{"title":"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。","authors":"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","doi":"10.1016/j.outlook.2024.102289","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><div>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.</div></div><div><h3>Purpose</h3><div>To examine whether NP race and ethnicity were associated with ITL and if this relationship was affected by the work environment.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Findings</h3><div>Minoritized NPs had significantly higher cumulative odds of ITL compared with White NPs.</div></div><div><h3>Discussion</h3><div>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.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"72 6","pages":"Article 102289"},"PeriodicalIF":4.1000,"publicationDate":"2024-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"The association between nurse practitioner race and ethnicity and intent to leave in primary care practices\",\"authors\":\"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\",\"doi\":\"10.1016/j.outlook.2024.102289\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background</h3><div>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.</div></div><div><h3>Purpose</h3><div>To examine whether NP race and ethnicity were associated with ITL and if this relationship was affected by the work environment.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Findings</h3><div>Minoritized NPs had significantly higher cumulative odds of ITL compared with White NPs.</div></div><div><h3>Discussion</h3><div>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.</div></div>\",\"PeriodicalId\":54705,\"journal\":{\"name\":\"Nursing Outlook\",\"volume\":\"72 6\",\"pages\":\"Article 102289\"},\"PeriodicalIF\":4.1000,\"publicationDate\":\"2024-10-10\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Nursing Outlook\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S0029655424001829\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"NURSING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Nursing Outlook","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0029655424001829","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"NURSING","Score":null,"Total":0}
The association between nurse practitioner race and ethnicity and intent to leave in primary care practices
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.
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.