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. 2025 Aug 13:9:100406.
doi: 10.1016/j.ijnsa.2025.100406. eCollection 2025 Dec.

Job preference of nurse practitioners: A simulation approach

Yin Li  1 , John Howell  2 , Jeannie P Cimiotti  1
Affiliations

Job preference of nurse practitioners: A simulation approach

Yin Li et al. Int J Nurs Stud Adv. .

Abstract

Purpose: Understanding the job preferences of nurse practitioners is crucial for developing policies that attract and retain them in the healthcare workforce, ensuring better healthcare delivery. The aim of this study was to analyze and simulate the job preferences of nurse practitioners, focusing on the impact of various job attributes such as independent practice, practice environment, and salary on their decision-making.

Methods: The study used a simulation approach based on a discrete choice experiment survey to predict the job choices of nurse practitioners under different scenarios. The study was conducted in the state of Georgia, USA. 372 survey respondents who were licensed and employed nurse practitioners were included. The likelihood of nurse practitioners choosing a job based on changes in job attributes was analyzed using a hierarchical Bayesian Multinomial Logit model.

Results: Nurse practitioners highly value an excellent practice environment and independent practice. A very cohesive interprofessional team and responsive administration significantly influenced job choices. Nurse practitioners might be willing to accept a 10 % salary decrease or a longer commute time for a job with an excellent practice environment. Conversely, they required independent practice for a 10 % salary increase to be attractive. Additionally, the preference for independent practice outweighed the importance of higher salaries and shorter commute time.

Conclusion: The study highlights the importance of an excellent practice environment and independent practice in the job preference of nurse practitioners. Healthcare organizations should focus on creating supportive, collaborative work environments and enabling greater autonomy for nurse practitioners. Policymakers should consider revising regulations to expand nurse practitioners' scope of practice.

Keywords: Discrete choice experiment; Independent practice; Job choice; Nurse practitioners; Practice environment; Simulation.

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Conflict of interest statement

None.

Figures

Fig 1
Fig. 1
The Percentage of Participants in Job A Who Would Choose Job B Given the Changes in One Job Attribute.
Fig 2
Fig. 2
The Percentage of Participants in Job A Who Would Choose Job B Given the Changes in Multiple Job Attributes.
See this image and copyright information in PMC

References

    1. Abraham C.M., Zheng K., Norful A.A., Ghaffari A., Liu J., Poghosyan L. Wiley Online Library; 2021. Primary Care Nurse Practitioner Burnout and Perceptions of Quality of Care; pp. 550–559.
    1. Berman L., Nkhoma L., Prust M., et al. Analysis of policy interventions to attract and retain nurse midwives in rural areas of Malawi: a discrete choice experiment. PLoS One. 2021;16(6) doi: 10.1371/journal.pone.0253518. - DOI
    1. Blaauw D., Erasmus E., Pagaiya N., et al. Policy interventions that attract nurses to rural areas: a multicountry discrete choice experiment. Bull. World Health Organ. 2010;88(5):350–356. doi: 10.2471/blt.09.072918. May. - DOI - PMC - PubMed
    1. Cimiotti J.P., Li Y., Sloane D.M., Barnes H., Brom H.M., Aiken LH. Regulation of the nurse practitioner workforce: implications for care across settings. J. Nurs. Regul. 2019;10(2):31–37. - PMC - PubMed
    1. Doiron D., Hall J., Kenny P., Street DJ. Job preferences of students and new graduates in nursing. Appl. Econ. 2014;46(9):924–939. doi: 10.1080/00036846.2013.861584. MAR 24. - DOI

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