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Maximizing Nurse Practitioners' Contributions to Primary Care Through Organizational Changes

Poghosyan, Lusine PhD, MPH, RN, FAAN; Aiken, Linda H. PhD, RN, FAAN

Journal of Ambulatory Care Management: April/June 2015 - Volume 38 - Issue 2 - p 109–117
doi: 10.1097/JAC.0000000000000054
Original Articles

The nurse practitioner (NP) workforce represents a considerable supply of primary care providers able to contribute to meeting a growing demand for care. However, organizational barriers hinder their optimal use. This article presents reports from 592 NPs on their roles, organizational support available to them, relationships between NPs and administration, their job satisfaction, and intentions of leaving their jobs. Nurse practitioners reported deficits in organizational context of care, problematic deployment of resources, and unfavorable working relationships with administrators. Addressing these challenges and creating work environments conducive to NP practice are necessary to fully exploit the capacity of the NP workforce.

Columbia University School of Nursing, New York (Dr Poghosyan); and Center for Health Outcomes and Policy Research, School of Nursing, University of Pennsylvania, Philadelphia, Pennsylvania (Dr Aiken).

Correspondence: Lusine Poghosyan, PhD, MPH, RN, FAAN, Columbia University School of Nursing, 617 W 168th Street, GB 219, New York, NY 10032 (

The study was funded by the Agency for Healthcare Research and Quality, Robert Wood Johnson Foundation and internal funding was received from the Columbia University School of Nursing. We thank The Nurse Practitioner Association New York and Massachusetts Health Quality Partners for assisting with the data collection.

The authors report no conflict of interest.

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