Practice Patterns, Work Environments, and Job Outcomes of Rural and Urban Primary Care Nurse Practitioners
Practice Patterns, Work Environments, and Job Outcomes of Rural and Urban Primary Care Nurse Practitioners
复制标题
DOI：
10.1177/1077558720974537
复制
发表时间：
2020-11-19
影响因子：
2.5
通讯作者：
Martsolf, Grant R.
中科院分区：
文献类型：
--
作者：
Germack, Hayley D.;Harrison, Jordan;Martsolf, Grant R.
随着执业护士（NPs）越来越多地在农村社区提供初级保健，了解他们工作的背景以及他们是否具有促进提供高质量患者护理的工作环境和基础设施的特点至关重要。本研究利用对亚利桑那州、加利福尼亚州、新泽西州、宾夕法尼亚州、德克萨斯州和华盛顿州1244名初级保健NPs的调查数据，对城市和农村NPs进行了比较。虽然农村和城市的非户籍人员在人口特征、实践模式和工作成果方面有许多相似之处，但它们也有显著的差异。农村NPs报告独立执业水平较高，促进高质量护理的结构能力较差，与医生的关系较差。农村社区的卫生保健组织可能需要投资于工作环境和基础设施，以促进高质量的护理和自主实践。
As nurse practitioners (NPs) are increasingly relied on to deliver primary care in rural communities, it is critical to understand the contexts in which they work and whether they are characterized by work environments and infrastructures that facilitate the provision of high-quality patient care. This study compares urban and rural NPs using data from a survey of 1,244 primary care NPs in Arizona, California, New Jersey, Pennsylvania, Texas, and Washington. While rural and urban NPs have a number of similarities in terms of demographic characteristics, practice patterns, and job outcomes, they also have noteworthy differences. Rural NPs report higher levels of independent practice, fewer structural capabilities that facilitate quality care, and poorer relationships with physicians. Health care organizations in rural communities may need to invest in work environments and infrastructures that facilitate high-quality care and autonomous practice for NPs.