Defining Priorities for Nursing Organizational Well‐Being: A Delphi Study of Organizational Variables and Interventions

AIM(S): To achieve expert consensus on key organizational variables and categories of organizational interventions considered most relevant for promoting nurses' organizational well-being. DESIGN: An e-Delphi study. METHODS: Three panels of experts were enrolled: nursing managers, clinical nurses and occupational psychologists. Eight variables from the Nursing Organizational Well-being model and six categories of intervention drawn from the literature were rated for perceived usefulness, applicability and organizational feasibility. Consensus was defined with thresholds for percentage agreement (≥ 75%; ≥ 85%), Content Validity Ratio (CVR ≥ 0.49) and Coefficient of Variation (CV < 0.5). RESULTS: Eighty-four experts took part in Round 1, and forty-four in Round 2. The organizational variables with the most stable consensus were professional autonomy, workload, support from colleagues and superiors, with agreement > 90% and CV < 0.2. Among the areas of intervention, there was high consensus on organizational support. Mindfulness, meditation, yoga and digital interventions, although supported by literature, did not achieve a stable consensus. CONCLUSION: This study identified organizational variables and areas of intervention that achieved stable expert consensus and can guide future organizational planning and empirical evaluation, rather than prescriptive recommendations, to improve nursing organizational well-being. IMPACT: What problem did the study address? There is a lack of agreement on which organizational variables and areas of intervention should be a priority to support the organizational well-being of nurses, despite the extensive and heterogeneous literature on this topic. What were the main findings? Nurses, nursing managers and occupational psychologists agreed that: Organizational and work support, as well as educational/training were the most rated areas for intervention. Experts rated professional autonomy, workload and peer and supervisory support as priority areas in influencing nurses' well-being. Already noted interventions, such as mindfulness or yoga, did not reach consensus. Where and on whom will the research have an impact? The study results, highlighting shared priorities among experts, can inform nursing managers, organizational leadership and policymakers and guide organizational decision-making processes in designing future interventions. Professional autonomy, organizational support and working conditions emerged as shared expert priorities that may inform organizational reflection on nurses' well-being and workplace sustainability. REPORTING METHOD: The study was conducted according to the Accurate Consensus Reporting Document (ACCORD) guidelines. PATIENT OR PUBLIC CONTRIBUTION: This study did not include patient or public involvement in its design, conduct or reporting.