Differences in Turnover Intentions of Nurse Practitioners by Practice Area in the United States

Abstract

The purpose of this research is to understand the determinants of Nurse Practitioner (NP) turnover
intentions. NPs are advanced Registered Nurses. Data on 7,944 NPs were analyzed in four different
practice settings. Thirteen job dissatisfaction questions were factor analyzed to create four job
dissatisfaction variables, which were then included in a logistic regression of turnover intentions. Results showed that higher NP turnover intentions were associated with higher levels of dissatisfaction with organizational administration, professional treatment, patient workload, and pay and benefits. NP turnover can be reduced, and thereby control costs while improving care, by reducing the four sources of dissatisfaction.