Li Yin, Howell John, Cimiotti Jeannie P
Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta GA, USA.
Department of Marketing and Global Supply Chain, Brigham Young University, Provo UT, USA.
Int J Nurs Stud Adv. 2025 Aug 13;9:100406. doi: 10.1016/j.ijnsa.2025.100406. eCollection 2025 Dec.
Understanding the job preferences of nurse practitioners is crucial for developing policies that attract and retain them in the healthcare workforce, ensuring better healthcare delivery. The aim of this study was to analyze and simulate the job preferences of nurse practitioners, focusing on the impact of various job attributes such as independent practice, practice environment, and salary on their decision-making.
The study used a simulation approach based on a discrete choice experiment survey to predict the job choices of nurse practitioners under different scenarios. The study was conducted in the state of Georgia, USA. 372 survey respondents who were licensed and employed nurse practitioners were included. The likelihood of nurse practitioners choosing a job based on changes in job attributes was analyzed using a hierarchical Bayesian Multinomial Logit model.
Nurse practitioners highly value an excellent practice environment and independent practice. A very cohesive interprofessional team and responsive administration significantly influenced job choices. Nurse practitioners might be willing to accept a 10 % salary decrease or a longer commute time for a job with an excellent practice environment. Conversely, they required independent practice for a 10 % salary increase to be attractive. Additionally, the preference for independent practice outweighed the importance of higher salaries and shorter commute time.
The study highlights the importance of an excellent practice environment and independent practice in the job preference of nurse practitioners. Healthcare organizations should focus on creating supportive, collaborative work environments and enabling greater autonomy for nurse practitioners. Policymakers should consider revising regulations to expand nurse practitioners' scope of practice.
了解执业护士的工作偏好对于制定吸引和留住他们的医疗劳动力政策至关重要，这能确保更好的医疗服务提供。本研究的目的是分析和模拟执业护士的工作偏好，重点关注各种工作属性，如独立执业、执业环境和薪资对其决策的影响。
该研究采用基于离散选择实验调查的模拟方法来预测不同情景下执业护士的工作选择。研究在美国佐治亚州进行。纳入了372名获得执照并受雇的执业护士作为调查对象。使用分层贝叶斯多项逻辑模型分析执业护士根据工作属性变化选择工作的可能性。
执业护士高度重视良好的执业环境和独立执业。一个非常有凝聚力的跨专业团队和积极响应的管理显著影响工作选择。对于一个有良好执业环境的工作，执业护士可能愿意接受10%的薪资降幅或更长的通勤时间。相反，他们要求独立执业，以便10%的薪资增长才具有吸引力。此外，对独立执业的偏好超过了高薪和更短通勤时间的重要性。
该研究强调了良好的执业环境和独立执业在执业护士工作偏好中的重要性。医疗保健组织应专注于营造支持性、协作性的工作环境，并赋予执业护士更大的自主权。政策制定者应考虑修订法规以扩大执业护士的执业范围。
