{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T09:23:39Z","timestamp":1787822619263,"version":"build-2784847793"},"reference-count":50,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100000056","name":"National Institute of Nursing Research","doi-asserted-by":"publisher","award":["T32NR014205"],"award-info":[{"award-number":["T32NR014205"]}],"id":[{"id":"10.13039\/100000056","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["R01AG069143"],"award-info":[{"award-number":["R01AG069143"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["agsjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J American Geriatrics Society"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>As the number of Americans living with dementia increases, healthcare delivery systems face increasing pressure to provide dementia\u2010care services to improve patient and family outcomes. The primary care nurse practitioner (NP) workforce is critical to dementia care; however, many NPs practice in environments that lack organizational attributes needed to maximize their contributions. We examined the associations between the NP practice environment and key indicators of workforce sustainability\u2014burnout, job satisfaction, and intent to leave.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants and Setting<\/jats:title>\n                    <jats:p>We conducted a national cross\u2010sectional survey of NPs providing care to patients with dementia in 2021\u20132023. A total of 968 NPs across 847 practices completed the survey. On average, NPs were 47.5\u2009years old, female (84.2%), and White (83.6%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The NP practice environment was measured using four subscales of the Nurse Practitioner Primary Care Organizational Climate Questionnaire (NP\u2010PCOCQ). Multivariable regression models assessed the relationship between practice environment and NP workforce outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Overall, 92.0% of NPs were satisfied with their jobs, 35.8% experienced burnout, and 21.3% reported intent to leave their job in the coming year. Higher NP\u2010PCOCQ subscale scores were associated with better NP outcomes. For example, one standard deviation (SD) increase in Professional Visibility score was associated with 28% lower prevalence of burnout (Prevalence Ratio [PR]\u2009=\u20090.72,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001); one SD increase in the NP\u2010Administration Relations and NP\u2010Physician Relations scores was associated with 9% and 7% higher prevalence of job satisfaction (PR\u2009=\u20091.09,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001; PR\u2009=\u20091.07,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), and one SD increase in the Independent Practice and Support score was associated with 29% lower prevalence of intent to leave (PR\u2009=\u20090.71;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Enhancements to the practice environment that promote NP role visibility, independent practice, and collegial relationships could increase job satisfaction, reduce burnout, and expand primary care capacity to care for patients with dementia.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jgs.70560","type":"journal-article","created":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T06:01:11Z","timestamp":1782972071000},"page":"2317-2325","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Practice Environment and Job Outcomes Among Primary Care Nurse Practitioners Caring for Patients With Dementia"],"prefix":"10.1111","volume":"74","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0529-8171","authenticated-orcid":false,"given":"Lusine","family":"Poghosyan","sequence":"first","affiliation":[{"name":"Center for Healthcare Delivery Research and Innovation Columbia University School of Nursing  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maura","family":"Dougherty","sequence":"additional","affiliation":[{"name":"Center for Healthcare Delivery Research and Innovation Columbia University School of Nursing  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathleen","family":"Flandrick","sequence":"additional","affiliation":[{"name":"Center for Healthcare Delivery Research and Innovation Columbia University School of Nursing  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Miles","family":"DeGrazia","sequence":"additional","affiliation":[{"name":"Center for Healthcare Delivery Research and Innovation Columbia University School of Nursing  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8273-9399","authenticated-orcid":false,"given":"Josh","family":"Porat\u2010Dahlerbruch","sequence":"additional","affiliation":[{"name":"Department of Acute and Tertiary Care University of Pittsburgh School of Nursing  Pittsburgh Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Grant","family":"Martsolf","sequence":"additional","affiliation":[{"name":"Department of Acute and Tertiary Care University of Pittsburgh School of Nursing  Pittsburgh Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Soo","family":"Borson","sequence":"additional","affiliation":[{"name":"Department of Clinical Family Medicine Keck School of Medicine of USC  Los Angeles California USA"},{"name":"Department of Psychiatry and Behavioral Sciences University of Washington School of Medicine  Seattle WA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tatiana","family":"Sadak","sequence":"additional","affiliation":[{"name":"Yale School of Nursing  Orange Connecticut USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jianfang","family":"Liu","sequence":"additional","affiliation":[{"name":"Center for Healthcare Delivery Research and Innovation Columbia University School of Nursing  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,1]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/alz.70235"},{"key":"e_1_2_12_3_1","doi-asserted-by":"crossref","DOI":"10.17226\/26175","volume-title":"Reducing the Impact of Dementia in America: A Decadal Survey of the Behavioral and Social Sciences","author":"National Academies of Sciences, Engineering, and Medicine; 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