NPWH position statement: Prepregnancy genetic carrier screening

The National Association of Nurse Practitioners in Women’s Health advocates for equitable access to informed, voluntary prepregnancy genetic carrier screening for individuals/couples who desire information about potential genetic reproductive risks. The goal of prepregnancy genetic carrier screening is to provide individuals/couples with information to assist them in understanding their reproductive risk for disease, family planning, considering reproductive options that align with their personal values and circumstances, and optimizing the opportunity to achieve a healthy pregnancy. Genetic counseling should be available when any genetic condition carrier status is identified in one or both individuals of a reproductive couple so that all reproductive options can be discussed. Individuals must always have autonomy to decline any or all screening, counseling, or follow-up testing. Policies should be in place in clinical settings as well as at local, state, and federal levels to protect confidentiality of individuals, prevent discrimination regarding health, life, long-term car, and disability insurance based on screening results.

Lowering stress, anxiety and distress levels in medical oncology patients actively receiving intravenous treatment with utilization of art therapy

Purpose: The purpose of this DNP quality improvement (QI) project was to examine and evaluate the effects of the Self-Book (AT) intervention on stress, anxiety and distress levels of medical oncology patients who are actively receiving IV treatment at a University of Florida (UF) Health clinic.

Revitalizing, energizing, and redesigning the clinical advancement program

Nurse leaders recognized declining participation in an established Clinical Advancement Program. Examining re-invigoration as a strategy to enhance professional well-being, leaders partnered with clinical nurses to provide solutions to identified barriers in the application process and diversify paths to well-rounded professional involvement.

The Profile of Absconding Psychiatric Inpatients in a Psychiatric Hospital in Central Florida

Absconding, where patients under an involuntary mental health order leave hospital without permission that may result in patient harm and professional emotion impact for nursing staff.This study was described the characteristics of the absconding patient in a psychiatric hospital in Taiwan from January 2012 to November 2017

U.S. educated versus internationally educated nurses’ perceptions of collaboration and joy and meaning in work 

Introduction: Anesthetic management for free flap surgery contributes to flap survival, as hypotension is an independent predictor of flap loss. The optimal blood pressure range is unknown and there are no standardized guidelines available in this area. The aim of this integrative review was to provide evidence-based recommendations for hypotension management during microvascular free flap reconstruction surgery. Methods: Articles evaluating anesthetic related predictors of flap survival were critically appraised for validity, reliability, and rigor of study.Read More

When COVID-19 calls… Who will answer? 

During the initial wave of COVID-19, healthcare leaders struggled to make sense of the chaos and furloughed nurses due to low patient volumes. However, a hospital in Texas took a stance against furloughs and reassigned nurses to “answer” the call to action by launching a community COVID-19 nurse

Developing Change Agents in an Ever-Evolving Healthcare Delivery System 

Aims and objectives: The aim of this integrative review is to provide a practice recommendation for the administration of dexmedetomidine versus midazolam in the pediatric population prior to undergoing anesthesia. Methods: Articles published from 2011-2018 were critically evaluated fo