<!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/df66e0e0c5a12c28.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":"1076323940","agentToken":null,"applicationTime":18.726144,"transactionName":"YgAHZEtRWkVQAUFQCltKK19LXVVaWBhQXTBHDEoa","queueTime":0,"ttGuid":"188fdebcc5fcb133"}; (window.NREUM||(NREUM={})).init={privacy:{cookies_enabled:true},ajax:{deny_list:["bam.nr-data.net"]},feature_flags:["rum_v2"],distributed_tracing:{enabled:true}};(window.NREUM||(NREUM={})).loader_config={agentID:"1103496531",accountID:"4589843",trustKey:"1191223",xpid:"UAMPWF5XCxABVFZUBAMEX1AB",licenseKey:"NRJS-cc4a3fa04e6ca8963a4",applicationID:"1076323940",browserID:"1103496531"};;/*! For license information please see nr-loader-spa-1.324.1.min.js.LICENSE.txt */
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src="https://www.ovid.com//image-api/imgsrv/article/i/thumb/wkmrid/JOURNAL%252Fnrspr%252F04.03%252F00006205-202611000-00000%252Fcover%252Fv%252F2026-10-26T052419Z%252Fr%252Fimage-png/width/600.png" srcSet="https://www.ovid.com//image-api/imgsrv/article/i/thumb/wkmrid/JOURNAL%252Fnrspr%252F04.03%252F00006205-202611000-00000%252Fcover%252Fv%252F2026-10-26T052419Z%252Fr%252Fimage-png/width/600.png 1x, https://www.ovid.com//image-api/imgsrv/article/i/thumb/wkmrid/JOURNAL%252Fnrspr%252F04.03%252F00006205-202611000-00000%252Fcover%252Fv%252F2026-10-26T052419Z%252Fr%252Fimage-png/width/1200.png 2x" alt="Image"/></picture></span></div></div><div class="omni-jrnlinfo-banner-content"><h1>The Nurse Practitioner</h1><div class="omni-jrnlinfo-banner-issue-title"><b>Current Issue:</b> <!-- -->November 2026<!-- --> - <!-- -->Volume 51<!-- --> - <!-- -->Issue 11</div></div><div class="omni-jrnlinfo-banner-meta"><div class="omni-jrnlinfo-banner-meta-info"><div><b>Editor-in-Chief<!-- -->:</b> <!-- 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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.0000000000000492~strengthening-competency-based-outcomes-in-dnp-education" 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;Strengthening competency-based outcomes in DNP education&quot;,&quot;url&quot;:&quot;https://www.ovid.com/jnls/tnpj/fulltext/10.1097/01.npr.0000000000000492~strengthening-competency-based-outcomes-in-dnp-education&quot;,&quot;relValue&quot;:&quot;&quot;,&quot;area&quot;:&quot;collection&quot;,&quot;accessionNumber&quot;:&quot;00006205-202611000-00009&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.0000000000000492~strengthening-competency-based-outcomes-in-dnp-education" target="_self" rel="">Strengthening competency-based outcomes in DNP education</a></h3></span><div class="omni-card__misc  omni-card__element"><div><span>November 2026: 51(11):40-42</span></div></div><div class="omni-card__article-desc"><div class="omni-card__desc omni-card__element"><p>This article reviews common gaps in Doctor of Nursing Practice (DNP) education, including variability in DNP project rigor, informatics/artificial intelligence skills, competency-based preparation, and scholarly writing. Standardized competency assessments for DNP projects are needed, along with robust faculty development.</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.0000000000000490~biologic-therapy-a-paradigm-shift-in-asthma-management" 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;Biologic therapy&quot;,&quot;url&quot;:&quot;https://www.ovid.com/jnls/tnpj/fulltext/10.1097/01.npr.0000000000000490~biologic-therapy-a-paradigm-shift-in-asthma-management&quot;,&quot;relValue&quot;:&quot;&quot;,&quot;area&quot;:&quot;collection&quot;,&quot;accessionNumber&quot;:&quot;00006205-202611000-00007&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.0000000000000490~biologic-therapy-a-paradigm-shift-in-asthma-management" target="_self" rel="">Biologic therapy</a></h3></span><div class="omni-card__misc  omni-card__element"><div><span>November 2026: 51(11):34-38</span></div></div><div class="omni-card__article-desc"><div class="omni-card__desc omni-card__element"><p>Biologic medications provide opportunities to improve the health, safety, quality of life, and long-term outcomes of patients with moderate-to-severe uncontrolled asthma. This article provides primary care nurse practitioners with an overview of the pathophysiology of Type 2 inflammation in asthma, the mechanism of action of biologics approved for asthma, monitoring considerations, and practice considerations.</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.0000000000000491~evolving-treatment-approaches-for-postpartum-depression-the" 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;Evolving treatment approaches for postpartum depression&quot;,&quot;url&quot;:&quot;https://www.ovid.com/jnls/tnpj/fulltext/10.1097/01.npr.0000000000000491~evolving-treatment-approaches-for-postpartum-depression-the&quot;,&quot;relValue&quot;:&quot;&quot;,&quot;area&quot;:&quot;collection&quot;,&quot;accessionNumber&quot;:&quot;00006205-202611000-00005&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.0000000000000491~evolving-treatment-approaches-for-postpartum-depression-the" target="_self" rel="">Evolving treatment approaches for postpartum depression</a></h3></span><div class="omni-card__misc  omni-card__element"><div><span>November 2026: 51(11):28-32</span></div></div><div class="omni-card__article-desc"><div class="omni-card__desc omni-card__element"><p>This article embarks on a journey through recent advances in postpartum depression (PPD), specifically focusing on rapid-acting neuroactive steroids, the first medications approved specifically for PPD.</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.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></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 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data-hydrate-props="{&quot;image&quot;:{&quot;id&quot;:&quot;JOURNAL/nrspr/04.03/00006205-202611000-00001/figure1/v/2026-10-26T052419Z/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%252F00006205-202611000-00001%252Ffigure1%252Fv%252F2026-10-26T052419Z%252Fr%252Fimage-jpeg/width/600.webp 1x, https://www.ovid.com//image-api/imgsrv/article/i/thumb/wkmrid/JOURNAL%252Fnrspr%252F04.03%252F00006205-202611000-00001%252Ffigure1%252Fv%252F2026-10-26T052419Z%252Fr%252Fimage-jpeg/width/1200.webp 2x"/><img loading="lazy" 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