Abstract
Introduction: The pediatric nurse practitioner (PNP) workforce was designed to improve child health equity. We aimed to systematically review the evidence on facilitators and barriers to PNP practice. Method: We included empirical studies on PNP practice in the United States and excluded studies with non-identifiable PNP data. We applied Joanna Briggs Institute tools to appraise studies and applied critical interpretive synthesis principles to synthesize. Results: The final sample is 26 studies, mostly published before 2013 and observational. Prescriptive privileges, training program availability, organizational climate, and telehealth are facilitators. Mandated physician supervision, reduced pediatric curricula, geographically disparate training programs, and poor data infrastructure are barriers. The sample is limited by a moderate to high risk of bias. Discussion: Evidence suggests modifiable factors impact PNP practice and could have important implications for child health equity. We offer a theoretical model to guide robust research studying the PNP workforce and health equity.
Original language | English |
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Pages (from-to) | 520-543 |
Number of pages | 24 |
Journal | Journal of Pediatric Health Care |
Volume | 38 |
Issue number | 4 |
DOIs | |
Publication status | Published - Jul 1 2024 |
Bibliographical note
Publisher Copyright:© 2023 National Association of Pediatric Nurse Practitioners
Funding
S.E.C.'s and E.T.'s efforts were supported by the National Institutes of Health, National Institute for Nursing Research (T32NR014205-11).
Funders | Funder number |
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National Institutes of Health | |
National Institute of Nursing Research | T32NR014205-11 |
ASJC Scopus Subject Areas
- Pediatrics, Perinatology, and Child Health