Highlights
- •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.
Abstract
Keywords
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- The measurement of experienced burnout.J Organ Behav. 1981; 2: 99-113
- A cross-sectional study exploring the relationship between burnout, absenteeism, and job performance among American nurses.BMC Nurs. 2019; 18: 57
- Burnout, workplace factors, and intent to leave among hematology/oncology nurse practitioners.J Adv Pract Oncol. 2020; 11: 141-148
- Physician burnout: contributors, consequences and solutions.J Intern Med. 2018; 283: 516-529
- A crisis in health care: a call to action on physician burnout. 2019.(Accessed November 15, 2019)
- Nurses’ widespread job dissatisfaction, burnout, and frustration with health benefits signal problems for patient care.Health Aff (Millwood). 2011; 30: 202-210
- A meta-analysis of the associations between the nurse work environment in hospitals and 4 sets of outcomes.Med Care. 2019; 57: 353-361
- The State of Primary Care in the United States: A Chartbook of Facts and Statistics. January 2018.(Accessed March 20, 2020)
- Burnout among physicians, advanced practice clinicians and staff in smaller primary care practices.J Gen Intern Med. 2018; 33: 2138-2146
- Predictors and outcomes of burnout among primary care providers in the United States: a systematic review.Med Care Res Rev. 2020; 77: 387-401
- Predictors and outcomes of burnout in primary care physicians.J Prim Care Community Health. 2016; 7: 41-43
- Electronic medical records and physician stress in primary care: results from the MEMO Study.J Am Med Inform Assoc. 2014; 21: e100-e106
- Elements of team-based care in a patient-centered medical home are associated with lower burnout among VA primary care employees.J Gen Intern Med. 2014; 29: S659-S666
- Associations between integrated care practice and burnout factors of primary care physicians.Fam Med. 2018; 50: 770-774
- NP Fact Sheet. 2020.(Accessed June 20, 2020)
- National and Regional Projections of Supply and Demand for Primary Care Practitioners: 2013-2025. November 2016.(Accessed December 5, 2019)
- What’s a Nurse Practitioner (NP)? 2020.(Accessed June 17, 2020)
- Rural and nonrural primary care physician practices increasingly rely on nurse practitioners.Health Aff (Millwood). 2018; 37: 908-914
- Practice characteristics of primary care nurse practitioners and physicians.Nurs Outlook. 2015; 63: 144-153
- Availability of health care provider offices and facilities in minority and integrated communities in the U.S.J Health Care Poor Underserved. 2019; 30: 986-1000
- Supportive clinical practice environments associated with patient-centered care.J Nurse Pract. 2020; 16: 294-298
- Maximizing nurse practitioners’ contributions to primary care through organizational changes.J Ambul Care Manage. 2015; 38: 109-117
- Nurse practitioner organizational climate in primary care settings: implications for professional practice.J Prof Nurs. 2013; 29: 338-349
- A journey to construct an all-encompassing conceptual model of factors affecting clinician well-being and resilience.NAM Perspectives. 2018; (Accessed October 17, 2020): 1-8
Abraham C.M, Zheng K, Norful AN. et al. Use of multifunctional electronic health records and burnout among primary care nurse practitioners. J Am Assoc Nurse Pract. In Press.
- The results are only as good as the sample: assessing three national physician sampling frames.J Gen Intern Med. 2015; 30: S595-S601
- Internet, Mail, and Mixed-Mode Surveys: The Tailored Design Method.John Wiley & Sons, 2014
- Health care access rankings. 2019.(Accessed March 13, 2019)
- Health care quality rankings. 2019.(Accessed March 13, 2019)
- Development and psychometric testing of the Nurse Practitioner Primary Care Organizational Climate Questionnaire.Nurs Res. 2013; 62: 325-334
- Nurse practitioners as primary care providers: creating favorable practice environments in New York State and Massachusetts.Health Care Manage Rev. 2015; 40: 46-55
Rowand LC. Primary Care Nurse Practitioners and Organizational Culture [dissertation]. Walden University Scholar Works. 2017. Accessed June 19, 2020. https://pdfs.semanticscholar.org/dd9e/fcd56293f623f709d1b725b14a38c3b16854.pdf?_ga=2.190946669.695970253.1592662801-2076557570.1592662801.
Haupt EF. Predictors for Florida Nurse Practitioners’ Characterization of Organizational Climate [dissertation]. Walden University Scholar Works. 2016. Accessed June 19, 2020. https://pdfs.semanticscholar.org/d015/4722289835565fe78cdc0637bc74d53b1f51.pdf.
- Using a single item to measure burnout in primary care staff: a psychometric evaluation.J Gen Intern Med. 2015; 30: 582-587
- IBM SPSS Statistics for Windows.2017(2017)Version: Version 25.0
- Variance inflation factor: as a condition for the inclusion of suppressor variables in regression analysis.Open J Stat. 2015; 5: 754
- Multiple imputation: a review of practical and theoretical findings.Stat Sci. 2018; 33: 142-159
- Using multiple imputation for analysis of incomplete data in clinical research.Nurs Res. 2002; 51: 339-343
- What improves with increased missing data imputations?.Struct Equ Modeling. 2008; 15: 651-675
- Stata Statistical Software: Release 14.2015
- A simple method for estimating relative risk using logistic regression.BMC Med Res Methodol. 2012; 12: 14
- Estimation of prevalence rate ratios for cross sectional data: an example in occupational epidemiology.Br J Ind Med. 1993; 50: 861-862
- Elements of the healthy work environment associated with lower primary care nurse burnout.Nurs Outlook. 2020; 68: 14-25
- Professional dissonance and burnout in primary care: a qualitative study.JAMA Intern Med. 2020; 180: 395-401
American Association of Nurse Practitioners. The state of the nurse practitioner profession 2018: results from the national nurse practitioner sample survey. 2020.
- Federally qualified health center clinicians and staff increasingly dissatisfied with workplace conditions.Health Aff (Millwood). 2017; 36: 1469-1475
- Nurse practitioner transition to practice: development of a residency program.J Nurse Pract. 2019; : 688-691
- Postgraduate nurse practitioner education: impact on job satisfaction.J Nurse Pract. 2016; 12: 226-234
Biography
Biography
Article info
Publication history
Footnotes
This study was supported by the Agency for Healthcare Research and Quality (R36HS027290), by the Robert Wood Johnson Foundation, the Jonas Center for Nursing and Veterans Healthcare, and the National Institutes of Health National Institute on Minority Health and Health Disparities (R01MD011514).
In compliance with national ethical standards the authors report no relationships with business or industry that would pose a conflict of interest.