| 11 th Annual Pediatric Critical Care Colloquium |
| Session/Time | Poster/Thu, 4:30 - 6:30 PM |
| Title | The Pediatric Critical Care Nurse Practitioner: Evolution and Impact |
| Author | SA Martin |
| Affiliation | Arlington Heights, IL |
| Introduction | Inpatient care providers have been clialleno,ed to develop creative modes of care delivery, as residency program downsize. Ile Pediatric Critical Care Nurse Practitioner (PCCNP) role has evolved in response to decreased medical staff resources in the Pediatric Intensive Care Unit (PICU).'Me role impact of two PCCNPs at a tertiary care cuclren's hospital will be described in the context of findings from a pilot research project. ae purpose of the study was to evaluate the impact of the PCCNP on care delivery. Research questions posed included: 1) Are parents satisfied with the care their child and family received from the PCCNP? 2) Are staff nurses satisfied with the role of the PCCNP in the PICU? 3) Is there a differene e between the care delivered by the PCCNP and the Pediatric house staff in the realm of nutrition and discharge planning? |
| Method | This study was a nonexperimentg . descriptive investigation. Data were Gathered by retrospective chart review and questionnaire survey of parents and staff nurses. Settin A 12 bed intensive care unit of a cudren's hospital within a university medical center in a large, Midwestern metropolitan city. The PCCNPs care for a ma)dmum caseload of 4 children, with varyin- medical and surgical diagnoses. Subjects. A convenience sample of staff and parents was obtained over a 6 month period study period. 'ne return rate for st nurses indicatin- an interest in participating was 100%, with N=27. A total of 30 parents returned a completed questionnaire, a response rate of 40%. |
| Result | Overall, parents reported ffie care their child received from the PCCNP was adequate. Staff nurses were satisfied Nvitli PCCNP cire md supported role implementation. At t!ie time of data collection, there was limited integration of education aiid research aspects of the role which was reflected on related Likert items. Nutritoinal aspects of care were comparable amongst the groups of caregivers. the PCCNPs initiated discharge planning with a greater frequency and earlier in the child's hospitalizaton as compared to house officers. |
| Conclusion | Overall, study findings were supportive of the implementation of the PCCNP role. A benefit of the PCCNP is continuity of care afforded to patients and families. |
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