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Published on: April 23, 2014
Advanced Practice Nurse Prescribers' Perceptions of Climate Types: An Instrument Validation
1Author Affiliation: Professor, Master of Public Administration Program, School of Public Affairs and Global Engagement, University of Wisconsin-Oshkosh.
Objective:
This study examines the multidimensionality of Nurse Practitioner Primary Care Organizational Climate Questionnaire (NP-PCOCQ), tests the relationship of climates with quality of care, and determines if distinct climates arise based on organizationally defined groups.
Background:
The 29-item NP-PCOCQ applicability to assessing advanced practice nurse prescriber (APNP) climates in rural settings is unknown.
Methods:
A cross-sectional, correlational survey design and mixed-mode data collection were used with 942 APNPs from rural areas in 1 state. A total of 179 questionnaires (19% response rate) were analyzed with confirmatory factor analysis, multivariate analysis of variance/analysis of variance tests, and hierarchical regression analysis.
Results:
A 12-item NP-PCOCQ's 3-factor structure was confirmed: NP-administration relations, NP-physician relations, and independent practice and support. The NP-physician climate had the strongest association with quality of care. Statistically significant differences were found between organizational climate types by work roles, facility types, and tenure.
Conclusions:
The abridged survey will empower nurse leaders to track and improve APNPs' climates.
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