Organizational Determinants and Interventions for Nurses’ Organizational Well-Being: An e-Delphi Study

Abstract

Introduction. Nurses’ organizational well-being is a multidimensional construct shaped by organizational conditions, yet there is limited consensus on which organizational variables and intervention areas should be prioritized in practice.

Methods. An e-Delphi study was conducted with three panels of experts: clinical nurses, nursing managers, and occupational psychologists. In two consensus rounds, experts rated eight organizational variables from the Nursing Organizational Well-being Model and six categories of organizational interventions for perceived usefulness and applicability.  Consensus was defined using agreement thresholds (≥75% and ≥85%), Content Validity Ratio (CVR ≥0.49), and Coefficient of Variation (CV <0.5).

Results. Eighty- four experts participated in Round 1 and Forty-four in Round 2. The most stable consensus concerned professional autonomy, workload, peer support, and supervisory support (agreement >90%; CV <0.2). Organizational and work support interventions achieved the highest consensus, whereas mindfulness-based, meditation, yoga, and digital interventions did not reach stable agreement.

Discussion. The study identifies shared expert priorities for nurses’ organizational well-being, providing a consensus-informed reference for organizational decision-making and future empirical research. These priorities can inform nursing managers, organizational leadership, and policymakers in designing future interventions.