Journal
JOURNAL OF NURSING MEASUREMENT
Volume 25, Issue 1, Pages 142-155Publisher
SPRINGER PUBLISHING CO
DOI: 10.1891/1061-3749.25.1.142
Keywords
nurse practitioners; organizational climate; confirmatory factor analysis; predictive validity
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Funding
- Agency for Healthcare Research and Quality [R03 HS020999-01]
- National Heart, Lung, and Blood Institute (NHLBI) [K23 HL112850]
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Background and Purpose: Favorable organizational climate in primary care settings is necessary to expand the nurse practitioner (NP) workforce and promote their practice. Only one NP-specific tool, the Nurse Practitioner Primary Care Organizational Climate Questionnaire (NP-PCOCQ), measures NP organizational climate. We confirmed NP-PCOCQ's factor structure and established its predictive validity. Methods: A cross-sectional survey design was used to collect data from 314 NPs in Massachusetts in 2012. Confirmatory factor analysis and regression models were used. Results: The 4-factor model characterized NP-PCOCQ. The NP-PCOCQ score predicted job satisfaction (beta = .36; p < .001) and intent to leave job (odds ratio = .28; p = .011). Conclusion: NP-PCOCQ can be used by researchers to produce new evidence and by administrators to assess organizational climate in their clinics. Further testing of NP-PCOCQ is needed.
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