Association between Work Environment and Outcomes of Primary Care Nurse Practitioners Caring for Dementia Patients - Poster

Q: What outcomes were examined for primary care nurse practitioners providing dementia care?

The study assessed burnout, job dissatisfaction, and intent to leave the job within the coming year.

Q: How was the nurse practitioner work environment measured?

Work environment was measured using the Nurse Practitioner Primary Care Organizational Climate Questionnaire and its four subscales.

Sep 29, 2026

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Nurse practitioners play a key role in primary care dementia care yet often report poor work environments with limited support and resources. A 2021 national U.S. survey of 968 primary care NPs from 847 practices assessed work environment using the Nurse Practitioner Primary Care Organizational Climate Questionnaire and measured burnout, job dissatisfaction, and intent to leave. While 92% reported job satisfaction, 35.8% reported burnout and 21.3% intended to leave. Higher NP-Administration Relations scores were linked to lower burnout, higher job satisfaction, and reduced intent to leave; stronger independent practice support also reduced burnout and increased job satisfaction.

LanguageEnglish

CategoryResearch & Report

FormatPDF

Pages1

Reading Time3 min

AccessFree to download

Background

Methods

Survey and Participants

Measures

Results

Implications

710 Innovation in Aging, 2025, Vol. 9, No. S2 University, New York, New York, United States, 2. Columbia University School of Nursing, New York, New York, United States, 3. Columbia University Irving Medical Center, New York City, New York, United States, 4. University of Pittsburgh School of Nursing, Pittsburgh, Pennsylvania, United States Nurse practitioners (NPs) play a key role in caring for patients with dementia in primary care practices and can expand the dementia workforce capacity. Yet, NPs often practice in poor work environments, lacking support and resources. We examined NP work environments and job outcomes (i.e., burnout, job dissatisfaction, and intent to leave the job in the coming year) among primary care NPs providing dementia care. We surveyed a national U.S. sample of NPs from primary care practices delivering dementia care in 2021. In total, 968 NPs from 847 practices responded. The work environment was measured using the Nurse Practitioner Primary Care Organizational Climate Questionnaire and its four subscales. While 92% of NPs reported being satisfied with their job, 35.8% reported experiencing burnout, and 21.3% reported intent to leave their current job. A one-unit increase in the NP-Administration Relations subscale score was associated with 64% decreased odds of burnout (cumulative OR = 0 .36; p = < 0.0001), a three-fold increase in the odds of job satisfaction (cumulative OR = 3.42; p = < 0.0001), and 75% lower odds of intent to leave (OR = 0.25; p = < 0.0001) . A one-unit increase in the Independent Practice and Support score was associated with 42% lower odds of burnout (cumulative OR =0.58; p=0.04) and 71% increase in the odds of having higher job satisfaction (cumulative OR = 1.71; p = 0.04) . Our findings suggest that working relationships with administrators and practice support are key for promoting NP outcomes, potentially improving dementia care quality. SESSION 7125 (POSTER) NURSING SCIENCE Abstract citation ID: igaf122.2419 ASSOCIATION BETWEEN WORK ENVIRONMENT AND OUTCOMES OF PRIMARY CARE NURSE PRACTITIONERS CARING FOR DEMENTIA PATIENTS Lusine Poghosyan1, Maura Dougherty1, Kyle Featherston2, Jianfang Liu3, and Josh Porat-Dahlerbruch4, 1. Columbia

FAQs

What outcomes were examined for primary care nurse practitioners providing dementia care?

The study assessed burnout, job dissatisfaction, and intent to leave the job within the coming year.

How was the nurse practitioner work environment measured?

Work environment was measured using the Nurse Practitioner Primary Care Organizational Climate Questionnaire and its four subscales.

Which work-environment areas were associated with better nurse practitioner outcomes?

Higher NP-Administration Relations scores were linked to lower burnout, higher job satisfaction, and lower intent to leave, while higher Independent Practice and Support was linked to lower burnout and higher job satisfaction.

Sep 29, 2026

Upload by Riley