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Development and implementation of a paediatric cardiac intensive care advanced practice provider curriculum

Published online by Cambridge University Press:  05 August 2022

Lindsey Justice Open the ORCID record for Lindsey Justice [Opens in a new window] ,
Amy R. Florez ,
Christin Diller ,
Ashley Moellinger ,
Misty Ellis ,
Christine Riley ,
Erin Dugan ,
Jenna Heichel ,
Brenda Williams  and
Theresa I. Dykton
...Show all authors
Lindsey Justice*
Affiliation:
Department of Cardiology, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH, USA
Amy R. Florez
Affiliation:
Department of Cardiology, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH, USA
Christin Diller
Affiliation:
Department of Cardiology, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH, USA
Ashley Moellinger
Affiliation:
Department of Cardiology, Children’s of Alabama, Birmingham, AL, USA
Misty Ellis
Affiliation:
Department of Critical Care, Kentucky Children’s Hospital, Lexington, KY, USA
Christine Riley
Affiliation:
Division of Cardiac Critical Care, Children’s National Medical Center, Washington, DC, USA
Erin Dugan
Affiliation:
Department of Cardiology, Levine Children’s Hospital at Atrium Health, Charlotte, NC, USA
Jenna Heichel
Affiliation:
Department of Cardiology, Children’s Hospital of Philadelphia, Philadelphia, PA, USA
Brenda Williams
Affiliation:
Center for Simulation and Research, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH, USA
Theresa I. Dykton
Affiliation:
Pediatric Nursing Certification Board, Rockville, MD, USA
Lillian Adele Foerster
Affiliation:
Pediatric Nursing Certification Board, Rockville, MD, USA
Louise Callow
Affiliation:
Department of Pediatric Cardiac Surgery, C.S. Mott Children’s Hospital, Ann Arbor, MI, USA
*
Author for correspondence: Lindsey Justice, DNP, APRN, CPNP-AC, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH, 45229, USA. Tel: +1 513 636 6267. E-mail: Lindsey.Justice@cchmc.org
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Abstract

Background:

Education of paediatric advanced practice providers takes a generalist approach which lacks in-depth exposure to subspecialties like paediatric cardiac intensive care. This translates into a knowledge gap related to congenital cardiac physiology and management for APPs transitioning to the paediatric cardiac ICU.

Methods:

A specialised interprofessional peer-reviewed curriculum was created and distributed through the Pediatric Cardiac Intensive Care Society. This curriculum includes a textbook which is complemented by a didactic and simulation review course. Course evaluations were collected following each course, and feedback from participants was incorporated into subsequent courses. Pediatric Cardiac Intensive Care Society partnered with the Pediatric Nursing Certification Board to develop a 200-question post-assessment (exam) bank.

Results:

From December 2017 to January 2022, 12 review courses were taught at various host sites (n = 314 participants). Feedback revealed that courses improved preparedness for practice, contributed to advanced practice provider empowerment, and emphasised the importance of professional networking. 97% of attendees agreed/strongly agreed that the course improved clinical knowledge, 97% agreed/strongly agreed that the course improved ability to care for patients, and 88% agreed/strongly agreed that the course improved confidence to practice. 49% of participants rated the course as extremely effective, 42% very effective, 6% moderately effective, and 3% as only slightly effective.

Conclusions:

A standardised subspecialty curriculum dedicated to advanced practice provider practice in cardiac intensive care was needed to improve knowledge, advance practice, and empower APPs managing critically ill patients in the cardiac ICU. The developed curriculum provides standardised learning, increasing advanced practice provider knowledge acquisition, and confidence to practice.

Keywords

Nurse practitionerphysician assistantadvanced practice providereducationorientationcurriculumpaediatric cardiac intensive care
Type
Original Article
Information
Cardiology in the Young , Volume 33 , Issue 8 , August 2023 , pp. 1288 - 1295
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Copyright
© The Author(s), 2022. Published by Cambridge University Press

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