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Critical Care Advanced Practice Providers as Partners in Advancing Pediatric Intensive Care Unit Nursing Knowledge: A
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.
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