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A Pulse Check: Evolution of the Pediatric Cardiac ICU Advanced Practice Provider Education, Training, and Practice
Summary
Advanced practice providers (APPs) are increasingly working in pediatric cardiac intensive care units (PCICUs) and practicing longer. However, orientation remains variable, highlighting a need for standardized training programs for PCICU APPs.
Area of Science:
- Pediatric Critical Care Medicine
- Advanced Practice Provider Roles
- Healthcare Professional Development
Background:
- The role of Advanced Practice Providers (APPs) in Pediatric Cardiac Intensive Care Units (PCICUs) is evolving.
- A prior study on PCICU APP practice was updated to reflect the current landscape.
- This research addresses the need for current data on APP utilization in specialized pediatric cardiac care.
Purpose of the Study:
- To evaluate the current practice patterns of APPs in PCICUs.
- To identify changes in APP roles and experience levels since a previous survey.
- To assess the effectiveness and variability of APP orientation programs in PCICUs.
Main Methods:
- A 44-question survey was emailed to 328 members of the Pediatric Cardiac Intensive Care Society.
- Descriptive statistics, chi-square tests, and Fisher's exact tests were employed for data analysis.
- Survey data was compared to findings from an earlier study.
Main Results:
- Seventy APPs from 48 PCICUs across the US and Canada participated.
- A higher percentage of APPs now work in dedicated PCICUs (89% vs. 72% in 2016).
- More APPs have over 7 years of experience (42% vs. 23%), but only 57% feel "somewhat" prepared for autonomous practice, with 20% feeling unprepared.
Conclusions:
- APP practice in PCICUs has evolved, with increased dedicated roles and experience.
- Current orientation processes for APPs in PCICUs are highly variable.
- There is a clear need for a standardized, comprehensive orientation program for PCICU APPs.
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