Promoting Nursing Organizational Well-Being: The Impact of Work Environment on Nursing-Sensitive Outcomes

A special issue of Healthcare (ISSN 2227-9032). This special issue belongs to the section "Healthcare Organizations, Systems, and Providers".

Deadline for manuscript submissions: 27 August 2026 | Viewed by 956

Editor


E-Mail Website
Guest Editor
Nursing Department, Policlinico Tor Vergata, 00133 Rome, Italy
Interests: nursing organizational well-being; work environments; nurses; nursing-sensitive outcomes

Special Issue Information

Dear Colleagues,

This Special Issue aims to provide readers with opportunities to appreciate the relationship between nursing organizational well-being, work environment, and their influence on nursing-sensitive outcomes. With the increasing complexity of healthcare systems and patients' demands, the quality of the nurses' work environment has assumed significant importance in the well-being of staff as well as in patient outcomes. Nurses bear a unique responsibility to promote and develop organizational approaches that nurture resilience, safety, and quality care.

The goal of this Special Issue is to gather original qualitative, quantitative, and mixed-methods research and reviews, enriching our understanding of how supportive work environments enhance nurses' professional well-being and nursing-sensitive outcomes. We aim to highlight evidence-informed interventions, organizational models, and the influences of mediation or moderation variables, as well as interdisciplinary approaches, to promote healthy work environments and high-quality nursing care.

In this Special Issue, original research articles and reviews are welcome. Research areas may include (but are not limited to) the following:

  • Nursing-led intervention to improve organizational well-being and workplace culture;
  • The impact of staffing, skill mix, and leadership on nursing-sensitive outcomes;
  • Organization of care and strategies to govern nurse retention, intention to leave, and improve job satisfaction;
  • Measurement and evaluation of organizational well-being and its relationship with quality of care;
  • Development and validation of an instrument to evaluate nursing-organizational well-being, work environments, and nursing-sensitive outcomes;
  • Digital health, innovation, and workplace technologies supporting nurses' work environments;
  • Education, policy, and leadership approaches to strengthen organizational well-being in nursing.

We look forward to your valuable contributions to this important field.

Dr. Jacopo Fiorini
Guest Editor

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 250 words) can be sent to the Editorial Office for assessment.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-anonymized peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Healthcare is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2700 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • work environments
  • nurses
  • workplace safety
  • leadership
  • organizational well-being
  • retention
  • job satisfaction
  • nursing-sensitive outcomes
  • quality of care

Benefits of Publishing in a Special Issue

  • Ease of navigation: Grouping papers by topic helps scholars navigate broad scope journals more efficiently.
  • Greater discoverability: Special Issues support the reach and impact of scientific research. Articles in Special Issues are more discoverable and cited more frequently.
  • Expansion of research network: Special Issues facilitate connections among authors, fostering scientific collaborations.
  • External promotion: Articles in Special Issues are often promoted through the journal's social media, increasing their visibility.
  • Reprint: MDPI Books provides the opportunity to republish successful Special Issues in book format, both online and in print.

Further information on MDPI's Special Issue policies can be found here.

Published Papers (1 paper)

Order results
Result details
Select all
Export citation of selected articles as:

Research

22 pages, 473 KB  
Article
Towards Healthy Work Environments: Development and Validation of the Nursing Organizational Well-Being Questionnaire—A Theory-Based Measure
by Valerio Della Bella, Jacopo Fiorini and Alessandro Sili
Healthcare 2026, 14(10), 1350; https://doi.org/10.3390/healthcare14101350 - 14 May 2026
Viewed by 467
Abstract
Background/Objectives: Nursing organizational well-being has important implications for nurses, patients, and healthcare organizations. From a nursing-specific perspective, it arises from the balance between nursing demands and nursing resources in the work environment. However, most available instruments are not grounded in explicit nursing [...] Read more.
Background/Objectives: Nursing organizational well-being has important implications for nurses, patients, and healthcare organizations. From a nursing-specific perspective, it arises from the balance between nursing demands and nursing resources in the work environment. However, most available instruments are not grounded in explicit nursing theory and do not allow the identification of well-being profiles through person-centered approaches. This study aimed to develop and evaluate the psychometric properties of the Nursing Organizational Well-being Questionnaire (NOW_Q). Methods: Following COSMIN guidelines, a two-phase design was adopted. Phase 1 involved item generation and expert evaluation, resulting in a 28-item instrument rated on a 5-point frequency scale. Phase 2 consisted of a multicenter cross-sectional study. Construct validity was examined through exploratory and confirmatory factor analyses using cross-validation. Reliability was assessed using ordinal omega coefficients, concurrent validity through associations with a global organizational well-being item, and cluster analysis to explore practical utility. Results: Findings (n = 461 nurses; 7 hospitals) supported an eight-dimension structure: workload, emotional demands, work–family conflict, autonomy, available resources, nurse–nurse relationship, nurse–head nurse relationship, and nurse–physician relationship. The confirmatory model showed good fit (RMSEA = 0.051; CFI = 0.938; TLI = 0.927; SRMR = 0.067), and all dimensions demonstrated satisfactory internal consistency (ordinal omega = 0.75–0.87). Significant associations with global organizational well-being were observed. Three distinct profiles emerged (Nurturing, Observed-Detached, and Withstanding), reflecting different configurations of nursing demands and resources. Conclusions: The NOW_Q is a theory-based, nursing-specific instrument with satisfactory psychometric properties and practical utility for identifying organizational well-being profiles and supporting targeted interventions in clinical settings. Full article
Show Figures

Figure 1

Back to TopTop