Testosterone Replacement in Symptomatic Men: Assessing Knowledge, Barriers, and Prescribing Habits of Nurse Practitioners

2.50
Hdl Handle:
http://hdl.handle.net/10755/316893
Category:
Full-text
Type:
DNP Capstone Project
Level of Evidence:
Literature Review
Research Approach:
Quantitative Research
Title:
Testosterone Replacement in Symptomatic Men: Assessing Knowledge, Barriers, and Prescribing Habits of Nurse Practitioners
Author(s):
Parry, Robin
Additional Author Information:
Robin Parry, MSN, FNP-C, Doctor of Nursing Practice student
Advisors:
Thomas, Debera; Lilly, Mary Luanne
Degree:
DNP
Degree Year:
2014
Grantor:
Northern Arizona University
Abstract:

Purpose: Approximately 13 million men suffer with low testosterone, reporting symptoms of fatigue, decreased libido, erectile dysfunction (ED), and depression.  Despite the published benefits of testosterone therapy, less than 15% of men with hypogonadism are treated.  Signs and symptoms of low testosterone are under evaluated in clinical practice, and lack of provider knowledge is a contributory factor to the low use of testosterone therapy.

Data sources: Published guidelines for treating low testosterone, primary and review articles, and results from a questionnaire developed for the purpose of this study using the Knowledge, Attitudes, and Practice (KAP) approach.

Conclusions: More than half of the nurse practitioners who responded to the survey routinely evaluate testosterone levels in men complaining of fatigue and low libido, and treat men with low testosterone in their practice setting.  This finding is higher than published literature that suggests less than 15% of men with low testosterone are treated.  Nurse practitioner attitude is positively related to practice habits. 

Implications for practice: Through this evaluation of current knowledge, attitudes, and practice habits of advance practice nurses, educational interventions may be developed to address identified deficiencies in diagnosis and treatment of men with low testosterone.

Keywords:
Low testosterone; Fatigue classification; Decreased libido; Erectile dysfunction; Depression
MeSH:
Testosterone--therapeutic use; Nurse Practitioners
Note:
This work has been approved through a faculty review process prior to its posting in the Virginia Henderson Global Nursing e-Repository.
Repository Posting Date:
2014-05-13T18:24:59Z
Date of Publication:
2014-05-13

Full metadata record

DC FieldValue Language
dc.contributor.advisorThomas, Debera-
dc.contributor.advisorLilly, Mary Luanne-
dc.contributor.authorParry, Robin-
dc.date.accessioned2014-05-13T18:24:59Z-
dc.date.available2014-05-13T18:24:59Z-
dc.date.issued2014-05-13-
dc.identifier.urihttp://hdl.handle.net/10755/316893-
dc.description.abstract<p><span style="font-family: Times New Roman;"><strong>Purpose</strong>: <span style="font-size: small;">Approximately 13 million men suffer with low testosterone, reporting </span><span style="font-size: small;">symptoms of fatigue, decreased libido, erectile dysfunction (ED), and depression. </span><span style="font-size: small;"> </span><span style="font-size: small;">Despite the published benefits of testosterone therapy, l</span><span style="font-size: small;">ess than 15% of men with hypogonadism are treated. </span><span style="font-size: small;"> </span><span style="font-size: small;">S</span><span style="font-size: small;">igns and symptoms of low testosterone are under evaluated in clinical practice</span><span style="font-size: small;">, and lack of provider knowledge is a contributory factor to the low use of testosterone therapy. </span></span></p> <p><span style="font-family: Times New Roman;"><strong>Data sources</strong>: Published guidelines for treating low testosterone, primary and review articles, and results from a<span style="font-size: small;"> questionnaire developed for the purpose of this study using the Knowledge, Attitudes, and Practice (KAP) approach.</span> </span></p> <p><span style="font-family: Times New Roman;"><strong>Conclusions: </strong><span style="font-size: small;">More than half of the nurse practitioners who responded to the survey routinely evaluate testosterone levels in men complaining of fatigue and low libido, and treat men with low testosterone in their practice setting. </span><span style="font-size: small;"> </span><span style="font-size: small;">This finding is higher than published literature that suggests less than 15% of men with low testosterone are treated. </span><span style="font-size: small;"> </span><span style="font-size: small;">Nurse practitioner attitude is positively related to practice habits.</span><span style="font-size: small;">  </span></span></p> <p><span style="font-family: Times New Roman;"><strong>Implications for practice: </strong><span style="font-size: small;">Through this evaluation of current knowledge, attitudes, and practice habits of advance practice nurses, educational interventions may be developed to address identified deficiencies in diagnosis and treatment of men with low testosterone. </span></span></p>en_GB
dc.subjectLow testosteroneen_GB
dc.subjectFatigue classificationen_GB
dc.subjectDecreased libidoen_GB
dc.subjectErectile dysfunctionen_GB
dc.subjectDepressionen_GB
dc.subject.meshTestosterone--therapeutic useen_GB
dc.subject.meshNurse Practitionersen_GB
dc.titleTestosterone Replacement in Symptomatic Men: Assessing Knowledge, Barriers, and Prescribing Habits of Nurse Practitioners-
dc.typeDNP Capstone Projecten
thesis.degree.grantorNorthern Arizona Universityen_GB
thesis.degree.levelDNPen
dc.description.noteThis work has been approved through a faculty review process prior to its posting in the Virginia Henderson Global Nursing e-Repository.-
dc.primary-author.detailsRobin Parry, MSN, FNP-C, Doctor of Nursing Practice studenten_GB
thesis.degree.year2014en
dc.type.categoryFull-texten_GB
dc.evidence.levelLiterature Reviewen
dc.research.approachQuantitative Researchen
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