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ABSTRACT: The column describes the intersection of a transition to practice program for advance practice providers and incorporating monthly journal club activities. Reflections on the value of the journal club highlight opportunities for education, clinical care, and system-level care.

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ABSTRACT: Nurse practitioners who publish contribute to the profession's body of knowledge. Today's digitally inclined environment easily allows for the tracking of contributing to knowledge and impact. Four popular measures for tracking include Altmetric, Google Scholar, Scopus, and Web of Science. Authors should understand each tracking source's purpose, process, and value. The strengths and limitations of the tracking sources are reviewed. Awareness of the tracking sources and knowing how to influence the tools will bring additional attention to the authors.

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This commentary examines the future of women's health and gender-related healthcare for Women's Health Nurse Practitioners (WHNPs) within the framework of National Association of Nurse Practitioners in Women's Health's (NPWH's) mission and vision. Emphasizing the importance of addressing menopause, maternal health, and reproductive health, it discusses the significance of WHNP education, certification, and workforce contributions. Despite their critical role, challenges including recognition as maternity care providers and disseminating WHNP-specific outcomes remain. WHNPs play a vital role in providing comprehensive healthcare for women and gender diverse individuals. Guided by the mission and vision of the NPWH, WHNPs address key priority areas including menopause, maternal health, and reproductive health. However, challenges such as recognition as maternity care providers, publishing outcomes specific to WHNP practice, and collecting comprehensive workforce data persist. To advance women's and gender-related healthcare, concerted efforts are needed to address challenges faced by WHNPs. This includes advocating for recognition within maternity care, promoting the dissemination of WHNP-specific research, and improving workforce data collection. By overcoming these challenges, WHNPs can continue to play a pivotal role in promoting the health and well-being of women and gender diverse individuals, shaping the future of women's health and gender-related healthcare delivery.

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ABSTRACT: This report highlights the 2023-2028 American Association of Nurse Practitioners Research Agenda (AANP-RA), which focuses on the research goals of AANP as an organization and is based on its mission and strategic plan. The purpose of the AANP Research Agenda is to outline research priorities that advance the AANP Strategic Plan and concurrently address gaps in nursing science. American Association of Nurse Practitioners supports research studies that are rigorously designed and conducted using quantitative, qualitative, and mixed-methods approaches, as well as implementation science with the potential to positively impact both NP practice and patient health outcomes. The AANP-RA strategy is guided by the PEARL acronym: examining NP Practice, Education, policy Advocacy, Research, and Leadership. A discussion of each area is presented along with suggested topics.

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BACKGROUND: Nurse practitioners and physician associates are an essential part of the multidisciplinary cancer care team with expanding and evolving roles within cancer specialties. LOCAL PROBLEM: As these clinicians flourish, a parallel need for leadership rises to optimize scope of practice, mentor, and retain this crucial workforce. The purpose of this quality improvement project was to development a nurse practitioner and physician associate leadership structure within an academic cancer center. METHODS: Development of this nurse practitioner and physician associate leadership structure was guided by transformational leadership theory. In collaboration with nursing, business, and physician leadership, a quad structure was supported. INTERVENTIONS: Implementation of a leadership structure included the establishment of eight team leaders and two managers. These leaders identified multiple opportunities for improvement including improved communications, offload of nonbillable work, development of incentive programs, provision of equipment, specialty practice alignment, hematology/oncology fellowship, and professional development. RESULTS: Overall, a nurse practitioner and physician associate leadership structure allowed for representation across the cancer center. Such inclusion supported multiple quality improvement projects developed in partnership with nursing, business, and physician leaders. Cumulatively, these interventions yielded efficient workflows and expansion of services. Consistent with reported evidence, these efforts contributed to nurse practitioner and physician associate retention as well as improved job satisfaction. CONCLUSIONS: Advanced practice leadership is essential to recruiting, developing, supporting, and retaining nurse practitioner and physician assistant colleagues in cancer care.

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This article describes a quality improvement project implemented by a national postacute long-term care organization aimed at enhancing the provision of palliative care to nursing home residents. The project focused on improving advance care planning, end-of-life care, symptom management, and care of people living with serious illness. Both generalist and specialist palliative care training were provided to nurse practitioners in addition to implementing a system to identify residents most likely to benefit from a palliative approach to care. To evaluate the nurse practitioner experiences of the program, survey data were collected from nurse practitioners (N = 7) involved in the project at 5 months after implementation. Nurse practitioners reported the program was well received by nursing home staff, families, and residents. Most nurse practitioners felt more confident managing residents' symptoms and complex care needs; however, some reported needing additional resources for palliative care delivery. Most common symptoms that were managed included pain, delirium, and dyspnea; most common diagnoses cared for were dementia and chronic organ failure (eg, cardiac, lung, renal, and neurological diseases). In the next steps, the project will be expanded throughout the organization, and person- and family-centered outcomes will be evaluated.

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The adult/gerontology (gero) nurse practitioner (NP) delivers primary and/or specialty palliative care to persons and their families who live each day with a myriad of serious illnesses. In this role, the adult/gero NP uses their skill set to address the whole person (physical, psychological, social, and spiritual/existential) to improve the quality of life for persons they care for. This article is the fourth in a series of 6 highlighting the different roles of the adult/gero NP and the advanced certified hospice and palliative registered nurse, and how these 2 roles overlap. The purpose of this article was to provide details of education and certification pathways for these NP roles, describe the overlaps in clinical care, and illustrate how the adult/gero NP in palliative and hospice care can contribute to leadership in program development for care of persons and their families who live with serious illness.

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ABSTRACT: Medical aid in dying (MAID) is a practice that has been expanding in the United States over the past few decades. As it becomes a viable option for a growing portion of the American population, nurse practitioners (NPs) need to be prepared to engage in conversation with patients about the practice. Although historically only physicians were able to participate in MAID, the role has recently expanded to include additional advanced practice providers, including NPs. Reviewing the history of MAID and examining how current legislation affects clinical practice can support the NP's ability to educate and counsel patients about the option. Identifying specific areas in which MAID providers report needing additional training and support can help providers work toward delivering the highest quality patient care possible. As MAID becomes accessible to greater numbers of people, NPs need to be prepared to talk to patients who are navigating serious, life-limiting illnesses about the possibility of MAID.

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Objetivo: compreender os significados que estudantes e professores de graduação em enfermagem atribuem ao empreendedorismo no âmbito da enfermagem. Método: pesquisa qualitativa, exploratória, realizada entre 2019 e 2020, cujo referencial teórico foi o Pensamento Complexo, na perspectiva de Morin. A Teoria Fundamentada nos Dados foi empregada como referencial metodológico. Participaram da pesquisa estudantes e professores do curso de graduação de uma universidade pública federal. A entrevista semiestruturada foi empregada como técnica de coleta de dados. Resultados: do processo analítico emergiu a categoria Significados de empreendedorismo na enfermagem: perspectiva de estudantes e professores de graduação, sustentada nas seguintes subcategorias: elencando barreiras para as conexões entre empreendedorismo e enfermagem; relações entre ensino-aprendizagem da graduação em enfermagem sobre empreendedorismo; relacionando enfermagem ao empreendedorismo. Considerações finais: os significados desvelados sobre empreendedorismo revelam centralização na tipologia empresarial e distanciamento do empreendedorismo social e intraempreendedorismo, sinalizando, portanto, desconexões com a formação do enfermeiro na graduação.

Objetivo: comprender los significados que los estudiantes y profesores de grado en enfermería atribuyen al empresariado en el ámbito de la enfermería. Método: investigación cualitativa, exploratoria, realizada entre 2019 y 2020, cuyo marco teórico fue el Pensamiento Complejo, desde la perspectiva de Morin. Se utilizó la Teoría Fundamentada como referencia metodológica. Participaron en la investigación estudiantes y profesores del curso de grado de una universidad pública federal. Se utilizó la entrevista semiestructurada como técnica de recogida de datos. Resultados: del proceso analítico surgió la categoría Significados del emprendimiento en enfermería: perspectiva de los estudiantes de pregrado y de los profesores, sustentada en las siguientes subcategorías: enumeración de las barreras a las conexiones entre el emprendimiento y la enfermería; relaciones entre la enseñanza-aprendizaje de pregrado en enfermería sobre el emprendimiento; relacionar la enfermería con el emprendimiento. Consideraciones finales: los significados desvelados sobre el emprendimiento revelan una centralización en la tipología empresarial y un distanciamiento del emprendimiento social y del intraemprendimiento, señalando así desconexiones con la formación de grado en enfermería.

Objective: to understand the meanings that undergraduate nursing students and professors attribute to entrepreneurship in the nursing field. Method: qualitative, exploratory research conducted between 2019 and 2020, whose theoretical framework was Complex Thinking, from Morin's perspective. The Grounded Theory was used as a methodological reference. Students and professors of undergraduate courses at a public federal university participated in the research. The semi-structured interview was used as a data collection technique. Results: from the analytical process emerged the category Meanings of entrepreneurship in nursing: perspective of undergraduate students and professors, supported in the following subcategories: listing barriers to the connections between entrepreneurship and nursing; relations between undergraduate nursing teaching-learning about entrepreneurship; relating nursing to entrepreneurship. Final considerations: the meanings revealed about entrepreneurship disclose a centralization in the business typology and a distancing from social entrepreneurship and intrapreneurship, thus signaling disconnections with the undergraduate nursing education.

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Objetivo: analisar a participação dos profissionais do campo da enfermagem nos processos eleitorais para os cargos dos poderes legislativo e executivo municipais. Método: estudo descritivo, retrospectivo, realizado a partir dos dados do Tribunal Superior Eleitoral das últimas cinco eleições para vereadores, prefeitos e vice-prefeitos no Brasil entre 2004 e 2020, considerando sexo, estado, categoria profissional e êxito no pleito eleitoral. Resultados: os profissionais de enfermagem apresentaram aumento de candidaturas em todos os estados. Técnicos e auxiliares em enfermagem foram os que mais se candidataram. Os enfermeiros corresponderam ao maior número de eleitos, no entanto, os profissionais de enfermagem apresentaram as menores taxas de sucesso eleitoral, quando comparados com médicos, odontólogos e farmacêuticos. Conclusão: em relação às outras categorias, os profissionais de enfermagem apresentaram maior quantitativo de candidaturas, embora esse número, diante do contingente de trabalhadores, seja considerado pequeno.

Objetivo: to analyze the participation of professionals from the Nursing field in the electoral processes to hold offices in the Municipal Legislative and Executive powers. Método: a descriptive and retrospective study based on data from the Superior Electoral Court regarding the last five elections for city councilors, mayors and deputy mayors in Brazil between 2004 and 2020, considering gender, state, professional category and success in the election. Resultados: Nursing professionals presented an increase in the number of political candidacies in all the states. Nursing technicians and assistants were the professionals that most put themselves forward. Nurses represented the largest number of elected members; however, Nursing professionals had the lowest electoral success rates when compared to physicians, dentists and pharmacists. Conclusión: in relation to the other categories, Nursing professionals had a higher number of candidacies, although given the number of workers, this number is considered small.

Objective: analizar la participación de los profesionales del campo de la Enfermería en los procesos electorales para cargos de los poderes legislativo y executivo a nivel municipal. Method: estudio descriptivo y retrospectivo realizado a partir de los datos do Tribunal Superior Electoral de las últimas cinco elecciones para concejal, alcalde y vicealcalde en Brasil entre 2004 y 2020, considerando sexo, estado, categoría profesional y éxito en los comicios. Results: los profesionales de Enfermería presentaron un aumento en la cantidad de candidaturas en todos los estados. Los técnicos y auxiliares de Enfermería fueron los que más se postularon. Los enfermeros representaron la cantidad más elevada de candidatos electos; sin embargo, los profesionales de Enfermería presentaron índices de éxito electoral más bajos en comparación con médicos, odontólogos y farmacéuticos. Conclusion: en relación con las otras categorías, los profesionales de Enfermería tuvieron mayor cantidad de candidaturas, aunque dado el contingente de trabajadores, dicha cantidad se considera reducida.

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Resolutions include strengthening access to nurse midwives in underserved areas.

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Postgraduate orthopaedic programs for physician assistants (PAs) and nurse practitioners (NPs) number 14 as of 2020. To better understand the characteristics of these programs a census was undertaken. The result is that most programs are 1 year in duration and in 2019 produced 40 graduates. The role of the orthopaedic PA and NP fellow is to gain an understanding of a wide range of musculoskeletal disorders, develop procedural skills, first assist in the operating room, and facilitate management of patients and discharge throughput. PA and NP fellows work alongside categorical orthopaedic physician residents. The number of graduates from PA orthopaedic training programs is estimated at 200, spanning 20 years. The other 11,145 + PAs (99%) are trained on-the-job. For hospital systems, the employment of orthopaedic postgraduate PA and NP fellows provides value through cost management and billable services.

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BACKGROUND: Implementation of evidence-based practice (EBP) is essential for ensuring high-quality health care at minimum cost. Although all nurses have a responsibility to implement EBP at an individual patient level, nurse practitioners (NPs) as clinical leaders have additional responsibilities in leading and collaborating with transdisciplinary teams to implement EBP across patient groups and embed practice change into routine care. AIM: To explore the factors affecting the implementation of EBP into routine care by NPs. Specifically, to examine NP beliefs, levels of EBP implementation, and barriers and enablers to EBP implementation into routine care. METHODS: A scoping review was conducted using the Arksey and O'Malley (International Journal of Social Research Methodology, 8, 2005, 19) framework. The electronic databases CINAHL, Medline, and PsycINFO were searched for studies published between 2009 and 2018 along with gray literature and reference lists of included articles. Abstracts and studies were screened using predefined eligibility criteria. Data extraction was undertaken using a standardized framework and data synthesis completed. RESULTS: Seven studies were included in the review. Findings indicated NPs valued EBP and believed it to be important in standardizing patient care. NPs' implementation of EBP was found to be relatively low overall. It was not possible to fully determine the extent to which NPs implemented EBP into routine care. NPs experienced similar barriers to EBP implementation as do nurse generalists such as lack of time, lack of EBP competence, lack of support from colleagues and managers, and inadequate resources. In particular, NPs identified collaborative practice issues as factors affecting EBP implementation. Identified barriers included physician-driven practice and the need to maintain professional and political boundaries. Supportive collaborative relationships and having professional confidence were identified facilitators. LINKING EVIDENCE TO ACTION: An exploration of NPs' experience of interprofessional collaboration when implementing EBP into routine care is needed to identify requirements for support in this area.

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OBJECTIVE: To evaluate the role and growth of independently billing otolaryngology (ORL) advanced practice providers (APPs) within a Medicare population. STUDY DESIGN: Retrospective cross-sectional study. SETTING: Medicare Provider Utilization and Payment Data: Physician and Other Supplier Data Files, 2012-2017. METHODS: This retrospective review included data and analysis of independent Medicare-billing ORL APPs. Total sums and medians were gathered for Medicare reimbursements, services performed, number of patients, and unique Current Procedural Terminology (CPT) codes used, along with geographic and sex distributions. RESULTS: There has been near-linear growth in number of ORL APPs (13.7% to 18.4% growth per year), with a 115.4% growth from 2012 to 2017. Similarly, total Medicare-allowed reimbursement (2012: $15,568,850; 2017: $35,548,446.8), total number of services performed (2012: 313,676; 2017: 693,693.7), and total number of Medicare fee-for-service (FFS) patients (2012: 108,667; 2017: 238,506) increased. Medians of per APP number of unique CPT codes used, Medicare-allowed reimbursement, number of services performed, and number of Medicare FFS patients have remained constant. There were consistently more female APPs than male APPs (female APP proportion range: 71.3%-76.7%). Compared to ORL physicians, there was a significantly greater proportion of APPs practicing in a rural setting as opposed to urban settings (2017: APP proportion 13.6% vs ORL proportion 8.4%; P < .001). CONCLUSION: Although their scope of practice has remained constant, independently billing ORL APPs are rapidly increasing in number, which has led to increased Medicare reimbursements, services, and patients. ORL APPs tend to be female and are used more heavily in regions with fewer ORL physicians.

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