This article is part of Clinical Advisor’s coverage of the National Association of Pediatric Nurse Practitioners (NAPNAP) 2019 meeting, taking place in New Orleans, Louisiana. Our staff will report on medical research related to pediatric health conducted by experts in the field. Check back regularly for more news from NAPNAP 2019.

NEW ORLEANS―Outlining the roles of advanced practice providers (APPs) in pediatric hospital medicine can help identify ways in which the pediatric nurse practitioner (PNP) can be integrated into the field, according to research presented at National Association of Pediatric Nurse Practitioners 2019 meeting held March 7-10 in New Orleans. 

Rebecca Carlson, MAN, APRN, CNP, and colleagues, conducted an informational survey of 18 pediatric hospital medicine programs from 14 states to analyze the various roles that APPs, specifically the PNP, can perform in pediatric hospital medicine. Three separate models of care were identified as examples for the purpose of the study: the Akron Children’s Consult model, a medical co-management of complex surgical patients, the Children’s Minnesota Autonomous Practice model, where physicians and NP’s collaborate within an autonomous practice, and the Cincinnati Children’s Complex Care Team, an integrated rounding team dynamic that provides continuity, resident education, and discharge planning for medically complex patients.

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Survey results indicated that the average number of NPs working in pediatric hospital medicine programs was 6.5, with at least 1 NP working in all 18 programs. The average number of physician assistants (PAs) was 1.1. The average full-time equivalent of APPs was 5.4. A total of 4 APPs worked weekday nights only, and 2 worked evenings/nights/weekends only; the remainder worked a mix of days/evenings/nights and weekdays/weekends.

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A total of 2 of the programs provided consult services and 3 provided complex care services. Services where resident teams covered both a main site as well as a satellite site were identified in 6 programs, whereas 11 programs provided services with the attending physician only at a main site and satellite site. Four programs provided independent services at a main site and satellite site.

“This knowledge can be used to guide new APP collaborative care models and optimize the work of APPs already working within pediatric hospital medicine,” the authors concluded.

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Carlson R, Jerardi K, Herrmann L, Johnson A, Rawdon L, Forton M. Advancing practice with APPs: exploring models of partnership in pediatric hospital medicine. Presented at: National Association of Pediatric Nurse Practitioners annual meeting 2019; March 7-10, 2019; New Orleans, LA. Abstract S4.