article details the development of an e-consult checklist for graduate FNPs., Competing Interests: The author has declared no conflict of interest., (Copyright © 2022 National League for Nursing.)

Abstract: Interprofessional education (IPE) is required in the advanced nursing practice curriculum to promote collaboration between health care professionals. Time constraints, accessibility, and geographical locations are common barriers to overcome when considering implementing IPE experiences. Utilizing virtual modalities to develop these experiences can increase IPE opportunities. An innovative approach was taken to incorporate a telehealth Objective Structured Clinical Examination involving family nurse practitioner and pharmacy students from different academic institutions for an IPE virtual simulation. Faculty evaluated student performance based on competencies. Faculty and student feedback regarding the IPE experience was positive., Competing Interests: The authors have declared no conflict of interest., (Copyright © 2022 National League for Nursing.)

Copyright of Acta Paulista de Enfermagem is the property of Universidade Federal de Sao Paulo, Escola Paulista de Enfermagem and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)