Supportive Clinical Practice Environments Associated With Patient-Centered Care

Abstract A lack of organizational supports in clinical settings may prevent nurse practitioners (NPs) from providing patient-centered care. Using a cross-sectional survey design, data were collected from NPs in 1,571 practices across 4 states to investigate clinical practice environments and the extent to which they are associated with NP integration of patient preferences. Three-quarters of NPs reported frequent integration of patient preferences into clinical care. Overall, 371 practices (23.6%) were classified as good practice environments; the remaining 76.3% were mixed or poor environments. NPs in good environments were significantly more likely to integrate patient preferences.