Job satisfaction as self-care within a restrictive regulatory environment: Nevada's study.
OBJECTIVE
Of western states, Nevada has experienced the greatest population growth and healthcare provider shortage, yet regulations remain restrictive and there are scarce published research data for nurse practitioner (NP) characteristics and none for job satisfaction. We viewed job satisfaction as reflective of professional self-care based on Herzberg's job satisfaction theory and Orem's self-care nursing theory.


METHODS
Surveys were mailed to 512 advanced practice nurses; only NPs were asked to respond.


CONCLUSIONS
The eligible NP sample was 315, or 61.5% of the total advanced nursing population. The sample was racially diverse, with a high male population. Job satisfaction was just over midway between "minimally satisfied" to "satisfied," with the highest satisfaction in "challenge/autonomy" and the lowest in "professional growth." Income was positively correlated with satisfaction for northern NPs earning less income and working fewer hours; bonuses were positively correlated for all. Those interested in higher education (e.g., doctorate) were younger, less experienced, part-time, professional members, and urban (south).


CONCLUSIONS
Findings provide insight for maximizing professional self-care, particularly in areas of professional growth. Job satisfaction data assist leaders in maximizing the role for improving patient access to care, particularly in states with restrictive regulations.
Dunaway
Linda J
LJ
Orvis School of Nursing, University of Nevada, Reno, Nevada, USA. Ldunaway@unr.nevada.edu
Running
Alice
A
D000328:Adult; D000368:Aged; D005260:Female; D019538:Health Care Surveys; D006801:Humans; D007588:Job Satisfaction; D008297:Male; D008875:Middle Aged; D009505:Nevada; D009722:Nurse Practitioners / Q000706:statistics & numerical data / Q000600:supply & distribution; D017009:Professional Autonomy; D011365:Professional Practice Location; D012456:Salaries and Fringe Benefits; D012648:Self Care; D013041:Specialties, Nursing