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零售诊所与传统初级医疗保健:员工满意度有保障吗?

Retail clinics versus traditional primary care: Employee satisfaction guaranteed?

作者信息

Lelli Vanessa R, Hickman Ronald L, Savrin Carol L, Peterson Rachel A

机构信息

Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, Ohio.

Cleveland Clinic Foundation, Willoughby Hills Family Health Center, Willoughby Hills, Ohio.

出版信息

J Am Assoc Nurse Pract. 2015 Sep;27(9):514-20. doi: 10.1002/2327-6924.12220. Epub 2015 Feb 20.

Abstract

PURPOSE

To examine if differences exist in the levels of autonomy and job satisfaction among primary care nurse practitioners (NPs) employed in retail clinics versus traditional primary care settings.

DATA SOURCES

Data were collected from 310 primary care NPs who attended the American Association of NP's 28th Annual Conference in June 2013. Participants completed a demographic form, the Misener NP Job Satisfaction Scale, and the Dempster Practice Behavior Scale.

CONCLUSIONS

Overall, there were no differences in job satisfaction or autonomy among NPs by practice setting. Retail NPs felt less valued and were less satisfied with social interaction, but more satisfied with benefits compared to NPs in traditional settings. NPs working in retail clinics were less likely to have intentions to leave current position compared to NPs in traditional practice settings.

IMPLICATIONS FOR PRACTICE

The results of this study enhance our current understanding of the linkages between levels of autonomy, job satisfaction, and practice setting among primary care NPs. The findings of this descriptive study offer valuable insights for stakeholders devoted to the development of the primary care workforce and identify modifiable factors that may influence retention and turnover rates among NPs.

摘要

目的

探讨零售诊所与传统初级保健机构中工作的初级保健执业护士(NP)在自主性水平和工作满意度方面是否存在差异。

数据来源

数据收集自2013年6月参加美国执业护士协会第28届年会的310名初级保健NP。参与者填写了一份人口统计学表格、米塞纳执业护士工作满意度量表和登普斯特执业行为量表。

结论

总体而言,不同执业环境下的NP在工作满意度或自主性方面没有差异。与传统环境中的NP相比,零售诊所的NP感觉自己的价值较低,对社交互动不太满意,但对福利更满意。与传统执业环境中的NP相比,在零售诊所工作的NP离职意愿较低。

对实践的启示

本研究结果增进了我们目前对初级保健NP的自主性水平、工作满意度和执业环境之间联系的理解。这项描述性研究的结果为致力于初级保健劳动力发展的利益相关者提供了有价值的见解,并确定了可能影响NP留存率和周转率的可改变因素。

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