Emergency Nurse Practitioners Research Articles

Point of Care Ultrasonography to Confirm Endotracheal Tube Placement: A Review for the Emergency Nurse Practitioner

Point of Care Ultrasonography to Confirm Endotracheal Tube Placement: A Review for the Emergency Nurse Practitioner

Point-of-Care Ultrasonography to Confirm Endotracheal Tube Placement: A Review for the Emergency Nurse Practitioner.

Ensuring correct placement of the endotracheal tube (ETT) during intubation is an important step to avoid complications. Appropriate placement of the ETT can be challenging and, if done incorrectly, can lead to complications such as hypoxemia, atelectasis, hyperinflation, barotrauma, cardiovascular instability, end organ damage, and even death. Although several procedures exist to help assess ETT confirmation, all have limitations, are not always reliable, and vary in their degree of accuracy. Point-of-care ultrasound (POCUS) has emerged as a useful tool in the emergency department for quick diagnosis and treatment of many emergency conditions (Gonzalez et al., 2020). The purpose of this paper is to describe a systematic approach for the emergency nurse practitioner to use POCUS to assess proper endotracheal placement and the positioning within the trachea based on prior studies that compare this modality to traditional ones.

Guest Editorial: Emergency Nurse Practitioner Scope and Standards of Practice.

Guest Editorial: Emergency Nurse Practitioner Scope and Standards of Practice.

Implementation of an Evidence-Based Medicine Curriculum for Postgraduate Emergency Medicine Physician Assistant and Nurse Practitioner Fellows.

Within physician assistant (PA) education, the inclusion of evidence-based medicine (EBM) is mandatory. Despite existing literature on EBM training methodologies for PA students and emergency medicine (EM) physician residents, there exists a dearth of published data concerning EBM instruction within postgraduate PA EM programs. A pilot study is described providing an overview of implementation of an EBM curriculum in a single-institution postgraduate physician assistant and nurse practitioner emergency medicine fellowship. Quantitative data using pre-curriculum and post-curriculum surveys were collected. The curriculum included statistical concept screencasts, required attendance at a journal club with assigned topics for discussion, and used a critical appraisal tool designed to help fellows better analyze and understand the articles being reviewed. Upon graduation, fellows participated in structured interviews to collect qualitative data about the curriculum and application of learned concepts to the clinical setting. There was a statistically significant improvement in fellows' reported confidence in discussing the medical literature with practicing providers ( P = .02). However, there was no difference in prescores and postscores on EBM knowledge questions or on fellows' feelings of importance of EBM to clinical practice. Qualitative data revealed several themes, including helpfulness of tools provided in the curriculum, appreciation of curricular changes made secondary to fellow suggestions, and reports of improvement in reviewing medical literature and comfort in participation in local journal clubs upon graduation from the fellowship program. Limitations, including small sample size and validity concerns, are discussed. Positive changes were made to the curriculum based on qualitative data collected. The authors advocate for subsequent investigations into this subject within a multi-institutional and multispecialty context, thereby enhancing the breadth of the findings. Nevertheless, this study furnishes the initial accessible substantiation of the viability of introducing an EBM curriculum within this specific demographic.

Guest Editorial: Is It Time for a New NP Population: The Emergency Nurse Practitioner?

Guest Editorial: Is It Time for a New NP Population: The Emergency Nurse Practitioner?

Recognition of Cutaneous Symptoms of Common Tick-Borne Illness in the Emergency Department.

Tick-borne diseases occur throughout the United States, with a disease burden that ranges from mild to severe. As temperatures rise with climate change, the active season for ticks increases, and more tick-borne illness is seen (Centers for Disease Control and Prevention, 2022a). Many patients present to the ED for suspected tick bites, rashes, and generalized medical complaints that may be related to a tick-borne disease, so it is important for the emergency nurse practitioner (ENP) to accurately diagnose these conditions. Because of this increasing disease burden, it has become vital for these illnesses to be recognized early, as early diagnosis can reduce possible complications of chronic illness. Familiarity with the cutaneous rashes present in several tick-borne diseases can aid the ENP to effectively diagnose and treat these conditions.

The influence of practice experiences on feelings of role proficiency in emergency nurse practitioners: A phenomenological study

IntroductionThis research explores how emergency nurse practitioners (ENPs) become role proficient given experience variation and lack of role standardisation. AimTo understand how ENPs experiences in practice influence their feelings of role proficiency. MethodsA hermeneutic phenomenological study was undertaken utilizing an interpretive standpoint. A two-phase approach was adopted with ten participants using a digital diary informing a semi-structured interview. A three-stage data analysis approach was applied. FindingsSix themes emerged: the meaning of role proficiency, relationships, confidence, learning and knowledge, exposure and experience, and care. Models of proficiency and its development are presented. DiscussionProficiency is defined where confidence in the components that proficiency consists of and their application to each clinical presentation is required. Proficiency is a continuum supported by regulatory mode theory. Inconsistency of role understanding gives rise to three ENP groups, resistors, maintainers, and innovators. ConclusionRole clarity is required to establish a consistent culture within organisations founded on the voice of the ENP as captured in this research. This model of proficiency be incorporated in ENP role development for current and future ENPs.

Supporting Emergency Care Delivery Through Updated Emergency Nurse Practitioner Competencies

As multidisciplinary emergency care becomes increasingly complex, all team members must be aware of their respective roles and responsibilities. In the emergency department, nurse practitioners are integral members of the team. They possess a wide range of clinical and leadership competencies that allow them to perform specific and differentiated tasks within the emergency department. A well-defined competency not only contributes to the promotion of a positive work culture but also clarifies performance expectations, identifies skill gaps, and supports team development. Furthermore, it allows the nurse practitioner to adapt to changing conditions while maintaining patient safety. The competencies of emergency nurse practitioners have evolved over the past 2 decades. The authors discuss the importance of establishing clear expectations for emergency nurse practitioner practice in this article and the alignment of competencies with organizational culture and objectives.

Exposing research misconduct and data misrepresentation targeting nurse practitioners in emergency care

Davis, Wesley D. DNP, ENP-C, FNP-C, AGACNP-BC, CEN, FAANP, FAEN (Family & Emergency Nurse Practitioner Track Coordinator & Assistant Professor)1; Schumann, Lorna PhD, FNP-C, ACNS-BC, ENP-C, FAAN, FAANP (Commission Chair)2; Evans, Dian Dowling PhD, FNP-BC, ENP-C, FAAN, FAANP (Professor Emeritus, Emergency Nurse Practitioner Program)3; Ramirez, Elda PhD, FNP-BC, ENP-C, FAANP, FAEN, FAAN (Professor of Clinical Nursing, Founder)4; Wilbeck, Jennifer DNP, ACNP-BC, FNP-BC, ENP-C, FAANP, FAAN (Emergency Nurse Practitioner Program Director & Professor)6 Author Information

Aligning Emergency Nurse Practitioner Programs Using a National Validation Process

The Consensus Model for APRN Regulation tasks nurse practitioner (NP) specialty organizations to develop and uphold the specialty practice. Through an innovative process, the American Academy of Emergency Nurse Practitioners incorporated data from a national practice analysis of NPs working in emergency care into a validation process to align emergency NPs education and training with current practice. As organizations and educators support expanding NP specialty practice, this novel process of academic program validation provides an opportunity for replication to ensure alignment of education, certification, and practice among unregulated specialty NP programs.

Guest Editorial: Nurse Practitioners in Emergency Care: The Evidence.

The central tenet of any professional field of study is its well-established body of research, its ethics, and general public benefit. The role of the nurse practitioner (NP) in emergency care is supported by consistent research that underscores the excellent care quality provided by these professionals. Decades of scholarly literature attests to the safety, efficacy, patient-centricity, efficiency, equity, and evidence-based nature of NPs working in emergency care, with several studies showing that the outcomes achieved by NPs are similar to those achieved by their physician counterparts. It is clear that NPs provide comprehensive emergency care that is not only safe and effective but also patient-centered, timely, and based on the latest evidence-based practices. The evidence for nurse practitioners in emergency care may be found among several exemplars of empirical and peer-reviewed works as outlined in the following text, organized as an annotated bibliography: Carter, A., & Chochinov, A. (2007). A systematic review of the impact of nurse practitioners on cost, quality of care, satisfaction and wait times in the emergency department.Canadian Journal of Emergency Medicine, 9(4), 286–295. doi:10.1017/s1481803500015189 This comprehensive 36-article review evaluated the impact of NPs in the emergency department (ED) on wait times, patient satisfaction, and delivery of cost-effective, high-quality care. Hiring and utilizing NPs were associated with shorter waiting times, leading to greater patient satisfaction. Carter and Chochinov found that NPs possess an equal level of expertise to physicians in interpreting radiographs but proved to be more proficient at patient follow-up, conducting physical assessments, and making appropriate referrals. Fowler, L. H., Landry, J., & Nunn, M. F. (2019). Nurse practitioners improving emergency department quality and patient outcomes.Critical Care Nursing Clinics of North America, 31(2), 237–247. doi:10.1016/j.cnc.2019.02.010 The authors performed a literature search using the EBSCOhost and CINAHL databases with key words related to ED NP outcomes. Six hundred nineteen articles met the inclusion criteria, eight of which were selected for content review, including four systematic reviews, one randomized controlled trial, one qualitative study, one descriptive study, and one longitudinal cohort study. This analysis revealed that NPs provided enhanced patient satisfaction, reduced wait times, provided care similar to physicians, spent more face-to-face time with each patient, adhered to evidence-based guidelines, and collaborated effectively as a team. Jennings, N., Gardner, G., O'Reilly, G., & Mitra, B. (2015). Evaluating emergency nurse practitioner service effectiveness on achieving timely analgesia: A pragmatic randomized controlled trial.Academic Emergency Medicine, 22(6), 676–684. doi:10.1111/acem.12687 “A randomized controlled trial was conducted” to investigate the efficacy of NP-led emergency care as opposed to the standard medical care provided in the ED of a major referral hospital. “Patients presenting with pain were randomly assigned to receive either standard ED care or NP care.” The NP service proved far more effective in quickly providing analgesia to ED patients. Mafi, J. N., Chen, A., Guo, R., Choi, K., Smulowitz, P., Tseng, C. H., ... & Landon, B. E. (2022). US emergency care patterns among nurse practitioners and physician assistants compared with physicians: A cross-sectional analysis.BMJ Open, 12(4), e055138. doi:10.1136/bmjopen-2021-055138 Using 8 “years of data from the National Hospital Ambulatory Medical Care Survey,” a retrospective cohort study of adult patients compared three provider groups: NP/PA (physician assistant) alone, NP/PA with physician, and physician alone. After adjusting the data to account for observable patient characteristics, this study found the NP/PA-only group used fewer medications, diagnostic tests, procedures, hospitalizations, and low-value CT/MRI studies than physicians. Roche, T. E., Gardner, G., & Jack, L. (2017). The effectiveness of emergency nurse practitioner service in the management of patients presenting to rural hospitals with chest pain: A multisite prospective longitudinal nested cohort study.BMC Health Services Research, 17(1), 445. doi:10.1186/s12913-017-2395-9 This study recruited 61 adult patients with chest pain, with a nested cohort of 41 participants suspected or confirmed to have an acute coronary syndrome. Outcomes included adherence to guidelines, diagnostic accuracy, service indicators, “satisfaction with care, quality of life, and functional status. Data were examined and compared for differences for participants managed by emergency nurse practitioners and those managed in the standard model of care.” The emergency nurse practitioner service model demonstrated high adherence to clinical guidelines and diagnostic accuracy and was as effective as the standard care model in evaluating service indicators and patient-reported outcomes. Woo, B. F. Y., Lee, J. X. Y., & Tam, W. W. S. (2017). The impact of the advanced practice nursing role on quality of care, clinical outcomes, patient satisfaction, and cost in the emergency and critical care settings: A systematic review.Human Resources for Health, 15(1), 63. doi:10.1186/s12960-017-0237-9 This review was composed of randomized controlled trials, “quasi-experimental studies, prospective and retrospective cohort studies,” and excluded “cross-sectional studies” and those “without comparison groups.” This investigation incorporated 15 studies, covering 23,681 participants “from five countries—Australia, Canada, New Zealand, the United Kingdom, and the United States.” Based on the narrative synthesis of the accessible data, NPs demonstrate “outcomes comparable to those of physicians in emergency settings,” indicating that the implementation of NPs in emergency care settings may result in improved patient outcomes. Wu, F., & Darracq, M. A. (2021). Comparing physician assistant and nurse practitioner practice in U.S. emergency departments, 2010-2017.The Western Journal of Emergency Medicine, 22(5), 1150–1155. doi:10.5811/westjem.2021.5.51988 This study examined the comparison between PA and NP practice in EDs in the United States, utilizing the data collected from ED visits reported by the National Hospital Ambulatory Medical Care Survey (NHAMCS). From 2010 to 2017, there has been a considerable rise in the number of visits attended to by PAs and NPs in the US EDs. Although emergency medicine has traditionally been a specialty of PAs, NPs have grown over the last few years. This increase is highlighted by the “greater than twofold increase in the number of visits” conducted by NPs during the same period. These visits bear a striking resemblance in many ways, “such as patient age, gender, insurance status, arrival by ambulance, diagnostic screening, procedures performed, imaging ordered, admission rate, and ED length of stay.” CONCLUSION Although clinical research and evidence are used daily by medical professionals to make informed decisions, the repercussions of poorly informed or executed studies can be far-reaching and dangerous. Violations of scientific integrity and publication ethics are especially problematic when results not only negatively impact the practice of advanced practice nurses but also carry the potential to remove patient access to quality care in areas where it is most needed. The practice environment and care provided by NPs in emergency care are unique. There is significant variation among practice standards, training, and clinical expertise between NPs in emergency care and those caring for different patient populations. Furthermore, the specialty of emergency medicine and the role of the NP in emergency care are rapidly evolving. Therefore, scientific inquiry into the discipline should be led by those with current expertise in the field. Although understanding emergency nurse practitioner (ENP) practice and how it affects health outcomes requires a broad range of content and methods experts, ENPs are uniquely positioned to lead research that is relevant to their complex practice settings. As clinicians educated in graduate-level research and scholarly methods, we must promote a critical approach to evidence appraisal. For educators, researchers and NPs in clinical emergency care, additional studies demonstrating NP outcomes are needed. Just as nurses have done for centuries, our ability to offer and implement evidence-based solutions in care delivery may well be what keeps our health care system intact. —Wesley D. Davis, DNP, ENP-C, FNP-C, AGACNP-BC, CEN, FAANP, FAEN Family and Emergency Nurse Practitioner Program Coordinator and Assistant Professor, College of Nursing University of South Alabama Mobile, Alabama —Jennifer Wilbeck, DNP, RN, FNP-BC, ACNP-BC, ENP-C, FAANP, FAAN Emergency Nurse Practitioner Program Director and Professor Vanderbilt University College of Nursing Nashville, Tennessee

Emergency Medicine Case Study on Giant Cell Arteritis.

The purpose of this case study on giant cell arteritis (GCA) is to ensure that emergency nurse practitioners (ENPs) are knowledgeable on this disease process to prevent serious complications such as permanent blindness in patients presenting to the emergency department (ED). The case study reviews emergency management of GCA, which includes diagnostic workup, pharmacological treatment, consults, disposition, follow-up care, and when to return to the ED. The classification criteria will be discussed for GCA from the American College of Rheumatology and the European Alliance of Associations for Rheumatology. In addition, risk assessment, clinical presentation, and physical examination findings will be listed. After reviewing this case study, ENPs should be able to identify GCA and manage care to reduce complications and recurrence of GCA in a patient presenting to the ED.

Determination of emergency nurse practitioner and plastic surgery trainee disposition decision agreement for plastic surgery emergency department presentations: A prospective study.

To examine if there was a high degree of agreement for disposition decisions of emergency nurse practitioners (ENP) compared to plastic surgery trainees (PST) for plastic surgery presentations. A prospective study of disposition decision agreement from February 2020 to January 2021 for patients who required plastic surgery consultation and managed exclusively by an ENP. Absolute percentages were used to determine the exact disposition decision accuracy of ENP and the PST, while Cohen's kappa compared disposition decision agreement. Sub-analyses of age, gender, ENP experience and presenting condition agreement were also completed. To mitigate confounding factors, operative management (OM) and non-OM groups were analysed. The study recruited 342 patients who presented mostly with finger or hand-related conditions (82%, n=279) and managed by an ENP with less than 10 years of experience (65%, n=224). Disposition decisions by ENP compared to PST were the same in 80% (n=274) of cases. Disposition agreement for all patients was 0.72 (95% confidence interval 0.66-0.78). For the OM and non-OM groups, disposition decisions were the same in 94% (n=320), with a Cohen's kappa 0.85 (95% confidence interval 0.79-0.91). Seven patients (2%) were discharged to GP care by the ENP when determined to need further plastic surgery involvement by the PST. Disposition decisions by ENP and PST were the same in most cases and had a high overall level of agreement. This may lead to greater autonomy of ENP care and reduced ED length of stay and occupancy.

Scombroid Poisoning: An Overview for the Emergency Nurse Practitioner.

Scombroid poisoning is a common fish-borne disease in clinical settings. Fish that has not been adequately stored after catching can allow bacteria to proliferate, which causes the conversion of histidine to histamine. Once histamine has formed, freezing or cooking the fish will not remove the histamine content. Once the fish is consumed, histamine is released, causing toxicity to the patient with symptoms including cutaneous, gastrointestinal, and anaphylactoid. Emergency nurse practitioners should identify, appropriately diagnose, and treat individuals with scombroid poisoning and avoid misdiagnosing it as fish allergy.

FEASIBILITY STUDY FOR THE IMPLEMENTATION OF THE SEE AND TREAT PATHWAY IN THE EMERGENCY DEPARTMENT OF SAN CAMILLO-FORLANINI HOSPITAL

Introduction: To date, Emergency Department overcrowding represents one of the most important problems regarding the organisation of emergency healthcare. See and Treat was devised in England around the 1980s to provide an effective solution to the overcrowding issue. The Emergency Nurse Practitioner indicates a faster pathway in selected patients with certain characteristics. This model translates into a reduction in waiting times while maintaining the same quality of care. Aim: To evaluate the potential benefits for patients of the implementation of the See and Treat model within the Emergency Department. Materials and Methods: Using the GIPSE system, all Emergency Department entries from 2019 have been selected. Minor codes in the triage phase have been considered, as well as those potentially falling within the See and Treat protocol. Each included case has been associated to a See and Treat diagnosis. The waiting time and the time spent in the Emergency Department were derived from the data collected. Results: 9.41% of the sample is eligible for the See and Treat method, with an average waiting time of one hour and peaks of almost 4 hours for white codes. The application of the See and Treat model to the population covered by our study would reduce the waiting times at the Emergency Department by 6.99%, reduce the simultaneous presence of users on the Emergency Department by 8.88% and reduce the stay for other minor codes by 4.38%. Discussion: The percentage of patients treatable in the See and Treat system (11%) is in line with the Tuscany trial but statistically lower than the international context (from 63% to 90%). The results obtained from this study showed the significant impact that the See and Treat model could have on reducing overcrowding, positively affecting both users and staff.

Consideration of the emergency nurse practitioner as a population within the APRN Consensus Model: A SWOT analysis

After adoption of the 2008 Consensus Model for Advanced Practice Registered Nurse (APRN) Regulation, evolution of the nurse practitioner (NP) role and emergency NP (ENP) specialty has outpaced regulatory standards. Lack of uniformity among regulators, health insurance providers, and employers in acknowledging the ENP specialty has created barriers to practice and access to care. This article serves to identify potential outcomes if the ENP specialty was transitioned to a population within the Consensus Model of Regulation. A strengths, weaknesses, opportunities, and threats (SWOT) analysis methodology was used to assess ENP specialty current state, specifically focusing on the licensure, accreditation, certification, and education model for APRN regulation. The data were collected from peer-reviewed literature, clinical subject-matter experts, and academic and advanced practice executive leaders. Variances in ENP licensure, recognition, and acknowledgment among State Boards of Nursing leave the ENP specialty in a precarious position. For each of the strengths and opportunities that could exist in recognizing the ENP at the population level of the Consensus Model, there are abundant weaknesses and threats. Although full acknowledgment of the ENP specialty is lacking, regulatory implications are highly variable, and employers' understanding of the APRN educational model is limited, our findings reveal that the ENP specialty is an evolving role that deserves regulatory legitimization. Although ideal placement for the ENP within the Consensus Model remains to be determined, challenges and opportunities exist with both specialty and population options.

A Collaboration to Unify Emergency Nurse Practitioner Competencies

Competencies reflect evidence-based behaviors that graduates must demonstrate before graduation and entry to practice. When evidence is inadequate or absent, subject matter expert opinion serves as a reliable and valuable resource. The emergency nurse practitioner specialty represents a focused and discrete area of practice requiring competencies reflective of unique practice. This article discusses the collaborative journey of subject matter experts from the American Academy of Emergency Nurse Practitioners and the Emergency Nurses Association as they merged existing competency documents into 1 nationally recognized set of competencies for emergency nurse practitioners.

Guest Editorial: AAENP Releases Position Statement: The Role of Nurse Practitioners in Emergency Medical Services.

Recently, there has been a national discussion about nurse practitioners (NPs) working within emergency medical services (EMS). The National Association of EMS Physicians, the Society for Emergency Medicine Physician Assistants (SEMPA), and most recently, the American Academy of Emergency Nurse Practitioners (AAENP) have all issued position statements on this issue (AAENP, 2022; SEMPA, 2021; Wright et al., 2021). The joint mission should be centered around high-quality patient care, a multidisciplinary team, and elevating the level of NP practice available in the prehospital and interfacility settings. NPs working in prehospital roles can add value to rural, suburban, and urban environments. In rural America, providing adequate EMS response creates challenges for ambulance providers (National Rural Health Association, 2018). Urban EMS programs are already utilizing NPs as a potential solution to augment care delivery within the EMS system in various roles (Sanko et al., 2020). However, NPs face regulatory challenges, limiting or prohibiting more active involvement in the EMS system. According to the American Association of Nurse Practitioners (AANP), NPs in full practice authority states are more likely to practice in rural and underserved areas (AANP, 2022). To enable NPs to contribute more to prehospital care, national health care practice models and state regulators must consider rule changes that strengthen the utilization of NPs in EMS systems. NPs with appropriate training are in an ideal space to support rural EMS systems. In addition, there are barriers to NPs working in EMS leadership roles. One of the most significant barriers is the National Registry of Emergency Medical Technicians (NREMT, 2019) requirement that all paramedics and advanced emergency medical technicians have a physician medical director. This rule becomes problematic in some of the most rural areas of the country that struggle to find medical direction. Although medical directors trained in EMS fellowships may be ideal, the physician-only language written in NREMT's guidelines marginalizes rural health care and prevents qualified NPs from participating in certain levels of medical direction. AAENP (2022) believes that “NPs are uniquely positioned to provide and direct care of the patient within a multidisciplinary EMS system. The AAENP supports utilization of NPs in EMS to the full extent of their licensure, education, and scope of practice based on state and agency regulations.” —Wesley D. Davis, DNP, ENP-C, FNP-C, AGACNP-BC, CEN, FAANP, FAEN Family and Emergency Nurse Practitioner Program Coordinator and Assistant Professor, College of Nursing University of South Alabama Mobile, Alabama —Chivas Guillote, DNP, ENP, FNP, AGACNP, LP Vice President of Clinical Services Harris County Emergency Corps Houston, Texas Guest Editors

A 12 month service evaluation of the effectiveness of musculoskeletal advanced physiotherapy practitioners in the emergency department

Purpose: Emergency Departments (ED) have seen a year-on-year increased demand for services (NHSE, 2018). Efficiency measures have subsequently been introduced. One such measure is the integration of a specialist team of General Practitioners (GPs), Emergency Nurse Practitioners (ENPs) and Musculoskeletal (MSK) Advanced Physiotherapy Practitioners (APPs) within the footprint of ED, namely the Integrated Front Door (IFD).

Supporting ENP Program Growth

Emergency nurse practitioner (ENP) programs in the United States are beginning the process of aligning their curricula and learning activities in a competency-based model since the recent release of The Essentials: Core Competencies for Professional Nursing Education (American Association of Colleges of Nursing, 2021). As the societal journal for the American Academy of Emergency Nurse Practitioners (AAENP), the Advanced Emergency Nursing Journal (AENJ) has been providing this information over the past several years. Articles describing program development, ENP scopes and standards, educational innovations, and competency assessment strategies have been published in AENJ. To assist our readers in faculty positions (be they fellowship or academic), we would like to share some faculty resources related to assessing ENP student competencies in this editorial. The following publications in past issues of AENJ support program development and growth (see reference list): Practice Standards for the Emergency Nurse Practitioner Specialty (AAENP, 2018) Post-Graduate Emergency Nurse Practitioner Fellowships. Opportunities for Specialty Education (Rudy & Wilbeck, 2017) Emergency Nurse Practitioner Core Educational Content (Wilbeck, Roberts, & Rudy, 2017) Standards of Practice for Emergency Nurse Practitioners (Campo et al., 2016b) Scope of Practice for Emergency Nurse Practitioner (Campo et al., 2016a) In addition, clinical and skills evaluation tools aligned with the new essentials are now freely available from AAENP at https://www.aaenp-natl.org/faculty-resources. Prior publications have also highlighted the creation of exemplar academic and fellowship programs (see reference list): An Exemplar Interprofessional Academic Emergency Nurse Practitioner Program: A Blueprint for Success (Evans, Ashooh, Kimble, & Heilpern, 2017) An Emergency Medicine Residency for Nurse Practitioners: The New York Presbyterian-Weill Cornell Medicine Experience (Gaudio & Borensztein, 2018) One final resource for faculty is the newly released Emergency Nurse Practitioner Core Curriculum—A Comprehensive Certification Review for Emergency Nurse Practitioners (1st Edition). This text outlines the essential knowledge for ENPs and is now available for purchase through Springer Publishing. Certification as an ENP is available from the American Academy of Nurse Practitioners Certification Board (AANPCB). To assist with preparation, the AANPCB website contains additional resources helpful to faculty, including an Emergency Care Procedures list, at https://www.aanpcert.org/resource/documents/Emergency%20care%20Procedures%20%20Skills%20list%20(004).pdf —K. Sue Hoyt, PhD, RN, FNP-BC, ENP-C, FAEN, FAANP, FAAN Editor-in-Chief Professor, NP Programs Hahn School of Nursing and Health Science University of San Diego, California Jennifer Wilbeck, DNP, RN, FNP-BC, ACNP-BC, ENP-C, FAANP, FAAN AAENP Executive Director Professor & Director, ENP Specialty Vanderbilt University School of Nursing Nashville, Tennessee