Advanced practice registered nurses' work environment perceptions in hospitals: A cross‐sectional survey

Abstract

Aim:To examine work environment differences between hospital certified nurse practitioners (CNPs) and certified registered nurse anaesthetists (CRNAs).Background: Nurse work environments impact patient and nurse outcomes. How differing advanced practice nurse (APRN) roles influence work environments is unknown. Methods: Multi-level cross-sectional survey design. APRNs (n = 490) completed the APRN Organizational Climate Questionnaire and Psychological Ownership Questionnaire. Nurse executives (N = 24) reported on Scope of Practice and Institutional Voice. Descriptive, t test, chi-square and linear and mixed-effects regression statistical analyses were employed.Results: CNPs reported better organisational climate and job ownership than CRNAs.The largest effects involved relationships with physicians, control over practice and independent practice. Among CNPs, a significant positive relationship was observed between relations with physicians and work engagement. In CRNAs, a similar positive relationship between physician relations and work engagement was only observed for those working in higher scope of practice settings, not for those working in more restrictive settings.Conclusions: Significant differences exist in the perceived work environments between CNPs and CRNAs that may be related to differences in job design and historical relations with physician colleagues. Implications for Nursing Management: Efforts to improve APRN work environmentsin hospital settings should consider differing CRNA and CNP perspectives. K E Y W O R D Sadvanced practice nurse, APRN scope of practice, nurse anaesthetist, nurse practitioner, nurse-physician relations, work environment

Relationship between psychological ownership of the nursing profession and turnover intention: A correlational survey among Taiwanese nurses

“…Schirle and Dietrich (2020) examined routes to psychological ownership among nurses. Our study also examined psychological ownership but was new in examining its consequences on nurses' turnover intention, further demonstrating its importance.…”

“…Psychological ownership is defined as a sense of possession (Schirle et al, 2019). This definition was used in subsequent studies (Schirle et al, 2019; Schirle & Dietrich, 2020), and, thus, our study also adopted it. All these studies assumed that psychological ownership is a unidimensional concept (Brown et al, 2014; Schirle et al, 2019; Schirle & Dietrich, 2020) and did not explore the possibility it could be multidimensional.…”

“…This definition was used in subsequent studies (Schirle et al, 2019; Schirle & Dietrich, 2020), and, thus, our study also adopted it. All these studies assumed that psychological ownership is a unidimensional concept (Brown et al, 2014; Schirle et al, 2019; Schirle & Dietrich, 2020) and did not explore the possibility it could be multidimensional. However, the key literature theorized that psychological ownership may comprise three dimensions, namely, self‐efficacy, self‐identity and ‘having a place’ (Pierce et al, 2003), motivating us to conceptualize psychological ownership as a multidimensional concept.…”

“…Psychological ownership has been applied in the nursing profession (Schirle & Dietrich, 2020; Sharif et al, 2021), indicating its applicability. It has various sources, such as intimate knowledge and investment of self (Brown et al, 2014).…”

“…It has various sources, such as intimate knowledge and investment of self (Brown et al, 2014). These sources are also called routes to psychological ownership (Schirle & Dietrich, 2020). These studies show that psychological ownership can be enhanced, indicating its practical value.…”