Abstract

Healthcare organizations are facing mounting pressures, including workforce shortages, increasing patient acuity, and growing operational demands. These pressures have made “work–life balance” an often unattainable goal. This session reframes the conversation, shifting the focus from chasing balance to intentionally creating harmony by design. Drawing on the book Harmony by Design and the principles of Diagnostic Design Thinking, the authors co-created a practical, human-centered leadership approach to strengthen workplace culture. This approach helps leaders diagnose root causes of cultural and operational challenges, co-design meaningful solutions with frontline teams, and align leadership intent with everyday practice.

Rather than relying on top-down strategies, harmony by design leverages collaborative structures that promote psychological safety, team engagement, and shared accountability. The session will guide participants through key concepts, structured methods, and actionable strategies to create thriving workplaces where staff feel valued and patient care is elevated. Participants will gain tools to move beyond abstract culture goals toward practical, measurable, and sustainable transformation that supports workforce well-being and patient outcomes.

Notes

Presenter notes available in attached slide deck.

References:

Hatchett, R. (2023). Using collective leadership to support nurses and enhance patient outcomes. Nursing Standard. https://doi.org/10.7748/ns.2023.e12144
Hult, M., Terkamo-Moisio, A., Kaakinen, P., Kinnunen, M., Kvist, T., & Heponiemi, T. (2023). Relationships between nursing leadership and organizational, staff, and patient outcomes: A systematic review of reviews. Nursing Open, 10(9), 5920–5936. https://doi.org/10.1002/nop2.1931

Lindsay, S. L., & Mathieson, K. M. (2022). Authentic leadership: Does it relate to job satisfaction and engagement among nurses? Nursing Management, 53(6), 24–30. https://doi.org/10.1097/01.NUMA.0000833068.41846.8e

Weinstein, S. M., Vannucci, M. J., & Boston-Leary, K. (2025). Harmony by design: Navigating work and life in healthcare. Sigma Theta Tau International.

Description

Healthcare leaders are reimagining how to build thriving workplaces. This session introduces Harmony by Design and Diagnostic Design Thinking as tools to move beyond work–life balance and create cultures where people and care flourish. Participants will explore co-created solutions, stronger engagement, and leadership alignment. Discover how harmony can be a powerful catalyst for culture, connection, and better patient outcomes.

Author Details

Sharon M. Weinstein, MS, RN, CRNI-R, CSP, FAAN; Marla Vannucci, PhD; Katie Boston-Leary, PhD, MBA, RN, NEA-BC, FAONL; Dina Readinger, MBA

Sigma Membership

Pi at-Large

Type

Presentation

Format Type

Text-based Document

Study Design/Type

Other

Research Approach

Other

Keywords:

Workforce, Stress/Coping, Work Environment, Psychological Stress, Stress Management, Coping, Work-Life Balance, Well-Being, Harmony

Conference Name

Creating Healthy Work Environments

Conference Host

Sigma Theta Tau International

Conference Location

Washington, DC, USA

Conference Year

2026

Rights Holder

All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record. All permission requests should be directed accordingly and not to the Sigma Repository. All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

Abstract Review Only: Reviewed by Event Host

Acquisition

Proxy-submission

Date of Issue

2026-04-28

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Thriving Together: Harmony as a Catalyst for Culture and Care

Washington, DC, USA

Healthcare organizations are facing mounting pressures, including workforce shortages, increasing patient acuity, and growing operational demands. These pressures have made “work–life balance” an often unattainable goal. This session reframes the conversation, shifting the focus from chasing balance to intentionally creating harmony by design. Drawing on the book Harmony by Design and the principles of Diagnostic Design Thinking, the authors co-created a practical, human-centered leadership approach to strengthen workplace culture. This approach helps leaders diagnose root causes of cultural and operational challenges, co-design meaningful solutions with frontline teams, and align leadership intent with everyday practice.

Rather than relying on top-down strategies, harmony by design leverages collaborative structures that promote psychological safety, team engagement, and shared accountability. The session will guide participants through key concepts, structured methods, and actionable strategies to create thriving workplaces where staff feel valued and patient care is elevated. Participants will gain tools to move beyond abstract culture goals toward practical, measurable, and sustainable transformation that supports workforce well-being and patient outcomes.