{"doi":"10.1016/j.pedn.2025.08.003","title":"Current trends and challenges in the United States of America based pediatric nursing workforce","abstract":"BACKGROUND AND OBJECTIVE: Despite being an integral part of the pediatric workforce, little is known about the current trends and challenges facing pediatric nursing in the United States. The aim of this survey-based analysis was to identify 1) characteristics of the pediatric nursing workforce post-pandemic, 2) data on perceived challenges, 3) examine intent to leave, and 4) quantify compassion fatigue and burnout among pediatric nurses. METHODS: A survey-based descriptive design was used for data collection and analysis. Electronic recruitment was used to reach participants from June-August 2023. Descriptive statistics were calculated for all categorical variables to identify trends; subgroup analyses were conducted for main outcome variables including 1) perceived challenges, 2) intent to leave, 3) burnout, and 4) compassion fatigue. RESULTS: 6590 United States based pediatric nurses participated, with 93 % identifying as female and over half (60.9 %) indicating employment in direct care roles. The top three concerns post-pandemic included staffing ratios, lower pay than other specialties, and student preparedness to practice. Close to a third of participants indicated that they either intended to leave the profession in the next 5 years (13.1 %), or were unsure if they would stay (17.8 %). Close to a third of respondents reported experiencing compassion fatigue and burnout either often or daily. Years of experience were associated with both burnout (p < .001) and compassion fatigue (p < .001), with both dropping after 16 years of experience. CONCLUSIONS: Significant challenges face the pediatric nursing workforce, including high levels of burnout, compassion fatigue, intent to leave the profession, and concerns regarding adequate staffing.","journal":"Journal of Pediatric Nursing","year":2025,"id":515191,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":6,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.873,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2025-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":1380008,"name":"Julia Garcia","orcid":null,"position":1,"is_corresponding":false},{"id":231469,"name":"Karina A. Gattamorta","orcid":"0000-0001-5827-1389","position":2,"is_corresponding":false},{"id":1380009,"name":"Lovelle Reynolds","orcid":null,"position":3,"is_corresponding":false},{"id":1379414,"name":"Susan P. Andrews","orcid":"0000-0001-7581-0006","position":4,"is_corresponding":false},{"id":1379413,"name":"Danielle Altares Sarik","orcid":"0000-0003-1343-3211","position":0,"is_corresponding":true}],"reference_count":35,"raw_metadata":null,"created_at":"2026-07-19T02:48:39.436300Z","pmid":"40816163","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}