4.6 Article

Key determinates of job satisfaction for acute care nurse practitioners in Taiwan

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BMC NURSING
卷 22, 期 1, 页码 -

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BMC
DOI: 10.1186/s12912-022-01156-x

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Nurse practitioner; Empowerment; Burnout; Job satisfaction; National survey; Taiwan

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Taiwan is facing a shortage of hospital doctors in its super-aged society, and nurse practitioners (NPs) have become important healthcare providers to meet the healthcare demands. This study examined the key determinants of job satisfaction for NPs in acute care practices, finding that formal power, work-related burnout, access to information, and needed resources were critical components. The study also revealed that married NPs with higher salaries, day-shift workers, and those with lower patients-related burnout were more satisfied with their jobs. These findings provide evidence for healthcare organizations to enhance NP job satisfaction by emphasizing empowerment and addressing burnout.
Background Taiwan is a super-aged society, and the shortage of hospital doctors; nurse practitioners (NPs) became vital healthcare providers to fulfill the healthcare demands of the population. The purpose of this study was to explore the key determinates of job satisfaction for NPs in acute care practices using significant practice variables, such as empowerment and burnout.Methods Participants of this descriptive survey study were recruited from a national sample of NPs with member-ship in the Taiwan Association of Nurse Practitioners. The data were collected utilizing an online questionnaire based on demographic and practice variables, the Misener Nurse Practitioner Job Satisfaction Scale (MNPJSS), the Condition for Work Effectiveness Questionnaire II (CWEQ II), and the Copenhagen Burnout Inventory (CBI). A total of 1,211 NPs completed the online survey. A multiple regression model with the stepwise selection was used to explore job satisfaction.Results The mean overall satisfaction score indicated that the level of satisfaction was between slightly dissatisfied and slightly satisfied. Regression results indicated that formal power, work-related burnout, access to information, and needed resources were critical components of job satisfaction, and accounted for 63% of the variance. Moreover, NPs who were married, had a higher annual salary, worked only during the day shift, and had lower patients-related burnout showed better job satisfaction.Conclusions This study provides evidence for healthcare organizations to formulate policies to strengthen NP job satisfaction. Empowerment and burnout are vital factors in NPs' job satisfaction. Healthcare organizations have an obligation to implement policies to empower NPs in practice and provide interventions to mitigate burnout. Imple-menting these changes will improve job satisfaction and with it the quality of patient care.

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