biostudies-literatureUnknown7van Kraaij J<h4>Background</h4>The nursing work environment is crucial for nurses' well-being and patients' quality of care. Despite effective interventions to improve the nursing work environment, understanding the most effective types and integration mechanisms for nurses remain challenging. As nursing practices evolve amid complex care demands and staff shortages, understanding nurses' challenges, support systems, and adoption mechanisms is vital to optimize the work environment and to enhance quality of care, job satisfaction, and staff retention.<h4>Purpose</h4>To explore strategies for promoting and supporting nurse-led changes to improving their work environment.<h4>Methods</h4>The study employed a participatory action research design on three nursing wards in a Dutch academic hospital. Action International journal of nursing studies advances100265https://www.ebi.ac.uk/biostudies/studies/S-EPMC11625307biostudies-literatureNavigating uncertainties for promoting nurse-led changes in work environments: A participatory action research.PMC11625307Vermeulen HRN2Blend consortiumvan Kraaij JSpruit-Bentvelzen Lvan Lieshout Fvan Oostveen CfalseNavigating uncertainties for promoting nurse-led changes in work environments: A participatory action research.<h4>Background</h4>The nursing work environment is crucial for nurses' well-being and patients' quality of care. Despite effective interventions to improve the nursing work environment, understanding the most effective types and integration mechanisms for nurses remain challenging. As nursing practices evolve amid complex care demands and staff shortages, understanding nurses' challenges, support systems, and adoption mechanisms is vital to optimize the work environment and to enhance quality of care, job satisfaction, and staff retention.<h4>Purpose</h4>To explore strategies for promoting and supporting nurse-led changes to improving their work environment.<h4>Methods</h4>The study employed a participatory action research design on three nursing wards in a Dutch academic hospital. Action 2024-01-01T00:00:00Z2024 Dec2025-04-03T23:55:58.458Z2025-04-03T23:55:58.458ZS-EPMC116253073964918110.1016/j.ijnsa.2024.100265