Factors influencing job satisfaction of nurse practitioners in US nursing homes

Nurse practitioners (NPs) play a vital role in US nursing homes, providing medical management, improving care coordination, reducing hospitalizations, and addressing physician shortages. Understanding factors influencing NP job satisfaction is essential for workforce retention and sustaining quality care in these complex settings.

To describe factors influencing job satisfaction among NPs working in US nursing homes.

A descriptive, cross-sectional web-based survey was conducted between April and August 2024 using the Misener Nurse Practitioner Job Satisfaction Scale, a validated 44-item instrument based on Herzberg dual-factor theory. Participants were recruited through the Gerontological Advanced Practice Nurses Association and social media. The survey assessed satisfaction across six domains, including autonomy, collegiality, and professional growth.

Among 157 participants, 75.1% held a master's degree and 22.9% a Doctor of Nursing Practice. The mean global satisfaction score was 4.4 (SD = 1.0) on a 6-point scale. Nurse practitioners reported the highest satisfaction with autonomy, challenge in work, and professional relationships with supervisors and colleagues. Areas of lower satisfaction included compensation for duties outside regular responsibilities, involvement in research, time for professional service, and administrative support.

Nurse practitioners reported moderate to high satisfaction, especially with clinical autonomy and patient care. Addressing gaps in compensation, administrative support, and professional development could strengthen retention and improve care quality in nursing homes.

Health care leaders should prioritize supportive work environments and expand professional growth opportunities to retain NPs and ensure quality care for aging populations.