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Primary healthcare nurses thrive when they experience empowering leadership and organizational support, which reduces burnout and turnover. Managers should focus on these factors and improve areas like communication and work-life balance.

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Area of Science:

  • Nursing
  • Organizational Psychology
  • Healthcare Management

Background:

  • Existing research often emphasizes nurse resilience over thriving.
  • Enabling nurses to thrive enhances well-being and organizational performance.

Purpose of the Study:

  • To develop evidence-based recommendations for managers to support primary healthcare nurses in thriving at work.
  • To identify key factors influencing thriving and provide actionable strategies for improvement.

Main Methods:

  • A mixed-methods sequential explanatory design was employed.
  • National e-survey data from 213 primary healthcare nurses informed structural equation modeling.
  • Thematic analysis of a second e-survey with 19 nurses provided qualitative insights for recommendations.

Main Results:

  • The vitality component of thriving significantly reduced burnout and intention to leave.
  • Empowering leadership and perceived organizational support were key factors supporting thriving.
  • Recommendations cover communication, management, professional development, scope of practice, autonomy, orientation, reward, and work-life balance.

Conclusions:

  • Vitality is crucial for reducing burnout and turnover intentions in nurses.
  • Empowering leadership and organizational support are critical for nurse thriving.
  • Managers should focus on improving specific workplace factors to foster thriving.