Morvati Diako, Solbakken Rita, Vaag Jonas, Hilli Yvonne
Faculty of Nursing and Health Science, Nord University, Bodø, Norway.
Department of Psychology, Inland School of Business and Social Sciences, University of Inland Norway, Lillehammer, Norway.
Int J Qual Stud Health Well-being. 2025 Dec;20(1):2460255. doi: 10.1080/17482631.2025.2460255. Epub 2025 Jan 31.
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.
A meta-ethnographic approach developed by Noblit and Hare was conducted.
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.
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.
本元民族志的目的是整合并综合护士及护理领导者对促进健康的工作环境的看法，以增进对其重要方面的理解。
采用诺布利特和黑尔开发的元民族志方法。
论证线索综合得出了一个总体的树隐喻：“培育一棵繁茂的环境之树，其根植于价值观，由领导力稳固支撑，并由安全的工作条件滋养。” 这个隐喻表明，促进健康的工作环境包含三个相互依存的方面：1）核心价值观作为树的根基，包括尊重、认可、社群和参与；2）具有价值意识的领导力作为树的树干，意味着领导者意识到自己的权力地位和责任；3）安全的工作条件作为树的肥沃土壤，包括工作环境的物理和管理层面。
护士与领导者之间的合作对于营造促进健康的工作环境至关重要。然而，护理领导者因其具有影响力的职位，有责任促成这样的环境。因此，领导者需要从上级获得充足的资源和支持，以培育一个能增进护士健康和工作满意度的环境。
