DNP and PNP Programs, The Catholic University of America School of Nursing, Washington, DC 20064, USA.
J Pediatr Health Care. 2011 Jan-Feb;25(1):5-15. doi: 10.1016/j.pedhc.2010.06.005.
The past decade has been marked by a gradual expansion of the traditional primary care role of the pediatric nurse practitioner (PNP) into practice arenas that call for more acute and critical care of children. The purpose of the study was to explore the educational programming needs of dual (combined) track PNP programs that prepare graduates to provide care to children and adolescents across the continuum of health and illness.
A two-phase, exploratory, mixed method design was utilized. An electronic survey was completed by 65% of PNP program directors in the country. Semi-structured telephone interviews were conducted with hospital-based PNPs who were practicing in roles that met a range of health care needs across the primary and acute care continuum.
Primary care and acute care programs have more common than unique elements, and the vast majority of clinical competencies are common to both types of program. Only three competencies appear to be unique to acute care programs.
The Association of Faculties of Pediatric Nurse Practitioner Programs should utilize existing evidence and develop guidelines for dual PNP programs that focus on the provision of care to children across a wide continuum of health and illness.
在过去的十年中，儿科执业护士（PNP）的传统初级保健角色逐渐扩展到需要更急性和重症儿童护理的实践领域。本研究的目的是探讨双重（联合）轨道 PNP 计划的教育计划需求，这些计划旨在为儿童和青少年在健康和疾病的连续体中提供护理。
采用两阶段、探索性、混合方法设计。全国 PNP 项目主任中有 65%完成了电子调查。对在医院工作的 PNP 进行了半结构化电话访谈，他们的工作范围涵盖了初级保健和急性保健连续体中的各种医疗保健需求。
初级保健和急性保健计划有更多的共同元素，而不是独特的元素，绝大多数临床能力对这两种类型的计划都是共同的。只有三种能力似乎是急性保健计划所独有的。
儿科执业护士计划教师协会应利用现有证据并制定双重 PNP 计划指南，重点是为广泛的健康和疾病连续体中的儿童提供护理。
