Reducing nurse practitioner turnover in home-based primary care:a Department of Veterans Affairs quality improvement project

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dc.contributor.advisorKeys, Yolanda
dc.contributor.authorHughes, Ashley Kate
dc.contributor.authorHughes, Ashley Kate
dc.contributor.committeeMemberPeck, Jessica L
dc.contributor.committeeMemberGarcia, Theresa J.
dc.contributor.committeeMemberPeck, Jessica L
dc.contributor.committeeMemberGarcia, Theresa
dc.contributor.committeeMemberGarcia, Theresa
dc.date.accessioned2019-02-13T16:29:56Z
dc.date.accessioned2019-02-13T16:29:56Z
dc.date.available2019-02-13T16:29:56Z
dc.date.available2019-02-13T16:29:56Z
dc.date.issued2018-08
dc.date.issued2018-082018-08
dc.description.abstractObjective: To identify factors in the Department of Veteran Affairs (VA) Home Based Primary Care (HBPC) program that may contribute to nurse practitioner (NP) retention and decrease provider gaps and access to primary care disparities for veterans. Background: For a Texas VA Medical Center, high and rapid HBPC NP turnover was identified and a program evaluation was conducted to explore factors associated with turnover. Methods: To determine factors with potential to decrease NP turnover, a program evaluation was conducted using the Anticipated Turnover Scale (ATS) and the Misener NP Job Satisfaction Scale (MNPJSS), administered to currently employed, non-supervisory NPs, who had been in HBPC for more than six months. Results: ATS responses reflected 57.1% of the participants intended to stay; however, mean responses to individual questions represented the group was equally divided on intent to leave. Of the 43 MNPJSS questions, 24 were answered as dissatisfied and 19 were answered as satisfied by the group. Conclusions: Recommendations resulting from this program evaluation may help retain NPs in HBPC, reduce organizational costs, and support optimal veteran outcomes.en_US
dc.description.collegeCollege of Nursing and Health Sciencesen_US
dc.description.departmentNursing and Health Sciencesen_US
dc.format.extent41 pagesen_US
dc.identifier.urihttps://hdl.handle.net/1969.6/87115
dc.identifier.urihttps://hdl.handle.net/1969.6/87115https://hdl.handle.net/1969.6/87115
dc.language.isoen_USen_US
dc.rightsThis material is made available for use in research, teaching, and private study, pursuant to U.S. Copyright law. The user assumes full responsibility for any use of the materials, including but not limited to, infringement of copyright and publication rights of reproduced materials. Any materials used should be fully credited with its source. All rights are reserved and retained regardless of current or future development or laws that may apply to fair use standards. Permission for publication of this material, in part or in full, must be secured with the author and/or publisher.en_US
dc.subjectHome Based Primary Careen_US
dc.subjectnurse practitioneren_US
dc.subjectretentionen_US
dc.subjectsatisfactionen_US
dc.subjectturnoveren_US
dc.subjectVeterans Affairsen_US
dc.titleReducing nurse practitioner turnover in home-based primary care:a Department of Veterans Affairs quality improvement projecten_US
dc.typeTexten_US
dc.type.genreDissertationen_US
dcterms.typeText
dcterms.typeText
thesis.degree.disciplineNursing Practice DNPen_US
thesis.degree.grantorTexas A & M University--Corpus Christien_US
thesis.degree.levelDoctoralen_US
thesis.degree.nameDoctor of Nursing Practiceen_US

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