{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T05:17:52Z","timestamp":1788239872035,"version":"build-2803163510"},"reference-count":42,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T00:00:00Z","timestamp":1788134400000},"content-version":"vor","delay-in-days":242,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100000272","name":"National Institute for Health Research","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000272","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Nursing Management"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Poor nurse well\u2010being is a significant concern, adversely affecting patient care quality and satisfaction and contributing to poor job satisfaction, increased sickness absence and workforce retention issues. There are calls for evidence\u2010based policies and interventions to address poor nurse well\u2010being, but no consensus exists on which outcomes should be captured to assess nurse well\u2010being. We used a salutogenic and consensus approach to develop a Core Outcome Set (COS) for nurse well\u2010being.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A Delphi methodology was employed. Participants were recruited from two stakeholder groups: (1) nurse well\u2010being professionals, identified through relevant publications, conference\/meeting attendance lists and peer recommendations, and (2) registered nurses working in the UK National Health Service (NHS), recruited via social media, professional nursing bodies and practitioner networks. The stakeholder panel completed two rounds of an online Delphi survey, rating 43 previously identified well\u2010being outcomes on a nine\u2010point Likert scale, from \u2018not important\u2019 to \u2018critical.\u2019 Consensus was defined as \u2265\u200975% of stakeholders agreeing a well\u2010being outcome was critical for inclusion in the COS.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Fifty\u2010four stakeholders completed the first Delphi round, and 45 participated in both rounds. Thirteen well\u2010being outcomes met the\n                      <jats:italic>a priori<\/jats:italic>\n                      threshold for inclusion in the COS: general well\u2010being, health, sleep, positive relationships, personal safety, psychological need satisfaction, psychological safety, job satisfaction, morale, life\u2013work balance, compassion satisfaction, satisfaction with patient care and good nursing practice. The final COS was agreed by the stakeholder panel, without amendments.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This study establishes a COS defining the nurse well\u2010being outcomes that should be captured when assessing nurse well\u2010being. Appropriate existing measurement instruments can be selected to capture these outcomes; future research is needed to identify and evaluate the most appropriate instruments and assess the feasibility of routinely capturing all 13 outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications for Nursing Management<\/jats:title>\n                    <jats:p>The COS provides nurse managers and workforce leaders with an agreed set of outcomes to support consistent nurse well\u2010being measurement, benchmarking and workforce monitoring. Its use can support evaluation of well\u2010being interventions, evidence\u2010informed decision\u2010making and the development of strategies and workplaces that enable nurses to thrive.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1155\/jonm\/3582485","type":"journal-article","created":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T04:40:32Z","timestamp":1788237632000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["A Delphi Study to Develop a Core Outcome Set for Capturing and Measuring Nurse Well\u2010Being"],"prefix":"10.1155","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7552-8000","authenticated-orcid":false,"given":"Naomi","family":"Klepacz","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3343-0907","authenticated-orcid":false,"given":"David S.","family":"Baldwin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2454-5948","authenticated-orcid":false,"given":"Gemma","family":"Simons","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,31]]},"reference":[{"key":"e_1_2_14_1_2","volume-title":"The Risks to Care Quality and Staff Wellbeing of an NHS System Under Pressure","author":"Sizmur S.","year":"2018"},{"key":"e_1_2_14_2_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2017-019189"},{"key":"e_1_2_14_3_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1748-3743.2012.00326.x"},{"key":"e_1_2_14_4_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0159015"},{"key":"e_1_2_14_5_2","volume-title":"NHS Health and Well-Being Review: Interim Report and Final Report","author":"Boorman S.","year":"2009"},{"key":"e_1_2_14_6_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjqs-2023-016468"},{"key":"e_1_2_14_7_2","volume-title":"The Mental Health and Wellbeing of Nurses and Midwives in the United Kingdom","author":"Kinman G.","year":"2020"},{"key":"e_1_2_14_8_2","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph16112011"},{"key":"e_1_2_14_9_2","doi-asserted-by":"publisher","DOI":"10.1002\/nop2.936"},{"key":"e_1_2_14_10_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2020.36469"},{"key":"e_1_2_14_11_2","doi-asserted-by":"publisher","DOI":"10.7748\/en.2019.e1957"},{"key":"e_1_2_14_12_2","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph19031154"},{"key":"e_1_2_14_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2026.105396"},{"key":"e_1_2_14_14_2","volume-title":"NHS Workforce Statistics","author":"NHS Digital","year":"2023"},{"key":"e_1_2_14_15_2","doi-asserted-by":"publisher","DOI":"10.1111\/jpm.12004"},{"key":"e_1_2_14_16_2","volume-title":"NMC Register Leavers Survey","author":"Nursing and Midwifery Council","year":"2023"},{"key":"e_1_2_14_17_2","volume-title":"NHS Staff Survey Interactive Dashboard (Results of 2023 Survey)","author":"NHS England","year":"2024"},{"key":"e_1_2_14_18_2","volume-title":"Exploring the Relationship Between Patients\u2019 Experiences of Care and the Influence of Staff Motivation, Affect and Wellbeing","author":"Maben J.","year":"2012"},{"key":"e_1_2_14_19_2","volume-title":"Nursing Workforce Standards","author":"Royal College of Nursing","year":"2021"},{"key":"e_1_2_14_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.outlook.2022.03.014"},{"key":"e_1_2_14_21_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2024.104825"},{"key":"e_1_2_14_22_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2025.105054"},{"key":"e_1_2_14_23_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnsa.2024.100177"},{"key":"e_1_2_14_24_2","doi-asserted-by":"publisher","DOI":"10.2196\/41446"},{"key":"e_1_2_14_25_2","volume-title":"The Courage of Compassion: Supporting Nurses and Midwives to Deliver High-Quality Care","author":"West M.","year":"2020"},{"key":"e_1_2_14_26_2","volume-title":"Core Outcome Measures in Effectiveness Trials (COMET Initiative) Database","author":"Initiative C. 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