OAPP Grand Rounds - High-Risk Non-Adherent Behavior Management: Strategies for Managing Patient Choices When the Stakes are High (WISER)

The increasing number of encounters with difficult patients and consequences associated with those encounters.

It will impact the interprofessional healthcare team by providing all members with appropriate resources to augment their practice and managing difficult and non-compliant patients.

Target Audience

  • Certified Registered Nurse Practitioners (CRNPs)
  • Physician Assistants (PAs)

Learning Objectives

Upon completion of this activity, participants should be able to:

  • Identify the logistical, legal, and ethical challenges of clinical scenarios when patients engage in high-risk behaviors while in inpatient setting.
  • Identify the elements of your local culture and hospital operations that contribute to the challenge of addressing HRNA behavior.
  • Name and describe two to three next steps to implement a strategy to address HRNA behavior at your institution.
  • Utilize suggested management tools to increase your level of comfort with addressing HRNA behavior.


Disclaimer Statement:

The information presented at this activity represents the views and opinions of the individual presenters, and does not constitute the opinion or endorsement of, or promotion by, the UPMC Center for Continuing Education in the Health Sciences, UPMC / University of Pittsburgh Medical Center or Affiliates and University of Pittsburgh School of Medicine. Reasonable efforts have been taken intending for educational subject matter to be presented in a balanced, unbiased fashion and in compliance with regulatory requirements. However, each program attendee must always use his/her own personal and professional judgment when considering further application of this information, particularly as it may relate to patient diagnostic or treatment decisions including, without limitation, FDA-approved uses and any off-label uses.

Course summary
Available credit: 
  • 1.00 AAPA Category I CME
  • 1.00 ANCC
    UPMC Provider Unit is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation
  • 1.00 Attendance
Course opens: 
05/27/2024
Course expires: 
05/27/2027
WISER
United States

Planning Committee:

  • Aimee Smith, DPAS, MS, PA-C - Emergency Medicine, UPMC
  • Deborah W. Byrns, CRNP - Acute Care Nurse Practitioner, UPMC

Course Directors:

  • Kim Baker, MSN, RN - Behavioral Health Nurse Specialist, UPMC Presbyterian Shadyside Hospital,
  • Ben Sprague, MD, MS - Clinical Assistant Professor, General Internal Medicine, University of Pittsburgh
  • Ariel Clatty, PhD -  Ethics Consultant, Center for Bioethics and Health Law, University of Pittsburgh

Conflict of Interest Disclosure:

No members of the planning committee, speakers, presenters, authors, content reviewers and/or anyone else in a position to control the content of this education activity have relevant financial relationships with any companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.  

In support of improving patient care, the University of Pittsburgh is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

Physician Assistant (AAPA)

The University of Pittsburgh has been authorized by the American Academy of PAs (AAPA) to award AAPA Category 1 CME credit for activities planned in accordance with AAPA CME Criteria. This activity is designated for 1 AAPA Category 1 CME credit. PAs should only claim credit commensurate with the extent of their participation.

Nursing (CNE)

The maximum number of hours awarded for this Continuing Nursing Education activity is 1.0 contact hour.

Other health care professionals will receive a certificate of attendance confirming the number of contact hours commensurate with the extent of participation in this activity.

Available Credit

  • 1.00 AAPA Category I CME
  • 1.00 ANCC
    UPMC Provider Unit is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation
  • 1.00 Attendance
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