The association between health professional shortage area (HPSA) status, work environment, and nurse practitioner burnout and job dissatisfaction Journal Article


Authors: Schlak, A. E.; Poghosyan, L.; Liu, J.; Kueakomoldej, S.; Bilazarian, A.; Rosa, W. E.; Martsolf, G.
Article Title: The association between health professional shortage area (HPSA) status, work environment, and nurse practitioner burnout and job dissatisfaction
Abstract: Clinicians in health professional shortage areas (HPSAs) often work in practices with fewer resources and higher workloads, challenging recruitment and retention efforts. Nurse practitioners (NPs) frequently care for underserved patients in HPSAs. As a result, HPSA NPs may be susceptible to poor workforce outcomes, including burnout and job dis-satisfaction. Using multiple logistic regression, our study assessed the relationship between the work environment and the odds of burnout and job dissatisfaction, and whether HPSA status moderated the relationship between a good work environment and lower odds of these negative outcomes. Consistent with prior research, we found that better work environments significantly decreased the odds of burnout and job dissatisfaction. Working in an HPSA was not associated with NP burnout or job dissatisfaction, nor did HPSA moderate the relationship between the work environment and NP job outcomes. Thus, improving work environments holds promise for reducing negative NP workforce outcomes regardless of HPSA designation. © Meharry Medical College.
Keywords: controlled study; outcome assessment; questionnaire; health practitioner; nursing staff, hospital; cross-sectional study; cross-sectional studies; job satisfaction; work environment; burnout, professional; primary medical care; primary care; workforce; burnout; nursing staff; nurse practitioner; nurse practitioners; humans; human; article; surveys and questionnaires; health professional shortage areas; hpsa; job dissatisfaction; underserved areas
Journal Title: Journal of Health Care for the Poor and Underserved
Volume: 33
Issue: 2
ISSN: 1049-2089
Publisher: Johns Hopkins University Press  
Date Published: 2022-05-01
Start Page: 998
End Page: 1016
Language: English
DOI: 10.1353/hpu.2022.0077
PUBMED: 35574890
PROVIDER: scopus
PMCID: PMC9306412
DOI/URL:
Notes: Article -- Export Date: 1 June 2022 -- Source: Scopus
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  1. William   Rosa
    127 Rosa