Acute Care Pediatric Nurse Practitioner Research Articles

Integrating Simulation in Pediatric Health Care: Collaboration of Primary and Acute Care Pediatric Nurse Practitioners Across Settings

Pediatric nurse practitioner (PNP) education continues to evolve. Clinical placement availability significantly impacts student’s exposure to complex pediatric patients. The intricacy of pediatric health care demands innovative educational approaches, especially in managing high-risk, low-frequency emergencies. Simulation-based education is a vital tool to bridge learning gaps and enhance core competencies, particularly in diagnosing and managing pediatric patients across diverse health care settings. Here we explore a collaborative formative simulation experience for primary care PNPs and acute care PNPs, focusing on a single patient transitioning through primary care, emergency, and acute care settings. Results demonstrate enhanced student satisfaction and self-confidence, underscoring the efficacy of such simulations in preparing future pediatric health care providers. Opportunities for improvement and future directions are discussed, highlighting the significance of interprofessional collaboration and continuous innovation in PNP education.

Evaluating the Practice of Pediatric Nurse Practitioners: Is It Time for Dual Primary and Acute Care Preparation?

This survey aimed to evaluate contemporary pediatric nurse practitioner (PNP) practice as it relates to the competencies of both the primary and acute care population focus and settings of practice to guide curriculum revisions. The design of the study was a cross-sectional survey of PNPs certified by the Pediatric Nursing Certification Board. There were 2,265 surveys completed. Regardless of the certification type, PNPs report providing care across settings and integrating the competencies of both the primary and acute care PNP into practice. This warrants further consideration by programs to prepare future PNPs for dual primary and acute care certification.

Integration of a Simulation Curriculum Across Semesters in an Acute Care Pediatric Nurse Practitioner Program

Simulation is a common strategy for health care education. Research regarding simulation for nurse practitioner education is sparse. This paper describes the integration of a nine simulation session curriculum into a nurse practitioner program, including motivating factors, process description, and lessons learned. Students report high satisfaction and improved perception of confidence and competence of knowledge, skills, and performance. Integrated learning experiences and outcomes that span an educational program are needed in thetransition to competency-based education. This description serves as a guide for other programs seeking to incorporate simulation-based education.

Acute Care Pediatric Nurse Practitioner: The 2018 Practice Analysis.

Practice research serves as the certification framework for validating advanced practice roles and updating national qualifying examinations. This national study informed an update of the Certified Pediatric Nurse Practitioner - Acute Care (CPNP-AC) examination content outline. A descriptive analysis of a survey completed in 2018 by 373 pediatric nurse practitioners (PNP) practicing as an acute care role (AC). Respondents were primarily females aged 25 to 34 years (35.4%) and formally educated as AC PNPs (84.2%) and held the CPNP-AC credential (98.9%). Most respondents (83.6%) practiced in urban areas and spent 84% of their time in direct patient care with 74% working in inpatient settings. The majority (87%) worked in subspecialty practice such as critical care (18.5%) and cardiac intensive care (12.3%). This is the fourth practice analysis of the AC PNP role that demonstrates continuous evolution in clinical practice, educational preparation, and subspecialty practice distribution.

Availability of Acute Care Pediatric Nurse Practitioner Education in the United States: A Challenge to Growing the Workforce

The nurse practitioner (NP) workforce in the United States is growing rapidly in size, with a concomitant impact on the health care system ( American Association of Nurse Practitioners 2019a American Association of Nurse Practitioners. (2019a). NP fact sheet. Retrieved from https://www.aanp.org/about/all-about-nps/np-fact-sheet Google Scholar ; Auerbach et al., 2018 Auerbach D.I. Staiger D.O. Buerhaus P.I. Growing ranks of advanced practice clinicians—Implications for the physician workforce. New England Journal of Medicine. 2018; 378: 2358-2360 Crossref PubMed Scopus (88) Google Scholar ). Likewise, the number of graduate nursing education programs offering NP degrees and the number of graduates have also grown substantially ( Salsberg, 2018, June 5 Salsberg, E. (2018, June 5). Changes in the pipeline of new NPs and RNs: Implications for health care delivery and educational capacity. [Health Affairs blog]. Retrieved from https://www.healthaffairs.org/do/10.1377/hblog20180524.993081/full/ Google Scholar ). Starting from 2008, the nursing profession has emphasized the need for alignment of NPs’ education, certification, licensure, and clinical practice setting ( APRN Consensus Work Group & National Council of State Boards of Nursing APRN Advisory Committee 2008 APRN Consensus Work Group & National Council of State Boards of Nursing APRN Advisory Committee. (2008). Consensus model for APRN regulation: Licensure, accreditation, certification and education. Retrieved from https://www.ncsbn.org/Consensus_Model_for_APRN_Regulation_July_2008.pdf Google Scholar ). However, there has been discordant growth in NP education program availability relative to the continuing unmet demand for specialty-trained NPs. Kristin H. Gigli, Post-doctoral Scholar, CRISMA Center, Department of Critical Care Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA. Jeremy Kahn, Professor of Critical Care Medicine and Health Policy & Management, CRISMA Center, Department of Critical Care Medicine, University of Pittsburgh School of Medicine, and Department of Health Policy & Management, University of Pittsburgh Graduate School of Public Health, PA. Grant Martsolf, Professor, Department of Acute and Tertiary Care, University of Pittsburgh School of Nursing, Pittsburgh, PA; and Adjunct Policy Researcher, RAND Corporation, Pittsburgh, PA.

Nurse Practitioner Job Satisfaction and the Healthy Work Environment.

Nurse Practitioner Job Satisfaction and the Healthy Work Environment.

Using High-fidelity Simulation to Teach Acute Care Pediatric Nurse Practitioner Students

Acute care nurse practitioner students do not have the opportunity to practice independent clinical decision making in serious situations in student clinical rotations, and learning this skill is critical to successful role transition. High-fidelity simulation can provide an opportunity for practicing these skills. A pilot study comparing students' knowledge before and after participation in a high-fidelity simulation as compared with traditional learning is presented. The difference between the 2 modes of teaching was not statistically significant. However, these pediatric acute care nurse practitioner students reported satisfaction, enthusiasm, and enjoyment reflected through participation in a structured debriefing process.

An Emerging Population: The Chronically Critically Ill

Duke University Philip Jurasinski, Graduate Nursing Student, Marquette University College of Nursing, Milwaukee, WI. Christine A. Schindler, Acute Care Pediatric Nurse Practitioner, Division of Critical Care, Medical College of Wisconsin, Milwaukee, WI, and Coordinator, Pediatric Acute Care Graduate Option, Marquette University College of Nursing, Milwaukee, WI.

Acute Care Pediatric Nurse Practitioner: A Practice Analysis Study

IntroductionIt is the responsibility of certification organizations to provide psychometrically sound and legally defensible examinations. Practice research serves as the certification framework for validating advanced practice roles and updating national qualifying examinations. This national study describes the practice of the acute care pediatric nurse practitioner (ACPNP) since the inception of the certified pediatric nurse practitioner-acute care (CPNP-AC) examination in 2005. MethodA descriptive analysis of the 2009 practice survey of U.S. ACPNPs (291 respondents) was performed. ResultsMost ACPNP respondents were White women; the mean age was 40 years, and 47.9% had been formally educated as ACPNPs. More than 40% practiced in the Midwestern United States. Most respondents (86.2%) practiced in urban areas. Respondents reported spending 71% of practice time in inpatient settings. The most frequently cited areas of practice were critical care (27.5%), followed by emergency department (10.7%) and specialty practices. DiscussionIn light of recent advanced practice regulatory role distinctions, this re-examination of the ACPNP practice 5 years after initiation of the CPNP-AC certification examination demonstrates changes in clinical practice and educational preparation requirements.

The Acute Care Pediatric Nurse Practitioner: Curriculum Overview

The Acute Care Pediatric Nurse Practitioner: Curriculum Overview

Acute Care Pediatric Nurse Practitioner: A Vital Role in Pediatric Cardiothoracic Surgery

The changing health care environment and provider shortage have required acute care pediatric nurse practitioners (AC PNPs) to play a vital role in hospital-based, subspecialty surgical services. The AC PNP is part of a multidisciplinary team providing care for children with congenital heart disease after heart surgery. The AC PNP provides high-quality, cost-effective care to acute and critically ill children, optimizing hospital throughput while ensuring patient safety. This article focuses on the history and emerging role of the AC PNP in the context of the Magnet component of transformational leadership, the physician/nurse practitioner collaborative practice, and the development of the AC PNP role in cardiothoracic surgery at the Children's Hospital Los Angeles.

A National Survey of the Primary and Acute Care Pediatric Nurse Practitioner Educational Preparation

Introduction The past decade has been marked by a gradual expansion of the traditional primary care role of the pediatric nurse practitioner (PNP) into practice arenas that call for more acute and critical care of children. The purpose of the study was to explore the educational programming needs of dual (combined) track PNP programs that prepare graduates to provide care to children and adolescents across the continuum of health and illness. Method A two-phase, exploratory, mixed method design was utilized. An electronic survey was completed by 65% of PNP program directors in the country. Semi-structured telephone interviews were conducted with hospital-based PNPs who were practicing in roles that met a range of health care needs across the primary and acute care continuum. Results Primary care and acute care programs have more common than unique elements, and the vast majority of clinical competencies are common to both types of program. Only three competencies appear to be unique to acute care programs. Discussion The Association of Faculties of Pediatric Nurse Practitioner Programs should utilize existing evidence and develop guidelines for dual PNP programs that focus on the provision of care to children across a wide continuum of health and illness.

The acute care pediatric nurse practitioner*1

Traditionally, pediatric nurse practitioners (PNPs) have practiced in primary care. In the past several years, in response to opportunities in the changing health care system, some PNPs have moved into the acute care (AC) setting. A growing number of State Boards of Nursing have responded and demanded certain educational and credentialing requirements. The emergence and credentialing of the acute care PNP has raised questions from both acute and primary care PNPs. The purpose of this article is to address those questions and provide the reader with the most updated information regarding this issue.

The acute care pediatric nurse practitioner

Traditionally, pediatric nurse practitioners (PNPs) have practiced in primary care. In the past several years, in response to opportunities in the changing health care system, some PNPs have moved into the acute care (AC) setting. A growing number of State Boards of Nursing have responded and demanded certain educational and credentialing requirements. The emergence and credentialing of the acute care PNP has raised questions from both acute and primary care PNPs. The purpose of this article is to address those questions and provide the reader with the most updated information regarding this issue.