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The Relationship Between Practice Environment and Psychological Ownership in Advanced Practice Nurses
Lori Schirle1, Brian E McCabe2, Victoria Mitrani2
11 Vanderbilt University, Nashville, TN, USA.
Western Journal of Nursing Research
|January 24, 2018
Summary
Barriers hinder advanced practice nurses (APNs) in hospitals. Improving their work environment and fostering psychological ownership can boost job satisfaction and reduce turnover, enhancing care quality.
Area of Science:
- Nursing
- Organizational Psychology
- Healthcare Management
Background:
- Advanced practice nurses (APNs) face work environment barriers in acute care.
- These barriers negatively impact job satisfaction and increase intent to leave.
- Psychological ownership may improve outcomes for APNs, as seen in other fields.
Purpose of the Study:
- To examine the relationship between the advanced practice nurse work environment and psychological ownership.
- To identify specific barriers and facilitators within the work environment.
- To explore the potential of psychological ownership to mitigate negative outcomes.
Main Methods:
- Multilevel cross-sectional survey study.
- Data collected from advanced practice nurses and nurse executives in Florida hospitals.
- Analysis of work environment factors, organizational climate, and psychological ownership.
Main Results:
- Common barriers included scope of practice limitations and exclusion from governance.
- APNs reported positive physician relations but poor administrator relations and limited work control.
- Organizational climate showed a strong positive relationship with psychological ownership.
Conclusions:
- Fostering psychological ownership is crucial for advanced practice nurses.
- Improving work design and organizational climate can enhance APN job satisfaction.
- Increased psychological ownership may lead to reduced turnover and improved effectiveness in acute care settings.
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