Journal of pediatric health care : official publication of National Association of Pediatric Nurse Associates & Practitioners · 2026
Advanced Practice Provider Perceptions of the Pediatric Work Environment in the Postpandemic Era.
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Beckmann Nicole, Nickel Amanda, Bushaw Andrea, McCarthy Christina, Tillman Laura, Johnson Alycia, Hagstrom Sandra
Аннотация
INTRODUCTION: The COVID-19 pandemic profoundly disrupted the pediatric advanced practice provider (APP) workforce, intensifying stressors, and highlighting the importance of work environments that support APP wellbeing and role satisfaction.
PURPOSE: This study aimed to describe pediatric APPs' organizational climate, structural empowerment, and psychological empowerment, and examine organizational commitment.
METHODS: A descriptive cross-sectional survey was conducted among APPs at three Midwestern pediatric health systems. Validated instruments measured organizational climate (NP-PCOCQ), structural empowerment (CWEQ-II), and psychological empowerment (Spreitzer Scale).
RESULTS: Among 145 respondents, mean scores indicated high professional visibility, physician relations, and independent practice, but lower administrative relations. APPs identified a lack of formal power, information, and support. APPs reported strong role meaning but lack of perceived impact. There were high levels of organizational commitment.
CONCLUSION: There is a need to promote administrative relationships, APP leadership roles, and policies that recognize APP contributions to health systems and patient outcomes.
PURPOSE: This study aimed to describe pediatric APPs' organizational climate, structural empowerment, and psychological empowerment, and examine organizational commitment.
METHODS: A descriptive cross-sectional survey was conducted among APPs at three Midwestern pediatric health systems. Validated instruments measured organizational climate (NP-PCOCQ), structural empowerment (CWEQ-II), and psychological empowerment (Spreitzer Scale).
RESULTS: Among 145 respondents, mean scores indicated high professional visibility, physician relations, and independent practice, but lower administrative relations. APPs identified a lack of formal power, information, and support. APPs reported strong role meaning but lack of perceived impact. There were high levels of organizational commitment.
CONCLUSION: There is a need to promote administrative relationships, APP leadership roles, and policies that recognize APP contributions to health systems and patient outcomes.