Vanderbilt University School of Nursing, Nashville, TN.
Montana State University College of Nursing, Bozeman, MT.
Pediatr Crit Care Med. 2018 Aug;19(8):e378-e386. doi: 10.1097/PCC.0000000000001587.
To describe physicians' and nurse practitioners' perceptions of the national and local PICU physician and other provider supply in institutions that employ PICU nurse practitioners, assess for differences in perceptions of supply, and evaluate the intent of institutions to hire additional nurse practitioners to work in PICUs.
National, quantitative, cross-sectional descriptive study via a postal mail survey from October 2016 to January 2017.
Institutions (n = 140) identified in the 2015 American Hospital Association Annual Survey with a PICU who employ PICU nurse practitioners.
PICU physician medical directors and nurse practitioners.
None.
There were 119 respondents, representing 93 institutions. Responses were received from 60 PICU medical directors (43%) and 59 lead nurse practitioners (42%). More than half (58%) of all respondents reported the national supply of PICU physicians is less than demand and 61% reported the local supply of PICU providers (physicians in all stages of training, nurse practitioners, and physician assistants) is less than demand. Of the respondents from institutions that self-reported a local provider shortage (n = 54), three fourths (78%) reported plans to increase the number of PICU nurse practitioners in the next 3 years and 40% were likely to expand the nurse practitioner's role in patient care.
Most PICU medical directors and lead nurse practitioners in institutions that employ PICU nurse practitioners perceived that national and local supply of providers to be less than the demand. Nurse practitioners are employed in PICUs as part of interdisciplinary models of care being used to address provider demand. The demand for more PICU nurse practitioners with expanded roles in care delivery was reported. Further evaluation of models of care and provider roles in care delivery can contribute to aligning provider supply with demand for care delivery.
描述医生和护士从业者对全国和当地 PICU 医生以及在雇用 PICU 护士从业者的机构中其他提供者供应的看法，评估对供应看法的差异，并评估机构雇用更多护士从业者在 PICU 工作的意愿。
2016 年 10 月至 2017 年 1 月期间通过邮政邮件调查进行的全国性、定量、横断面描述性研究。
在 2015 年美国医院协会年度调查中确定的、拥有 PICU 并雇用 PICU 护士从业者的机构（n=140）。
PICU 医生医疗主任和护士从业者。
无。
共有 119 名受访者，代表 93 家机构。收到了 60 名 PICU 医疗主任（43%）和 59 名首席护士从业者（42%）的回复。超过一半（58%）的受访者报告称，全国范围内的 PICU 医生供应不足，61%的受访者报告称当地的 PICU 提供者（处于各个培训阶段的医生、护士从业者和医师助理）供应不足。在自我报告当地提供者短缺的机构的受访者中（n=54），四分之三（78%）表示计划在未来 3 年内增加 PICU 护士从业者的数量，40%的人可能会扩大护士从业者在患者护理中的角色。
在雇用 PICU 护士从业者的机构中，大多数 PICU 医疗主任和首席护士从业者认为，全国和当地的提供者供应不足。护士从业者作为使用的跨学科护理模式的一部分，被雇用在 PICU 中，以满足提供者的需求。报告了对更多 PICU 护士从业者的需求，他们在护理提供方面的角色扩大。进一步评估护理模式和提供者在护理提供中的角色，可以有助于将提供者供应与护理提供需求相匹配。
