1. Burnout, job satisfaction, and turnover intention among primary care nurse practitioners with their own patient panels.
- Author
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Kim DK, Scott P, Poghosyan L, and Martsolf GR
- Subjects
- Humans, Female, Male, Adult, Middle Aged, Surveys and Questionnaires, Nurse Practitioners psychology, Nurse Practitioners statistics & numerical data, Job Satisfaction, Burnout, Professional psychology, Personnel Turnover statistics & numerical data, Primary Health Care statistics & numerical data
- Abstract
Background: Nurse practitioners (NPs) can enhance NP care and improve access to care by autonomously managing their patient panels. Yet, its impact on workforce outcomes such as burnout, job satisfaction, and turnover intention remains unexplored., Purpose: To estimate the impact of NP panel management on workforce outcomes., Methods: Structural equation modeling was conducted using survey data from 1,244 primary care NPs. NP panel management was categorized into co-managing patients with other providers, both co-managing and autonomously managing, and fully autonomous management., Discussion: Fully autonomous management led to more burnout than co-managing (B = 0.089, bias-corrected 95% bootstrap confidence interval [0.028, 0.151]). Work hours partially (27%) mediated this relationship. This findings indicate that greater autonomy in panel management among NPs may lead to increased burnout, partially due to longer work hours., Conclusion: Interventions to reduce work hours could help NPs deliver quality care without burnout., Competing Interests: Declaration of Competing Interest The authors declare no conflicts of interest., (Copyright © 2024 Elsevier Inc. All rights reserved.) more...
- Published
- 2024
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