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Journal articles on the topic 'Most advanced practice'

Author: Grafiati

Published: 6 June 2025

Last updated: 16 July 2025

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1

Wiley, Tessa L., Jordan M. Rowe, and Drayton A. Hammond. "Making the most of advanced pharmacy practice experiences." American Journal of Health-System Pharmacy 74, no. 10 (2017): 648–50. http://dx.doi.org/10.2146/ajhp160202.

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Christensen, Bruce E., Corinne Bazany, Theresa Wittenberg, et al. "Oncology Advanced Practice Providers Chemotherapeutic Prescribing Practices." Blood 138, Supplement 1 (2021): 1897. http://dx.doi.org/10.1182/blood-2021-153924.

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Abstract Background: Physician Assistants (PA) and Nurse Practitioners (NP), referred to as Advanced Practice Providers (APPs), are an integral part of cancer care today in community oncology (ONC) and academic institutions across the country. It has been shown, a team approach using APPs can extend the ONC workforce (PMID: 25009939). The need for ONC services will increase with the rise in cancer incidence and prevalence. As the rise continues, studies have shown ONC services will dramatically increase due to the predicted shortages of oncologists. Increasing the use of APPs is a viable solut

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Woznitza, Nick, Lisa Pittock, James Elliott, and Bev Snaith. "Diagnostic radiographer advanced clinical practice in the United Kingdom – A national cross-sectional survey." BJR|Open 3, no. 1 (2021): 20210003. http://dx.doi.org/10.1259/bjro.20210003.

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Objectives: To survey the diagnostic radiography workforce in the United Kingdom (UK) at an organisational level to ascertain the scope of advanced practice and compliance with Health Education England standards for multiprofessional advanced clinical practice (ACP). Methods: 174 diagnostic imaging departments were invited to participate in a cross-sectional electronic survey focused upon advanced level practice and their educational and accreditation expectations (October–December 2019). Breast imaging, computed tomography, fluoroscopy, interventional radiology, lithotripsy, magnetic resonanc

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Poullard, DNP, MSN, APRN-BC, Anna, and Sheena Charles, MS, FNP-BC. "Advanced Practice Providers’ Role in Intimacy in Advanced Cancer Patients." Journal of the Advanced Practitioner in Oncology 15, no. 1 (2024): 56–58. http://dx.doi.org/10.6004/jadpro.2024.15.1.6.

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The primary objectives of early phase clinical trials are to determine the safety, tolerability, and recommended doses of an investigational agent for patients with advanced cancer. Although these advances in cancer treatment have resulted in patients living longer, patients often experience psychological side effects that may affect sexual health and intimacy. It is estimated that cancer and its subsequent treatments affect the sexual health and intimacy of 40% to 100% of this patient population. Patients with advanced cancer who have undergone numerous treatments may be impacted negatively,

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Cairo, Jamie, Mary Ann Muzi, Deanna Ficke, et al. "Practice Model for Advanced Practice Providers in Oncology." American Society of Clinical Oncology Educational Book, no. 37 (May 2017): 40–43. http://dx.doi.org/10.1200/edbk_175577.

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According to ASCO, the number of practicing oncologists has remained stable despite growth demands, leading to an overall shortage in many areas of the country. Nurse practitioners and physician assistants are advanced practice providers (APPs) who can assist in the provision of support and care to patients with cancer, but the role of the APP in the oncology setting has not been well defined. There exists a variety of different practice patterns for APPs who work in oncology, and the lack of role definition and absence of an established practice model are considered leading causes of APP attr

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Forsdike, Kirsty, Tracy Ann Murphy, and Kelsey Hegarty. "Supporting primary care nurses to work at an advanced level through changing practices’ organisational governance." Australian Journal of Primary Health 24, no. 2 (2018): 171. http://dx.doi.org/10.1071/py17120.

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General practice nurses wishing to develop their careers in general practice are often unsupported, relying on the culture of individual practices. Given the structural diversity of Australian general practice, we qualitatively explored staff experiences of organisational governance, what supports are in place and can be used to assist nurses to advance. Semi-structured interviews with 28 staff (including nurses, GPs, receptions and practice managers) were undertaken across three practices, as part of a case-study approach. It was found that general practice staff know little of organisational

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Klink, Andrew, Bela Bapat, Yolaine Smith, Chadi Nabhan, and Bruce A. Feinberg. "Scope of practice of advanced practice providers (APP) in US community oncology." Journal of Clinical Oncology 37, no. 15_suppl (2019): 6646. http://dx.doi.org/10.1200/jco.2019.37.15_suppl.6646.

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6646 Background: Oncology practices are increasingly employing nurse practitioners (NPs) and physician assistants (PAs) known collectively as advanced practice providers (APPs) to improve practice workflow, increase efficiency, and enable physicians to focus on complex patient care. Understanding variations in scope of practice for APPs may help establish a benchmark against which future changes are measured. Methods: US community physicians responded to a web-based survey from Sep to Nov 2018. Physicians were asked how frequently their APPs performed certain tasks on a 5-point scale (i.e., ne

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Scanlon, Andrew, Janice Smolowitz, Judy Honig, and Katie Barnes. "Building the Next Generation of Advanced Practice Nurses Through Clinical Education and Faculty Practice: Three International Perspectives." Clinical Scholars Review 8, no. 2 (2015): 249–57. http://dx.doi.org/10.1891/1939-2095.8.2.249.

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Aims and Objectives: This article aims to provide an overview of the history of advanced practice nursing, including regulation, education, and faculty practice of nurse practitioners/advanced practice nurses from Australia, the United Kingdom, and the United States. Background: Clinical nursing education has evolved from the apprenticeship model to the multiple learning methods that are employed today. The faculty practice model has the most promise and maybe the new frontier to achieve excellence in clinical education. Design: Discursive paper. Methods: Advanced practice nursing clinical edu

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KATONA, KRISZTINA, MIHAELA IACOB BIRESCU, ORSOLYA SZILVASSY, and AGOTA BALOGH SZABONE. "THE MOST IMPORTANT QUALITIES OF A MENTOR IN A TEACHING CAREER." Journal Plus Education 37, no. 1 (2025): 110–21. https://doi.org/10.24250/jpe/1/2025/kk/mib/os/abs/.

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Mentorship within the teaching profession is integral to fostering professional development, equipping mentees with guidance, support, and reflective practices essential for their growth. This article examines the critical qualities of effective mentors, including empathy, integrity, advanced communication skills, adaptability, and reflective practices. Empathy forms the foundation of trust, while active listening deepens the mentormentee connection. Integrity and authenticity enhance credibility, inspiring ethical behavior in mentees. Effective communication ensures the seamless transfer of k

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Crum, Elizabeth, and Manish Varma. "Advanced Practice Professionals and an Outpatient Clinic: Improving Longitudinal Care in an Interventional Radiology Practice." Seminars in Interventional Radiology 36, no. 01 (2019): 013–16. http://dx.doi.org/10.1055/s-0039-1683357.

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AbstractThe field of interventional radiology (IR) has made tremendous advances in both scope and practice since its inception in the early 1960s. With these advances, it has solidified itself as a valuable subspecialty to the medical community and, most importantly, to the patients who receive IR care. Expanding clinical services to improve care in both the pre- and postprocedural setting is a logical step in IR maturation. The use of advanced practice professionals, in the form of physician assistants and nurse practitioners, can add value in both quality of the patient experience and exposu

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Bapat, Bela, Yolaine Smith, Andrew Klink, Chadi Nabhan, and Bruce A. Feinberg. "Role of advanced practice providers (APP) in meeting rising demands on oncology practices." Journal of Clinical Oncology 37, no. 15_suppl (2019): e18372-e18372. http://dx.doi.org/10.1200/jco.2019.37.15_suppl.e18372.

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e18372 Background: The role of advanced practice providers (APPs), nurse practitioners (NPs) and physician assistants (PAs), is expanding in oncology for myriad reasons including improving access to care by closing the gap between demand for services and physician availability. This is especially true in oncology, where the shortage of oncologists and increasingly cited physician burnout is creating challenges for many practices and communities. Methods: We surveyed US physicians to understand their practices’ use of APPs, their role in patient treatment and support as well as their impact on

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Thorley, APRN, MSN, FNP, Jared, and Saneese Stepher, MPAS, PA-C, MPA. "Management of Advanced Prostate Cancer With Relugolix: Illustrative Case Scenarios From an Advanced Practice Provider Perspective." Journal of the Advanced Practitioner in Oncology 15, no. 1 (2024): 43–55. http://dx.doi.org/10.6004/jadpro.2024.15.1.5.

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Prostate cancer is the second most common cause of cancer-related mortality among men in the United States, with an estimated 34,700 deaths annually. Androgen deprivation therapy (ADT) is the cornerstone of advanced prostate cancer therapy, and injectable luteinizing hormone-releasing hormone (LHRH) agonists have served as the most commonly used ADT for over 30 years. Relugolix, a first-in-class, once-daily, oral gonadotropin-releasing hormone (GnRH) antagonist, was developed to address some of the limitations of available ADT therapies. Herein, we present two hypothetical case reports via an

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Tessera, Endalew Molla, and Animaw Anteneh Kassa. "Exploring assessment practices of teachers in Advanced Speech courses." ELT Forum: Journal of English Language Teaching 13, no. 1 (2024): 48–60. http://dx.doi.org/10.15294/elt.v13i1.73768.

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In Ethiopia, there is a general public concern that most university students lack communicative competence, and hence they could not communicate effectively in English. There are many contributing factors to this and most of these factors are related either to the curriculum, the teaching-learning process, or the assessment practice. Only a few studies have been conducted on the assessment practice of speaking skills since most researchers have focused on the teaching-learning process. This inquiry was made to look into the practice of assessing the Advanced Speech course. Specifically, it foc

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Ackerman, MH, L. Norsen, B. Martin, J. Wiedrich, and HJ Kitzman. "Development of a model of advanced practice." American Journal of Critical Care 5, no. 1 (1996): 68–73. http://dx.doi.org/10.4037/ajcc1996.5.1.68.

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BACKGROUND: The acute care nurse practitioner role is relatively new and not yet clearly defined. Our institution is in the first phase of a role delineation study that includes model development, validity testing, model revision, and dissemination. OBJECTIVES: To identify domains of practice, activities within each domain of practice, and common conceptual strands that cut across each domain, and to synthesize this information into a usable format to guide practice and role development. METHODS: A nonexperimental study design was used, including review of literature, expert consultation, brai

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Jones, Michaela, and Amy Rose Taylor. "Exploring Nursing Students, Registered Nurses, and Advanced Practice Registered Nurses’ Interest in Doctor of Nursing Practice Degree Programs." Clinical Scholars Review 8, no. 1 (2015): 66–69. http://dx.doi.org/10.1891/1939-2095.8.1.66.

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This pilot study explored nursing students, registered nurses (RN), RNs enrolled in master’s degree programs focused on advanced practice registered nurse roles, and master’s prepared nurse practitioners’ interest in attending a Doctor of Nursing Practice (DNP) degree program. There were 666 persons who responded to the 23-item web-based, multiple-choice questionnaire. Of those who responded to specific questions, 76% of participants were aware of the different types of DNP programs, and 73% were considering a DNP degree. More than half of all respondents were considering the degree to advance

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Brott, Shirley. "September October 2010 News of the Academy." Neonatal Network 29, no. 5 (2010): 319–21. http://dx.doi.org/10.1891/0730-0832.29.5.319.

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The Academy of Neonatal Nursing has selected Rodney Koehler, RN, from the McKay Dee Hospital in Ogden, Utah, to receive the prestigious 2010 Excellence in Neonatal Nursing Practice Award. Colleague, Vickie L. Baer, RN, honored “Rod” by nominating him for his outstanding neonatal nursing practice and contributions spanning over 30 years. “I cannot think of a person more deserving of the Excellence Award. Rod has given his all to become one of the most knowledgeable and dedicated neonatal nurses I have ever had the pleasure to work with. He has advanced as the art of neonatal nursing has advance

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Wood, Teresa, Valerie Sabol, Jill Engel, Deborah H. Allen, Julie A. Thompson, and Tracey L. Yap. "Using an Electromagnetic Guidance System for Placement of Small-Bowel Feeding Tubes to Reduce Feeding Start Times." Critical Care Nurse 43, no. 1 (2023): 52–58. http://dx.doi.org/10.4037/ccn2023847.

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Background Cardiothoracic surgery patients have an increased risk for aspiration and may require enteral access for nutrition. Local Problem In a cardiothoracic intensive care unit, feeding start times were delayed because of scheduling conflicts with support services. An electromagnetic device (Cortrak 2 Enteral Access System, Avanos Medical) was introduced to allow advanced practice providers (nurse practitioners and physician assistants) to independently establish postpyloric access and reduce dependence on ancillary services. Methods A quality improvement study was performed. Pre- and post

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Rath, Lucy, Agostino Faletra, Nick Downing, and Alison Rushton. "Cross-sectional UK survey of advanced practice physiotherapy: characteristics and perceptions of existing roles." International Journal of Therapy and Rehabilitation 28, no. 7 (2021): 1–14. http://dx.doi.org/10.12968/ijtr.2020.0064.

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Background/aims Few studies have investigated the characteristics of advanced practice physiotherapy in the UK to evaluate current context and implementation. The aim of this study was to understand how advanced practice physiotherapy is implemented in the UK. Methods A cross-sectional online descriptive national questionnaire was developed, using a previous survey and literature, comprising 33 closed, Likert-scale and open questions. Data analysis was undertaken using frequencies and thematic analysis. All 646 members of the Advanced Practice Physiotherapy Network were invited to participate.

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Lasinski, Alaina M., Allysen Shaughnessy, and Jeffrey A. Claridge. "Trauma advanced practice provider education: the current state of trauma advanced practice provider postgraduate education in the United States." Trauma Surgery & Acute Care Open 9, no. 1 (2024): e001423. http://dx.doi.org/10.1136/tsaco-2024-001423.

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BackgroundPostgraduate education for advanced practice providers (APPs) is a rapidly evolving field and includes residencies and fellowships designed to help narrow the gap between physicians and APPs. The current state of trauma APP postgraduate programs in the U.S. is unknown. The aim of this study is to identify the APP postgraduate programs in the U.S. dedicated to trauma training and to understand the baseline characteristics of these programs and their curriculums, including which technical skills and bedside procedures a trauma APP should be expected to perform.MethodsThis is a cross-se

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Veitch, Scott, and Deepti H. Radia. "Recent Advances in the Therapeutic Management of Advanced Systemic Mastocytosis." Diagnostics 14, no. 1 (2023): 80. http://dx.doi.org/10.3390/diagnostics14010080.

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Advanced systemic mastocytosis (AdvSM) is a rare haematological neoplasm characterised by the accumulation of neoplastic mast cells (MCs) in various organs, resulting in organ dysfunction and reduced life expectancy. The subtypes include aggressive SM (ASM), SM with an associated haematological neoplasm (SM-AHN) and mast cell leukaemia (MCL). The gain of function KIT D816V mutation is present in most cases. The availability of tyrosine kinase inhibitors (TKIs) has revolutionised the treatment landscape for patients with this life-limiting disease. Patients are now able to achieve molecular rem

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Abidoye, Rotimi Boluwatife, Ma Junge, Terence Y. M. Lam, Tunbosun Biodun Oyedokun, and Malvern Leonard Tipping. "Property valuation methods in practice: evidence from Australia." Property Management 37, no. 5 (2019): 701–18. http://dx.doi.org/10.1108/pm-04-2019-0018.

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Purpose Improving valuation accuracy, especially for sale and acquisition purposes, remains one of the key targets of the global real estate research agenda. Among other recommendations, it has been argued that the use of technology-based advanced valuation methods can help to narrow the gap between asset valuations and actual sale prices. The purpose of this paper is to investigate the property valuation methods being adopted by Australian valuers and the factors influencing their level of awareness and adoption of the methods. Design/methodology/approach An online questionnaire survey was co

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Sick-Samuels, Anna, Anping Xie, Elliot Melendez, Jim Fackler, and Aaron Milstone. "43745 A pilot survey to assess the practices, attitudes and beliefs around endotracheal aspirate culture use in a pediatric intensive care unit." Journal of Clinical and Translational Science 5, s1 (2021): 52. http://dx.doi.org/10.1017/cts.2021.537.

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ABSTRACT IMPACT: Optimizing the use of endotracheal aspirate cultures (EACs) has the potential to improve the care of complex mechanically ventilated children by improving testing practices and avoiding unnecessary antibiotic treatment for false-positive results. OBJECTIVES/GOALS: An electronic survey has previously been employed to characterize the practices and attitudes around blood cultures among critically ill children. The objective of this work was to develop and pilot a new survey as a tool to understand practices and attitudes that could inform quality improvement initiatives to optim

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Welton, Robert H. "Writing an Employer-Focused Resume for Advanced Practice Nurses." AACN Advanced Critical Care 24, no. 2 (2013): 203–17. http://dx.doi.org/10.4037/nci.0b013e31828cbe66.

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The most important new trend in resumes is the employer-focused resume. Writing one is not difficult, but it requires a change in focus. The focus of this type of resume is on the needs of prospective employers. This new resume format allows applicants to describe to prospective employers what they can provide related to the employer’s needs as opposed to a simple listing of their academic and work experiences without relation to the prospective new job. This article provides advanced practice nurses with sources to guide construction of informative text about their advanced practice nursing s

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Finucane, Anne M., Deborah Davydaitis, Zoe Horseman, et al. "Electronic care coordination systems for people with advanced progressive illness: a mixed-methods evaluation in Scottish primary care." British Journal of General Practice 70, no. 690 (2019): e20-e28. http://dx.doi.org/10.3399/bjgp19x707117.

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BackgroundElectronic care coordination systems, known as the Key Information Summary (KIS) in Scotland, enable the creation of shared electronic records available across healthcare settings. A KIS provides clinicians with essential information to guide decision making for people likely to need emergency or out-of-hours care.AimTo estimate the proportion of people with an advanced progressive illness with a KIS by the time of death, to examine when planning information is documented, and suggest improvements for electronic care coordination systems.Design and settingThis was a mixed-methods stu

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Carney, Madeline, Myra Quiroga, Luke Mounce, Elizabeth Shephard, Willie Hamilton, and Sarah Price. "Effect of pre-existing conditions on bladder cancer stage at diagnosis: a cohort study using electronic primary care records in the UK." British Journal of General Practice 70, no. 698 (2020): e629-e635. http://dx.doi.org/10.3399/bjgp20x710921.

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BackgroundPre-existing concurrent medical conditions (multimorbidity) complicate cancer diagnosis when they provide plausible diagnostic alternatives for cancer symptoms.AimTo investigate associations in bladder cancer between: first, pre-existing condition count and advanced-stage diagnosis; and, second, comorbidities that share symptoms with bladder cancer and advanced-stage diagnosis.Design and settingThis observational UK cohort study was set in the Clinical Practice Research Datalink with Public Health England National Cancer Registration and Analysis Service linkage.MethodIncluded partic

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Guevara, Robert S., Jared Montoya, Meghan Carmody-Bubb, and Carol Wheeler. "Physician leadership style predicts advanced practice provider job satisfaction." Leadership in Health Services 33, no. 1 (2019): 56–72. http://dx.doi.org/10.1108/lhs-06-2019-0032.

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Purpose This paper aims to examine the relationship between physician leadership style and advanced practice health-care provider job satisfaction. Design/methodology/approach A total of 320 advanced practice providers (nurse practitioners and physician assistants) in Texas rated their supervising/collaborating physicians’ leadership style using the Multifactor Leadership Questionnaire 5X Short (Bass and Avolio, 2000) and assessed their own job satisfaction using the Abridged Job Descriptive Index (Smith, Kendall and Hulin, 1969). Regression models tested the relationships between physician le

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Beck, Angela J., Cory Page, Jessica Buche, and Maria Gaiser. "The Distribution of Advanced Practice Nurses Within the Psychiatric Workforce." Journal of the American Psychiatric Nurses Association 26, no. 1 (2019): 92–96. http://dx.doi.org/10.1177/1078390319886366.

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OBJECTIVE: To examine the size and distribution of the advanced practice psychiatric nurse workforce relative to the total psychiatry workforce to determine whether nurses are predominantly working in areas with higher or lower levels of behavioral health specialists. METHODS: State-level data for psychiatric nurses were obtained from the American Nurses Credentialing Center, and included mental health psychiatric nurse practitioners, adult psychiatric nurse practitioners, child psychiatric clinical nurse specialists, and adult psychiatric clinical nurse specialists. Supply estimates of the fu

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Grešš Halász, Beáta, Lucia Dimunová, Ivana Rónayová, Viliam Knap, and Ľubomíra Lizáková. "Advanced Practice Nursing in Cardiology: The Slovak Perspective for the Role Development and Implementation." International Journal of Environmental Research and Public Health 18, no. 16 (2021): 8543. http://dx.doi.org/10.3390/ijerph18168543.

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Background: Cardiovascular diseases (CVDs) are the number one cause of death globally. Most can be prevented by addressing behavioral risk factors, where advanced practice nurses- clinical specialists in cardiovascular nursing play a fundamental role. This modern and effective role is based on advanced activities, knowledge, skills, and experience in a specialized field, which can make a significant contribution to solving the problems of these civilization diseases. The aim of this work is to explore the self-perception of advanced-practice nurses (APNs) working in cardiology and vascular med

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Beieler, Alison M., Alison M. Beieler, Leah H. Yoke, et al. "617. Physician Perspective: Utilization of Advanced Practice Providers (APPs) in the ID Workforce." Open Forum Infectious Diseases 7, Supplement_1 (2020): S369—S370. http://dx.doi.org/10.1093/ofid/ofaa439.811.

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Abstract Background Applicants entering Infectious Disease (ID) fellowships are declining and shortages of ID physicians is a challenge recognized by the clinical workforce and Infectious Diseases Society of America (IDSA). There is increased awareness of more Advanced Practice Providers (APPs) being used within ID to expand and extend existing practices. However, little is known about APP utilization, APP clinical scope of practice, specific roles, and opportunities for education. Methods To evaluate physician perspectives on APP utilization in ID, we created an anonymous and voluntary survey

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Hoy, Haley, Susan Alexander, Jerita Payne, and Edward Zavala. "The Role of Advanced Practice Nurses in Transplant Center Staffing." Progress in Transplantation 21, no. 4 (2011): 294–98. http://dx.doi.org/10.1177/152692481102100407.

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Context Despite increased rates of solid organ transplantation and frequent use of advanced practice nurses (APNs) to manage patients, no established staffing model including APNs and their roles exists. Objective To characterize the role and integration of APNs in the staffing models of existing transplant centers. Design Descriptive research using a researcher-designed survey of transplant APN professionals. Participants 53 attendees of a national APN transplant clinical management symposium. Main Outcome Measure Investigator-designed survey tool consisting of 21 questions delivered in a pap

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Ikusika OF, Idon PI, Alalade O, Sotunde AO, Akinpelu MA, and Igweagu CE. "Fixed-prosthodontics in Nigerian private practice settings." Ibom Medical Journal 15, no. 2 (2022): 116–25. http://dx.doi.org/10.61386/imj.v15i2.249.

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Context: Private practice dentistry is predominant in Nigeria. Audits of fixed-prosthodontic practice in these settings are rare and will highlight capacity and guide training. This study aimed to assess the scope and quality of fixed-prosthodontic practice in such settings in Nigeria. Objectives: The study sought to assess:  Participants’ sociodemographic and their diagnostic and preoperative practices. The quality of impression making and operative technique, reviews and maintenance, temporization practices and communication with the laboratory.  The range of tr

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Ajani, Jaffer A., Thomas A. D’Amico, David J. Bentrem, et al. "Esophageal and Esophagogastric Junction Cancers, Version 2.2019, NCCN Clinical Practice Guidelines in Oncology." Journal of the National Comprehensive Cancer Network 17, no. 7 (2019): 855–83. http://dx.doi.org/10.6004/jnccn.2019.0033.

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AbstractEsophageal cancer is the sixth leading cause of cancer-related deaths worldwide. Squamous cell carcinoma is the most common histology in Eastern Europe and Asia, and adenocarcinoma is most common in North America and Western Europe. Surgery is a major component of treatment of locally advanced resectable esophageal and esophagogastric junction (EGJ) cancer, and randomized trials have shown that the addition of preoperative chemoradiation or perioperative chemotherapy to surgery significantly improves survival. Targeted therapies including trastuzumab, ramucirumab, and pembrolizumab hav

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Dietrich, Brian, Arlene O. Siefker-Radtke, Sandy Srinivas, and Evan Y. Yu. "Systemic Therapy for Advanced Urothelial Carcinoma: Current Standards and Treatment Considerations." American Society of Clinical Oncology Educational Book, no. 38 (May 2018): 342–53. http://dx.doi.org/10.1200/edbk_201193.

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Urothelial carcinoma is the sixth most common malignancy in the United States. Although most are diagnosed with non–muscle-invasive malignancy, many patients will develop recurrent disease within 5 years, with 10% to 20% developing advanced muscle-invasive or more distant incurable disease. For such patients, clinical outcomes have remained suboptimal, although recent therapeutic advances have brought new hope to the field. Here, we discuss the main systemic treatment options available for the treatment of patients with advanced disease. This review begins with traditional chemotherapy, which

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Takada, Leonel Tadao. "Genetic investigation of dementias in clinical practice." Arquivos de Neuro-Psiquiatria 80, no. 5 suppl 1 (2022): 36–41. http://dx.doi.org/10.1590/0004-282x-anp-2022-s103.

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Abstract Background: The field of neurodegenerative dementia genetics has advanced significantly over the past two decades, but there are still more to be discovered (such as the gene mutation in some familial forms of dementia). Objective: to provide a brief review of the most recent discoveries regarding monogenic dementia, and covering the most frequent genetic diseases that can cause dementia (neurodegenerative or not). Methods: a review of the literature will be carried out. Results: neurodegenerative dementias, vascular dementias and leukoencephalopathies caused by single pathogenic vari

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Hoch, Deborah Ann, Erin Maynard, and James Whiting. "Billing and Reimbursement for Advanced Practice in Solid Organ Transplantation." Progress in Transplantation 21, no. 4 (2011): 274–83. http://dx.doi.org/10.1177/152692481102100403.

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Transplantation is considered the treatment of choice for end-stage organ failure in most organ systems. Kidney transplantation is cost-saving as compared with dialysis, and the cost utility of liver transplantation is favorable compared with other accepted medical interventions; nonetheless, transplantation is an expensive endeavor. As a result, both hospitals and payers have made considerable efforts to try to limit the costs associated with transplantation; these efforts have resulted in complicated reimbursement schemes and a variety of models to deliver care. It is in this context that ma

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Yoke, Leah H., Leah H. Yoke, Alison M. Beieler, et al. "628. The Role of the Advanced Practice Provider in Infectious Disease: Opportunities for Growth." Open Forum Infectious Diseases 7, Supplement_1 (2020): S374—S375. http://dx.doi.org/10.1093/ofid/ofaa439.822.

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Abstract Background Advanced Practice Providers (APPs), including nurse practitioners and physician assistants, provide high quality medical care in multiple specialties by extending the physician workforce. However, within the Infectious Disease (ID) specialty, their demographics, areas of practice, and experience are not well described. To better understand this key group, we examined APP years of experience in ID, primary practice settings, and perceived practice barriers from the APP perspective. Methods We created a survey using REDCap which was distributed between 12/1/2019-1/31/2020 to

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Begum, Sameena, Swati Chauhan, Sana Sarwar, and Dr Gulnaz Fatma. "YouTube’s Two-Stage Deep Learning Framework for Video Recommendations." International Journal of English Literature and Social Sciences 9, no. 6 (2024): 386–92. https://doi.org/10.22161/ijels.96.64.

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One of the most popular and technologically advanced commercial recommendation systems is YouTube, which makes it one of the most popular. In addition to providing an overview of the system, it shows the extraordinary advances in efficiency that have been made possible by advanced learning techniques. The standard "two-stage" architecture is utilized in this research for the purpose of isolating and obtaining related material. First, a comprehensive model for the generation of candidates should be provided, and then a model for ranking applicants should be outlined. Both of these should be don

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Liu, Yanxi. "Prognostic Factors for Advanced Breast Cancer." Theoretical and Natural Science 96, no. 1 (2025): 47–53. https://doi.org/10.54254/2753-8818/2025.21569.

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Breast cancer is one of the most frequent malignancies affecting womens health and is the second leading tumor in terms of prevalence globally. However, advanced breast cancer remains incurable, and the prognosis is unfavorable. Identifying prognostic factors in advanced breast cancer is crucial for clinical practice. In this paper, we aim to summarize significant risk factors affecting the prognosis of patients suffering from advanced breast carcinoma, including age, sites of metastasis, molecular typing, and local treatments. Additionally, this paper explores the methods and functions of pre

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Wojack, Cristina A., Ashleigh G. VanBlarcom, and Jesus Casida. "Ambulatory Extracorporeal Membrane Oxygenation: Times Are Changing." AACN Advanced Critical Care 32, no. 4 (2021): 434–42. http://dx.doi.org/10.4037/aacnacc2021604.

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During the past century, medical technology has evolved to enhance quality and quantity of life. Medications, surgeries, and implantable devices have been developed and enhanced to reduce complications and improve patient outcomes. The use of extracorporeal membrane oxygenation is one of the most substantial advances in life-saving modalities. Extracorporeal membrane oxygenation has been widely used for patients with heart or lung failure across the lifespan. Expansion and simplifications of extracorporeal membrane oxygenation circuit designs have informed changes in patient treatment (from be

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Lavery, Joanna, Nicola Morrell-Scott, and Sharon Flewitt. "The clinical pillar above all others: trainee advanced clinical practitioners' perceptions of the four pillars." International Journal for Advancing Practice 3, no. 2 (2025): 78–83. https://doi.org/10.12968/ijap.2024.0025.

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Background: Challenges persist for advanced clinical practitioners (ACPs) because of the broad vision for the role and its application within the context of professional identity. ACPs must be competent and credible across all four pillars of advanced practice to deliver its recognised standard of care. Aim: This article explores the perceptions of trainee advanced clinical practitioners (tACPs) and what they view as the most and least important pillars of advanced practice, their reasoning for this opinion and the qualities they believe that ACPs should possess. Methods: The researchers used

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Scarpaci, Kaitlin, Hans Pohl, and Md Sohel Rana. "Creating an evidence-based pediatric urology advanced practice provider orientation program." Journal of Nursing Education and Practice 13, no. 3 (2022): 23. http://dx.doi.org/10.5430/jnep.v13n3p23.

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The authors sought to understand the background and training of pediatric urology advanced practice providers (APP) to create an orientation program that improves APP preparation for subspecialization in pediatric urology. Obtaining these data will allow for the development of an evidence-based approach to educating the new pediatric urology APP at a national level. An anonymous survey was sent to the 331 members of the Pediatric Urology Nurses & Specialists (PUNS) professional organization to assess the qualities of orientation and training at institutions across the nation. Descriptive s

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Krzeski, Antoni, Dorota Kapiszewska-Dzedzej, Norbert P. Górski, and Iwona Jakubczyk. "Cystic Fibrosis in Rhinologic Practice." American Journal of Rhinology 16, no. 3 (2002): 155–60. http://dx.doi.org/10.1177/194589240201600306.

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Background Cystic fibrosis (CF) is the most common genetic lethal disorder that affects white populations. Chronic rhinosinusitis (CRS) with extensive nasal polyposis is one of the manifestations of CF. Methods The aim of this study was to determine the prevalence and extent of CRS in CF patients. Results The study indicated that the signs and symptoms of CRS were present in all patients with CF and they were more advanced than in the control group. The most severe inflammatory changes in the paranasal sinuses were detected in patients with the dF508 gene mutation type who suffered from CRS fo

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Seys Ranola, Trisha, Amanda Margolis, and Connie Kraus. "Factors Influencing Students’ Preferences to Pursue International Advanced Pharmacy Practice Experiences." INNOVATIONS in pharmacy 9, no. 1 (2018): 3. http://dx.doi.org/10.24926/iip.v9i1.959.

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The Problem: To improve the quality of the international APPE program and facilitate growth, a questionnaire was developed to identify perceived barriers for selection of and ways to increase interest in international APPEs. Survey Design: A questionnaire was administered to two consecutive third-year classes to gauge interest, perceived barriers and possible facilitators for engagement in international APPEs. Key Findings: Cost and need to travel independently were most frequently identified as barriers to participating in international APPEs. Suggestions to increase participation in internat

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Tempero, Margaret A., Mokenge P. Malafa, Mahmoud Al-Hawary, et al. "Pancreatic Adenocarcinoma, Version 2.2021, NCCN Clinical Practice Guidelines in Oncology." Journal of the National Comprehensive Cancer Network 19, no. 4 (2021): 439–57. http://dx.doi.org/10.6004/jnccn.2021.0017.

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Pancreatic cancer is the fourth leading cause of cancer-related death among men and women in the United States. A major challenge in treatment remains patients’ advanced disease at diagnosis. The NCCN Guidelines for Pancreatic Adenocarcinoma provides recommendations for the diagnosis, evaluation, treatment, and follow-up for patients with pancreatic cancer. Although survival rates remain relatively unchanged, newer modalities of treatment, including targeted therapies, provide hope for improving patient outcomes. Sections of the manuscript have been updated to be concordant with the most recen

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Gwinn, Marta, Duncan R. MacCannell, and Rima F. Khabbaz. "Integrating Advanced Molecular Technologies into Public Health." Journal of Clinical Microbiology 55, no. 3 (2016): 703–14. http://dx.doi.org/10.1128/jcm.01967-16.

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ABSTRACT Advances in laboratory and information technologies are transforming public health microbiology. High-throughput genome sequencing and bioinformatics are enhancing our ability to investigate and control outbreaks, detect emerging infectious diseases, develop vaccines, and combat antimicrobial resistance, all with increased accuracy, timeliness, and efficiency. The Advanced Molecular Detection (AMD) initiative has allowed the Centers for Disease Control and Prevention (CDC) to provide leadership and coordination in integrating new technologies into routine practice throughout the U.S.

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Anderson, Sandra C. "Education for Family-Centered Practice." Families in Society: The Journal of Contemporary Social Services 76, no. 3 (1995): 173–81. http://dx.doi.org/10.1177/104438949507600305.

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Current trends threaten a shift in focus from family-centered to individually oriented practice. The author makes a case for resisting these forces and for the continued development of graduate curricula supportive of family-oriented practice. The sequence of advanced direct-practice courses described in this article is based on the integration of feminist and family-of-origin theories. Students learn to use social theories as a context for clinical theories and study their own families both to learn concepts and to explore how their own experiences and beliefs affect their practice. Comprehen

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Kaatz, Martin, Peter Mohr, Elisabeth Livingstone, et al. "Effectiveness, Safety and Utilization of Vismodegib for Locally Advanced Basal Cell Carcinoma Under Real-world Conditions: Non-interventional Cohort Study JONAS." Acta Dermato-Venereologica 102 (April 13, 2022): adv00695. http://dx.doi.org/10.2340/actadv.v102.293.

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Most patients with advanced basal cell carcinomas (BCCs) may not benefit sufficiently from standard treatment comprising surgery and radiation. Vismodegib, an oral selective hedgehog pathway inhibitor, is approved for treatment of patients with locally advanced BCC inappropriate for surgery or radiotherapy, or for patients with symptomatic metastatic BCC. In order to enhance understanding of the effectiveness, safety and utilization of vismodegib in clinical practice in Germany, a non-interventional study, JONAS, was conducted. A total of 53 patients with locally advanced BCC who initiated tre

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Groninger, Hunter, Devin Gilhuly, and Kathryn A. Walker. "Getting to the Heart of the Matter: A Regional Survey of Current Hospice Practices Caring for Patients With Heart Failure Receiving Advanced Therapies." American Journal of Hospice and Palliative Medicine® 36, no. 1 (2018): 55–59. http://dx.doi.org/10.1177/1049909118789338.

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Background: No guidelines exist regarding care for patients with advanced heart failure (HF) receiving hospice care while continuing advanced HF therapies such as left ventricular assist devices (LVADs) or continuous inotropes. Objective: We surveyed hospice providers in our tristate region to determine hospice demographics, current practices for care of patients with advanced HF, and perceived challenges of providing advanced HF therapies. Design: Cross-sectional survey of hospice clinical and administrative leaders. Results: Forty-six respondents representing 23 hospices completed the survey

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Singh, Armaan, Max J. Hyman, and Parth K. Modi. "Evaluation of Industry Payments to US Advanced Practice Clinicians in 2021." JAMA Network Open 5, no. 11 (2022): e2242869. http://dx.doi.org/10.1001/jamanetworkopen.2022.42869.

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ImportanceAdvanced practice clinicians (APCs) are a growing part of the US health care system, and their financial relationships with pharmaceutical and medical device companies have not been well studied.ObjectivesTo examine the value, frequency, and types of payments made to APCs and the association of state scope-of-practice laws with these payments.Design, Setting, and ParticipantsThis cross-sectional study used 2021 Open Payments Program data to analyze payments from pharmaceutical or medical device companies to physicians or APCs between January 1 and December 31, 2021. Doctors of medici

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Ahmed, Rami A., Alex Botsch, Derek Ballas, et al. "Advanced Practice Provider Critical Care Boot Camp: A Simulation-Based Curriculum." Journal of Medical Education and Curricular Development 6 (January 2019): 238212051984035. http://dx.doi.org/10.1177/2382120519840350.

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The demand for advanced practice providers (APPs) is increasing across the United States to meet necessary provider staffing requirements including in intensive care settings. Currently, participation in formal postgraduate training programs, or residencies, for APPs is not required for clinical practice, such that most of the APPs immediately enter into the workforce following completion of their initial graduate-level training. Consequently, this results in a supervised training period until APPs develop the necessary competencies to practice more autonomously. Educational programs that supp

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