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Practice Environment and Workforce Outcomes of Nurse Practitioners in Community Health Centers
Supakorn Kueakomoldej1, Jianfang Liu, Patricia Pittman
1Center for Healthcare Delivery Research & Innovations (Dr Poghosyan), School of Nursing (Mss Kueakomoldej and Turi and Dr Liu), Columbia University, New York, New York; Health Workforce Research Center, Milken Institute School of Public Health, George Washington University, Washington, District of Columbia (Dr Pittman); and Mailman School of Public Health, Columbia University, New York, New York (Dr Poghosyan).
Abstract:
The nurse practitioner (NP) workforce in community health centers (CHCs) increases access to primary care for underserved populations. Working with medically complex patients, high workloads, and low resources in the CHC setting, CHC NPs may be susceptible to poor workforce outcomes. This study uses NP survey data collected from 6 US states to describe and assess the relationship between CHC NP practice environment and burnout, job satisfaction, and turnover intention. CHC NPs rated their practice environments favorably, and more than 89% of CHC NPs reported satisfaction with their job. Better rating of NPs' relationship with CHC administration was associated with improved job satisfaction and decreased turnover intention.
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