Table 3.
EFFECT OF THE WORK ENVIRONMENT AND HPSA ON NP BURNOUT AND JOB DISSATISFACTIONa
| Model 1: Unadjusted |
Model 2: NP Characteristics |
Model 3: Practice Characteristics |
Model 4: HPSA |
Model 5: HPSA x Work Environment |
||||||
|---|---|---|---|---|---|---|---|---|---|---|
| OR (95% CI) | p | OR (95% CI) | p | OR (95% CI) | p | OR (95% CI) | p | OR (95% CI) | p | |
| NP Burnout | ||||||||||
| Work Environment | 0.19 (0.14, 0.26) | <.001 | 0.19 (0.14, 0.27) | <.001 | 0.21 (0.15, 0.29) | <.001 | 0.21 (0.15, 0.30) | <.001 | 0.19 (0.12, 0.31) | <.001 |
| HPSA | — | — | — | 0.89 (0.63, 1.26) | .505 | 0.51 (0.06, 4.25) | .538 | |||
| HPSA x Work Environment | — | — | — | — | 1.19 (0.60, 2.36) | .609 | ||||
| NP Job Dissatisfaction | ||||||||||
| Work Environment | 0.09 (0.05, 0.15) | <.001 | 0.08 (0.04, 0.15) | <.001 | 0.09 (0.05, 0.18) | <.001 | 0.09 (0.05, 0.18) | <.001 | 0.08 (0.04, 0.19) | <.001 |
| HPSA | — | — | — | 0.77 (0.45, 1.32) | .337 | 0.40 (0.01, 14.14) | .611 | |||
| HPSA x Work Environment | — | — | — | — | 1.27 (0.36, 4.41) | .711 | ||||
Notes:
a
Odds ratios and p values generated from multivariate logistic regression. Model 1: Unadjusted relationship between work environment and NP burnout or NP job dissatisfaction. Model 2: NP Characteristics (i.e., age, sex, race, ethnicity, marital status, education, years of experience, hours/week, managed own panel). Model 3: Practice characteristics (i.e., state scope of practice, practice structural capability index score). Model 4: HPSA. Model 5: HPSA x Work Environment.
NP = nurse practitioner; SOP= Scope of Practice; SCI= Structural Capability Index; HPSA=Health Professional Shortage Area; OR = Odds Ratio; CI = Confidence Interval; p = p value