Exploring the Relationship of Well-Being and Resilience on Sense of Personal Accomplishment Among Nurse Practitioners: A Cross-Sectional Correlational Study.

Abstract

Background: Nurse practitioners (NPs) play a pivotal role in controlling rising health care expenses and addressing patient preferences and emerging health disparities. However, their work may lead to work-related stress, low well-being, low resilience, and a decreased sense of personal accomplishment.

Purpose: The aim of this study was to examine the relationships between well-being and resilience, respectively, with sense of personal accomplishment in the context of NPs.

Methods: A cross-sectional correlational study was conducted on NPs in a medical center in southern Taiwan. The three instruments used to collect study data included the Well-being Index for well-being, the Connor-Davidson Resilience Scale (CD-RISC-25) for resilience, and the Maslach Burnout Inventory-Human Services Survey-Chinese version for personal accomplishment.

Results: Good well-being, moderate resilience, and a high level of personal accomplishment were found in the 126 NP participants. Those who were married had a higher mean level of personal accomplishment, explaining 6.2% of the total variance. Well-being and two dimensions of resilience (1) personal competence and high standards and (2) positive acceptance of change and secure relationships were also identified as significant predictors of personal accomplishment, explaining 48.5% of the total variance.

Conclusions/implications for practice: Sense of personal accomplishment is significantly impacted by well-being and several aspects (i.e., personal competence, high standards, and acceptance of change) of resilience. Health care managers should develop and implement strategies focused on reinforcing resilience and well-being to strengthen the sense of personal accomplishment in NPs.