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Advanced practice nurse work environments and job satisfaction and intent to leave: Six‐state cross sectional and observational study.
- Source :
- Journal of Advanced Nursing (John Wiley & Sons, Inc.); Aug2022, Vol. 78 Issue 8, p2460-2471, 12p
- Publication Year :
- 2022
-
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. [ABSTRACT FROM AUTHOR]
- Subjects :
- WORK environment
DISMISSAL of employees
PRIMARY nursing
RESEARCH evaluation
CONFIDENCE intervals
CROSS-sectional method
RESEARCH methodology
ONE-way analysis of variance
DISCRIMINANT analysis
REGRESSION analysis
LABOR turnover
SURVEYS
PSYCHOMETRICS
MULTITRAIT multimethod techniques
CRONBACH'S alpha
COMPARATIVE studies
PEARSON correlation (Statistics)
JOB satisfaction
QUESTIONNAIRES
SCALE analysis (Psychology)
DESCRIPTIVE statistics
FACTOR analysis
CHI-squared test
RESEARCH funding
NURSE practitioners
INTENTION
ODDS ratio
STATISTICAL sampling
PREDICTIVE validity
DATA analysis software
SENSITIVITY & specificity (Statistics)
Subjects
Details
- Language :
- English
- ISSN :
- 03092402
- Volume :
- 78
- Issue :
- 8
- Database :
- Complementary Index
- Journal :
- Journal of Advanced Nursing (John Wiley & Sons, Inc.)
- Publication Type :
- Academic Journal
- Accession number :
- 157935712
- Full Text :
- https://doi.org/10.1111/jan.15176