Featured Article| Volume 17, ISSUE 2, P157-162, February 2021

Primary Care Practice Environment and Burnout Among Nurse Practitioners

Published:January 11, 2021DOI:


      • The study shows that 25.3% of primary care NPs are burnt-out.
      • Favorable environments are associated with 51% to 58% lower risk of NP burnout.
      • Organizational changes to the practice environment may reduce NP burnout.


      Poor practice environments contribute to burnout, but favorable environments containing support, resources, autonomy, and optimal relations with colleagues may prevent burnout. Compared with all nurse practitioners (NPs), 69% of these NPs provide primary care to patients, yet whether the practice environment is associated with NP burnout is unknown. A study to examine environmental factors related to NP burnout was conducted. Overall, 396 NPs completed the survey, and 25.3% were burnt-out. Higher scores on the professional visibility, NP-physician relations, NP-administration relations, independent practice, and support subscales were associated with 51%, 51%, 58%, and 56% lower risk of NP burnout, respectively.


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      Cilgy M. Abraham, BS, RN, is a PhD student at Columbia University School of Nursing, New York, New York. She can be reached at: [email protected]


      Katherine Zheng, BSN, RN, PhD, Allison A. Norful, PhD, RN, ANP-BC, Affan Ghaffari, PhD, MPH, Jianfang Liu, PhD, and Lusine Poghosyan, PhD, MPH, RN, are at Columbia University School of Nursing, New York, New York.