Factors associated with resilience, spiritual and mental well-being of advanced practice nurses: Implications for role integration.

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.

BACKGROUND

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.

METHODS

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.

RESULTS

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.

CONCLUSION

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.

IMPLICATIONS FOR NURSING

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.