title: The intention of advanced practice registered nurses to remain in positions at family planning clinics serving low-income women.
abstract: Federally funded Title X Family Planning Clinics are critical safety nets for reproductive health services in which advanced practice nurses (APRNs) provide the majority of care. The goal of this study was to identify factors affecting APRN's intention to remain in positions at these clinics. An Internet-administered survey was completed by 406 APRNs working in Title X clinics. The survey, based on a causal model of retention adapted for APRN practice, included 10 factors. Factor significance and model selection criteria were used to determine model fit. Intention to remain in current positions was associated with greater family responsibilities and lower levels of involvement in professional associations. Less routinization, more integration, and a greater sense of distributive justice were significant causal paths to job satisfaction (a significant mediator for intention to remain). Results provide Title X administrators information that can guide them in policy development to maximize APRN retention.
authors: Associate Professor, University of Missouri-Kansas City, School of Nursing, Kansas City, MO.
authors: An-Lin
authors: AL
authors: Cheng
authors: Professor, University of Missouri-Kansas City, School of Nursing, Kansas City, MO. Electronic address: kellypj@umkc.edu.
authors: Patricia J
authors: PJ
authors: Kelly
authors: Research Associate, University of Missouri-Kansas City, School of Nursing, Kansas City, MO.
authors: Kimberly
authors: K
authors: Carlson
authors: Associate Clinical Professor, University of Missouri-Kansas City, School of Nursing, Kansas City, MO.
authors: Jacki
authors: J
authors: Witt
mesh_terms: D000328:Adult; D057179:Advanced Practice Nursing; D000554:Ambulatory Care Facilities / Q000458:organization & administration*; D003430:Cross-Sectional Studies; D005193:Family Planning Services; D005260:Female; D006801:Humans; D008875:Middle Aged; D011203:Poverty
keywords: APRNs; Family planning clinics; Federally funded clinics; Workforce