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J Am Acad Dermatol
December 2024
Department of Dermatology, University of Connecticut, Farmington, CT, USA; Department of Dermatology, University of Florida, Gainesville, FL, USA. Electronic address:
J Nurs Adm
January 2025
Author Affiliation: Associate Dean, Strategic Partnerships and Global Affairs, Vanderbilt University School of Nursing, Nashville, Tennessee.
The transition from graduate education to clinical practice is a pivotal phase in the career of advanced practice RNs (APRNs). This transition is often marked by a phenomenon known as transition shock, characterized by feelings of anxiety, self-doubt, and inadequacy as new APRNs adjust to the demands of clinical practice.
View Article and Find Full Text PDFJAAPA
January 2025
Amy Haller is vice chair of professional development and continuing education in the Department of PA Studies at the University of Pittsburgh in Pittsburgh, Pa. Autumn Groscost practices at St. Clair Hospital in Pittsburgh, Pa. Hayley Quigley and Benjamin Reynolds practice at the University of Pittsburgh Medical Center (UPMC). Mr. Reynolds also is chief advanced practice officer at UPMC. The authors have disclosed no potential conflicts of interest, financial or otherwise.
J Am Assoc Nurse Pract
December 2024
Marquette University College of Nursing, Milwaukee, WI.
Background: Diagnostic reasoning is a complex cognitive process that requires intuitive, heuristic processing from knowledge and experience, as well as deliberate and reflective thinking. Evidence on interventions to improve diagnostic reasoning is inconsistent, in part because different terms and models are used to guide research.
Purpose: To present a model of the factors of diagnostic reasoning in Advanced Practice Registered Nurses (APRNs), based on a review of the literature supporting the Metacognitive Diagnostic Reasoning (MDR) Model © .
J Am Assoc Nurse Pract
December 2024
Florida International University, Miami, Florida.
Research indicates that knowledge gaps and unfavorable attitudes among primary care advanced practice registered nurses (APRNs) are linked to stigma surrounding psychiatric care, affecting the management of patients experiencing mental illness. Despite standards of practice and educational guidelines set forth by professional nursing organizations to increase quality of care, challenges exist when delivering care to patients with mental health disorders. Lack of integration of mental health education throughout graduate nursing courses contributes to an underestimation of its significance and applicability within advanced practice nursing in primary care.
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