The intention of advanced practice registered nurses to remain in positions at family planning clinics serving low-income women
Cheng, A.-L.; Kelly, P.J.; Carlson, K.; Witt, J.
Journal of Professional Nursing Official Journal of the American Association of Colleges of Nursing 30(1): 72-79
2014
ISSN/ISBN: 1532-8481 PMID: 24503318 DOI: 10.1016/j.profnurs.2012.12.013Document Number: 579195
Federally funded Title X Family Planning Clinics are critical safety nets for reproductive health services in which advanced practice nurses (APRNs) provide the majority of care. The goal of this study was to identify factors affecting APRN's intention to remain in positions at these clinics. An Internet-administered survey was completed by 406 APRNs working in Title X clinics. The survey, based on a causal model of retention adapted for APRN practice, included 10 factors. Factor significance and model selection criteria were used to determine model fit. Intention to remain in current positions was associated with greater family responsibilities and lower levels of involvement in professional associations. Less routinization, more integration, and a greater sense of distributive justice were significant causal paths to job satisfaction (a significant mediator for intention to remain). Results provide Title X administrators information that can guide them in policy development to maximize APRN retention.
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