Pron Ann Linguiti
University of Pennsylvania School of Nursing, Philadelphia, Pennsylvania Abington VNA, Community Services, Children's Health Center, Abington, Pennsylvania PHMC Health Connection, Philadelphia, Pennsylvania.
J Am Assoc Nurse Pract. 2013 Apr;25(4):213-221. doi: 10.1111/j.1745-7599.2012.00776.x. Epub 2012 Sep 20.
More primary care providers are needed to deliver health care to Americans living in poverty and those soon to be insured under the Affordable Care Act. Nurse practitioners (NPs) in nurse-managed health centers (NMHCs) are poised to meet this need. This research study examined the characteristics of NPs working in NMHCs and measured job satisfaction and perceived level of autonomy. No studies about job satisfaction or autonomy for NPs working in NMHCs had been previously reported.
This descriptive, quantitative study surveyed primary care NPs working in NMHCs that are part of the National Nursing Centers Consortium (NNCC). NP e-mail addresses were obtained from NNCC center directors. Of 198 NPs invited to the electronic survey, 99 completed the Misener Nurse Practitioner Job Satisfaction Scale, demographic questionnaire, questions about perceived autonomy, and whether they would recommend working in an NMHC. Participants came from 16 states and 46 NMHCs.
NPs working in NMHCs have job satisfaction, perceive their role as autonomous, and are satisfied with the autonomy they have.
NMHCs can provide access to primary health care for many Americans. More NPs may choose employment in NMHCs for job satisfaction and autonomy.
需要更多的初级保健提供者为生活贫困的美国人和即将根据《平价医疗法案》获得保险的人提供医疗保健服务。护士管理的健康中心(NMHCs)的执业护士(NPs)有能力满足这一需求。本研究调查了在NMHCs工作的NPs的特征,并测量了工作满意度和自主感知水平。此前尚无关于在NMHCs工作的NPs的工作满意度或自主性的研究报告。
这项描述性定量研究对在国家护理中心联盟(NNCC)旗下的NMHCs工作的初级保健NPs进行了调查。NP的电子邮件地址从NNCC中心主任处获得。在198名受邀参加电子调查的NPs中,99人完成了米塞纳执业护士工作满意度量表、人口统计问卷、关于自主感知的问题,以及他们是否会推荐在NMHCs工作。参与者来自16个州和46个NMHCs。
在NMHCs工作的NPs对工作感到满意,认为自己的角色具有自主性,并且对所拥有的自主性感到满意。
NMHCs可以为许多美国人提供初级卫生保健服务。更多的NPs可能会因为工作满意度和自主性而选择在NMHCs工作。