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Organizational climate in primary care settings: implications for nurse practitioner practice
Lusine Poghosyan1, Angela Nannini, Sean Clarke
1Columbia University School of Nursing, New York, New York.
Journal of the American Association of Nurse Practitioners
|November 13, 2013
Summary
Organizational climate in primary care significantly impacts nurse practitioners (NPs). Key domains include autonomy, NP-physician relations, and professional visibility, influencing NP behaviors and patient care outcomes.
Area of Science:
- Nursing Practice
- Healthcare Management
- Organizational Psychology
Background:
- Organizational climate is crucial for healthcare professionals.
- Understanding its impact on nurse practitioners (NPs) in primary care is essential for optimizing practice environments.
Purpose of the Study:
- To review literature on organizational climate within primary care settings.
- To define organizational climate and identify its key domains relevant to nurse practitioner (NP) practice.
Main Methods:
- A comprehensive literature search was performed across multiple major health and nursing databases.
- Databases included MEDLINE, PubMed, HealthSTAR/Ovid, and ISI Web of Science.
Main Results:
- Organizational climate for NPs is defined by perceived organizational attributes and interactions.
- Key domains identified were autonomy, NP-physician relations, and professional visibility.
Conclusions:
- NPs should evaluate workplaces for optimal climate, prioritizing autonomy, collegiality, and visibility.
- Developing strategies for an optimal organizational climate is vital for high-quality NP-delivered care.
- Further research is needed for a conceptual framework and validated measurement tools.
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