• Ann Linguiti Pron.
• University of Pennsylvania School of Nursing, Philadelphia, Pennsylvania; Abington VNA, Community Services, Children's Health Center, Abington, Pennsylvania; PHMC Health Connection, Philadelphia, Pennsylvania.
• J Am Assoc Nurse Pract. 2013 Apr 1; 25 (4): 213-21.

PurposeMore primary care providers are needed to deliver health care to Americans living in poverty and those soon to be insured under the Affordable Care Act. Nurse practitioners (NPs) in nurse-managed health centers (NMHCs) are poised to meet this need. This research study examined the characteristics of NPs working in NMHCs and measured job satisfaction and perceived level of autonomy. No studies about job satisfaction or autonomy for NPs working in NMHCs had been previously reported.Data SourcesThis descriptive, quantitative study surveyed primary care NPs working in NMHCs that are part of the National Nursing Centers Consortium (NNCC). NP e-mail addresses were obtained from NNCC center directors. Of 198 NPs invited to the electronic survey, 99 completed the Misener Nurse Practitioner Job Satisfaction Scale, demographic questionnaire, questions about perceived autonomy, and whether they would recommend working in an NMHC. Participants came from 16 states and 46 NMHCs.ConclusionsNPs working in NMHCs have job satisfaction, perceive their role as autonomous, and are satisfied with the autonomy they have.Implications For PracticeNMHCs can provide access to primary health care for many Americans. More NPs may choose employment in NMHCs for job satisfaction and autonomy.©2012 The Author(s) Journal compilation ©2012 American Association of Nurse Practitioners.

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