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Npwh Position Statement: Expanding Access To Hormonal Contraception, National Association Of Nurse Practitioners In Women's Health

Group: National Association of Nurse Practitioners in Women's Health (NPWH)

The National Association of Nurse Practitioners in Women's Health (NPWH) affirms the right of each individual or couple who desire to use contraception to be able to do so. Barriers to obtaining and successfully using contraception must be eliminated, particularly for the most vulnerable individuals and populations. NPWH advocates for federal- and state-level policies that remove barriers and increase access to affordable, safe, and effective contraceptive methods for all reproductive-aged individuals. Multiple strategies involving legislation, regulations, consumer education, and innovation are necessary. Over-the-counter (OTC) access to hormonal contraceptives (HCs) and pharmacist-provided HCs are two specific strategies that can lower barriers …

Contraceptive Use, Counseling Given And Occurrence Of Venous Thrombus Embolism (Vte) In Adolescent Systemic Lupus Erythematosus Patients (Sle), Jennifer Kurkowski, Jane Geyer, Jennifer Dietrich, Martha Curry

Group: National Association of Nurse Practitioners in Women's Health (NPWH)

Purpose: The purpose of this study was to determine the contraceptive needs among SLE patients. The secondary aim was to evaluate side effects associated with contraceptive use such as VTE and weight gain.

Methodology: Retrospective chart review involving females (age) with a diagnosis of SLE, identified by ICD-9 codes between the years 2000-2015. Antiphospholipid (APLA) status was recorded. Contraceptive needs, type of method used and side effects will be reviewed. Demographics, SLE year of diagnosis, sexual history, pubertal history and whether counseling was provided if they were sexually active was recorded. Descriptive statistics were utilized.

Results: According to the Center …

Anxiety Scores Of Women Participating In High Risk Breast Cancer Outpatient Group Visits, Kathryn Trotter, Emily K. Routh

Group: National Association of Nurse Practitioners in Women's Health (NPWH)

Purpose: Women with an increased risk of breast cancer are often anxious about their risk and need additional counseling related to risk assessment, breast surveillance, and risk-lowering interventions. The purpose of the study was to examine perceived anxiety before and after facilitated group visits for this population.

Methodology: In conjunction with their follow-up visits, women in the high-risk breast clinic are invited to attend a one-hour group visit. Based on the Centering model, the focus is on breast education and support as well as health assessment. The small group sessions of 3-6 women are facilitated by the breast surgery NP …

Npwh Position Statement: Human Papillomavirus Vaccination [October 2021 Update], National Association Of Nurse Practitioners In Women's Health

Group: National Association of Nurse Practitioners in Women's Health (NPWH)

The National Association of Nurse Practitioners in Women's Health (NPWH) advocates for an intentional and concerted effort to improve human papillomavirus (HPV) vaccination rates, with the goal of ending cancers caused by HPV. The use of strategies that increase parent/patient acceptance, reduce missed opportunities, promote affordability and accessibility for timely receipt, and ensure completion of the vaccination series are imperative. All nurse practitioners (NPs) who provide healthcare for adolescents and young adults are crucial to the success of this effort.< NPWH recognizes a need for and supports research to identify evidence-based practices that are effective in increasing HPV vaccination uptake, especially among populations currently identified as hard to reach and/or hesitant to accept vaccination. NPWH also supports quality improvement initiatives that are needed to put this evidence into practice and evaluate outcomes. NPWH provides leadership and collaborates with other organizations and agencies to offer education and resources needed for NPs to effectively promote and provide HPV vaccination.

Provider Adherence To Adolescent Sexual Behavior Risk Reduction Assessment Guidelines, Nicole Sovey

Group: National Association of Nurse Practitioners in Women's Health (NPWH)

Purpose: Sexual behavior assessment and human papillomavirus (HPV) vaccination reduce sexually transmitted infections (STIs) and pregnancy risk in adolescents'. The purpose of this study was to identify performance gaps in provider compliance with established ACOG and CDC guidelines regarding HPV vaccination uptake and sexual behavior risk evaluation guidelines. Study results provide quality improvement measures for early adolescent gynecological visits for providers and healthcare systems.

Summary: A retrospective chart review was conducted on adolescent patients between 13-19 years of age, who initiated care at an outpatient women's health clinic located in a rural Midwestern community. A self-developed data collection form incorporating …

Project Thrive: A Multidisciplinary One-Stop Shop Model Of Healthcare For Survivors Of Human Trafficking, Jonell Potter, Stephen Symes, D. Jeffrey Newport, Anastasia Godur, Grechen Mills, Ira Karmin, Panagiota Caralis

Group: National Association of Nurse Practitioners in Women's Health (NPWH)

Purpose: The purpose of this program is to provide an overview of a model of medical care designed for human trafficking survivors.

Summary: Human trafficking for sex and labor is a national epidemic. Most victims access health care while being trafficked. Once rescued, many victims need medical and mental health services. A comprehensive "one-stop shop" model of health care offering multidisciplinary services in a single location for survivors of human trafficking was designed to provide a patient centered approach within an environment that fosters compassion, trust, support and stability was designed and implemented to assist survivors with access to primary …

Patient Satisfaction And Provider Preference With Otc Topical Azole Antifungal Agents, Mark Martens

Group: National Association of Nurse Practitioners in Women's Health (NPWH)

Purpose: In the past, patients needed a healthcare provider (HCP) to treat vulvovaginal candida infections (VVC). With the advert of OTC azole treatments, most patients self-treated prior to contacting their HCP. Therefore, most HCP's receive little feedback on the efficacy and satisfaction with OTC products, except with treatment failures. This project sought to give feedback to HCP's regarding the efficacy and satisfaction for OTC agents.

Methodology: From June to October 2015, 2,961 NP/CNM/PA's were enrolled in a topical OTC VVC treatment program. They were given 4 azole topical antifungals to dispense, from 1 to 7 days and surveys regarding their …

Closing The Gap: Establishing A Women's Preventive Health Care Visit, Barbara A. Persons, Michelle Teschendorf

Group: National Association of Nurse Practitioners in Women's Health (NPWH)

Purpose: Trends in women's access to primary care and gynecological services across the age spectrum has been inconsistent and lacking in preventive focus. This project investigates the use of regular patient questionnaires and its effectiveness in identifying possible and/or potential women's healthcare problems. Project results provide quality improvement for providers and for preventive health care.

Summary: A retrospective chart review was conducted regarding female patients seen at a family medical practice for 12 weeks to see if the new process was sustainable. Prior to the project launch the office staff/providers were instructed on the project's purpose, the improved questionnaires, and …

A Systematic Review Of Strategies To Optimize The Professional Development Of Providers Disseminating Sexual Health Content To Prevent Adolescent Pregnancy, Kassandra Greci, Eric Fenkl, C. Victoria Framil Suarez

Group: National Association of Nurse Practitioners in Women's Health (NPWH)

Problem statement: Adolescent pregnancy is at an extreme rate for minority adolescents of Hispanic and Non-Hispanic Black ethnicity/race, who reside within low socioeconomic geographic areas. Aim: Addressing adolescent sexual health education at the grass roots will further healthcare providers' awareness and engagement in preventing unplanned pregnancy among adolescents. This will further standardize the knowledge among the youth while increasing positive decision-making. Background: CDC (2017) has prioritized adolescent pregnancy due to the nearly 230,000 unintended pregnancies documented in 2015, yet its overall 8% decrease results from comprehensive sex education and promotion of contraceptives which opposes current abstinence-only curriculum within various school …

Npwh Position Statement: Eliminating Preventable Maternal Deaths [October 2023 Update], National Association Of Nurse Practitioners In Women's Health

Group: National Association of Nurse Practitioners in Women's Health (NPWH)

The National Association of Nurse Practitioners in Women's Health (NPWH) supports coordinated and collaborative efforts at federal, state, local, and professional organization levels to eliminate preventable maternal deaths. A death is considered preventable if it is determined that there was some chance the death could have been averted by one or more changes to community, health facility, patient, provider, and/or system-level factors. The latest estimates from the Centers for Disease Control and Prevention highlight that 4 in 5 pregnancy-related deaths in the United States are preventable. Despite this preventability, data from the National Vital Statistics System from 2018 to 2021 …

Streamlining Time To Diagnosis And Treatment Of Gestational Diabetes, Catherine Cornish

Group: National Association of Nurse Practitioners in Women's Health (NPWH)

Purpose/Background: Gestational diabetes mellitus (GDM) affects approximately 240,000 pregnancies annually and is associated with maternal adverse events (hypertension, preeclampsia, polyhydramnios, preterm delivery) and neonatal complications (macrosomia, shoulder dystocia, and increased morbidity). Timely diagnosis and treatment improves outcomes. Traditionally, women without known diabetes have been screened at 24-28 weeks using a two-step procedure: a one-hour glucose challenge test and, if abnormal, followed by a fasting three-hour glucose tolerance test (GTT) on another day. Current literature and the American Diabetes Association support a one-step approach in which women are screened with a one-time fasting two-hour GTT. At our women's center, we observed …

Npwh Position Statement: Access To Safe Abortion, National Association Of Nurse Practitioners In Women's Health

Group: National Association of Nurse Practitioners in Women's Health (NPWH)

The National Association of Nurse Practitioners in Women's Health (NPWH), along with numerous other national health professional organizations, affirms that abortion is an essential component of comprehensive reproductive healthcare and that it should be legal, safe, and accessible. Legal restrictions do not eliminate abortion but instead increase the likelihood that abortions will be performed unsafely, with the potential for complications and death. Legislative and policy decisions should be firmly rooted in science, protect the patient-clinician relationship, and aim at reducing disparities to ensure equitable access to safe, effective, and timely abortion care.

People with low incomes, those living in rural …

Npwh Position Statement: Eliminating Preventable Maternal Deaths, National Association Of Nurse Practitioners In Women's Health

Group: National Association of Nurse Practitioners in Women's Health (NPWH)

The National Association of Nurse Practitioners in Women's Health (NPWH) supports coordinated and collaborative efforts at federal, state, local, and professional organization levels to eliminate preventable maternal deaths. For 2011-2015, the pregnancy-related mortality ratio (PRMR) in the United States was 17.2 deaths per 100,000 live births. This statistic translates to an average of 700 women dying of pregnancy-related complications each year, a rate that remains higher than that of any other resource-rich country. The CDC estimates that 3 in 5 pregnancy-related deaths in the U.S. are preventable. NPWH advocates for legislation, policies, and initiatives that promote access to care, establishment …

Npwh Position Statement: Menstrual Equity And Menstrual Health, National Association Of Nurse Practitioners In Women's Health

Group: National Association of Nurse Practitioners in Women's Health (NPWH)

The National Association of Nurse Practitioners in Women's Health asserts that all individuals who menstruate should have adequate access to appropriate menstrual products and to facilities that support privacy, safety, hygiene, and sanitation for changing menstrual products, washing body and hands, and cleaning or disposing of used materials. As well, all individuals who experience menstruation should have access to accurate, timely, and age-appropriate information about the menstrual cycle, expected changes that occur from puberty through menopause, and related self-care and hygiene practices. Access to healthcare for timely diagnosis and care for menstrual-cycle related discomforts and disorders is important for menstrual …

Npwh Position Statement: Role Of Whnps In The Scholarship Of Discovery, Practice, And Teaching, National Association Of Nurse Practitioners In Women's Health

Group: National Association of Nurse Practitioners in Women's Health (NPWH)

The National Association of Nurse Practitioners in Women's Health (NPWH) recognizes a critical need for women's health nurse practitioner (WHNP) scholars in discovery, practice, and teaching to improve women's and gender-related healthcare and health outcomes. WHNPs with earned doctoral degrees can make unique contributions to scholarship with their combination of advanced practice nursing knowledge and skills and expertise in women's and gender-related health.

The education and experience of WHNPs provide them with informed, unique perspectives on how women's and gender-related health is inextricably linked to the intersectionality of biology, genetics, behaviors, identities, social determinants, and life transitions. Scientific research led …

Npwh Position Statement: Cervical Cancer Screening, National Association Of Nurse Practitioners In Women's Health

Group: National Association of Nurse Practitioners in Women's Health (NPWH)

The National Association of Nurse Practitioners in Women's Health (NPWH) supports a concerted effort to continue to improve cervical cancer screening rates and timely, appropriate follow-up and treatment when screening results are abnormal. The goal is to reduce cervical cancer incidence, morbidity, and mortality. NPWH supports ongoing research to ensure that screening guidelines are based on the best evidence available. Furthermore, NPWH supports policies at the local, state, and federal levels that ensure access to cervical cancer screening services and follow-up as needed.

Professional Role Identity Formation Theory: Implications For Professional Role Clarity And Nurse Work Engagement In The Current Public Health Crisis, Maria W. O'Rourke

Group: King International Nursing Group

This presentation describes Professional Role Identity Formation Theory as a theoretical explanation of professional role identity formation. It advances knowledge about the process by which individuals become attracted to professional work and the discipline of nursing. It provides structure and process for exploring the source of one's professional role clarity and for developing a professional practice based on a well-grounded understanding of professional role expectations and obligations. The professional role clarity lens addresses the internal and external influences that can impact career decisions.

Metacognition In Nurse Practitioner Students: How Nurse Educators Can Best Serve Students, Kathryn Holliday, Justin Waryold, Eric Rodriguez

Group: King International Nursing Group

The dynamic and changing healthcare environment requires educators to prepare nurse practitioner students with more than knowledge and skills. Healthcare providers need to be prepared with enhanced skills related to critical thinking and decision making. Metacognition training has been used by many disciplines within and outside of healthcare to prepare individuals to work in an environment that has volatility, uncertainty, complexity, ambiguity, and delayed feedback (VUCAD). Metacognition training is rooted in cognitive theory. Cognitive theory strives to understand the relationship between an individual's thought processes and behavior. This retrospective exploratory study uses computerized strategic management simulation (SMS) data to address …

Applying A Nursing Theory To A Theory Of Resilience To Foster Healing And Recovery Post-Pandemic, Rothlyn P. Zahourek

Group: King International Nursing Group

How can nursing theories be used in the real world to address and combat the sequelae of the pandemic? Nurses have particularly suffered being continuously on the front line of exhausting and often heart breaking care of those with COVID-19. Resilience is understood as the psychological, physical, and spiritual capacity to cope with and integrate experiences of trauma and loss over time. The work of J.L. Griffith, The Hope Module (2017) can be compared and integrated with the nursing theory, Intentionality: the Matrix for Healing (IMH) (Zahourek, R.P. 2020) to foster interventions for recovery and healing from trauma. Intentionality is …

Workplace Violence During Covid-19: A Transaction Process For Nurse Retention, Amy Charlton, Ashley Wheeler

Group: King International Nursing Group

King's transaction process provides a framework for stakeholders including nurses, employers, and patients to set mutual goals that influence their individual and collective quality of life (2007). Healthcare workers represent 74% of all reported workplace violence [WPV] assaults in the U.S. (OSHA, 2016). These WPV assaults are underreported by nurses for fear of retaliation, lack of action, and administrative discouragement (ANA, 2019; Ezeobele et al., 2020). Awareness of WPV focusing on prevention, protection, and recovery are mutual goals for all stakeholders (Busch et al., 2021; Fewster-Thuente & Velsor-Friedrich, 2008; King, 2007). Research demonstrates patient-centered healthcare that prioritizes nurse protection from …

Imogene M. King, Rn, Edd, Faan: Nurse Theorist And Nursing Leader, Mary B. Killeen

Group: King International Nursing Group

This presentation gives historical background of King's work and its relevance to nursing process and nursing outcomes

The Roy Adaptation Model As Theoretical Underpinning For Dnp Education, Ellen B. Buckner

Group: King International Nursing Group

The Doctor of Nursing Practice (DNP) degree is a practice focused doctorate, with nursing theory providing guidance for integrative practice experiences and the DNP project. The Roy Adaptation Model (RAM) meets the DNP Essentials (AACN, 2006) as a process, a patterning of human-environmental integration, directing actions for making positive change of health in individuals and groups. Evaluative outcomes are measurable in all four adaptive domains (Roy, 2009). The RAM facilitates transforming the care context and culture of practice to holistic, person-centered care. Numerous types of DNP scholarship have been linked with the RAM; philosophical, scientific, and cultural assumptions of the …

Blending Family-Centered Care And The Neuman Systems Model In Caring For Children Experiencing Traumatic Stress., Betsy Mickey Mcdowell

Group: King International Nursing Group

Child traumatic stress disorders occur when children are exposed to (i.e.experience, witness, confronted by) traumatic events or situations that overwhelm their ability to cope. This exposure can be acute or chronic. At least a quarter of a million children are admitted to an ICU each year in the United states and it is thought that as many as on third of these children ultimately will develop symptoms of acute stress disorder(ASD)or of post-traumatic stress disorder (PTSD). Therefore it is imperative that nurses be on the alert for risk factors and clinical manifestations of ASD/PTSD plus actively prevent the development of …

The Humanistic Foundations Of Imogene King's Theory Of Mutual Goal Attainment And Implications, Beverly J. Whelton

Group: King International Nursing Group

This presentation provides the humanistic foundations of Imogen King's theory of Mutual Goal Attainment through the Classical-Modern synthesis of the Contemporary philosopher, Norris Clark. Classical philosophy tells us humans are substantial (matter/form) beings with the capacities of knowing, reasoning and choosing from options we know. Modern philosophy tells us humans possess their own sense of self. They are beings towards others with self-possession and are self-transcendent and self-communicative finding fulfillment in self-giving. These natural capacities need to be nurtured and supported through education and mutual decision making.

Using The Holistic Theory Of Unpleasant Symptoms To Guide Nursing Practice In Serious Illness And At The End Of Life, Amy K. Moore

Group: King International Nursing Group

This presentation describes a new creative and imaginative theory-driven practice model for nursing in complex and challenging situations. The Holistic Theory of Unpleasant Symptoms (HTOUS), (grounded in Rogers' Science of Unitary Human Beings) , describes how the nurse can help people achieve wellbecoming in the context of serious illness and at the end of life. HTOUS views human beings and their environments as complex, co-extensive, dynamic irreducible energy fields in mutual process. Human and environment field patterns are empirically observable through manifestations in the forms of situations, perceptions experiences varied expressions and evolve in the context of nursing actions. Symptoms, …

Killeen Theory Of Patient Satisfaction With Nursing Care, Mary B. Killeen

Group: King International Nursing Group

King's interacting systems framework guided the development of the Killeen theory of patient satisfaction. This theory of patient satisfaction, in turn, guided the development of an instrument, the KKPSN (the Killeen-King Patient Satisfaction with Nursing). The use of a nursing theory-based instrument as one way to effectively measure nursing interventions and outcomes in nursing outcomes research is the subject of this presentation.

Lessons From The Field: Strategies To Recruit Men In Theory-Based Qualitative Research, Ashley Rivera

Group: King International Nursing Group

Theory-based qualitative research has made significant progress in providing insight into the experiences of many genders, especially for women and those that identify as LGBTQ+, allowing the profession of nursing to increase gender-sensitive treatment and target the health needs within those populations. However, men are underrepresented in both theory-based and qualitative research. Without research on men's experiences, there cannot be adequate gender -sensitive care of men in nursing practice and healthcare. Gender-specific healthcare concerns for men include risks for combined lower physical and emotional health as evidenced by an increased prevalence of preventable diseases, low utilization of mental health's services, …

Driving The Future Of Nursing: A Collective Approach To Nursing Theory, Chloe Littzen, Yuanyuan Jin, Jessica Dillard-Wright

Group: King International Nursing Group

The abstract we propose focuses on a small but committed group of novice nurse scholars who intend to "answer the call" who will carry the nursing theory torch forward", emanating from the Nursing Theory: A 50 Year Perspective, Past and future conference at Case Western Reserve University Frances Payne Bolton School of Nursing in March 2019. We recognize the urgency of this charge. Recent publications in prominent nursing journals highlight the critical need for discipline specific knowledge in order to continue advancing nursing as a discipline. We will discuss the connection of our group, the Nursing Theory Collective and our …

An Innovative Ems Healthcare Delivery System: A Program Development, Tonya Shanahan

Group: King International Nursing Group

Health care reform is a topic at the forefront of discussion between all disciplines of the health care community. Heart failure is commonly discussed within the medical community as a diagnosis that is commonly linked to high health care cost and early hospital readmission rates. The purpose of this program project was to develop an evidence-based guideline to be used in an innovative, paramedic, health care delivery program for patients with heart failure that will direct paramedics working in an expanded role by defining the Emergency Medical Service Prevention program's admission criteria, the assessment activities to be completed at each …

Automation In Adults With Colorectal Cancer In Surgical Treatment, Oscar Javier Vergara Escobar

Group: King International Nursing Group

Introduction: The American Cancer Society states that the probability of developing invasive cancer among Hispanics / Latinos during certain age groups by sex in the United States 2010 - 2012, and colorectal cancer, is among the first five (1) probability of suffering from this disease in Colombia according to data for 2012 according to the World Health Organization (WHO) has an incidence for men of 2632 (7.7%), mortality 1480 (7.9%) and third place in cancer in the case of women with an incidence of 3031 (8.2%) mortality of 1727 (9.1%) (1), figures of concern, since they show an intimate relationship …