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Book Summary: Serves the needs of advanced practice nurses because it’s written by nurse practitioners for nurse practitioners, in collaboration with a physician. Organizes content around the Circle of Caring framework for nursing-based knowledge and holistic care. Explores complementary and alternative treatments for each disorder. Covers the broadest range of human disease and disorders using a systems-based approach, presenting both common complaints and common problems to help students narrow down the possible differentials to the most likely diagnosis. Considers interactions of pharmaceuticals with alternative medications and nutraceuticals. Features coverage of pathophysiology and diagnostic reasoning as well as up-to-date guidance on laboratory and diagnostic tests. Emphasizes evidence-based practice with information on evidence levels and more references to primary studies. Integrates discussions of health policy and primary care throughout the text.

Purpose of study: This is a descriptive study to ascertain the Hepatitis C Virus (HCV) prevalence and usefulness of screening in medical outreach settings (MO) compared to indigent healthcare clinics (IHC) in northeast Tennessee. Methods used: Between April 2017 – February 2019, routine, opt-out HCV testing was performed in 4 IHC and 3 MO sites in the Tri-Cities, TN region. During screening, demographic information was collected and the de-identified data were analyzed. Summary of results: Among 212 clients screened 26 (12.26%) were HCV antibody positive. Of all clients screened 107 (50.47%) were young adults, born after 1965 compared to 99 (46.7%) participants born between 1945-1965. The percentage of HCV antibody cases were 16 (61.54%) and 8(30.77%) for young adults and baby boomers respectively. The percentage of males and females screened were 46.7% and 53.3% respectively, with equal proportion of HCV antibody cases (50%; P=0.7186). Non-Hispanic whites and African Americans made up 90.57% and 9.43% respectively of all clients screened; 96.15% (P=0.2980) of the positive cases were ascribed to non-Hispanic whites. Screening occurredin seven testing locations, 3 MO events and 4 IHCs. A total of 25 (96.15%; P=0.0056) HCV-antibody positive cases were found in the IHCs compared to 1(3.85%) found in a MO event. Conclusion: This analysis shows the higher yield of targeted screening at IHCs. Targeted HCV screening is critical in the era of opioid epidemic especially since direct-acting antiviral agents (DAAs) who offer a Sustained Virologic Response (SVR) rate of more than 90% are available.

Lack of full practice authority (FPA) for advanced practice registered nurses (APRNs) is a barrier to the provision of efficient, cost-effective, high-quality, and comprehensive health care services for some of our most vulnerable citizens ( Agency for Healthcare Research and Quality, 2014 , Buerhaus et al., 2015 , Pohl et al., 2010a , Seibert et al., 2004 ). APRNs have the education, knowledge, skills, and experience necessary to provide basic and comprehensive primary care services; they are a ready workforce, ideally positioned to improve access to care, contribute to health disparities reduction efforts, and lower the cost of providing such care ( National Center for Workforce Analysis 2013 , Perloff et al., 2016 ). However, barriers at the state and national levels continue to prevent these highly qualified health care providers from practicing to the full extent to which their education and training have prepared them. It is the position of the American Academy of Nursing (academy) that FPA of APRNs is essential to achieving health equity.

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