Background/Objectives: Palliative care nurses are at risk of burnout, trauma, and poor well-being. Expressive writing interventions are shown to promote self-reflection, personal growth, and resilience. A pilot study was designed to test the feasibility and use of a self-reflexive blog writing intervention to promote the subjective well-being, resilience, and personal growth of palliative care nurses during the COVID-19 pandemic. Methods: A sample of N = 144 registered nurses working in palliative care settings were enrolled in the study. Recruitment was performed using university alumni, nursing, and palliative care organization member listservs. Self-reported surveys such as the Subjective Well-Being Inventory (SUBI), Brief Resiliency Scale (BRS), and Post-traumatic Growth Inventory (PTGI) scales were used to evaluate study outcomes. Pre- and post-surveys were obtained at baseline, 4 weeks, and 6 weeks. Upon baseline survey completion, participants were randomly assigned to control and intervention groups. Participants in the intervention group were asked to write two weekly blog entries for a period of four weeks using a blog template on Qualtrics software. Descriptive statistical measures were used to evaluate the study outcomes and content analysis to analyze descriptive survey responses and blog narratives. Results: A total of N = 57 participants completed this study. Most participants were females (93%), White (89.5%), married (93%), and full-time employees (96.5%) and underwent PC training (93%). The findings indicate significant improvement in the subjective well-being (MD = 2.43, p < 0.05) and resilience scores (MD = 0.244, p < 0.05) in the intervention group. No significant changes were found in post-traumatic growth scores post-intervention. Most participants found blog writing as a supportive tool to reflect on their personal experiences and to ventilate their emotions and feelings. Conclusions: Self-reflexive blog writing is convenient and a potentially effective method for promoting the resilience and well-being of nurses. Future studies are needed to evaluate its effectiveness in a larger sample across different practice settings.
Aim: This study examined how international Advanced Practice Nurses (APNs) understand and incorporate spiritually competent practice across diverse clinical environments, alongside Rogers’ Availability and Vulnerability Framework . Background: Spirituality plays a vital role in the delivery of holistic care by APNs, yet it remains a concept that is often difficult to define and is frequently neglected in clinical settings. Methods: As part of a larger mixed‐methods study, 13 APNs from around the world took part in semistructured interviews conducted in 2023. Participants were asked about their perceptions of spiritually competent practice and the Availability and Vulnerability Framework . Results: A qualitative descriptive concept‐driven deductive approach revealed four primary themes: f oundation of universal spiritual principles, implementation of universal spiritual principles in clinical practice, challenges in the operationalisation of spiritual care and m ental health capabilities enabling spiritual care . The concepts found in the definition of spiritually competent practice and Rogers’ Availability and Vulnerability Framework were found to be central to exploring how spirituality might be more effectively integrated into APN practice. Conclusion: Findings revealed ongoing obstacles to integrating spiritual care, underscoring the need for its explicit, deliberate implementation at the system, management and leadership levels, as well as its inclusion in APN educational curricula. Implications for Nursing Management: This study provides valuable insights for nursing management by demonstrating the impact of spiritually competent practice on patient care, provider well‐being and operational efficiency, thereby informing evidence‐based organisational standardisation and management practices. Policy makers should recognise the value of spiritual care and ensure adequate staffing, funding, support, continuing education and time to enhance integration into routine practice. Ultimately, the study highlights the importance and value added of preparing APNs with the insight and tools necessary to provide spiritual care that genuinely addresses the health of the whole person.