{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T03:19:58Z","timestamp":1791515998509,"version":"4.3.4"},"reference-count":41,"publisher":"Elsevier BV","issue":"2","license":[{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"funder":[{"DOI":"10.13039\/100031882","name":"World Rugby","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100031882","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","jpedhc.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Pediatric Health Care"],"published-print":{"date-parts":[[2026,3]]},"DOI":"10.1016\/j.pedhc.2025.12.004","type":"journal-article","created":{"date-parts":[[2026,1,12]],"date-time":"2026-01-12T20:27:36Z","timestamp":1768249656000},"page":"267-277","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":1,"title":["Advanced Practice Provider Perceptions of the Pediatric Work Environment in the Postpandemic Era"],"prefix":"10.1016","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2164-7965","authenticated-orcid":false,"given":"Nicole","family":"Beckmann","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amanda","family":"Nickel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8630-0255","authenticated-orcid":false,"given":"Andrea","family":"Bushaw","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-1547-7127","authenticated-orcid":false,"given":"Christina","family":"McCarthy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9434-7272","authenticated-orcid":false,"given":"Laura","family":"Tillman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alycia","family":"Johnson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4024-386X","authenticated-orcid":false,"given":"Sandra","family":"Hagstrom","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"7","key":"10.1016\/j.pedhc.2025.12.004_bib0001","doi-asserted-by":"crossref","first-page":"736","DOI":"10.1016\/j.nurpra.2022.04.024","article-title":"The organizational climate for nurse practitioners working in primary health care in New Zealand: A national survey","volume":"18","author":"Adams","year":"2022","journal-title":"Journal for Nurse Practitioners"},{"issue":"1","key":"10.1016\/j.pedhc.2025.12.004_bib0002","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1111\/j.2044-8325.1990.tb00506.x","article-title":"The measurement and antecedents of affective, continuance and normative commitment to the organization","volume":"63","author":"Allen","year":"1990","journal-title":"Journal of Occupational Psychology"},{"issue":"7","key":"10.1016\/j.pedhc.2025.12.004_bib0003","doi-asserted-by":"crossref","first-page":"504","DOI":"10.1016\/j.nurpra.2020.04.012","article-title":"Supporting advanced practice providers\u2019 professional advancement: The implementation of a professional advancement model at an academic medical center","volume":"16","author":"Arthur","year":"2020","journal-title":"The Journal for Nurse Practitioners"},{"issue":"1","key":"10.1016\/j.pedhc.2025.12.004_bib0004","doi-asserted-by":"crossref","first-page":"79","DOI":"10.1097\/JXX.0000000000000566","article-title":"Development of the novice nurse practitioner role transition scale: An exploratory factor analysis","volume":"34","author":"Barnes","year":"2022","journal-title":"Journal of the American Association of Nurse Practitioners"},{"key":"10.1016\/j.pedhc.2025.12.004_bib0005","doi-asserted-by":"crossref","DOI":"10.1016\/j.ijnsa.2023.100148","article-title":"Perceptions of healthcare professionals\u2019 psychological wellbeing at work and the link to patients\u2019 experiences of care: A scoping review","volume":"5","author":"Bamforth","year":"2023","journal-title":"International Journal of Nursing Studies Advances"},{"issue":"2","key":"10.1016\/j.pedhc.2025.12.004_bib0006","doi-asserted-by":"crossref","first-page":"90","DOI":"10.1097\/JXX.0000000000000979","article-title":"The implementation and impact of an advanced practice recognition program","volume":"36","author":"Bork","year":"2024","journal-title":"Journal of the American Association of Nurse Practitioners"},{"issue":"4","key":"10.1016\/j.pedhc.2025.12.004_bib0007","doi-asserted-by":"crossref","first-page":"520","DOI":"10.1016\/j.pedhc.2023.12.003","article-title":"Facilitators and barriers to pediatric nurse practitioner practice in the United States: A systematic review","volume":"38","author":"Courtwright","year":"2024","journal-title":"Journal of Pediatric Health Care"},{"issue":"1","key":"10.1016\/j.pedhc.2025.12.004_bib0008","doi-asserted-by":"crossref","first-page":"55","DOI":"10.1146\/annurev-orgpsych-120920-055217","article-title":"Psychological safety comes of age: Observed themes in an established literature","volume":"10","author":"Edmondson","year":"2023","journal-title":"Annual Review of Organizational Psychology and Organizational Behavior"},{"key":"10.1016\/j.pedhc.2025.12.004_bib0009","first-page":"257","article-title":"A cross-sectional examination of the nurse practitioner workforce caring for children in the United States","author":"Gigli","year":"2023","journal-title":"The Journal of Pediatrics"},{"key":"10.1016\/j.pedhc.2025.12.004_bib0010","doi-asserted-by":"crossref","DOI":"10.1016\/j.jbi.2019.103208","article-title":"The REDCap consortium: Building an international community of software platform partners","volume":"95","author":"Harris","year":"2019","journal-title":"Journal of Biomedical Informatics"},{"issue":"2","key":"10.1016\/j.pedhc.2025.12.004_bib0011","doi-asserted-by":"crossref","first-page":"377","DOI":"10.1016\/j.jbi.2008.08.010","article-title":"Research electronic data capture (REDCap)\u2014a metadata-driven methodology and workflow process for providing translational research informatics support","volume":"42","author":"Harris","year":"2009","journal-title":"Journal of Biomedical Informatics"},{"key":"10.1016\/j.pedhc.2025.12.004_bib0012","series-title":"Men and Women of the Corporation","author":"Kanter","year":"1977"},{"issue":"2","key":"10.1016\/j.pedhc.2025.12.004_bib0013","doi-asserted-by":"crossref","first-page":"137","DOI":"10.1097\/NAQ.0000000000000518","article-title":"Breaking down institutional barriers to advanced practice registered nurse practice","volume":"46","author":"Kleinpell","year":"2022","journal-title":"Nursing Administration Quarterly"},{"issue":"4","key":"10.1016\/j.pedhc.2025.12.004_bib0014","doi-asserted-by":"crossref","first-page":"289","DOI":"10.1097\/JAC.0000000000000427","article-title":"Practice environment and workforce outcomes of nurse practitioners in community health centers","volume":"45","author":"Kueakomoldej","year":"2022","journal-title":"Journal of Ambulatory Care Management"},{"issue":"9","key":"10.1016\/j.pedhc.2025.12.004_bib0015","doi-asserted-by":"crossref","first-page":"413","DOI":"10.1097\/00005110-200009000-00008","article-title":"Organizational trust and empowerment in restructured healthcare settings: Effects on staff nurse commitment","volume":"30","author":"Laschinger","year":"2000","journal-title":"JONA: The Journal of Nursing Administration"},{"issue":"5","key":"10.1016\/j.pedhc.2025.12.004_bib0016","doi-asserted-by":"crossref","first-page":"260","DOI":"10.1097\/00005110-200105000-00006","article-title":"Impact of structural and psychological empowerment on job strain in nursing work settings: Expanding Kanter\u2019s model","volume":"31","author":"Laschinger","year":"2001","journal-title":"JONA: The Journal of Nursing Administration"},{"issue":"1","key":"10.1016\/j.pedhc.2025.12.004_bib0017","doi-asserted-by":"crossref","first-page":"89","DOI":"10.1097\/JXX.0000000000000592","article-title":"Organizational empowerment and practice outcomes of acute care nurse practitioners in Taiwan: A national survey","volume":"34","author":"Luo","year":"2022","journal-title":"Journal of the American Association of Nurse Practitioners"},{"issue":"2","key":"10.1016\/j.pedhc.2025.12.004_bib0018","doi-asserted-by":"crossref","first-page":"78","DOI":"10.1097\/JXX.0000000000000007","article-title":"Job satisfaction and empowerment of self-employed nurse practitioners: A mixed methods study","volume":"30","author":"Lyden","year":"2018","journal-title":"Journal of the American Association of Nurse Practitioners"},{"issue":"7","key":"10.1016\/j.pedhc.2025.12.004_bib0019","doi-asserted-by":"crossref","DOI":"10.1016\/j.nurpra.2024.105054","article-title":"Advanced practice provider professional advancement model: A 10-year experience","volume":"20","author":"McComiskey","year":"2024","journal-title":"The Journal for Nurse Practitioners"},{"issue":"7-8","key":"10.1016\/j.pedhc.2025.12.004_bib0020","doi-asserted-by":"crossref","first-page":"808","DOI":"10.1093\/milmed\/usac041","article-title":"Promoting psychological safety in healthcare organizations","volume":"187","author":"Murray","year":"2022","journal-title":"Military Medicine"},{"key":"10.1016\/j.pedhc.2025.12.004_bib0021","unstructured":"National Academy of Medicine (2022). National plan for health workforce well-being. https:\/\/nam.edu\/publications\/national-plan-for-health-workforce-well-being\/"},{"issue":"2","key":"10.1016\/j.pedhc.2025.12.004_bib0022","first-page":"206","article-title":"Statement on Resilience and the Postpandemic pediatric nurse practitioner workforce","volume":"36","author":"Gigli","year":"2022","journal-title":"Journal of Pediatric Health care"},{"key":"10.1016\/j.pedhc.2025.12.004_bib0023","unstructured":"The Office of the US Surgeon General. (2022). The US Surgeon General\u2019s Framework for Workplace Mental Health & Wellbeing. https:\/\/www.hhx.gov\/site\/default\/files\/workplace-mental-health-well-being.pdf"},{"issue":"4","key":"10.1016\/j.pedhc.2025.12.004_bib0024","doi-asserted-by":"crossref","first-page":"414","DOI":"10.1016\/j.pedhc.2021.04.012","article-title":"Exhausted and burned out: COVID-19 emerging impacts threaten the health of the pediatric advanced practice registered nursing workforce","volume":"35","author":"Peck","year":"2021","journal-title":"Journal of Pediatric Health Care"},{"issue":"7","key":"10.1016\/j.pedhc.2025.12.004_bib0025","doi-asserted-by":"crossref","first-page":"363","DOI":"10.1002\/2327-6924.12202","article-title":"Autonomy and empowerment in advanced practice registered nurses: Lessons from New Mexico","volume":"27","author":"Petersen","year":"2015","journal-title":"Journal of the American Association of Nurse Practitioners"},{"issue":"1","key":"10.1016\/j.pedhc.2025.12.004_bib0026","doi-asserted-by":"crossref","first-page":"142","DOI":"10.1891\/1061-3749.25.1.142","article-title":"Validation of nurse practitioner primary care organizational climate questionnaire: A new tool to study nurse practitioner practice settings","author":"Poghosyan","year":"2017","journal-title":"Journal of Nursing Measurement"},{"issue":"5","key":"10.1016\/j.pedhc.2025.12.004_bib0027","doi-asserted-by":"crossref","DOI":"10.1016\/j.outlook.2023.102029","article-title":"Advancement of research on nurse practitioners: Setting a research agenda","volume":"71","author":"Poghosyan","year":"2023","journal-title":"Nursing Outlook"},{"issue":"4","key":"10.1016\/j.pedhc.2025.12.004_bib0028","doi-asserted-by":"crossref","first-page":"280","DOI":"10.1097\/NNR.0000000000000425","article-title":"Organizational support for nurse practitioners in primary care and workforce outcomes","volume":"69","author":"Poghosyan","year":"2020","journal-title":"Nursing Research"},{"issue":"15-16","key":"10.1016\/j.pedhc.2025.12.004_bib0029","doi-asserted-by":"crossref","first-page":"2934","DOI":"10.1111\/jocn.14895","article-title":"Nurse practitioner primary care organizational climate questionnaire: Item response theory and differential item functioning","volume":"28","author":"Poghosyan","year":"2019","journal-title":"Journal of Clinical Nursing"},{"issue":"8","key":"10.1016\/j.pedhc.2025.12.004_bib0030","doi-asserted-by":"crossref","first-page":"2460","DOI":"10.1111\/jan.15176","article-title":"Advanced practice nurse work environments and job satisfaction and intent to leave: Six-state cross sectional and observational study","volume":"78","author":"Poghosyan","year":"2022","journal-title":"Journal of Advanced Nursing"},{"issue":"3","key":"10.1016\/j.pedhc.2025.12.004_bib0031","doi-asserted-by":"crossref","first-page":"134","DOI":"10.1111\/j.1745-7599.2012.00765.x","article-title":"Organizational climate in primary care settings: Implications for nurse practitioner practice","volume":"25","author":"Poghosyan","year":"2013","journal-title":"Journal of the American Association of Nurse Practitioners"},{"issue":"5","key":"10.1016\/j.pedhc.2025.12.004_bib0032","doi-asserted-by":"crossref","first-page":"490","DOI":"10.1016\/j.pedhc.2020.06.005","article-title":"Utilization of pediatric nurse practitioners as adult critical care providers during the COVID-19 pandemic: A novel approach","volume":"34","author":"Renke","year":"2020","journal-title":"Journal of Pediatric Health Care"},{"key":"10.1016\/j.pedhc.2025.12.004_bib0033","doi-asserted-by":"crossref","first-page":"294","DOI":"10.1016\/j.pedn.2025.08.003","article-title":"Current trends and challenges in the United States of America based pediatric nursing workforce","volume":"85","author":"Sarik","year":"2025","journal-title":"Journal of Pediatric Nursing"},{"issue":"4","key":"10.1016\/j.pedhc.2025.12.004_bib0034","doi-asserted-by":"crossref","first-page":"919","DOI":"10.1111\/jonm.13020","article-title":"Advanced practice registered nurses\u2019 work environment perceptions in hospitals: A cross-sectional survey","volume":"28","author":"Schirle","year":"2020","journal-title":"Journal of Nursing Management"},{"issue":"4","key":"10.1016\/j.pedhc.2025.12.004_bib0035","doi-asserted-by":"crossref","first-page":"311","DOI":"10.1097\/HMR.0000000000000229","article-title":"Organizational facilitators and barriers to optimal APRN practice: An integrative review","volume":"45","author":"Schirle","year":"2020","journal-title":"Health Care Management Review"},{"issue":"2","key":"10.1016\/j.pedhc.2025.12.004_bib0036","doi-asserted-by":"crossref","first-page":"998","DOI":"10.1353\/hpu.2022.0077","article-title":"The association between health professional shortage area (HPSA) status, work environment, and nurse practitioner burnout and job dissatisfaction","volume":"33","author":"Schlak","year":"2022","journal-title":"Journal of Health Care for the Poor and Underserved"},{"issue":"2","key":"10.1016\/j.pedhc.2025.12.004_bib0037","doi-asserted-by":"crossref","first-page":"174","DOI":"10.1016\/j.pedhc.2021.02.003","article-title":"Supporting advanced practice providers through the development and implementation of an advanced practice provider professional advancement program","volume":"36","author":"Scholtz","year":"2022","journal-title":"Journal of Pediatric Health Care"},{"issue":"5","key":"10.1016\/j.pedhc.2025.12.004_bib0038","doi-asserted-by":"crossref","first-page":"1442","DOI":"10.2307\/256865","article-title":"Psychological empowerment in the workplace: Dimensions, measurement, and validation","volume":"38","author":"Spreitzer","year":"1995","journal-title":"Academy of management Journal"},{"issue":"1","key":"10.1016\/j.pedhc.2025.12.004_bib0039","doi-asserted-by":"crossref","first-page":"27","DOI":"10.1111\/j.1745-7599.2009.00467.x","article-title":"Psychological empowerment and structural empowerment among nurse practitioners","volume":"22","author":"Stewart","year":"2010","journal-title":"Journal of the American Academy of Nurse Practitioners"},{"issue":"4","key":"10.1016\/j.pedhc.2025.12.004_bib0040","doi-asserted-by":"crossref","first-page":"223","DOI":"10.12788\/jhm.3572","article-title":"Healthcare encounter and financial impact of COVID-19 on children's hospitals","volume":"16","author":"Synhorst","year":"2021","journal-title":"Journal of Hospital Medicine"},{"issue":"4","key":"10.1016\/j.pedhc.2025.12.004_bib0041","first-page":"666","article-title":"Cognitive elements of empowerment: An \u201cinterpretive\u201d model of intrinsic task motivation","volume":"15","author":"Thomas","year":"1990","journal-title":"Academy of Management Review,"}],"container-title":["Journal of Pediatric Health Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0891524525004079?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0891524525004079?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,2,28]],"date-time":"2026-02-28T11:52:42Z","timestamp":1772279562000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0891524525004079"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3]]},"references-count":41,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026,3]]}},"alternative-id":["S0891524525004079"],"URL":"https:\/\/doi.org\/10.1016\/j.pedhc.2025.12.004","relation":{},"ISSN":["0891-5245"],"issn-type":[{"value":"0891-5245","type":"print"}],"subject":[],"published":{"date-parts":[[2026,3]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Advanced Practice Provider Perceptions of the Pediatric Work Environment in the Postpandemic Era","name":"articletitle","label":"Article Title"},{"value":"Journal of Pediatric Health Care","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.pedhc.2025.12.004","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"Copyright \u00a9 2025 by the National Association of Pediatric Nurse Practitioners. Published by Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}]}}