The association between nurse practitioner race and ethnicity and intent to leave in primary care practices

IF 4.1 2区医学 Q1 NURSING Nursing Outlook Pub Date : 2024-10-10 DOI:10.1016/j.outlook.2024.102289

Amelia E. Schlak PhD, RN , Jianfang Liu PhD , Justinna Dixon BSN, RN , Lusine Poghosyan PhD, RN, FAAN , Corina Lelutiu-Weinberger PhD, MPhil, BA , Kenrick Cato PhD, RN, FAAN

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Abstract

Background

Retaining nurse practitioners (NPs) from diverse racial and ethnic groups is critical to achieving health equity as NPs disproportionately care for minoritized populations. Yet, little is known about intent to leave (ITL) among these NPs.

Purpose

To examine whether NP race and ethnicity were associated with ITL and if this relationship was affected by the work environment.

Methods

Survey data from 1,232 NPs across six states were used. NPs completed measures of their ITL, work environment quality, and demographics. Regression models were used to determine if NP race and ethnicity resulted in differential reports of ITL.

Findings

Minoritized NPs had significantly higher cumulative odds of ITL compared with White NPs.

Discussion

Minoritized NPs had higher ITL, and the work environment did not demonstrate a protective effect against ITL. Future research should identify work environment features that may help retain a diverse NP workforce.

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初级保健实践中执业护士种族和民族与离职意向之间的关联。

背景：留住来自不同种族和民族群体的执业护士（NPs）对于实现健康公平至关重要，因为 NPs 为少数民族人口提供的护理服务不成比例。目的：研究护士的种族和民族是否与离职意向有关，以及这种关系是否受工作环境的影响：方法：使用来自六个州的 1,232 名 NP 的调查数据。NP 完成了对其 ITL、工作环境质量和人口统计学的测量。使用回归模型来确定护士的种族和民族是否会导致ITL报告的差异：结果：与白人 NP 相比，少数民族 NP 的 ITL 累积几率明显更高：讨论：少数族裔 NP 的 ITL 较高，而工作环境并未显示出对 ITL 的保护作用。未来的研究应确定有助于留住多元化护士队伍的工作环境特征。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Nursing Outlook 医学-护理

CiteScore

6.20

自引率

7.00%

发文量

109

审稿时长

25 days

期刊介绍： Nursing Outlook, a bimonthly journal, provides innovative ideas for nursing leaders through peer-reviewed articles and timely reports. Each issue examines current issues and trends in nursing practice, education, and research, offering progressive solutions to the challenges facing the profession. Nursing Outlook is the official journal of the American Academy of Nursing and the Council for the Advancement of Nursing Science and supports their mission to serve the public and the nursing profession by advancing health policy and practice through the generation, synthesis, and dissemination of nursing knowledge. The journal is included in MEDLINE, CINAHL and the Journal Citation Reports published by Clarivate Analytics.