ENVOLVER+: A Tool for the Promotion of Positive Nursing Practice Environments

Olga Ribeiro ^1,2* Ligia Schacht ³ Mariana Gonçalves ¹ Ana Faria ^4,5 Marlene Ribeiro ^4,6 João Ventura-Silva ^2,7

• ¹ Escola Superior de Enfermagem do Porto, Porto, Portugal
• ² Center for Health Technology and Services Research, Faculty of Medicine, University of Porto, Porto, Portugal
• ³ Santa Catarina State University, Florianopolis, Santa Catarina, Brazil
• ⁴ ICBAS, School of Medicine and Biomedical Sciences, Institute of Biomedical Sciences Abel Salazar, University of Porto, Porto, Porto, Portugal
• ⁵ Médio Ave Local Health Unit, Santo Tirso, Portugal
• ⁶ Centro Hospitalar do Tâmega e Sousa, Penafiel, Portugal
• ⁷ Superior School of Health North of the Portuguese Red Cross, Oliveira de Azeméis, Portugal

Patients, nurses, and the organization itself can benefit from a good work environment. One of the weaknesses most often cited by nurses was the lack of involvement and participation in setting workplace policies. Using games is a promising strategy for promoting positive caregiving environments. The purpose of this study is to describe the process by which the 'ENVOLVER+' board game has been developed and validated. We carried out a methodological study from September 2023 to May 2024 in three phases: 1) modified e-Delphi to validate the content to be included in the game; 2) development of the prototype board game; 3) application of the game in four practice contexts. The four sessions of the 'ENVOLVER+' game lasted an average of 80 minutes. Each session had twelve participants in four groups. At the end of the sessions, we asked the participants to comment on the advantages and disadvantages of the game. The 'ENVOLVER+' game can be a valuable tool in promoting a positive nursing practice environment by providing an innovative and interactive approach to ensuring nurse involvement and participation.