From Burnout to Belonging: Nurse-Designed Approaches to Workforce Well-Being in Oregon

What happens when nurses design the solutions to their own workplace stress? Across Oregon, 18 nurse-led initiatives did just that, reshaping care environments and reframing well-being from the inside out. Discover how voice, equity, and system-level design replaced quick fixes and built lasting change.
Nurse-led systemic solutions

From Burnout to Belonging: Nurse-Designed Approaches to Workforce Well-Being in Oregon

The Oregon Center for Nursing’s Nurse Well-Being Project emerged during a period of profound strain on the state’s nursing workforce. Drawing on input from more than 5,000 nurses, the project recognized that lasting improvements in well-being must come from within the profession. Rather than applying top-down solutions, the initiative funded projects designed and led by nurses themselves; anchored in real-world conditions and frontline experience.

Each funded project addressed workplace stressors through structural and cultural reforms, ranging from leadership development to trauma-informed practices to administrative process redesign. Interventions were required to demonstrate nurse engagement, sustainability, and relevance to specific workplace contexts. Together, the 18 initiatives reflected a participatory, equity-centered model of innovation.

This report highlights how organizational culture, not resilience programming, drives nurse well-being. It reframes workforce retention challenges as systemic issues requiring nurse voice and leadership at every level. For employers, funders, and policymakers, these findings signal a shift: supporting the workforce means trusting it to lead its own solutions.

What's Inside

18

Total nurse-led projects funded under the Nurse Well-Being Project

2

Funding partners supporting the initiative: SAMHSA and ODHS

2

Years of project implementation and cross-site learning statewide
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WORKFORCE INSIGHT

Oregon's Lens on the Nursing Workforce

Report Spotlight: Translating Nurse-Led Insights into System-Level Action

From Insight to Action in Oregon’s Nursing Workforce

This companion webinar to From Burnout to Belonging offers a focused overview of Oregon’s Nurse Well-Being Project at the close of its grant-funded phase. It highlights key findings from the statewide survey, explores lessons from 18 funded pilot sites, and outlines the systemic changes needed to reduce nurse stress and build a more sustainable workforce.

Related Work

PDF cover for "From Burnout to Belonging," a 2025 OCN report on nurse-led well-being initiatives in Oregon.
From Burnout to Belonging: Nurse-Designed Approaches to Workforce Well-Being in Oregon
What happens when nurses design the solutions to their own workplace stress? Across Oregon, 18 nurse-led initiatives did just that, reshaping care environments and reframing well-being from the inside out….
Cover of the 2025 Oregon Healthcare Workforce Index Report highlighting interdependent workforce dynamics
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Cover page of Oregon’s Nurse Vacancy Crisis brief, published by the Oregon Center for Nursing in 2024.
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Oregon’s nursing workforce is growing, yet critical care roles remain unfilled. Traditional shortage narratives fail to capture deeper retention challenges affecting direct care. This brief reframes the problem and outlines…

Report Spotlight: Translating Nurse-Led Insights into System-Level Action

From Insight to Action in Oregon’s Nursing Workforce

This companion webinar to From Burnout to Belonging offers a focused overview of Oregon’s Nurse Well-Being Project at the close of its grant-funded phase. It highlights key findings from the statewide survey, explores lessons from 18 funded pilot sites, and outlines the systemic changes needed to reduce nurse stress and build a more sustainable workforce.

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