Full Practice Authority and Burnout Among Primary Care Nurse Practitioners

Details

• Personal Author:
  Engstrom C ; Helfrich CD ; Jensen PK ; Nelson KM ; O'Connor AW ; Sears JM ; Wong ES
• Description:
  Background: Full practice authority (FPA) improves clinical autonomy for nurse practitioners (NPs). Autonomy may reduce burnout. Purpose: Estimate the effect of changing from reduced or restricted practice authority to FPA on NP burnout. Methods: In this quasi-experimental study, we compared NP burnout before (2016) and after (2018) a Veterans Health Administration (VHA) regulation authorized NP FPA. Burnout proportions were estimated for VHA facilities by aggregating responses to the VHA's All Employee Survey from 1,352 primary care NPs. Discussion: Seventy-seven percent of facilities changed to FPA postregulation. Burnout was six points lower among NPs in facilities that changed to FPA compared to facilities that had FPA prior to the regulation; however, this association was not statistically significant. Conclusion: NPs are increasingly working under independent practice. While changing to FPA did not reduce NP burnout, this association may vary by health care setting or when burnout is measured for individuals or teams. [Description provided by NIOSH]
• Subjects:
  Health Personnel Mental Health Nervous System Occupational Health Safety Stress, Psychological
• Keywords:
  Author Keywords: Burnout Burnout Health Care Workers Health Workforce Job Stress Licensure Mental Health Nurse Practitioner Nurses Nursing Professional Autonomy Workforce Development

  More +
• ISSN:
  0029-6554
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  District of Columbia ; OSHA Region 10 ; OSHA Region 3 ; Washington
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Volume:
  71
• Issue:
  6
• NIOSHTIC Number:
  nn:20069699
• Citation:
  Nurs Outlook 2023 Nov-Dec; 71(6):102056
• Contact Point Address:
  A.W. O'Connor, Department of Health Systems and Population Health, University of Washington, Seattle, WA
• Email:
  allyson.oconnor@outlook.com
• Federal Fiscal Year:
  2024
• Performing Organization:
  University of Washington
• Peer Reviewed:
  True
• Start Date:
  20050701
• Source Full Name:
  Nursing Outlook
• End Date:
  20260630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:dea765f436bfaf78b3cceb1c024cc48f92c9e823d3261cc847a1cf298ad70f32c85ebbdc56e84f4f866b0e35873a9b2f3f75fc615a38de1bcda3c30af5975a6e
• Download URL:
  https://stacks.cdc.gov/view/cdc/208074/cdc_208074_DS1.pdf
• File Type:
  [PDF - 779.10 KB ]