White Paper: Critical Shortage of Pediatric Nurse Practitioners Predicted

Gigli, Kristin Hittle; Beauchesne, Michelle A.; Dirks, Mary; Peck, Jessica L.

doi:10.1016/j.pedhc.2019.02.008

Cited by 31 publications

(18 citation statements)

References 57 publications

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“…As the largest and most trusted health professionals, nurses are critical leaders in emergent response to crises, including pandemics. Nearly 21,000 pediatric APRNs in the United States are uniquely qualified and play a critical role in ensuring access to specialized, quality, accessible, affordable care, with 75% working in primary health settings ( Hittle Gigli et al, 2019 ). The COVID-19 pandemic has caused sustained cataclysmic effects on the pediatric APRN workforce across personal, clinical, education, and research domains.…”

Section: Discussionmentioning

confidence: 99%

“…Furthermore, with fewer medical school graduates choosing general pediatrics and more pediatric physicians rejecting primary care for more lucrative specialty practice, concern for the pediatric workforce specialty continues to grow. Pipeline workforce shortages of pediatric APRNs were predicted prepandemic ( Hittle Gigli et al, 2019 ) while concerns about shortage accelerations continue to increase. This should be especially alarming given the numbers of APRNs who reported experiencing burnout in this survey.…”

Section: Discussionmentioning

confidence: 99%

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Exhausted and Burned Out: COVID-19 Emerging Impacts Threaten the Health of the Pediatric Advanced Practice Registered Nursing Workforce

Peck¹,

Sonney²

2021

Journal of Pediatric Health Care

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The purpose of this study was to describe the holistic impacts of COVID-19 on pediatric advanced practice registered nurses (APRNs). Method: AA convenience sample of APRNs affiliated with the National Association of Pediatric Nurse Practitioners participated in this cross-sectional descriptive study. An investigator-developed survey explored multifocal, holistic impacts of COVID-19. Results: A total of 886 participants were provided the survey, with 796 (90%) completing the entire survey. Respondents indicated adverse impacts across personal, clinical, educational, and research foci. Among the most alarming findings, 34% indicated moderate or extreme concern for feeling professionally burned out, 25% feeling nervous or anxious, and 15% feeling depressed or hopeless. Discussion: The pediatricAPRN workforce pipeline is at significant risk for provider burnout and compromised mental health. Acknowledgment of pandemic-related trauma on families, children and APRNs is essential. Sustained intentional efforts to cultivate holistic wellness are critically emergent.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Exhausted and Burned Out: COVID-19 Emerging Impacts Threaten the Health of the Pediatric Advanced Practice Registered Nursing Workforce

Peck¹,

Sonney²

2021

Journal of Pediatric Health Care

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“…Of the more than 270,000 licensed nurse practitioners only 5% are certified in pediatrics. 41,42 Certification data from the National Commission on the Certification of Physician Assistants reveal only 1.9% of the physician assistant workforce focus their practice on the care of children. 43 The functional capacity of the pediatric workforce must be viewed from the perspective of the patient and must address the geographic maldistribution of the pediatric workforce.…”

Section: Discussionmentioning

confidence: 99%

The Pediatric Workforce: Recent Data Trends, Questions, and Challenges for the Future

Vinci

2021

Pediatrics

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This is a prepublication version of an article that has undergone peer review and been accepted for publication but is not the final version of record. This paper may be cited using the DOI and date of access. This paper may contain information that has errors in facts, figures, and statements, and will be corrected in the final published version. The journal is providing an early version of this article to expedite access to this information. The American Academy of Pediatrics, the editors, and authors are not responsible for inaccurate information and data described in this version.

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“…The role of advanced practice providers (APPs), including nurse practitioners and physician assistants will be important to include in this dialogue, especially with recent data suggesting a profound shortage of nurse practitioners. 10 The data discussion led to identifying 4 domains that we believe warrant further discussion and strategic planning and represent the initial areas of focus for this project.…”

Section: February 2020 Workforce Summitmentioning

confidence: 99%