# ENVOLVER+: a tool for the promotion of positive nursing practice environments

**Authors:** Olga Maria Pimenta Lopes Ribeiro, Ligia Schacht, Mariana Filipa Mendes Gonçalves, Ana da Conceição Alves Faria, Marlene Patrícia Ribeiro, João Miguel Almeida Ventura-Silva

PMC · DOI: 10.3389/fpubh.2025.1488660 · Frontiers in Public Health · 2025-02-12

## TL;DR

ENVOLVER+ is a board game designed to improve nursing work environments by involving nurses in policy discussions through interactive gameplay.

## Contribution

The novel contribution is the development and validation of an interactive board game to promote nurse participation in workplace policies.

## Key findings

- ENVOLVER+ was developed and validated through a three-phase methodological study.
- Participants provided feedback on the game's advantages and disadvantages after playing.
- The game shows potential as a tool for fostering positive nursing environments.

## Abstract

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 min. 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.

## Full-text entities

- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

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## Figures

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## References

45 references — full list in the complete paper: https://tomesphere.com/paper/PMC11861189/full.md

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Source: https://tomesphere.com/paper/PMC11861189