Mary Seidl, Meghan Roller, Whitney Seul, Laura Rose, Christine A Schindler
{"title":"作为推进儿科重症监护病房护理知识的合作伙伴的重症监护高级实践提供者：需求评估。","authors":"Mary Seidl, Meghan Roller, Whitney Seul, Laura Rose, Christine A Schindler","doi":"10.1016/j.pedhc.2025.05.003","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Critical care advanced practice providers (APPs) are frontline providers in many pediatric intensive care units (PICUs). From 2020 to 2022, there was a significant downward shift in nursing experience level in the PICU at the authors' institution. APPs may help provide additional in situ education.</p><p><strong>Methods: </strong>Data were collected using role-specific needs assessment of PICU nursing staff and providers, assessing concept related to knowledge and job stress.</p><p><strong>Results: </strong>Findings overwhelmingly demonstrated desire for more APP-led education. Overall, 27% of nurse respondents strongly agreed that current knowledge was adequate to provide safe and best care for their patients, and 47% expressed neutrality to discomfort with their knowledge of patient-specific pathophysiology. Provider questionnaires demonstrated confidence in the bedside nursing knowledge \"about half the time\" (70%).</p><p><strong>Discussion: </strong>This needs assessment demonstrates an opportunity for an APP-led intervention to potentially increase nursing knowledge, decrease stress, and increase confidence in the nursing care provided.</p>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":" ","pages":""},"PeriodicalIF":2.5000,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Critical Care Advanced Practice Providers as Partners in Advancing Pediatric Intensive Care Unit Nursing Knowledge: A Needs Assessment.\",\"authors\":\"Mary Seidl, Meghan Roller, Whitney Seul, Laura Rose, Christine A Schindler\",\"doi\":\"10.1016/j.pedhc.2025.05.003\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Critical care advanced practice providers (APPs) are frontline providers in many pediatric intensive care units (PICUs). From 2020 to 2022, there was a significant downward shift in nursing experience level in the PICU at the authors' institution. APPs may help provide additional in situ education.</p><p><strong>Methods: </strong>Data were collected using role-specific needs assessment of PICU nursing staff and providers, assessing concept related to knowledge and job stress.</p><p><strong>Results: </strong>Findings overwhelmingly demonstrated desire for more APP-led education. Overall, 27% of nurse respondents strongly agreed that current knowledge was adequate to provide safe and best care for their patients, and 47% expressed neutrality to discomfort with their knowledge of patient-specific pathophysiology. Provider questionnaires demonstrated confidence in the bedside nursing knowledge \\\"about half the time\\\" (70%).</p><p><strong>Discussion: </strong>This needs assessment demonstrates an opportunity for an APP-led intervention to potentially increase nursing knowledge, decrease stress, and increase confidence in the nursing care provided.</p>\",\"PeriodicalId\":50094,\"journal\":{\"name\":\"Journal of Pediatric Health Care\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":2.5000,\"publicationDate\":\"2025-06-16\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Pediatric Health Care\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1016/j.pedhc.2025.05.003\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"HEALTH POLICY & SERVICES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Pediatric Health Care","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.pedhc.2025.05.003","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"HEALTH POLICY & SERVICES","Score":null,"Total":0}
Critical Care Advanced Practice Providers as Partners in Advancing Pediatric Intensive Care Unit Nursing Knowledge: A Needs Assessment.
Background: Critical care advanced practice providers (APPs) are frontline providers in many pediatric intensive care units (PICUs). From 2020 to 2022, there was a significant downward shift in nursing experience level in the PICU at the authors' institution. APPs may help provide additional in situ education.
Methods: Data were collected using role-specific needs assessment of PICU nursing staff and providers, assessing concept related to knowledge and job stress.
Results: Findings overwhelmingly demonstrated desire for more APP-led education. Overall, 27% of nurse respondents strongly agreed that current knowledge was adequate to provide safe and best care for their patients, and 47% expressed neutrality to discomfort with their knowledge of patient-specific pathophysiology. Provider questionnaires demonstrated confidence in the bedside nursing knowledge "about half the time" (70%).
Discussion: This needs assessment demonstrates an opportunity for an APP-led intervention to potentially increase nursing knowledge, decrease stress, and increase confidence in the nursing care provided.
期刊介绍：
The Journal of Pediatric Health Care, the official journal of the National Association of Pediatric Nurse Practitioners, provides scholarly clinical information and research regarding primary, acute and specialty health care for children of newborn age through young adulthood within a family-centered context. The Journal disseminates multidisciplinary perspectives on evidence-based practice and emerging policy, advocacy and educational issues that are of importance to all healthcare professionals caring for children and their families.
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