Open AccessThe Impact of Organizational Support on Practice Outcomes in Nurse Practitioners in Taiwan
Author(s) -
Li-Hui Ho,
ShuChen Chang,
Kevin Kau,
ShuYing Shiu,
ShengShiung Huang,
YaJung Wang,
ShiowLuan Tsay
Publication year - 2021
Publication title -
the journal of nursing research/the journal of nursing research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.537
H-Index - 32
eISSN - 1948-965X
pISSN - 1682-3141
DOI - 10.1097/jnr.0000000000000425
Subject(s) - job satisfaction , nursing , context (archaeology) , scale (ratio) , psychology , perceived organizational support , test (biology) , family medicine , organizational commitment , medicine , social psychology , paleontology , physics , quantum mechanics , biology
Background Nurse practitioners (NPs) in Taiwan have practiced mainly in acute care hospitals since 2006. Although organizational support and level of support have been associated with the successful integration of NP roles and effective practice outcomes, organizational support in the context of NPs in inpatient settings is an area that has been rarely explored in the literature. Purpose The purpose of this study was to investigate the relationship between organizational support and the practice outcomes of job satisfaction, care effectiveness, and intention to leave in NPs. Methods A national survey of 512 NPs was conducted that included a demographic characteristics datasheet, the Nurse Practitioner Primary Care Organizational Climate Questionnaire, the Misener Nurse Practitioner Job Satisfaction Scale, and the Nurse Practitioner Care Effectiveness Scale. Multiple regression analysis was applied to explore the specific factors associated with job satisfaction. The statistical significance level was set at .05 with a two-tailed test. All statistical analyses were conducted using SPSS Statistics Version 22.0 software. Results More than half of the participants were found to be dissatisfied with their hospital managers (54.8%) and with each dimension of organizational support. Overall, 82.1% of the participants were satisfied with their current practice. A multiple regression analysis showed that the participants who perceived higher levels of organizational support in the workplace (β = .53, p < .001), expressed satisfaction with working with their managers (β = .25, p < .001), or perceived better care outcomes (β = .10, p < .001) reported higher job satisfaction. In addition, the participants who expressed intention to leave within 1 year (β = −.09, p < .001) and those with higher patient loads (β = −.09, p < .001) reported lower job satisfaction. Organizational support was found to explain 50% of the variance in job satisfaction. Conclusions/Implications for Practice The results of this study highlight organizational support as the most important factor affecting job satisfaction in NPs. Therefore, administrators work to promote organizational support and improve the work environment to enhance the job satisfaction, increase the clinical practice retention, and improve the care outcomes of NPs.