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Creating Organisational Working Conditions Where Nurses Can Thrive: An International Action Research Study.

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This international research empowers nurses and leaders to co-design better work environments, improving nurse retention and well-being. The study focuses on creating supportive systems for early-career nurses to thrive in healthcare.

Keywords:
burnoutco-designco-productionearly-career nursesnursesretentionthriving at workworkforce development

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Area of Science:

  • Healthcare Management
  • Nursing Workforce Development
  • Organizational Psychology

Background:

  • High turnover of newly qualified nurses presents a significant international challenge.
  • Existing retention strategies often rely on top-down, management-driven interventions.
  • There is a critical need to improve organizational culture to support and retain nurses.

Purpose of the Study:

  • To develop and implement organizational support for newly qualified nurses through a collaborative, international research program.
  • To integrate established frameworks for improving healthcare workforce well-being and outcomes.
  • To empower nurses and leaders in co-designing interventions for positive work environments.

Main Methods:

  • A longitudinal, multi-site action research program utilizing a co-design approach based on appreciative inquiry principles.
  • Integration of the Institute for Health Improvement (IHI) Framework for Improving Joy at Work and the Thriving at Work model.
  • Annual surveys, focus groups, and co-design meetings with nurse leaders and managers over five years for each cohort.

Main Results:

  • Generation of a novel co-design management model to enhance support systems for nurse retention and thriving.
  • Understanding the effectiveness of current employer support from the perspective of newly qualified nurses.
  • Identification of specific additional support needs desired by early-career nurses.

Conclusions:

  • The research empowers nurses and leaders to collaboratively design interventions for thriving early-career nurses.
  • The program will identify effective strategies for improving work environments, benefiting nurses and healthcare systems.
  • This initiative aims to enhance the overall effectiveness and sustainability of healthcare systems through improved nurse retention.