Nurse Practitioner Educational Preparation in Imaging

Examination of nurse practitioner educational preparation to appropriately Nursepractitionereducationalpreparationinimaging 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 510 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 postmaster's DNP student, University of Florida College of Nursing (blogsdon@ufl.edu, 9044034904) or Dr. Robyn Gleason, Project Chair (rgleason@ufl.edu, 3522842123). 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, 3523920433). 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. ProblemStatement 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. Page 1

Examination of nurse practitioner educational preparation to appropriately *1.ProgramofNursePractitionerEducation Family Adult or AdultGero Primary Care Adult or AdultGero Acute Care Geriatric Dual Adult Primary/Acute Care Pediatric Primary Care Pediatric Acute Care Dual Pediatric Primary/Acute Care Women's Health/Nurse Midwifery Psych/Mental Health *2.FromwhatUniversitydidyoureceiveyourARNPdegree? *3.HowmanyyearshaveyoupracticedasanARNP?Pleaseanswerinnumber format. *4.Inwhatstate(orcountry)wastheprogramlocatedwhereyoucompleted yourNP education? *5.Whatisthehighesteducationaldegreethatyouhavecompleted,inany field? *6.Inwhatfieldormajorisyourhighestdegree? Page 2

Examination of nurse practitioner educational preparation to appropriately 7.WhichofthefollowingbestdescribesthesettingofyourcurrentpracticeasanNP? Acute care clinic Adult health/internal medicine Emergency department Family practice clinic Inpatient unit Pediatric clinic Public health clinic School/college clinic Women's health clinic I am currently not practicing Other (please specify) *8.Ratingofeducationalpreparationforradiologicalimagingandinterpretationupon graduationfromnursepractitionereducationalprogram: Not all Prepared Minimally Prepared Adequately Prepared Well Prepared N/A Competency in ordering diagnostic imaging for common conditions seen in my specialty. Competency in determining when to use ultrasound,MRI, nuclear or radiographic imaging for common conditions seen in my specialty. Understanding 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. Competency in determining when it is necessary to order contrast with radiographic imaging. 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?) Page 3

Examination of nurse practitioner educational preparation to appropriately *9.Whatmethodswereutilizedinyouracademiccurriculumtoeducateyouonordering appropriatediagnosticimagingtests? Integrated into other course work A course dedicated solely to Radiological Imaging As part of a course that covered various radiological imaging used in advanced nursing practice Was never presented in program Other (please specify) *10.AreyoufamiliarwiththeAmericanRadiologyCollegeAppropriatenessCriteria(ACR) whenorderingdiagnosticimaging? No *11.DoyouutilizetheguidelinespresentingbytheAmericanRadiologyCollege AppropriatenessCriteria(ACR)whenorderingdiagnosticimaging? No 12.AreyouawarethatACRguidelineshavedifferentrecommendationswhenordering radiologicimagingonchildren? No *13.Howoftendoyouconsultwitharadiologistwhenorderingdiagnosticimaging? Never Rarely Occasionally Usually Always Page 4

Examination of nurse practitioner educational preparation to appropriately *14.Howoftendoyouorderdiagnosticimagingbecauseofliabilityconcerns,whenitis notclinicallyindicatedinacceptedguidelines? Never Rarely Occasionally Often *15.Howconfidentareyouinorderingradiologicalimagingbytype: Very Confident Confident Somewhat confident Not Confident N/A Head and Neck Breast Pulmonary Cardiologic Vascular Gastrointestinal Genitourinary Musculoskeletal Neurologic Nuclear Molecular Pediatric Interventional Radiology *16.Howoftenhaveyouorderedanimagingtestandbeeninformedthatadditionalor differentimagingwasneeded? Never Rarely Occasionally Often Page 5

Examination of nurse practitioner educational preparation to appropriately *17.Whichofthefollowingdiagnosticimagingtestsdoyoucommonlyorderinyour practice? Plain Radiographschestxray Plain Radiographs Extremities Nuclear Imaging PET scans Mammography CT scans Ultrasound MRI Other (please specify) *18.UponcompletingyourbasicNPeducation,howpreparedwereyouforactualNP practiceineachofthefollowingclinicalareas? Generally well prepared Area not covered Minimally Prepared Somewhat prepared Very well prepared Plain Radiographs Chest Xray Plain Radiographs Extremities Nuclear Imaging PET scans Mammography CT scans Ultrasound MRI Other (please specify) *19.Woulditbebeneficialfornursepractitionerprogramstohaveadedicatedclinical rotationindiagnosticimagingandtesting? No Other (please specify) Page 6

Examination of nurse practitioner educational preparation to appropriately *20.Wouldyouliketohavecontinuededucationonradiologicalimagingbestpractices? No Thankyou! Thank you for taking the time to respond to this survey. Page 7