TABLE 4.
Multivariable Mixed-Effects Regression Models Assessing the Effects of Organizational-Level Organizational Support and Resources Score on Nurse Practitioner (NP) Outcomes
| Predictor | Job satisfaction |
Intent to leave |
Quality of care |
|---|---|---|---|
| Cumulative odds ratio (95% CI) | Odds ratio (95% CI) | Regression (95% CI) | |
|
| |||
| Unadjusted effects: Simple regression models | |||
| Organizational-level OSR scorea | 2.48** (1.47, 4.20) | 0.32** (0.15, 0.68) | 0.96* (0.70, 1.22) |
| Adjusted effects: Multivariable mixed-effects regression models | |||
| Organizational-level OSR score | 2.50** (1.47, 4.25) | 0.29** (0.10, 0.80) | 0.91* (0.59, 1.23) |
| Age | 1.00 (0.97, 1.03) | 1.01 (0.95, 1.07) | 0.003 (−0.01, 0.02) |
| Non-White | 1.97 (0.73, 5.36) | 1.00 (0.20, 5.14) | −0.19 (−0.77, 0.38) |
| Non-DNP | 0.79 (0.34, 1.84) | 3.16 (0.17, 57.22) | 0.18 (−0.33, 0.69) |
| No panel | 0.56 (0.18, 1.67) | 1.21 (0.42, 3.52)b | 0.01 (−0.63, 0.65) |
| Male | 0.78 (0.46,1.32) | −0.05 (−0.36, 0.27) | |
| Practice setting (Ref: physician’s office) | |||
| Community health center | 0.69 (0.26, 1.81) | 2.96 (0.61, 14.46) | −0.60** (−1.19, −0.02) |
| Hospital-based clinic | 0.94 (0.45, 1.99) | 0.87 (0.20, 3.92) | −0.16 (−0.61, 0.29) |
| Other | 0.97 (0.47, 2.01) | 0.55 (0.09, 3.16) | 0.002 (−0.44, 0.44) |
| Length of time in current primary position (Ref: NPs who have practiced ≥10 years) | |||
| 4–9 years | 0.60 (0.31, 1.13) | 0.89 (0.22, 3.62) | −0.46** (−0.85, −0.07) |
| ≤3 years | 0.87 (0.41, 1.85) | 1.91 (0.43, 8.52) | −0.23 (−0.69, 0.24) |
| Hours/week worked over last month at primary position (Ref: NPs who worked ≥40 hours) | |||
| 20–40 hours | 0.98 (0.57, 1.68) | 1.05 (0.34, 3.26) | −0.01 (−0.34, 0.32) |
| <20 hours | 1.14 (0.40, 3.27) | 1.67 (0.20, 14.08) | −0.24 (−0.88, 0.40) |
| Number of NPs working in organization (Ref: = > 7 NPs) | |||
| 1 NP | 0.36 (0.12, 1.13) | 1.58 (0.12, 20.42) | −0.23 (−0.89, 0.44) |
| 2–6 NPs | 0.36 (0.13, 1.01) | 2.47 (0.23, 26.23) | −0.37 (−0.97, 0.23) |
Note. n = 398 NPs in 378 practices.
a
Bivariable models only include organizational-level Organizational Support and Resources subscale.
b
Not included as a covariate in this model to get stable estimates for the model.
*
p < .001.
**
p < .05.