“…Intrinsic aspects of the work itself such as autonomy, time spent in direct patient care, challenge, and sense of accomplishment were all listed as satisfiers (Kleinpell, 1997;Koelbel et al, 1991a;Misener & Cox, 2001;Strickland & Hanson, 1995). Conversely, extrinsic factors such as compensation, lack of prescriptive privilege, administrative constraints, lack of promotion, method of reimbursement, scope of practice limited by physician supervision regulations, and lack of involvement in research were expressed as job dissatisfiers (Beal, Stevens, & Quinn, 1997;Keith, Coburn, & Mahoney, 1998;Misener & Cox, 2001;Tri, 1991).…”