Full practice authority and burnout among primary care nurse practitioners.

Autor: O'Connor AW; Department of Health Systems and Population Health, University of Washington, Seattle, WA. Electronic address: allyson.oconnor@outlook.com., Helfrich CD; Department of Health Systems and Population Health, University of Washington, Seattle, WA; Center for Veteran-Centered and Value-Driven Care, VA Puget Sound Health Care System, Seattle, WA., Nelson KM; Center for Veteran-Centered and Value-Driven Care, VA Puget Sound Health Care System, Seattle, WA; Department of Medicine, University of Washington, Seattle, WA., Sears JM; Department of Health Systems and Population Health, University of Washington, Seattle, WA; Department of Environmental and Occupational Health Sciences, University of Washington, Seattle, WA; Harborview Injury Prevention and Research Center, University of Washington, Seattle, WA., Jensen PK; Office of Nursing Service, Department of Veterans Affairs, Washington, DC., Engstrom C; Office of Nursing Service, Department of Veterans Affairs, Washington, DC., Wong ES; Center for Veteran-Centered and Value-Driven Care, VA Puget Sound Health Care System, Seattle, WA.
Jazyk: angličtina
Zdroj: Nursing outlook [Nurs Outlook] 2023 Nov-Dec; Vol. 71 (6), pp. 102056. Date of Electronic Publication: 2023 Oct 17.
DOI: 10.1016/j.outlook.2023.102056
Abstrakt: Background: Full practice authority (FPA) improves clinical autonomy for nurse practitioners (NPs). Autonomy may reduce burnout.
Purpose: Estimate the effect of changing from reduced or restricted practice authority to FPA on NP burnout.
Methods: In this quasi-experimental study, we compared NP burnout before (2016) and after (2018) a Veterans Health Administration (VHA) regulation authorized NP FPA. Burnout proportions were estimated for VHA facilities by aggregating responses to the VHA's All Employee Survey from 1,352 primary care NPs.
Discussion: Seventy-seven percent of facilities changed to FPA postregulation. Burnout was six points lower among NPs in facilities that changed to FPA compared to facilities that had FPA prior to the regulation; however, this association was not statistically significant.
Conclusion: NPs are increasingly working under independent practice. While changing to FPA did not reduce NP burnout, this association may vary by health care setting or when burnout is measured for individuals or teams.
Competing Interests: Declaration of Competing Interest The authors have no conflicts of interest to report.
(Published by Elsevier Inc.)
Databáze: MEDLINE
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