Critical care advanced practice providers as partners in advancing pediatric intensive care unit nursing knowledge: a needs assessment.

Document Type

Article

Publication Date

2025

Publisher

Elsevier

Source Publication

Journal of Pediatric Health Care

Source ISSN

0891-5245

Original Item ID

DOI: 10.1016/j.pedhc.2025.05.003

Abstract

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.

Comments

Journal of Pediatric Health Care, Vol. 39, No. 6 (2025): 984-989. DOI.

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