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Critical care advanced practice providers (APPs) face disparities in workload and professional growth, impacting retention. Investing in structured support and leadership development is crucial for the sustainability of this vital workforce.

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Area of Science:

  • Critical Care Medicine
  • Healthcare Workforce Studies
  • Advanced Practice Providers

Background:

  • The critical care advanced practice provider (APP) workforce is essential for patient care.
  • Understanding the structure and practice patterns of this workforce is crucial for sustainability.
  • Gaps exist in onboarding, productivity assessment, and administrative roles for critical care APPs.

Purpose of the Study:

  • To analyze the composition and demographics of the critical care medicine APP workforce.
  • To identify current practice trends, including workload and billing.
  • To investigate factors influencing workforce sustainability, such as onboarding and professional development.

Main Methods:

  • A cross-sectional survey was distributed to critical care APPs via the Society of Critical Care Medicine email list.
  • Data were collected on workforce demographics, clinical practice, onboarding, productivity measurement, and administrative roles.
  • Statistical analysis was performed to identify disparities and associations.

Main Results:

  • The survey included 518 critical care APPs (63.2% APRNs, 28.8% PAs, 8% CNSs).
  • Over 50% managed 6-10 patients per shift; 41.5% lacked formal productivity measurement.
  • Formal onboarding was more common in academic hospitals (72.3%); administrative roles were also more prevalent there.
  • 22% intended to leave the profession, especially those lacking leadership/growth opportunities.

Conclusions:

  • Significant disparities exist in workload, onboarding, productivity measurement, and administrative roles among critical care APPs.
  • Limited professional growth opportunities are strongly associated with an intent to leave the profession.
  • Healthcare systems must invest in structured support, leadership development, and professional growth to improve APP retention and productivity.