Physician leadership style predicts advanced practice provider job satisfaction

Guevara, Robert S.; Montoya, J. A.; Carmody-Bubb, Meghan; Wheeler, Carol

doi:10.1108/lhs-06-2019-0032

Cited by 13 publications

(18 citation statements)

References 25 publications

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“…The quality of the CP relationship was the strongest direct predictor in the study of PA professional fulfillment and burnout. These findings align with those of several other PA well-being studies 12,15,16. This study contributes to the body of PA well-being literature by affirming the importance of the CP relationship to the well-being of PAs within a larger sample of more heterogenous PA respondents than have been evaluated in past studies.…”

Section: Discussionsupporting

confidence: 88%

“…These findings align with those of several other PA well-being studies. 12,15,16 This study contributes to the body of PA well-being literature by affirming the importance of the CP relationship to the Copyright © 2023 American Academy of Physician Associates.…”

Section: Relationship Between Experience Level and Pa Wellbeingmentioning

confidence: 66%

“…In a study of PAs in oncology by Tetzlaff and colleagues, respondents who selected neutral, disagree , or strongly disagree to statements about feeling valued, encouraged, and recognized as having contributed to the practice by their CPs demonstrated a 7.85 times higher risk of meeting burnout criteria 15. A study conducted among PAs and NPs in Texas demonstrated that their job satisfaction and satisfaction with how they were supervised increased as their CPs employed more transformational, rather than transactional or passive-avoidant, aspects of leadership 16. These studies justify further exploration of the effect of CP relationships on PA job attitudes.…”

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confidence: 99%

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Well-being and the early-career PA

Bernard¹

2023

Jaapa

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rends in the modernization of state laws and regulations governing physician associate/assistant (PA) practice refl ect a move toward greater autonomy and less required physician supervision. 1 The movement, termed optimal team practice (OTP) and endorsed by the American Academy of Physician Associates (AAPA), aims to facilitate the removal of the legally mandated relationship between a PA and a specifi c physician from state-level PA statutes and regulations. 2 Historically, PAs have practiced in a delegated supervisory model, which allows for early-career support with everincreasing levels of autonomy as their experience levels

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Section: Discussionsupporting

confidence: 88%

Section: Relationship Between Experience Level and Pa Wellbeingmentioning

confidence: 66%

mentioning

confidence: 99%

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Well-being and the early-career PA

Bernard¹

2023

Jaapa

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“…Very low levels of satisfaction in the absence of close supervision fearing that this may hamper patient care quality and increase errors. Recent studies confirm the causality between supervision and job satisfaction (Kakada and Deshpande, 2019;Guevara et al, 2019;Singhapakdi et al, 2015).…”

Section: Discussion and Theoretical Implicationsmentioning

confidence: 84%

Work-life enablers for job satisfaction in healthcare: moderating role of organization type

Zaman

Ansari

Chaturvedi

2021

ICT

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Purpose This paper aims to examine how the quality of work-life (QWL) factors influence job satisfaction and tests if organization type moderates this relationship. Design/methodology/approach The study adopts a quantitative cross-sectional research design using survey administration among resident doctors used in the Indian health-care sector. Drawing on the person-environment fit theory, leader-member exchange theory and action learning theory, the authors discuss the results. Findings Results depicted that in addition to the direct relationship between QWL and job satisfaction, this association is moderated by organization type. Practical implications The study provides critical information for health-care managers to prioritize three QWL attributes, namely, meaningful development, supervision, working conditions to enhance job satisfaction among resident doctors. Originality/value The study contributes to the limited empirical scholarly research adding a deeper understanding of pertinent factors influencing resident doctor’s QWL-job satisfaction relationship.

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“…Overall, the perceptions of the AP students on their supervisors were positive. A recent paper reported physician leadership predicting AP job satisfaction in a US study of 320 advanced practitioners (Guevara et al, 2020 ). Physician transformational leadership was able to predict the variance of job satisfaction between 4.4 and 49.1%.…”

Section: Discussionmentioning

confidence: 99%

Advanced practice and clinical supervision: An exploration of perceived facilitators and barriers in practice

Lee

Baker

Stewart

et al. 2022

Journal of Clinical Nursing

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Aim and Objectives:The aim of this study was to investigate current advanced practice Masters students' experience of clinical supervision, to explore how clinical supervision works in practice and to identify students' perceptions of the facilitators and barriers to clinical supervision in their workplace.Background: Advanced practitioners, and in particular nurses, play a pivotal role in delivering health care across acute and primary care settings. These non-medical professionals fulfil a rapidly expanding proportion of roles traditionally undertaken by medically qualified staff within the National Health Service in the United Kingdom and often lead specialist clinics and services. To prepare for the advanced practice role, individuals are required to undertake a Master's in advanced practice to develop the required skills and knowledge and work in clinical practice with a clinical assessor/ supervisor to demonstrate competence and performance.Design: A mixed method study using an online descriptive cross-sectional survey and qualitative data were collected via focus groups and has been reported using the Good Reporting of a Mixed Methods Study checklist.Results: A total of 79 students completed the online survey (from 145 AP students), a response rate of 55%. Most respondents were nurses (n = 73) with 49 (62%) in a formal advanced practice trainee role, and the majority believed their clinical supervisor had a good understanding of advanced practice and the advanced practice role.Two focus groups were held with 16 participants in total. Thematic analysis revealed five themes: (a) perceived level and amount of support from clinical supervisors, (b) skill level of clinical supervisors, (c) physicians and their perceptions on supervising, Advanced practitioners (d) clinical supervisors' preparation for the role and (e) transition from trainee to qualified advanced practitioner. Conclusion:The survey revealed that advanced practitioner students perceived that clinical supervisors and workplace colleagues had a good understanding of the advanced practice role with good levels of support in practice. A more coherent approach is required for clinical supervision and an implementation framework that can be formally evaluated.This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

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Physician leadership style predicts advanced practice provider job satisfaction

Cited by 13 publications

References 25 publications

Well-being and the early-career PA

Well-being and the early-career PA

Work-life enablers for job satisfaction in healthcare: moderating role of organization type

Advanced practice and clinical supervision: An exploration of perceived facilitators and barriers in practice

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