Comparison of care activities, working satisfaction, and care outcomes of nurse practitioners in medical centers, community hospitals,and local hospitals

• Main Authors: Lin,Wen-Hsia, 林雯霞
• Other Authors: Tsay, Shiow-Luan
• Format: Others
• Language: zh-TW
• Published: 2013
• Online Access: http://ndltd.ncl.edu.tw/handle/07527622600015892438

碩士 === 國立臺北護理健康大學 === 護理研究所 === 101 === Abstract The aim of the study is to investigate the differences of nurse practitioners’ practice activities, job satisfaction and self-reported care effectiveness in different types of hospitals. The study design was descriptive and structural, collecting data through the form of an e-questionnaire on the web site. The questionnaire included respondents’ demographical characters, data concerning their practice activities, EverCare Nurse Practitioner Role and Activity Scale (ENPRAS), Misener Nurse Practitinoer Job satisfaction Scale (MNPJSS) and Nurse Practitioner Care Effectiveness Scale(NPCES). 2000 nurse practitioners who had met the criteria of the study were noticed by the website of Taiwan Association of Nurse Practitiner to administer the e-questionnaire on the web. 572 nurse practitioners had completed the e-questionnaire; the respond rate was 28.6%. Collected data were analysed by SPSS version 20.0; descriptive statistics, ANOVA, multiple hierrarchical stepwise regression and non-parametric analysis were performed. The results revealed that most nurse practitioners were female (n=560, 97.9%), with at least bachelor’s degree (90%), 38 years old on average and averaged 15 years in nursing work seniorities. NPs in local hospitals worked for longer time, those in medical centers were better paid and most NPs were immediately supervised by both nursing directors and physicians (40.1%). 77% of NPs felt better than ‘acceptable’ about their satisfaction toward their work and 85% of NPs felt better than ‘acceptable’ about their satisfaction toward the cooperation with physicians. Most NPs played the role of clinically caring the patients directly. There were statistically significant (p<.05) differences in the proportion of the roles as ‘medical care coordinator’ and ‘medical team member’ played by NPs. There were statistically significant (p<.05) differences in NPs’ opinions about ‘challenge of work’, ‘professional growth’, ‘internal cooperation’ and‘welfare from work’ but ‘incentive of work’ regarding job satisfaction. NPs’ roles and activities at work, job satisfaction and care effectiveness were statistically significant (p<.05) interrelated. The results of the regressional analyses showed that the predictors of NPs’ care effectiveness in medical centers were ‘consultant’, ‘challenge of work’ and ‘incentive of work’; the predictors of NPs’ care effectiveness in regional hospitals were ‘medical team member’ and ‘challenge of work’ and the predictors of NPs’ care effectiveness in local hospitals were ‘consultant’ and ‘challenge of work’. Consequently, we suggest that the key predictor of all NPs’ care effectiveness might be ‘challenge of work’. Keyword: nurse practitioner, practice activities, job satisfaction, care effectiveness