To describe the current level of job satisfaction of nurse practitioners (NPs) in one Midwestern state.
This study utilized descriptive correlation design to examine factors that lead to job satisfaction and dissatisfaction among a randomized sample of licensed NPs from a Midwestern state. The sample of 147 NPs (63% return rate) completed self-administered questionnaires about various characteristics of their jobs. Descriptive statistics and correlations were used to analyze the data. The theoretical foundation for the study was Herzberg's Dual Factor Theory of Job Satisfaction.
Overall job satisfaction of NPs was minimally satisfied to satisfied. NPs were most satisfied with intrinsic factors and least satisfied with extrinsic factors of their jobs. Factors NPs were most satisfied with were sense of accomplishment, challenge in work, level of autonomy, patient mix, and ability to deliver quality care. NPs were least satisfied with time off to serve on professional committees, reward distribution, amount of involvement in research, opportunity to receive compensation for services outside normal duties, and monetary bonuses available in addition to salary. NPs with 0–1 year practice experience were the most satisfied with their jobs, but satisfaction scores fell steadily with each additional year of experience, reaching a plateau between the 8th to 11th years of practice.
Implications for practice
Improving job satisfaction for NPs is critical to recruit and retain advanced practice nurses to enhance access to quality, cost-effective care for all patient populations. Satisfied NPs can potentially reduce healthcare costs associated with employee turnover. Employers must look at extrinsic factors such as compensation and opportunities for professional growth to enhance NP job satisfaction.
Contact Diane Norris by e-mail at firstname.lastname@example.org.
Conflict of Interest Disclosure No relationship exists between any of the authors and any commercial entity or product mentioned in this article that might represent a conflict of interest. No inducements have been made by any commercial entity to submit the manuscript for publication.
Authors Barbara J. Kacel, RN, MSN, CCHN, CM, is a wound care specialist with an organization that provides physician services to the elderly in their homes is Southeast Michigan. Mary Miller, RN, MSN, CM, is currently employed as a case manager in a large suburban Midwestern hospital. Diane Norris, RN, PhD, is currently the Interim Assistant Dean of Nursing at Oakland University.
© 2005 John Wiley & Sons, Inc