An anonymous questionnaire was mailed to all members of the Connecticut Nurse Practitioner Group, Inc. to identify their knowledge, and personal and professional experiences with alternative therapies. Of the 202 respondents (a 73% return), 78% described themselves as "slightly" or "quite" knowledgeable about alternative therapies in general and 63% reported personal experience. Approximately half of the nurse practitioners (NP) (49%) indicated they "sometimes" or "usually" ask about their clients' use of such therapies and 65% have referred for or recommended one or more of these modalities. Additionally, some NPs have provided alternative therapies directly (30%). One third (31%) indicated they had received training in one or more therapy(ies) and 65% would be "extremely" or "quite" interested in learning more.

Three rats were first trained to make a bar-press-release response for regular reinforcement and then exposed to 22 sessions of concurrent reinforcement-electric shock punishment. The variability of response durations increased with response suppression and decreased with response recovery. Distributions of response durations indicated that their variability is a sensitive dependent variable for assessing the effects of punishment.

More clinical sites are essential to meeting the learning needs of nursing students who will care for patients with chronic disease after graduation. Partnerships between schools of nursing and academic practices can increase clinical training capacity, allow future nurse practitioners (NPs) to apply knowledge and skills in the context of care delivery, and potentially improve patient outcomes with little associated risk.This article describes the experiences of primary care NP students (n = 37), NP faculty (n = 2), and clinic providers (n = 2) in an academic practice partnership performing home visits with complex pediatric asthma and adult heart failure (HF) patients. A 14-item postexperience survey was used to obtain student feedback. Over 75%(n = 28) of student participants responded. Most respondents, 80% assigned to pediatric asthma patients and 90% assigned to adult HF patients, reported the home visit experience prepared them to care for patients with chronic diseases. Clinic providers indicated the extra attention to both patient groups reduced barriers to care and improved care continuity. This partnership offers a model for developing clinical skills in advanced practice nursing students and enhancing scarce clinical placement resources. Findings were used to refine the program and expand to include all 150 students in the subsequent academic year. K E Y W O R D Sasthma, chronic disease management, heart failure, home visits, nursing education, primary care clinical placementClinical experiences delivered through academic practice partnerships prepare new NPs to manage chronic disease in primary care settings (LeFlore & Thomas, 2016;Smith et al., 2015). Academic practice partnerships are intentional, formalized partnerships between nursing education programs and clinical care settings through which nurses are educated (American Association of Colleges of Nursing, 2012). These academic nursing practice primary care models can enhance clinical training capacity for NPs (Drayton-Brooks et al., 2017). Additionally, they represent an innovative context for the application of skills that prepare nursing students to deliver chronic disease care in their future practice (McClure et al., 2017(McClure et al., , 2018. Academic practice partnerships have been recommended by National Organization of Nurse Practitioner Faculties (NONPF, 2016) as an educational model, while also calling for examination of their impact on nursing students' success. | LO C AL PROB LEMNP students need chronic disease management skills that will prepare them to meet the health care needs of complex patients in the primary care setting (Drayton-Brooks et al., 2017; Morgan et al., 2019). However, faculty time constraints to oversee these clinical experiences and opportunities for practice due to limited numbers of primary care clinical sites are potential barriers to these experiences in advanced practice clinical training in a large, private university in the southeastern US. The affiliated academic medical center needed close follow...

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