Nurses’ and nurse leaders’ perspectives on a health-promoting work environment: a meta-ethnographic study

Purpose The purpose of this meta-ethnography is to integrate and synthesize nurses’ and nurse leaders’ perspectives on a health-promoting work environment to enhance understanding of its essential aspects. Methods A meta-ethnographic approach developed by Noblit and Hare was conducted. Findings Line...

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Main Authors: Diako Morvati, Rita Solbakken, Jonas Vaag, Yvonne Hilli
Format: Article
Language:English
Published: Taylor & Francis Group 2025-12-01
Series:International Journal of Qualitative Studies on Health & Well-Being
Subjects:
Online Access:http://dx.doi.org/10.1080/17482631.2025.2460255
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author Diako Morvati
Rita Solbakken
Jonas Vaag
Yvonne Hilli
author_facet Diako Morvati
Rita Solbakken
Jonas Vaag
Yvonne Hilli
author_sort Diako Morvati
collection DOAJ
description Purpose The purpose of this meta-ethnography is to integrate and synthesize nurses’ and nurse leaders’ perspectives on a health-promoting work environment to enhance understanding of its essential aspects. Methods A meta-ethnographic approach developed by Noblit and Hare was conducted. Findings Line of argument synthesis led to the development of an overarching tree metaphor: “cultivating a flourishing environmental tree rooted in values, held stable by leadership, and nurtured by safe working conditions.” This metaphor illustrates that a health-promoting work environment is imbued with three interdependent aspects: 1) core values as the roots of the tree, including respect, recognition, community, and engagement 2) value-conscious leadership as the trunk of the tree, meaning a leader who is conscious of their power position and responsibilities and 3) safe working conditions as fertile soil for the tree, comprising the physical and administrative dimensions of the work environment. Conclusions Collaboration between nurses and leaders is crucial for cultivating a health-promoting work environment. However, nurse leaders, due to their influential positions, have the responsibility to facilitate this environment. Consequently, leaders need to receive adequate resources and support from their superiors to foster an environment that enhances nurses’ health and job satisfaction.
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series International Journal of Qualitative Studies on Health & Well-Being
spelling doaj-art-82b2ab5e410f4b4a8e366038057d65f02025-02-11T15:10:10ZengTaylor & Francis GroupInternational Journal of Qualitative Studies on Health & Well-Being1748-26231748-26312025-12-0120110.1080/17482631.2025.24602552460255Nurses’ and nurse leaders’ perspectives on a health-promoting work environment: a meta-ethnographic studyDiako Morvati0Rita Solbakken1Jonas Vaag2Yvonne Hilli3Nord UniversityNord UniversityUniversity of Inland NorwayNord UniversityPurpose The purpose of this meta-ethnography is to integrate and synthesize nurses’ and nurse leaders’ perspectives on a health-promoting work environment to enhance understanding of its essential aspects. Methods A meta-ethnographic approach developed by Noblit and Hare was conducted. Findings Line of argument synthesis led to the development of an overarching tree metaphor: “cultivating a flourishing environmental tree rooted in values, held stable by leadership, and nurtured by safe working conditions.” This metaphor illustrates that a health-promoting work environment is imbued with three interdependent aspects: 1) core values as the roots of the tree, including respect, recognition, community, and engagement 2) value-conscious leadership as the trunk of the tree, meaning a leader who is conscious of their power position and responsibilities and 3) safe working conditions as fertile soil for the tree, comprising the physical and administrative dimensions of the work environment. Conclusions Collaboration between nurses and leaders is crucial for cultivating a health-promoting work environment. However, nurse leaders, due to their influential positions, have the responsibility to facilitate this environment. Consequently, leaders need to receive adequate resources and support from their superiors to foster an environment that enhances nurses’ health and job satisfaction.http://dx.doi.org/10.1080/17482631.2025.2460255health-promotingcaring sciencesnursing leadership/managementnursingmeta-ethnographyhealthy work environmentoccupational health
spellingShingle Diako Morvati
Rita Solbakken
Jonas Vaag
Yvonne Hilli
Nurses’ and nurse leaders’ perspectives on a health-promoting work environment: a meta-ethnographic study
International Journal of Qualitative Studies on Health & Well-Being
health-promoting
caring sciences
nursing leadership/management
nursing
meta-ethnography
healthy work environment
occupational health
title Nurses’ and nurse leaders’ perspectives on a health-promoting work environment: a meta-ethnographic study
title_full Nurses’ and nurse leaders’ perspectives on a health-promoting work environment: a meta-ethnographic study
title_fullStr Nurses’ and nurse leaders’ perspectives on a health-promoting work environment: a meta-ethnographic study
title_full_unstemmed Nurses’ and nurse leaders’ perspectives on a health-promoting work environment: a meta-ethnographic study
title_short Nurses’ and nurse leaders’ perspectives on a health-promoting work environment: a meta-ethnographic study
title_sort nurses and nurse leaders perspectives on a health promoting work environment a meta ethnographic study
topic health-promoting
caring sciences
nursing leadership/management
nursing
meta-ethnography
healthy work environment
occupational health
url http://dx.doi.org/10.1080/17482631.2025.2460255
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