Lusine Poghosyan1,2, Supakorn Kueakomoldej3, Jianfang Liu3, Grant Martsolf4. 1. Stone Foundation and Elise D. Fish Professor of Nursing, Columbia University School of Nursing, New York, New York, USA. 2. Department of Health Policy and Management, Mailman School of Public Health, Columbia University, New York, New York, USA. 3. Columbia University School of Nursing, New York, New York, USA. 4. University of Pittsburgh School of Nursing, Pittsburgh, Pennsylvania, USA.
Abstract
AIMS: To explore the relationship between nurse practitioner work environment and nurse practitioner outcomes (job satisfaction and intent to leave) in the United States. DESIGN: The study used a cross-sectional survey design to collect survey data from primary care nurse practitioners in six states in the United States. METHODS: We sent mail surveys to 5689 eligible nurse practitioners in Arizona, New Jersey, Washington, Pennsylvania, California and Texas. The mail also contained an online link. Participants could complete either the paper or online questionnaire. In total, 1244 participants completed the survey in 2018-2019. The work environment was measured using the Nurse Practitioner-Primary Care Organizational Climate Questionnaire comprised of four subscales: Nurse Practitioner-Administration Relations, Nurse Practitioner-Physician Relations, Independent Practice and Support and Professional Visibility. Global items measured job satisfaction and intent to leave. We used mixed-effect proportional-odds cumulative logit models to assess the association between work environment and job satisfaction and intent to leave. RESULTS: Overall, 90% of participants were either very satisfied or somewhat satisfied with their job and 22% reported intent to leave their job in 1 year. With a one-unit increase in the organizational-level Nurse Practitioner-Administration Relations score, the odds of having a higher job satisfaction level increased by about four times and the odds of intent to leave job decreased by about 60%. A higher organizational-level Nurse Practitioner-Physician Relations score was significantly associated with higher job satisfaction and lower odds of intent to leave. CONCLUSION: Improvements in work environments may improve nurse practitioner job satisfaction and retention. IMPACT: This study examined the relationship between work environment, job satisfaction and turnover intention of nurse practitioners. Better work environment is associated with higher job satisfaction and lower turnover intention. Findings have implications for clinical leadership who can take actions to create better work environments to increase the nurse practitioner workforce capacity.
AIMS: To explore the relationship between nurse practitioner work environment and nurse practitioner outcomes (job satisfaction and intent to leave) in the United States. DESIGN: The study used a cross-sectional survey design to collect survey data from primary care nurse practitioners in six states in the United States. METHODS: We sent mail surveys to 5689 eligible nurse practitioners in Arizona, New Jersey, Washington, Pennsylvania, California and Texas. The mail also contained an online link. Participants could complete either the paper or online questionnaire. In total, 1244 participants completed the survey in 2018-2019. The work environment was measured using the Nurse Practitioner-Primary Care Organizational Climate Questionnaire comprised of four subscales: Nurse Practitioner-Administration Relations, Nurse Practitioner-Physician Relations, Independent Practice and Support and Professional Visibility. Global items measured job satisfaction and intent to leave. We used mixed-effect proportional-odds cumulative logit models to assess the association between work environment and job satisfaction and intent to leave. RESULTS: Overall, 90% of participants were either very satisfied or somewhat satisfied with their job and 22% reported intent to leave their job in 1 year. With a one-unit increase in the organizational-level Nurse Practitioner-Administration Relations score, the odds of having a higher job satisfaction level increased by about four times and the odds of intent to leave job decreased by about 60%. A higher organizational-level Nurse Practitioner-Physician Relations score was significantly associated with higher job satisfaction and lower odds of intent to leave. CONCLUSION: Improvements in work environments may improve nurse practitioner job satisfaction and retention. IMPACT: This study examined the relationship between work environment, job satisfaction and turnover intention of nurse practitioners. Better work environment is associated with higher job satisfaction and lower turnover intention. Findings have implications for clinical leadership who can take actions to create better work environments to increase the nurse practitioner workforce capacity.
Authors: Catherine M DesRoches; Kirsten A Barrett; Bonnie E Harvey; Rachel Kogan; James D Reschovsky; Bruce E Landon; Lawrence P Casalino; Stephen M Shortell; Eugene C Rich Journal: J Gen Intern Med Date: 2015-08 Impact factor: 5.128
Authors: Ramya Chari; Chia-Chia Chang; Steven L Sauter; Elizabeth L Petrun Sayers; Jennifer L Cerully; Paul Schulte; Anita L Schill; Lori Uscher-Pines Journal: J Occup Environ Med Date: 2018-07 Impact factor: 2.162