<!DOCTYPE html><html lang="en" cg3-theme="PDS-v3"><head><meta charSet="utf-8" data-next-head=""/><meta name="viewport" content="width=device-width" data-next-head=""/><meta name="robots" content="index, follow, noarchive" data-next-head=""/><meta property="og:site_name" content="Ovid" data-next-head=""/><meta property="og:type" content="website" data-next-head=""/><meta property="og:title" content="The Nurse Practitioner" data-next-head=""/><meta property="og:image" content="https://www.ovid.com//images/og_image_white.webp" data-next-head=""/><meta property="og:image:width" content="1200" data-next-head=""/><meta property="og:image:height" content="630" data-next-head=""/><meta property="og:url" content="https://www.ovid.com/jnls/tnpj" data-next-head=""/><meta name="twitter:card" content="summary" data-next-head=""/><link rel="canonical" href="https://www.ovid.com/jnls/tnpj" data-next-head=""/><title data-next-head="">The Nurse Practitioner</title><link rel="icon" href="/favicon.ico" data-next-head=""/><link rel="preload" href="/_next/static/media/d644870e415613ec-s.p.woff2" as="font" type="font/woff2" crossorigin="anonymous" data-next-font="size-adjust"/><link rel="preload" href="/_next/static/media/a048339354d5408e-s.p.woff2" as="font" type="font/woff2" crossorigin="anonymous" data-next-font="size-adjust"/><link rel="preload" href="/_next/static/media/4f498a2054f9dc71-s.p.woff2" as="font" type="font/woff2" crossorigin="anonymous" data-next-font="size-adjust"/><link rel="preload" href="/_next/static/media/a77960545b5dad9f-s.p.woff2" as="font" type="font/woff2" crossorigin="anonymous" data-next-font="size-adjust"/><link rel="preload" href="/_next/static/media/64d67560db5baada-s.p.woff2" as="font" type="font/woff2" crossorigin="anonymous" data-next-font="size-adjust"/><link rel="preload" href="/_next/static/media/07f0d0991c204e49-s.p.woff2" as="font" type="font/woff2" crossorigin="anonymous" data-next-font="size-adjust"/><link rel="preload" href="/_next/static/media/794d29e41a12b5c4-s.p.woff2" as="font" type="font/woff2" crossorigin="anonymous" data-next-font="size-adjust"/><link rel="preload" href="/_next/static/media/99adbc1ad871a018-s.p.woff2" as="font" type="font/woff2" crossorigin="anonymous" data-next-font="size-adjust"/><link rel="preload" href="/_next/static/css/69bb59ba6acc83e4.css" as="style"/><link rel="preload" href="/_next/static/css/e0a9b61b6aecfcc2.css" as="style"/><link rel="preload" href="/_next/static/css/3fb7c7264e1c0e34.css" as="style"/><script>window.NREUM||(NREUM={});NREUM.info = {"agent":"","beacon":"bam.nr-data.net","errorBeacon":"bam.nr-data.net","licenseKey":"NRJS-cc4a3fa04e6ca8963a4","applicationID":"970023245","agentToken":null,"applicationTime":25.385712,"transactionName":"YgAHZEtRWkVQAUFQCltKK19LXVVaWBhQXTBHDEoa","queueTime":0,"ttGuid":"54ee87b3fd88532d"}; (window.NREUM||(NREUM={})).init={privacy:{cookies_enabled:true},ajax:{deny_list:["bam.nr-data.net"]},distributed_tracing:{enabled:true}};(window.NREUM||(NREUM={})).loader_config={agentID:"1103518289",accountID:"4589843",trustKey:"1191223",xpid:"UAMPWF5XCxAJU1FSBQIFUlE=",licenseKey:"NRJS-cc4a3fa04e6ca8963a4",applicationID:"970023245",browserID:"1103518289"};;/*! For license information please see nr-loader-spa-1.323.0.min.js.LICENSE.txt */
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Highlights</h2></div></header><div class="omni-component-body"><div><div class="omni-card--carousel-mode" role="region" aria-label="Current Issue Highlights Carousel"><div class="omni-carousel"><ul class="omni-card-list omni-card--large"><li class="omni-card-item"><article class="omni-card"><div class="omni-card-media omni-card__element"><a href="https://www.ovid.com/jnls/tnpj/fulltext/10.1097/01.npr.0000000000000481~bridging-the-gap-in-caregiver-support-a-systematic-review-of" target="_self" rel=""><div class="omni-card-img omni-card-img--landscape"><span class="js-omni-hydrate-marker" data-hydrate-key="picture" data-hydrate-props="{&quot;image&quot;:{&quot;showDefault&quot;:true,&quot;defaultUrl&quot;:{&quot;size1x&quot;:&quot;/images/defaultArticle@1x.WebP&quot;,&quot;size2x&quot;:&quot;/images/defaultArticle@2x.WebP&quot;}},&quot;imageDomainUrl&quot;:&quot;https://www.ovid.com/&quot;,&quot;isInHydrationContainer&quot;:true}"><picture><img loading="lazy" src="/images/defaultArticle@1x.WebP" srcSet="/images/defaultArticle@1x.WebP 1x, /images/defaultArticle@2x.WebP 2x" alt="Image"/></picture></span></div></a></div><div class="omni-card-body"><span class="js-omni-hydrate-marker" data-hydrate-key="article-card-title" data-hydrate-props="{&quot;content&quot;:&quot;Bridging the gap in caregiver support&quot;,&quot;url&quot;:&quot;https://www.ovid.com/jnls/tnpj/fulltext/10.1097/01.npr.0000000000000481~bridging-the-gap-in-caregiver-support-a-systematic-review-of&quot;,&quot;relValue&quot;:&quot;&quot;,&quot;area&quot;:&quot;collection&quot;,&quot;accessionNumber&quot;:&quot;00006205-202610000-00009&quot;,&quot;isInHydrationContainer&quot;:true}"><h3 class="omni-card__title  omni-card__element"><a href="https://www.ovid.com/jnls/tnpj/fulltext/10.1097/01.npr.0000000000000481~bridging-the-gap-in-caregiver-support-a-systematic-review-of" target="_self" rel="">Bridging the gap in caregiver support</a></h3></span><div class="omni-card__misc  omni-card__element"><div><span>October 2026: 51(10):e1-e10</span></div></div><div class="omni-card__article-desc"><div class="omni-card__desc omni-card__element"><section class="lww-article__section js-lww-article-section"><h4 class="js-lww-content-heading lww-content-heading" id="">Background:</h4><p>Family caregivers of older adults with cognitive impairment often experience significant emotional, physical, and psychological burden. Although primary care plays a crucial role in early identification, caregiver burden frequently goes unrecognized due to time constraints, lack of standardized protocols, and limited provider awareness.</p></section><section class="lww-article__section js-lww-article-section"><h4 class="js-lww-content-heading lww-content-heading" id="">Methods:</h4><p>A systematic literature review was conducted using PubMed, CINAHL, and Google Scholar to identify studies published between 2013 and 2023 on the topic of assessing for caregiver burden in primary care.</p></section><section class="lww-article__section js-lww-article-section"><h4 class="js-lww-content-heading lww-content-heading" id="">Results:</h4><p>Nine studies focusing on the use of validated caregiver burden screening tools in primary care settings met the inclusion criteria. Validated tools for formal screening for caregiver burden were identified. Informal assessments were more commonly used despite their limitations. Barriers to formal screening included time constraints, lack of training, limited reimbursement, and caregiver reluctance. When formal tools were used, caregivers felt validated and were more frequently referred to supportive services.</p></section><section class="lww-article__section js-lww-article-section"><h4 class="js-lww-content-heading lww-content-heading" id="">Conclusion:</h4><p>Routine use of validated screening tools in primary care can improve early detection of caregiver burden, enhance communication, and support family-centered care.</p></section></div></div></div></article></li><li class="omni-card-item"><article class="omni-card"><div class="omni-card-media omni-card__element"><a href="https://www.ovid.com/jnls/tnpj/fulltext/10.1097/01.npr.0000000000000482~group-a-streptococcus-pharyngitis-2025-clinical-practice" target="_self" rel=""><div class="omni-card-img omni-card-img--landscape"><span class="js-omni-hydrate-marker" data-hydrate-key="picture" data-hydrate-props="{&quot;image&quot;:{&quot;showDefault&quot;:true,&quot;defaultUrl&quot;:{&quot;size1x&quot;:&quot;/images/defaultArticle@1x.WebP&quot;,&quot;size2x&quot;:&quot;/images/defaultArticle@2x.WebP&quot;}},&quot;imageDomainUrl&quot;:&quot;https://www.ovid.com/&quot;,&quot;isInHydrationContainer&quot;:true}"><picture><img loading="lazy" src="/images/defaultArticle@1x.WebP" srcSet="/images/defaultArticle@1x.WebP 1x, /images/defaultArticle@2x.WebP 2x" alt="Image"/></picture></span></div></a></div><div class="omni-card-body"><span class="js-omni-hydrate-marker" data-hydrate-key="article-card-title" data-hydrate-props="{&quot;content&quot;:&quot;Group A Streptococcus  pharyngitis&quot;,&quot;url&quot;:&quot;https://www.ovid.com/jnls/tnpj/fulltext/10.1097/01.npr.0000000000000482~group-a-streptococcus-pharyngitis-2025-clinical-practice&quot;,&quot;relValue&quot;:&quot;&quot;,&quot;area&quot;:&quot;collection&quot;,&quot;accessionNumber&quot;:&quot;00006205-202610000-00007&quot;,&quot;isInHydrationContainer&quot;:true}"><h3 class="omni-card__title  omni-card__element"><a href="https://www.ovid.com/jnls/tnpj/fulltext/10.1097/01.npr.0000000000000482~group-a-streptococcus-pharyngitis-2025-clinical-practice" target="_self" rel="">Group A Streptococcus  pharyngitis</a></h3></span><div class="omni-card__misc  omni-card__element"><div><span>October 2026: 51(10):41-45</span></div></div><div class="omni-card__article-desc"><div class="omni-card__desc omni-card__element"><p>Group A <i class="lww-article__emphasis lww-article__emphasis--italic">Streptococcus</i> (GAS) pharyngitis remains the leading bacterial cause of acute sore throat worldwide. Surges in GAS infections are driven by hypervirulent strains such as <i class="lww-article__emphasis lww-article__emphasis--italic">M1UK</i>. The 2025 clinical practice guideline update from the Infectious Diseases Society of America introduces evidence-based recommendations for risk assessment using clinical scoring systems to optimize diagnostic testing and reduce unnecessary antibiotic use. This review examines current diagnostic approaches, treatment protocols, antimicrobial resistance patterns, and emerging therapeutic strategies to support nurse practitioners in delivering evidence-based, stewardship-aligned patient care.</p></div></div></div></article></li><li class="omni-card-item"><article class="omni-card"><div class="omni-card-media omni-card__element"><a href="https://www.ovid.com/jnls/tnpj/fulltext/10.1097/01.npr.0000000000000480~current-knowledge-and-use-of-pharmacogenomics-among-nps-an" target="_self" rel=""><div class="omni-card-img omni-card-img--landscape"><span class="js-omni-hydrate-marker" data-hydrate-key="picture" data-hydrate-props="{&quot;image&quot;:{&quot;showDefault&quot;:true,&quot;defaultUrl&quot;:{&quot;size1x&quot;:&quot;/images/defaultArticle@1x.WebP&quot;,&quot;size2x&quot;:&quot;/images/defaultArticle@2x.WebP&quot;}},&quot;imageDomainUrl&quot;:&quot;https://www.ovid.com/&quot;,&quot;isInHydrationContainer&quot;:true}"><picture><img loading="lazy" src="/images/defaultArticle@1x.WebP" srcSet="/images/defaultArticle@1x.WebP 1x, /images/defaultArticle@2x.WebP 2x" alt="Image"/></picture></span></div></a></div><div class="omni-card-body"><span class="js-omni-hydrate-marker" data-hydrate-key="article-card-title" data-hydrate-props="{&quot;content&quot;:&quot;Current knowledge and use of pharmacogenomics among NPs&quot;,&quot;url&quot;:&quot;https://www.ovid.com/jnls/tnpj/fulltext/10.1097/01.npr.0000000000000480~current-knowledge-and-use-of-pharmacogenomics-among-nps-an&quot;,&quot;relValue&quot;:&quot;&quot;,&quot;area&quot;:&quot;collection&quot;,&quot;accessionNumber&quot;:&quot;00006205-202610000-00005&quot;,&quot;isInHydrationContainer&quot;:true}"><h3 class="omni-card__title  omni-card__element"><a href="https://www.ovid.com/jnls/tnpj/fulltext/10.1097/01.npr.0000000000000480~current-knowledge-and-use-of-pharmacogenomics-among-nps-an" target="_self" rel="">Current knowledge and use of pharmacogenomics among NPs</a></h3></span><div class="omni-card__misc  omni-card__element"><div><span>October 2026: 51(10):29-39</span></div></div><div class="omni-card__article-desc"><div class="omni-card__desc omni-card__element"><section class="lww-article__section js-lww-article-section"><h4 class="js-lww-content-heading lww-content-heading" id="">Background:</h4><p>Pharmacogenomics, a critical component of precision medicine, is rapidly transforming health care by tailoring drug therapy based on individual genetic profiles. Nurse practitioners (NPs), as frontline providers and prescribers, play a key role in implementing pharmacogenomics into clinical practice. Despite its growing importance, limited research has examined NPs&#x27; current knowledge about and use of pharmacogenomics in clinical practice.</p></section><section class="lww-article__section js-lww-article-section"><h4 class="js-lww-content-heading lww-content-heading" id="">Methods:</h4><p>An integrative review was conducted using Whittemore and Knafl&#x27;s methodology. Literature searches were performed across six databases using defined search terms related to NPs and pharmacogenomics. Peer-reviewed articles published between January 2020 and March 2025 were included. Studies were screened based on inclusion criteria, critically appraised using Joanna Briggs Institute checklists, and thematically analyzed. Ten articles were included: eight quantitative, one qualitative, and one mixed-methods.</p></section><section class="lww-article__section js-lww-article-section"><h4 class="js-lww-content-heading lww-content-heading" id="">Results:</h4><p>Five key themes emerged: (1) technology supports, including mobile apps and decision support tools; (2) education, highlighting gaps in formal genomics training; (3) specialty application, showing varied implementation across NP specialties; (4) knowledge to implementation, focusing on the space between NP pharmacogenomics learning, application of knowledge, and use of testing in clinical practice; and (5) barriers and resistance to pharmacogenomic use, including challenges such as knowledge deficits, cost, and NP perception of the value of pharmacogenomics.</p></section><section class="lww-article__section js-lww-article-section"><h4 class="js-lww-content-heading lww-content-heading" id="">Conclusion:</h4><p>Despite positive attitudes toward pharmacogenomics, significant barriers hinder its integration into NP-led care. Formal education and continuing education around pharmacogenomics and supportive infrastructure, including funding, are essential to increase NP uptake and integration of pharmacogenomics into patient care. In addition, introductory material should be integrated into NP program curricula. Future research should focus on learning outcomes and the application of pharmacogenomics before and after participating in learning within graduate-level NP education programs and continuing-education programs for those already in practice.</p></section></div></div></div></article></li><li class="omni-card-item"><article class="omni-card"><div class="omni-card-media omni-card__element"><a href="https://www.ovid.com/jnls/tnpj/fulltext/10.1097/01.npr.0000000000000479~pharmacologic-management-of-mild-to-moderate-asthma-in" target="_self" rel=""><div class="omni-card-img omni-card-img--landscape"><span class="js-omni-hydrate-marker" data-hydrate-key="picture" data-hydrate-props="{&quot;image&quot;:{&quot;id&quot;:&quot;JOURNAL/nrspr/04.03/00006205-202610000-00003/figure1/v/2026-09-18T104500Z/r/image-jpeg&quot;,&quot;type&quot;:&quot;wkmrid&quot;,&quot;showDefault&quot;:true,&quot;defaultUrl&quot;:{&quot;size1x&quot;:&quot;/images/defaultArticle@1x.WebP&quot;,&quot;size2x&quot;:&quot;/images/defaultArticle@2x.WebP&quot;}},&quot;imageDomainUrl&quot;:&quot;https://www.ovid.com/&quot;,&quot;isInHydrationContainer&quot;:true}"><picture><source type="image/webp" srcSet="https://www.ovid.com//image-api/imgsrv/article/i/thumb/wkmrid/JOURNAL%252Fnrspr%252F04.03%252F00006205-202610000-00003%252Ffigure1%252Fv%252F2026-09-18T104500Z%252Fr%252Fimage-jpeg/width/600.webp 1x, https://www.ovid.com//image-api/imgsrv/article/i/thumb/wkmrid/JOURNAL%252Fnrspr%252F04.03%252F00006205-202610000-00003%252Ffigure1%252Fv%252F2026-09-18T104500Z%252Fr%252Fimage-jpeg/width/1200.webp 2x"/><img loading="lazy" src="https://www.ovid.com//image-api/imgsrv/article/i/thumb/wkmrid/JOURNAL%252Fnrspr%252F04.03%252F00006205-202610000-00003%252Ffigure1%252Fv%252F2026-09-18T104500Z%252Fr%252Fimage-jpeg/width/600.png" srcSet="https://www.ovid.com//image-api/imgsrv/article/i/thumb/wkmrid/JOURNAL%252Fnrspr%252F04.03%252F00006205-202610000-00003%252Ffigure1%252Fv%252F2026-09-18T104500Z%252Fr%252Fimage-jpeg/width/600.png 1x, https://www.ovid.com//image-api/imgsrv/article/i/thumb/wkmrid/JOURNAL%252Fnrspr%252F04.03%252F00006205-202610000-00003%252Ffigure1%252Fv%252F2026-09-18T104500Z%252Fr%252Fimage-jpeg/width/1200.png 2x" alt="Image"/></picture></span></div></a></div><div class="omni-card-body"><span class="js-omni-hydrate-marker" data-hydrate-key="article-card-title" data-hydrate-props="{&quot;content&quot;:&quot;Pharmacologic management of mild-to-moderate asthma in adults&quot;,&quot;url&quot;:&quot;https://www.ovid.com/jnls/tnpj/fulltext/10.1097/01.npr.0000000000000479~pharmacologic-management-of-mild-to-moderate-asthma-in&quot;,&quot;relValue&quot;:&quot;&quot;,&quot;area&quot;:&quot;collection&quot;,&quot;accessionNumber&quot;:&quot;00006205-202610000-00003&quot;,&quot;isInHydrationContainer&quot;:true}"><h3 class="omni-card__title  omni-card__element"><a href="https://www.ovid.com/jnls/tnpj/fulltext/10.1097/01.npr.0000000000000479~pharmacologic-management-of-mild-to-moderate-asthma-in" target="_self" rel="">Pharmacologic management of mild-to-moderate asthma in adults</a></h3></span><div class="omni-card__misc  omni-card__element"><div><span>October 2026: 51(10):21-27</span></div></div><div class="omni-card__article-desc"><div class="omni-card__desc omni-card__element"><p>Asthma is a chronic disease that persists into adulthood. Despite available treatments, many adults have poor symptom control. This article reviews the diagnosis of asthma and outlines current Global Initiative for Asthma recommendations for preferred and alternative pharmacologic management of mild-to-moderate asthma in adults.</p></div></div></div></article></li><li class="omni-card-item"><article class="omni-card"><div class="omni-card-media omni-card__element"><a href="https://www.ovid.com/jnls/tnpj/fulltext/10.1097/01.npr.0000000000000474~an-examination-of-how-aprns-perceive-sharing-clinical-notes" target="_self" rel=""><div class="omni-card-img omni-card-img--landscape"><span class="js-omni-hydrate-marker" data-hydrate-key="picture" data-hydrate-props="{&quot;image&quot;:{&quot;showDefault&quot;:true,&quot;defaultUrl&quot;:{&quot;size1x&quot;:&quot;/images/defaultArticle@1x.WebP&quot;,&quot;size2x&quot;:&quot;/images/defaultArticle@2x.WebP&quot;}},&quot;imageDomainUrl&quot;:&quot;https://www.ovid.com/&quot;,&quot;isInHydrationContainer&quot;:true}"><picture><img loading="lazy" src="/images/defaultArticle@1x.WebP" srcSet="/images/defaultArticle@1x.WebP 1x, /images/defaultArticle@2x.WebP 2x" alt="Image"/></picture></span></div></a></div><div class="omni-card-body"><span class="js-omni-hydrate-marker" data-hydrate-key="article-card-title" data-hydrate-props="{&quot;content&quot;:&quot;An examination of how APRNs perceive sharing clinical notes with their patients&quot;,&quot;url&quot;:&quot;https://www.ovid.com/jnls/tnpj/fulltext/10.1097/01.npr.0000000000000474~an-examination-of-how-aprns-perceive-sharing-clinical-notes&quot;,&quot;relValue&quot;:&quot;&quot;,&quot;area&quot;:&quot;collection&quot;,&quot;accessionNumber&quot;:&quot;00006205-202609000-00009&quot;,&quot;isInHydrationContainer&quot;:true}"><h3 class="omni-card__title  omni-card__element"><a href="https://www.ovid.com/jnls/tnpj/fulltext/10.1097/01.npr.0000000000000474~an-examination-of-how-aprns-perceive-sharing-clinical-notes" target="_self" rel="">An examination of how APRNs perceive sharing clinical notes with their patients</a></h3></span><div class="omni-card__misc  omni-card__element"><div><span>September 2026: 51(9):e1-e6</span></div></div><div class="omni-card__article-desc"><div class="omni-card__desc omni-card__element"><section class="lww-article__section js-lww-article-section"><h4 class="js-lww-content-heading lww-content-heading" id="">Background:</h4><p>As an outgrowth of a 2019 study and the pandemic, advanced practice registered nurse (APRN) attitudes toward sharing of clinical notes were explored.</p></section><section class="lww-article__section js-lww-article-section"><h4 class="js-lww-content-heading lww-content-heading" id="">Methods:</h4><p>A quantitative, descriptive study approach was used to identify possible changes in APRN attitudes about sharing clinical notes with patients. A 20-question survey was administered through SurveyMonkey.</p></section><section class="lww-article__section js-lww-article-section"><h4 class="js-lww-content-heading lww-content-heading" id="">Results:</h4><p>Among the 149 APRN participants, there was a split between those who felt it was a positive versus a negative experience. More than half expressed that sharing clinical notes influenced what they wrote and that it now took them longer to write their clinical notes.</p></section><section class="lww-article__section js-lww-article-section"><h4 class="js-lww-content-heading lww-content-heading" id="">Conclusion:</h4><p>APRNs remain split about sharing clinical notes with patients. Concerns about patient understanding of content shared within clinical notes continue, and the value that results from sharing clinical notes remains unclear. The ultimate goal in sharing clinical notes is to improve patient care.</p></section></div></div></div></article></li></ul></div><div class="omni-carousel__indicators"><button class="omni-carousel__indicator omni-carousel__indicator--active" aria-label="Slide 1" aria-current="true"></button><button class="omni-carousel__indicator " aria-label="Slide 2" aria-current="false"></button><button class="omni-carousel__indicator " aria-label="Slide 3" aria-current="false"></button><button class="omni-carousel__indicator " aria-label="Slide 4" aria-current="false"></button><button class="omni-carousel__indicator " aria-label="Slide 5" aria-current="false"></button></div></div></div></div></section><!--/$--><!--$--><section class="omni-component js-omni-component-79cb9b80-166f-4e1b-91c8-8b0494d535dd"><header class="omni-component-header omni-heading"><div class="omni-component-header__left"><h2>Latest Articles</h2></div></header><div class="omni-component-body"><div 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Despite available treatments, many adults have poor symptom control. 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Nurse practitioners (NPs), as frontline providers and prescribers, play a key role in implementing pharmacogenomics into clinical practice. Despite its growing importance, limited research has examined NPs' current knowledge about and use of pharmacogenomics in clinical practice."}],"ofType":"section"},{"nodeName":"content","fullText":[{"nodeName":"header","plainText":"Methods:"},{"nodeName":"paragraph","plainText":"An integrative review was conducted using Whittemore and Knafl's methodology. Literature searches were performed across six databases using defined search terms related to NPs and pharmacogenomics. Peer-reviewed articles published between January 2020 and March 2025 were included. Studies were screened based on inclusion criteria, critically appraised using Joanna Briggs Institute checklists, and thematically analyzed. Ten articles were included: eight quantitative, one qualitative, and one mixed-methods."}],"ofType":"section"},{"nodeName":"content","fullText":[{"nodeName":"header","plainText":"Results:"},{"nodeName":"paragraph","plainText":"Five key themes emerged: (1) technology supports, including mobile apps and decision support tools; (2) education, highlighting gaps in formal genomics training; (3) specialty application, showing varied implementation across NP specialties; (4) knowledge to implementation, focusing on the space between NP pharmacogenomics learning, application of knowledge, and use of testing in clinical practice; and (5) barriers and resistance to pharmacogenomic use, including challenges such as knowledge deficits, cost, and NP perception of the value of pharmacogenomics."}],"ofType":"section"},{"nodeName":"content","fullText":[{"nodeName":"header","plainText":"Conclusion:"},{"nodeName":"paragraph","plainText":"Despite positive attitudes toward pharmacogenomics, significant barriers hinder its integration into NP-led care. Formal education and continuing education around pharmacogenomics and supportive infrastructure, including funding, are essential to increase NP uptake and integration of pharmacogenomics into patient care. In addition, introductory material should be integrated into NP program curricula. 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