Job satisfaction as self-care within a restrictive regulatory environment: Nevada's study


Linda J. Dunaway, MSN, APN, NP-C, Reno Orthopaedic Clinic, 555 N. Arlington Ave, Reno NV 89503-4724.
Tel: 775-786-3040; Fax: 775-786-1358;


Purpose: Of western states, Nevada has experienced the greatest population growth and healthcare provider shortage, yet regulations remain restrictive and there are scarce published research data for nurse practitioner (NP) characteristics and none for job satisfaction. We viewed job satisfaction as reflective of professional self-care based on Herzberg's job satisfaction theory and Orem's self-care nursing theory.

Data sources: Surveys were mailed to 512 advanced practice nurses; only NPs were asked to respond.

Conclusions: The eligible NP sample was 315, or 61.5% of the total advanced nursing population. The sample was racially diverse, with a high male population. Job satisfaction was just over midway between “minimally satisfied” to “satisfied,” with the highest satisfaction in “challenge/autonomy” and the lowest in “professional growth.” Income was positively correlated with satisfaction for northern NPs earning less income and working fewer hours; bonuses were positively correlated for all. Those interested in higher education (e.g., doctorate) were younger, less experienced, part-time, professional members, and urban (south).

Implications for practice: Findings provide insight for maximizing professional self-care, particularly in areas of professional growth. Job satisfaction data assist leaders in maximizing the role for improving patient access to care, particularly in states with restrictive regulations.