American Association of Nurse Practitioners Research Agenda, 2023-2028.

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.

Adverse Childhood Experiences and Chronic Diseases: Identifying a Cut-Point for ACE Scores.

Adverse Childhood Experiences (ACEs) contribute to many negative physiological, psychological, and behavioral health consequences. However, a cut-point for adverse childhood experience (ACE) scores, as it pertains to health outcomes, has not been clearly identified. This ambiguity has led to the use of different cut-points to define high scores.

Development of the College Student Acute Stress Scale (CSASS).

Purpose: The purpose of this study is to develop and validate the College Student Acute Stress Scale, a measure of acute stress specific to college students.

Design And Methods: A total sample of 440 young adults from a university in the northeast United States were surveyed across three separate research studies. Exploratory principal component analysis, internal consistency reliability, convergent and divergent validity, and test-retest reliability analyses were performed.

Perceived stress, fatigue symptoms, and posttraumatic stress disorder symptoms among young adult college students.

Problem: University students experience stress and fatigue often affecting their health, academic success, and social adjustment. Many also have histories of childhood trauma that may result in posttraumatic stress symptoms. The purpose of this study was to determine the associations between perceptions of stress, symptoms of fatigue, and symptoms of posttraumatic stress disorder (PTSD) among university students, many of whom report childhood adversity.

Developing the Concept of Adverse Childhood Experiences: A Global Perspective.

Background: The relationship between health and adverse childhood experiences (ACEs) has been a major topic in the field of healthcare. In recent years, the study ACEs and health has expanded internationally.

Purpose: The purpose of this study was to further develop the concept of ACEs using a global perspective.

Beyond the discipline: Nurse practitioner members and leaders of interdisciplinary research teams.

Complex clinical questions and problems require expertise beyond one discipline to answer or resolve. Research teams that include members with different foundational perspectives across various disciplines are needed. In particular, the growing trend toward technological innovations to help patients self-manage health has been the impetus for the development of interdisciplinary research teams.

The Efficacy of a Resilience Intervention Among Diverse, At-Risk, College Athletes: A Mixed-Methods Study.

Adverse childhood experiences (ACEs) have been associated with psychological and physiological disease, and risky health behaviors. A person's ability to be resilient may protect them from these negative health outcomes, as resilience has been associated with increased emotional awareness, coping, belonging, and greater likelihood of good health and well-being. The purpose of this pilot study was to assess the efficacy of a strengths-based resilience intervention to improve access to internal and external resources that effect perceptions of stress, resilience, emotional awareness, and belonging among student-athletes.

Adverse childhood experiences, post-traumatic stress disorder symptoms, and self-reported stress among traditional and nontraditional college students.

: To investigate the relationships between adverse childhood experiences (ACEs), post-traumatic stress disorder symptoms (PTSD-S), and self-reported stress among college students. A total of 236 undergraduate students enrolled in nursing courses participated. Using a correlational design, participants completed questionnaires online.

A model for trauma-informed primary care.

Childhood trauma has been associated with negative health behaviors and conditions in adulthood. However, few primary care providers screen for trauma or alter their care to accommodate the multiple effects of trauma on patient health. The purposes of this article were to discuss the health consequences of childhood trauma and to offer a model for trauma-informed primary care (TIPC).

Screening Adults With Substance Use Disorder for Adverse Childhood Experiences.

Objective: The purpose of this study was to assess the incidence of adverse childhood experiences (ACEs) and the efficacy and feasibility of a trauma-informed screening for ACEs among individuals in a substance use disorder recovery program.

Method: Individual interviews, questionnaires, and postinterview survey and reflections were used in this cross-sectional clinical translation project. Descriptive statistics were used to analyze demographics, ACE scores, protective childhood experiences, self-reported diagnoses, and postintervention survey data.

Screening for childhood adversity among adult primary care patients.

Background And Purpose: Over half of Americans reports a history of adverse childhood experiences (ACEs), which have been associated with many chronic health conditions. Yet primary care providers infrequently screen patients for ACEs and fail to consider the relationship between ACEs and adult health. Therefore, the purposes of this study were to test the effectiveness and feasibility of a screening interview for ACEs and to confirm the prevalence of ACEs among individuals with chronic health conditions.

Biological Markers in Nursing Research.

Introduction: Biobehavioral research requires the ability to objectively measure the presence and/or severity of disease, symptoms and their burden, or to determine the effect of treatment on outcomes. Biomarker research has advanced care for patients across the lifespan. There have been significant advancements in biological marker use for nursing research in recent years.

Prevalence, Predictors, and Same Day Treatment of Positive VIA Enhanced by Digital Cervicography and Histopathology Results in a Cervical Cancer Prevention Program in Cameroon.

Background: In 2007, the Cameroon Baptist Convention Health Services (CBCHS) implemented a screen-and-treat cervical cancer prevention program using visual inspection with acetic acid enhanced by digital cervicography (VIA-DC).

Methods: We retrospectively analyzed 46,048 medical records of women who received care through the CBCHS Women's Health Program from 2007 through 2014 to determine the prevalence and predictors of positive VIA-DC, rates of same day treatment, and cohort prevalence of invasive cervical cancer (ICC).

Results: Of the 44,979 women who were screened for cervical cancer, 9.

Nurse practitioner screening for childhood adversity among adult primary care patients: A mixed-method study.

Background And Purpose: Researchers have demonstrated an association between experiencing childhood abuse and multiple chronic health conditions in adulthood, yet this evidence has not been routinely translated to practice. The purpose of this research study was to examine nurse practitioner (NP) practices, skills, attitudes, and perceived barriers associated with screening adult patients for childhood abuse to determine the extent to which evidence of the association between childhood abuse and negative health outcomes has been translated to NP practice.

Methods: A mixed-method approach with web-based questionnaires and online focus groups was used to examine NP screening for histories of childhood abuse.

Web-Based, Pictograph-Formatted Discharge Instructions for Low-Literacy Older Adults After Hip Replacement Surgery: Findings of End-User Evaluation of the Website.

Purpose: The purpose of this study was to develop web-based, pictograph-formatted discharge instructions and evaluate the website with intended users to maximize the relevance and clarity of the website.

Design: A descriptive study.

Methods: Low-literacy text and 45 sets of pictographs were implemented in web-based instructions.

Adverse childhood experiences and chronic hypothalamic-pituitary-adrenal activity.

Inconsistencies exist in the current literature regarding hypothalamic-pituitary-adrenal (HPA) regulation following exposure to repeated stressful events. These inconsistencies stem, in part, from the limitations imposed by measuring cortisol in saliva or plasma (i.e.

Health consequences of adverse childhood experiences: a systematic review.

Purpose: Adverse childhood experiences (ACEs) have been associated with negative health outcomes, but the evidence has had limited application in primary care practice. The purpose of this study was to systematically review the research on associations between ACEs and adult health outcomes to inform nurse practitioners (NPs) in primary care practice.

Data Sources: The databases PubMed, CINAHL, PsycINFO, and Social Abstracts were searched for articles published in English between 2008 and 2013 using the search term "adverse childhood experiences.

Adverse childhood experiences: towards a clear conceptual meaning.

Aim: To report an analysis of the concept of adverse childhood experiences.

Background: Adverse childhood experiences have been associated with negative physical and psychological health outcomes, but this phenomenon lacks the clear, consistent meaning necessary for use in nursing research, theory development and practice.

Design: Concept clarification.

Struggling to survive: the experiences of women sexually assaulted while intoxicated.

Approximately half of all sexual assault cases involve substance abuse or misuse, yet no studies have focused specifically on women who were under the influence of a substance when assaulted. The aim of this study was to explore the experiences of women who were sexually assault while under the influence of a substance. A phenomenological approach was used to gather data using individual, in-depth interviews with women following a sexual assault while intoxicated.

Cycle of sexual assault and women's alcohol misuse.

Purpose: To describe the complex relationship between sexual assault and alcohol misuse by female assault victims.

Data Sources: Drawing on recent research and theoretical models from other social sciences, the author interjects a nursing perspective for this complex patient problem.

Conclusions: This review of theories and models, and the evidence that supports them, provides a way for nurses to conceptualize the relationship between sexual victimization and alcohol misuse as bidirectional or reciprocal.

Broadcasting simulation case studies to the didactic classroom.

To explore the potential of using simulation in new ways, it is time to think "outside the lab." To do this, the authors expanded the use of case-study simulations by broadcasting them to classrooms where didactic content could be reinforced with simulation content. Advantages included students' active classroom engagement, simultaneously sharing simulations with many students, modeling students' thinking in clinical situations, and connecting theory to practice.

From the sidelines: coaching as a nurse practitioner strategy for improving health outcomes.

Purpose: The purposes of this study were to explore coaching as a nurse practitioner (NP) strategy for improving patient health outcomes and to lay a foundation for validating coaching benefits.

Data Sources: Review of coaching literature in psychology, sports, business, and nursing.

Conclusions: Coaching has been reported as successful in psychology, sports, business, and more recently nursing, for assisting people to achieve goals that are important to them.