{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T14:08:12Z","timestamp":1785247692553,"version":"3.55.0"},"reference-count":30,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2024,12,5]],"date-time":"2024-12-05T00:00:00Z","timestamp":1733356800000},"content-version":"vor","delay-in-days":339,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100010028","name":"University of Huddersfield","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100010028","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Nursing Management"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:p><jats:bold>Aim:<\/jats:bold> This study investigated the impact of the COVID\u201019 pandemic on the emotional and spiritual well\u2010being and the resilience of advanced clinical practitioners in the United Kingdom.<\/jats:p><jats:p><jats:bold>Background:<\/jats:bold> Advanced clinical practitioners are experienced healthcare professionals educated to a master\u2019s level who demonstrate expertise, professional judgment, and autonomy across four pillars of advanced practice. Normally, in nursing and the allied health professions, advanced clinical practitioners provide clinical leadership and improve clinical continuity by providing high\u2010quality care to patients through complex decision\u2010making and managing risk. The role contributes to workforce transformation enabling organizations to meet changing population, patient, and service delivery needs. Advanced clinical practitioners\u2019 well\u2010being and resilience were particularly at risk during the pandemic due to the increased workload, moral distress, redeployment into other clinical areas, and isolation. Phase 1 of this study identified that advanced clinical practitioners had worryingly low levels of well\u2010being and resilience during the first 6\u2009months of the pandemic. This paper reports Phase 2\u2019 findings 1\u2009year into the pandemic.<\/jats:p><jats:p><jats:bold>Method:<\/jats:bold> Three hundred and seventy\u2010one respondents completed an online survey comprising three validated scales assessing resilience and emotional and spiritual well\u2010being.<\/jats:p><jats:p><jats:bold>Results:<\/jats:bold> One year into the pandemic, advanced clinical practitioners reported a continued decline in their well\u2010being, with average scores on this measure being 12 percent lower compared to prepandemic levels Differences also emerged in the scores of advanced clinical practitioners practicing in primary and secondary care services.<\/jats:p><jats:p><jats:bold>Conclusion:<\/jats:bold> Our findings showed the ongoing deleterious impact of the pandemic on the well\u2010being and resilience of advanced clinical practitioners. As the attention of healthcare leaders shifts to the delivery of services post\u2010COVID\u201019, the longer\u2010term impact of the pandemic on the mental health and well\u2010being of the workforce, alongside the ongoing workforce crisis in the UK and globally, means the well\u2010being and resilience of advanced clinical practitioners need urgent addressing if these role holders are to continue to lead patient care, workforce transformation, and service innovation. Tailored interventions to support advanced clinical practitioners appear necessary to prevent significant workforce impact including absenteeism, long\u2010term stress, sickness absence, and loss to the healthcare workforce.<\/jats:p>","DOI":"10.1155\/jonm\/8892903","type":"journal-article","created":{"date-parts":[[2024,12,5]],"date-time":"2024-12-05T09:39:53Z","timestamp":1733391593000},"source":"Crossref","is-referenced-by-count":3,"title":["Advanced Clinical Practitioners\u2019 Resilience and Emotional and Spiritual Well\u2010Being During COVID\u201019"],"prefix":"10.1155","volume":"2024","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2145-6651","authenticated-orcid":false,"given":"Melanie","family":"Rogers","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0545-9684","authenticated-orcid":false,"given":"Angela","family":"Windle","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lihua","family":"Wu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vanessa","family":"Taylor","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1032-7336","authenticated-orcid":false,"given":"Chris","family":"Bale","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,12,5]]},"reference":[{"key":"e_1_2_11_1_2","volume-title":"The Impact of COVID-19 on Health and Care Workers: A Closer Look at Deaths","author":"World Health Organization","year":"2021"},{"key":"e_1_2_11_2_2","volume-title":"74th World Health Assembly Address","author":"World Health Organization","year":"2021"},{"key":"e_1_2_11_3_2","unstructured":"Office for National Statistics ONS Coronavirus (COVID-19) Related Deaths by Occupation 2021 England and Wales - 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