PMID- 34939725
OWN - NLM
STAT- MEDLINE
DCOM- 20220908
LR  - 20221003
IS  - 1547-5069 (Electronic)
IS  - 1527-6546 (Linking)
VI  - 54
IP  - 5
DP  - 2022 Sep
TI  - Determining factors affecting job strain for nurse practitioners in acute care 
      practice.
PG  - 623-630
LID - 10.1111/jnu.12761 [doi]
AB  - PURPOSE: To investigate nurse practitioners' (NPs) experience of job strain in 
      acute care settings, and to examine the factors that may affect job strain in 
      that context. DESIGN: Descriptive design using a national survey was employed. 
      METHODS: A total of 1396 NPs completed online surveys that recorded demographic 
      characteristics and included a Job Content Questionnaire (JCQ), a Condition for 
      Work Effectiveness Questionnaire (CWEQ), and the Dempster Practice Behavior Scale 
      (DPBS). Multiple logistic regressions were conducted to explore the factors 
      associated with job strain types. FINDINGS: NPs were classified into job strain 
      categories of passive (24.4%), active (31.4%), low (19.2%), or high (24.9%). The 
      passive job strain type was associated with overtime hours, organizational 
      empowerment, and autonomy. The active job type was associated with higher 
      organizational empowerment and autonomy. The high-strain and low-strain job types 
      were both associated with overtime hours and autonomy. CONCLUSION: Nearly 25% of 
      acute care NPs are in a high job strain type. Organizational empowerment and 
      autonomy were two major factors associated with the passive and active job strain 
      types. Overtime hours and autonomy were both associated with the high-strain and 
      low-strain job types. CLINICAL RELEVANCE: Supportive hospital/nursing leadership 
      should acknowledge the impact of NP practice as they can contribute to the 
      operational efficacy of their organization. Hospital administrators should 
      provide a supportive practice environment by empowering NPs, enhancing autonomy, 
      and addressing working conditions for NPs to decrease the odds of having a 
      passive or high-strain job type in practice.
CI  - (c) 2021 Sigma Theta Tau International.
FAU - Yang, Yi-Jane
AU  - Yang YJ
AD  - Ditmanson Medical Foundation Chia-Yi Christian Hospital, Chia-Yi, Taiwan.
FAU - Tung, Heng-Hsin
AU  - Tung HH
AD  - School of Nursing, National Yang Ming Chiao Tung University, Taipei, Taiwan.
FAU - Kau, Kevin
AU  - Kau K
AD  - Academic Writing Education Center, National Taiwan University, Taipei, Taiwan.
FAU - Shiu, Shu-Ying
AU  - Shiu SY
AD  - Department of Nursing, ChungHwa Christian Hospital, Changhua, Taiwan.
FAU - Huang, Sheng-Shiung
AU  - Huang SS
AD  - College of Nursing and Health Sciences, Da-Yeh University, Changhua, Taiwan.
FAU - Tsai, Li-Yun
AU  - Tsai LY
AD  - College of Nursing and Health Sciences, Da-Yeh University, Changhua, Taiwan.
FAU - Tsay, Shiow-Luan
AU  - Tsay SL
AUID- ORCID: 0000-0003-3419-9110
AD  - College of Nursing and Health Sciences, Da-Yeh University, Changhua, Taiwan.
LA  - eng
PT  - Journal Article
DEP - 20211223
PL  - United States
TA  - J Nurs Scholarsh
JT  - Journal of nursing scholarship : an official publication of Sigma Theta Tau 
      International Honor Society of Nursing
JID - 100911591
SB  - IM
MH  - Humans
MH  - Job Satisfaction
MH  - Leadership
MH  - *Nurse Practitioners
MH  - *Professional Autonomy
MH  - Surveys and Questionnaires
OTO - NOTNLM
OT  - autonomy
OT  - job strain
OT  - national survey
OT  - nurse practitioner
OT  - organizational empowerment
EDAT- 2021/12/24 06:00
MHDA- 2022/09/09 06:00
CRDT- 2021/12/23 08:52
PHST- 2021/12/06 00:00 [revised]
PHST- 2021/05/13 00:00 [received]
PHST- 2021/12/10 00:00 [accepted]
PHST- 2021/12/24 06:00 [pubmed]
PHST- 2022/09/09 06:00 [medline]
PHST- 2021/12/23 08:52 [entrez]
AID - 10.1111/jnu.12761 [doi]
PST - ppublish
SO  - J Nurs Scholarsh. 2022 Sep;54(5):623-630. doi: 10.1111/jnu.12761. Epub 2021 Dec 
      23.