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Developing System-Wide Strategies to Enhance Nurse Leaders' Well-Being: Insights From a Mixed-Methods Study.

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    The Journal of Nursing Administration
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    Summary

    Nurse leaders (NL) experience significant well-being challenges, with higher at-risk scores than the general nursing population. Enhancing resilience, leadership culture, and systemic support is crucial for improving NL well-being.

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    Area of Science:

    • Healthcare leadership
    • Nursing management
    • Occupational well-being

    Background:

    • Nurse leaders (NL) manage critical hospital functions, influencing patient care, staff retention, and organizational culture.
    • Diminished well-being in NLs negatively affects their emotional health, job performance, and increases turnover risk.

    Purpose of the Study:

    • To investigate the well-being of nurse leaders.
    • To identify factors supporting or hindering nurse leader well-being.

    Main Methods:

    • A cross-sectional, mixed-methods approach was employed.
    • Utilized the Mayo Clinic Well-being Index (WBI) for quantitative data (n=115).
    • Conducted qualitative interviews to explore experiences in-depth (n=35).

    Main Results:

    • Nurse leaders exhibited significantly higher at-risk WBI scores compared to the national average for nurses (P = 0.003).
    • Key themes emerged: individual resilience, leadership qualities, systemic influences, and collective mindset alignment.
    • Gaps in these areas were identified as detrimental to nurse leader well-being.

    Conclusions:

    • Healthcare organizations must bolster resilience factors and implement trauma-informed care.
    • Fostering an authentic leadership culture is essential for supporting nurse leader wellness.
    • Addressing systemic and individual factors is critical for improving nurse leader well-being.