Columbia University School of Nursing, New York, NY.
Columbia University School of Nursing, New York, NY.
Nurs Outlook. 2021 Jan-Feb;69(1):74-83. doi: 10.1016/j.outlook.2020.08.007. Epub 2020 Oct 23.
In January of 2015, New York (NY) implemented a new policy, Nurse Practitioners Modernization Act, which removed the required written practice agreement between physicians and experienced nurse practitioners (NPs).
We examined NP work environment in NY before (2012) and after (2018) the implementation of the new policy.
Cross-sectional survey data on work environments were collected from NPs in NY in 2012 and 2018. Work environment was measured with the Nurse Practitioner Primary Care Organizational Climate Questionnaire. In 2012, 278 and in 2018, 348 NPs completed the tool. Regression analyses were used to examine the relationship between the study year and work environment.
Controlling for individual and organizational characteristics, NPs reported significantly better work environments in 2018. Positive changes were observed both for experienced and less experienced NPs.
Removing state-level policy restrictions on NPs may promote a better work environment within health care organizations.
2015 年 1 月，纽约（NY）实施了一项新政策，即《护士从业者现代化法案》，取消了医生和经验丰富的护士从业者（NP）之间所需的书面实践协议。
我们研究了新政策实施前后（2012 年和 2018 年）纽约 NP 的工作环境。
2012 年和 2018 年，我们从纽约的 NP 中收集了横断面调查数据，以了解工作环境。工作环境采用护士从业者初级保健组织气候问卷进行测量。2012 年有 278 名，2018 年有 348 名 NP 完成了该工具。回归分析用于研究研究年份与工作环境之间的关系。
控制个体和组织特征后，NP 报告 2018 年的工作环境明显更好。有经验和经验较少的 NP 都观察到了积极的变化。
取消州一级对 NP 的政策限制可能会促进医疗保健组织内更好的工作环境。
