Table 3.
Relationship between NP Practice Environment in Community Health Centers and Workforce Outcomesa
| Model 1 n = 253 Burnout |
Model 2 n = 255 Turnover Intention |
Model 3 n = 251 Job Satisfaction |
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|---|---|---|---|---|---|---|
|
| ||||||
| Predictor | Cumulative OR (95% CI) |
p-value | Cumulative OR (95% CI) |
p-value | Cumulative OR (95% CI) |
p-value |
|
| ||||||
| Practice Environment | ||||||
| Professional Visibility | 0.954 (0.428, 2.128) | .908 | 1.094 (0.553, 2.165) | .796 | 0.883 (0.370, 2.106) | .779 |
| NP-Administration Relations | 0.592 (0.303, 1.158) | .126 | 0.301 (0.158, 0.573) | .0003* | 4.452 (2.198, 9.017) | <.0001* |
| NP-Physician Relations | 0.799 (0.405, 1.578) | .519 | 0.699 (0.387, 1.263) | .235 | 1.715 (0.821, 3.584) | .152 |
| Independent Practice and Support | 0.828 (0.315, 2.179) | .702 | 1.149 (0.496, 2.661) | .746 | 0.959 (0.338, 2.715) | .937 |
| Age | 1.003 (0.982, 1.024) | .812 | 0.985 (0.964, 1.007) | .185 | 1.008 (0.977, 1.040) | .613 |
| Race | ||||||
| Non-White | 1.127 (0.630, 2.016) | .696 | 1.563 (0.925, 2.643) | .095 | 0.785 (0.443, 1.391) | .407 |
| White (Ref) | ||||||
| Ethnicity | ||||||
| Hispanic | 0.988 (0.504, 1.935) | .971 | 1.085 (0.549, 2.144) | .814 | 0.856 (0.442, 1.655) | .644 |
| Non-Hispanic (Ref) | ||||||
| Gender | ||||||
| Female | 1.570 (0.752, 3.279) | .230 | 0.940 (0.453, 1.948) | .867 | 0.866 (0.405, 1.851) | .710 |
| Male (Ref) | ||||||
| Marital Status | ||||||
| Married | 0.743 (0.446, 1.237) | .253 | 0.967 (0.594, 1.574) | .893 | 0.951 (0.558, 1.621) | .852 |
| Not married (Ref) | ||||||
| Hours Worked** | ||||||
| 1–20 hours | 0.369 (0.170, 0.801) | .012* | ||||
| 21–40 hours (Ref) | ||||||
| > 40 hours | 1.816 (0.972, 3.392) | .061 | ||||
| Years licensed as NP** | 1.040 (0.998, 1.084) | .062 | ||||
| Availability of care coordination** | ||||||
| Yes | 0.709 (0.405, 1.243) | .230 | 1.327 (0.730, 2.411) | .354 | ||
| No (Ref) | ||||||
Note. OR = odds ratio; CI = confidence interval
= significant at p < .05
= not included in all models based on bivariate analysis results.
Results from proportional odds cumulative logit regression models with generalized estimating equation.