Page 1 Examination of nurse practitioner educational preparation to appropriately Nurse practitioner educational preparation in imaging Title of study:

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Examination of nurse practitioner educational preparation to appropriately

Nurse practitioner educational preparation in imaging

Title of study: Examination of nurse practitioner educational preparation to appropriately order and interpret radiological imaging tests The purpose of this study is to explore educational needs for nurse practitioners in the area of radiology. You are being asked to complete an anonymous brief survey, online via SurveyMonkey. This should take approximately 5 10 minutes. There are no risks or benefits involved in this study. There is no compensation for participating in this study. Your identity will be kept confidential to the extent provided by law. Your responses will be held in confidence, and you will never be identified as a participant. No identifying information will be collected. Your IP address (a numerical identification tied to your Internet service provider) will not be known to the researchers, and will not be collected with your answers. Your participation in this study is completely voluntary. There is no penalty for not participating. You have the right to withdraw from the study at any time without consequence. If you have questions about the study, contact Roberta Logsdon post master's DNP student, University of Florida College of Nursing ([email protected], 904 403 4904) or Dr. Robyn Gleason, Project Chair ([email protected], 352 284 2123). If you have any questions or concerns about your rights as a research participant in the study, contact the IRB02 office (PO Box 112250, Gainesville, FL 32611, 352 392 0433). By proceeding and responding to the questions in this survey, I am agreeing to the following statement: I voluntarily agree to participate in this study, I have read the study information above, and I am at least 18 years of age. By clicking the provided link and proceeding in the survey I am giving my informed consent to participate in this study.

Problem Statement

With the increasing use of radiologic imaging procedures and the resultant rise of exposure to ionizing radiation, there is a need for providers to become aware of appropiate use of radiologic imaging based on guidelines and the appropriateness criteria scale developed by the American College of Radiology.

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*1. Program of Nurse Practitioner Education

k l m nj Family

k l m nj Adult or Adult Gero Primary Care

k l m nj Adult or Adult Gero Acute Care

k l m nj Geriatric

k l m nj Dual Adult Primary/Acute Care

k l m nj Pediatric Primary Care

k l m nj Pediatric Acute Care

k l m nj Dual Pediatric Primary/Acute Care

k l m nj Women's Health/Nurse Midwifery

k l m nj Psych/Mental Health*2. From what University did you receive your ARNP degree?

*3. How many years have you practiced as an ARNP? Please answer in number format.

*4. In what state (or country) was the program located where you completed your NPeducation?

*5. What is the highest educational degree that you have completed, in any field?

*6. In what field or major is your highest degree?

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Examination of nurse practitioner educational preparation to appropriately7. Which of the following best describes the setting of your current practice as an NP?

Competency in ordering diagnostic imaging for common conditions

seen in my specialty.k l m n

Not all

Prepared

j k l m n

Minimally

Prepared

j k l m n

Adequately Prepared

j k l m n

Well Prepared

j k l m n

N/A

j

Competency in determining when to use ultrasound, MRI, nuclear or

radiographic imaging for common conditions seen in my specialty.k l m nj k l m nj k l m nj k l m nj k l m nj

k l m n k l m n k l m n k l m n k l m nUnderstanding of the risks of radiation exposure

Competency in interpreting diagnostic reports and determining follow

up treatment based on results of Ultrasound , MRI, Nuclear or

radiographic imaging for common conditions seen in my specialty.

k l m n

j

j k l m n

j

j k l m n

j

j k l m n

j

j k l m n

j

j

Competency in determining when it is necessary to order contrast with

radiographic imaging.k l m nj k l m nj k l m nj k l m nj k l m nj

Competency in ordering the diagnostic test that it is appropriate for

what you are trying to rule in or rule out. ( Eq. Looking for a foreign

body such as glass in a foot , would radiograph be appropriate? Would

a chest xray be appropriate for pulmonary embolus?)

k l m nj k l m nj k l m nj k l m nj k l m nj

k l m nj Acute care clinic

k l m nj Adult health/internal medicine

k l m nj Emergency department

k l m nj Family practice clinic

k l m nj Inpatient unit

k l m nj Pediatric clinic

k l m nj Public health clinic

k l m nj School/college clinic

k l m nj Women's health clinic

k l m nj I am currently not practicing

Other (please specify)

*8. Rating of educational preparation for radiological imaging and interpretation upongraduation from nurse practitioner educational program:

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*9. What methods were utilized in your academic curriculum to educate you on orderingappropriate diagnostic imaging tests ?

*13. How often do you consult with a radiologist when ordering diagnostic imaging?

d e f gc Integrated into other course work

d e f gc A course dedicated solely to Radiological Imaging

d e f g c As part of a course that covered various radiological imaging used in advanced nursing practice

d e f gc Was never presented in program


*10. Are you familiar with the American Radiology College Appropriateness Criteria (ACR)when ordering diagnostic imaging?

k l m nj No

*11. Do you utilize the guidelines presenting by the American Radiology CollegeAppropriateness Criteria (ACR) when ordering diagnostic imaging?

k l m nj No

12. Are you aware that ACR guidelines have different recommendations when ordering

radiologic imaging on children?

k l m nj No

k l m nj Never

k l m nj Rarely

k l m nj Occasionally

k l m nj Usually

k l m nj Always

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*14. How often do you order diagnostic imaging because of liability concerns, when it isnot clinically indicated in accepted guidelines ?

*15. How confident are you in ordering radiological imaging by type:

k l m n k l m n k l m n k l m n k l m n












Head and Neck

Breast

Pulmonary

Cardiologic

Vascular

Gastrointestinal

Genitourinary

Musculoskeletal

Neurologic

Nuclear

Molecular

Pediatric

Interventional Radiologyk l m n

Very Confident

j

j

j

j

j

j

j

j

j

j

j

j

jk l m n

Confident

j

j

j

j

j

j

j

j

j

j

j

j

jk l m n

Somewhat confident

j

j

j

j

j

j

j

j

j

j

j

j

jk l m n

Not Confident

j

j

j

j

j

j

j

j

j

j

j

j

jk l m n

N/A

j

j

j

j

j

j

j

j

j

j

j

j

j

*16. How often have you ordered an imaging test and been informed that additional ordifferent imaging was needed?

k l m nj Never

k l m nj Rarely


k l m nj Often

k l m nj Never

k l m nj Rarely


k l m nj Often

cdefg CT scans

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*17. Which of the following diagnostic imaging tests do you commonly order in yourpractice?

Plain Radiographs Chest

Xrayk l m n

Area not covered

j k l m n

Minimally Prepared

j k l m n

Somewhat prepared

j k l m n

Generally well prepared

j k l m n

Very well prepared

j

Plain Radiographs

Extremitiesk l m nj k l m nj k l m nj k l m nj k l m nj






Nuclear Imaging

PET scans

Mammography

CT scans

Ultrasound

MRI k l m n

j

j

j

j

j

j k l m n

j

j

j

j

j

j k l m n

j

j

j

j

j

j k l m n

j

j

j

j

j

j k l m n

j

j

j

j

j

j

d e f gc Plain Radiographs chest xray

d e f gc Plain Radiographs Extremities

d e f gc Nuclear Imaging

d e f gc PET scans

d e f gc Mammography

d e f gc Ultrasound

d e f gc MRI


*18. Upon completing your basic NP education, how prepared were you for actual NPpractice in each of the following clinical areas?


*19. Would it be beneficial for nurse practitioner programs to have a dedicated clinicalrotation in diagnostic imaging and testing?

d e f gc No


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Thank you for taking the time to respond to this survey.

Thank you!


*20. Would you like to have continued education on radiological imaging best practices?

k l m nj No

Documents

Page 1 Examination of nurse practitioner educational preparation to appropriately Nurse practitioner educational preparation in imaging Title of study: