Advanced Practice Provider Perspectives on Organizational Strategies for Work Stress Reduction.

Unresolved work stress contributes to burnout, compassion fatigue, disengagement, and other work-contextualized factors. The impact of occupational stressors extends to the organization in a negative fashion as well. In 2017, advanced practice providers (APPs) from four health systems, including nurse practitioners, clinical nurse specialists, nurse midwives, nurse anesthetists, and physician assistants, participated in a quantitative online cross-sectional survey; 754 participants responded to a free-text question related to work stress and work-family balance. Suggested organizational strategies were ordered into 29 codes, 10 subthemes, and four main themes: "reduce job stressors," "improve leadership and operations," "promote APP well-being," and "maintain the status quo." Findings are consistent with other research related to occupational stress with many of the reported strategies considered as evidence-based. Targeted interventions for reducing job stress will need to include improved autonomy for APPs, role delineation, support for work-family balance, and better communication as part of management practices.