Relationships among factors affecting advanced practice registered nurses' job satisfaction and intent to leave: A systematic review

Robin M. Han, Patricia Carter, Jane Dimmitt Champion

Research output: Contribution to journalReview articlepeer-review

Abstract

Background and purpose: This systematic review explores relationships between advanced practice registered nurses' (APRN) job satisfaction and intent to leave. There exists a dearth of APRN providers compared with the ever-growing need for their services. Furthermore, the organizational costs associated with the APRN turnover are extremely high. It, therefore, behooves practice administrators to understand what factors most contribute to APRN job satisfaction and retention. Methods: A search of research databases CINAHL, PubMed, and PsycINFO, using keywords "Advanced Practice Registered Nurse," "job satisfaction," "intent to leave," "anticipated turnover," and "Nurse Practitioner" to yield articles included in this review. Conclusions: The strength of existing evidence for this topic is weak. Studies have found that extrinsic factors, such as administrative support and salary, significantly contribute to job dissatisfaction, whereas intrinsic factors, such as autonomy and finding work meaningful, most significantly contribute to job satisfaction. Additional research is needed to better understand the factors relating to APRN job satisfaction and dissatisfaction, and how those factors influence practitioners' intent to leave. Implications for practice: Efforts to improve APRN job satisfaction will have positive implications for provider retention, practices, and patients. Administrators should consider the job satisfaction factors identified herein when implementing practice improvement and retention efforts.

Original languageEnglish (US)
Pages (from-to)101-113
Number of pages13
JournalJournal of the American Association of Nurse Practitioners
Volume30
Issue number2
DOIs
StatePublished - Feb 1 2018
Externally publishedYes

Keywords

  • Advanced practice nurse
  • job satisfaction
  • nurse practitioners
  • predictors
  • work environments

ASJC Scopus subject areas

  • General Nursing

Fingerprint

Dive into the research topics of 'Relationships among factors affecting advanced practice registered nurses' job satisfaction and intent to leave: A systematic review'. Together they form a unique fingerprint.

Cite this