Woo Brigitte Fong Yeong, Ang Wei How Darryl, Rogers Melanie, Zhou Wentao
Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
University of Pennsylvania School of Nursing, Philadelphia, Pennsylvania, USA.
Int Nurs Rev. 2025 Mar;72(1):e70015. doi: 10.1111/inr.70015.
AIM(S): To examine the overall level of resilience and spiritual and mental well-being of advanced practice nurses (APN) in Singapore and to describe the associated factors of mental well-being.
Research shows that healthcare workers' resilience and mental well-being are positively associated with spiritual well-being, which encompasses a sense of peace and meaning. Understanding APNs' spiritual and mental health, alongside resilience, may help maintain the sustainability and effectiveness of the APN workforce within the healthcare system, especially in the post-pandemic environment.
This nationwide cross-sectional online survey (May-June 2023) assessed APNs' resilience and spiritual and mental well-being. The Connor-Davidson Resilience 10 Scale, the Warwick-Edinburgh Mental Well-Being Scale, and the Functional Assessment of Chronic Illness Therapy-2-Factor Non-Illness Spiritual Well-Being Scale Version 4 were used. Sociodemographic and work-related information were collected to explore associations between participants' characteristics and their level of resilience and spiritual and mental well-being.
Eighty-two APNs and APN interns participated in the study, representing 21.4% nationwide. Participants' level of resilience, peace and meaning components of spirituality, and whether they worked in an acute care setting, were statistically significant predictors of APNs' mental well-being. APNs working in acute care hospitals had higher levels of mental well-being than other healthcare settings.
The significant roles of the Peace and Meaning subscales of spiritual well-being underscore the importance of fostering supportive work environments. Supportive work environments can foster peace and meaning by facilitating the integration of APN roles and nurturing a sense of purpose and connection within their professional practice.
Effective APN integration into the healthcare system, crucial for their mental well-being, requires addressing macro-, meso- and micro-level issues. At the macro level, clear scopes of practice and legislative support can provide stability and purpose, fostering peace of mind. Meso-level strategies, such as collaborative practice models, can cultivate a sense of connection and shared meaning within teams. Micro-level strategies, including professional development, mentorship and supportive work environment, can nurture reflective practice and personal growth, further enhancing APNs' spiritual well-being through a sense of peace and meaning. These strategies collectively strengthen APNs' professional identity, job satisfaction and mental well-being, leading to better patient outcomes and a more resilient healthcare workforce.
研究新加坡高级实践护士（APN）的复原力以及精神和心理健康的总体水平，并描述心理健康的相关因素。
研究表明，医护人员的复原力和心理健康与精神健康呈正相关，精神健康包括平和感和意义感。了解APN的精神和心理健康以及复原力，可能有助于维持医疗系统中APN劳动力的可持续性和有效性，尤其是在疫情后环境中。
这项全国性横断面在线调查（2023年5月至6月）评估了APN的复原力以及精神和心理健康。使用了康纳-戴维森复原力10量表、沃里克-爱丁堡心理健康量表以及慢性病治疗功能评估-2-因素非疾病精神健康量表第4版。收集了社会人口学和工作相关信息，以探讨参与者特征与其复原力以及精神和心理健康水平之间的关联。
82名APN和APN实习生参与了该研究，占全国的21.4%。参与者的复原力水平、精神性的平和与意义成分，以及他们是否在急症护理环境中工作，是APN心理健康的统计学显著预测因素。在急症护理医院工作的APN心理健康水平高于其他医疗环境。
精神健康的平和与意义子量表的重要作用凸显了营造支持性工作环境的重要性。支持性工作环境可以通过促进APN角色的整合以及在其专业实践中培养目标感和联系感来促进平和与意义。
将APN有效融入医疗系统对其心理健康至关重要，这需要解决宏观、中观和微观层面的问题。在宏观层面，明确的执业范围和立法支持可以提供稳定性和目标感，促进内心的平静。中观层面的策略，如协作实践模式，可以在团队中培养联系感和共同意义感。微观层面的策略，包括专业发展、指导和支持性工作环境，可以培养反思性实践和个人成长，通过平和感和意义感进一步增强APN的精神健康。这些策略共同加强APN的职业认同感、工作满意度和心理健康，带来更好的患者治疗效果以及更具复原力的医疗劳动力。
