Related Experiment Video

Updated: Jan 14, 2026

Author Spotlight: Evaluating Clinicians' Adoption of Ultrasound-Guided Vascular Cannulation Through Simulation Training
05:04

Author Spotlight: Evaluating Clinicians' Adoption of Ultrasound-Guided Vascular Cannulation Through Simulation Training

Published on: August 9, 2024

1.4K

A Pulse Check: Evolution of the Pediatric Cardiac ICU Advanced Practice Provider Education, Training, and Practice

Jessica Mann, Melissa Cleveland, Melina Handley

    Journal of Pediatric Health Care : Official Publication of National Association of Pediatric Nurse Associates & Practitioners
    |October 25, 2025
    PubMed

    Insights

    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.
    Abstract

    Keywords:
    Pediatric nurse practitionereducationorientationpediatric cardiac intensive caretraining

    More Related Videos

    Creation of Patient-Specific Silicone Cardiac Models with Applications in Pre-surgical Plans and Hands-on Training09:15

    Creation of Patient-Specific Silicone Cardiac Models with Applications in Pre-surgical Plans and Hands-on Training

    Published on: February 10, 2022

    4.1K
    A Modified Sonographic Algorithm for Image Acquisition in Life-Threatening Emergencies in the Critically Ill Newborn11:27

    A Modified Sonographic Algorithm for Image Acquisition in Life-Threatening Emergencies in the Critically Ill Newborn

    Published on: April 7, 2023

    7.2K

    Related Concept Videos

    Acute Coronary Syndrome IV: Interprofessional Care01:28

    Acute Coronary Syndrome IV: Interprofessional Care

    IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
    216
    Cardiomyopathy V: Interprofessional Care01:29

    Cardiomyopathy V: Interprofessional Care

    Managing cardiomyopathy involves addressing underlying or precipitating causes, treating heart failure with medications, and implementing dietary changes and a balanced exercise and rest regimen.Lifestyle ModificationsCardiomyopathy patients should adopt a low-sodium diet to reduce fluid retention and manage heart failure. A personalized exercise and rest plan helps maintain physical fitness without overstraining the heart. Avoiding alcohol and tobacco is essential to prevent further damage to...
    335
    Cardiopulmonary Resuscitation I: Adult01:21

    Cardiopulmonary Resuscitation I: Adult

    Cardiopulmonary resuscitation, or CPR, is a life-saving emergency procedure performed when a person's heart has stopped beating or they are no longer breathing. The foundation of CPR is Basic Life Support (BLS), which focuses on the early recognition of cardiac arrest, the immediate start of high-quality chest compressions, and the timely use of an automated external defibrillator (AED).Assessing Responsiveness and Checking the Carotid PulseWhen approaching an unresponsive person, first ensure...
    576
    Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques01:30

    Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques

    Airway management is essential in emergency and surgical medicine, ensuring ventilation and oxygenation in patients who cannot maintain their own airway. Clinicians use a range of techniques and devices to secure the airway, depending on the patient’s condition and the clinical context. Key methods include endotracheal intubation, rapid sequence intubation (RSI), supraglottic airway devices, and advanced visualization aids. In cases where these approaches fail, surgical airway...
    467
    Acute Kidney Injury V: Interprofessional Care01:20

    Acute Kidney Injury V: Interprofessional Care

    Acute Kidney Injury (AKI) requires a collaborative healthcare approach to restore renal function and prevent complications. Essential management strategies involve monitoring fluid and electrolyte balance, adjusting medications, initiating dialysis when necessary, and providing nutritional support.Fluid and Electrolyte ManagementFluid Monitoring: Regularly monitoring body weight, central venous pressure, and urine output helps detect fluid imbalances early. Patient intake and output are...
    295
    Cardiopulmonary Resuscitation III: AED Use01:23

    Cardiopulmonary Resuscitation III: AED Use

    Introduction to AEDAn Automated External Defibrillator (AED) is a portable medical device that analyzes the heart's rhythm and, if necessary, delivers an electrical shock to help the heart re-establish an effective rhythm during sudden cardiac arrest (SCA). SCA occurs when the heart suddenly and unexpectedly stops beating, leading to a loss of blood flow to the brain and other vital organs. In such emergencies, time is of the essence, and using an AED, combined with Cardiopulmonary...
    526