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Huerta-González S, Caro-Alonso PÁ, Rodríguez-Martín B, Castillo-Sarmiento CA, Pedrera-Zamorano JD, Chimpén-López C, Rico-Martín S, López-Espuela F. Nurses' perceptions of the performance of nurse managers and senior hospital management during the COVID-19 pandemic. BMC Nurs 2024; 23:455. [PMID: 38961487 PMCID: PMC11221198 DOI: 10.1186/s12912-024-02123-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/07/2024] [Accepted: 06/24/2024] [Indexed: 07/05/2024] Open
Abstract
BACKGROUND The first waves of the COVID-19 pandemic had a negative impact on health systems and health professionals, due to the high number of cases and a lack of preparation. The aim of this study was to understand how nurses working in hospital units and in intensive care perceived the performance of nurse managers and senior hospital management during the first two waves of the pandemic. METHODS The phenomenological approach proposed by Giorgi was used to investigate perceptions of the performance of nurse managers and senior hospital management during the first two waves of the COVID-19 pandemic in Spain. Fourteen clinical nurses who worked on the front line in inpatient units or intensive care units of the Health Services of Extremadura and Madrid in the first (March-April 2020) and second (October-November 2020) waves of the COVID-19 pandemic participated in this study. The data was collected through semi-structured interviews, following a script of themes, in a theoretical sample of nurses who were worked during the pandemic. RESULTS Two main themes emerged from the analysis of the data: (1) perceptions about the performance of nurse managers and senior hospital managers during the first and second waves of the pandemic (health system failure; belief that senior hospital management professionals could have managed the pandemic better; recognizing the efforts of middle management (nursing supervisors); insufficient institutional support) and (2) strategies employed by nurses to compensate for the weaknesses in pandemic management. CONCLUSIONS The clinical nurses perceived that the nurse managers demonstrated better management of the pandemic than the hospital's senior management, which they attribute to their proximity, empathy, accessibility, and ability to mediate between them and the senior management. The nurses also believe that the senior management of the hospitals was to blame for organisational failures and the poor management of the pandemic.
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Affiliation(s)
| | - Pedro Ángel Caro-Alonso
- Health Service of Castilla-La Mancha, La Algodonera Health Center, Talavera de la Reina, Toledo, Spain
| | - Beatriz Rodríguez-Martín
- Department of Nursing, Physiotherapy and Occupational Therapy, Faculty of Health Sciences, University of Castilla-La Mancha. Talavera de la Reina, Toledo, Spain.
| | - Carlos A Castillo-Sarmiento
- Department of Nursing, Physiotherapy and Occupational Therapy, School of Physiotherapy and Nursing, University of Castilla-La Mancha, Toledo, Spain
| | - Juan Diego Pedrera-Zamorano
- Department of Nursing, Faculty of Nursing and Occupational Therapy, University of Extremadura, Cáceres, Extremadura, Spain
| | - Carlos Chimpén-López
- Department of Nursing, Faculty of Nursing and Occupational Therapy, University of Extremadura, Cáceres, Extremadura, Spain
| | - Sergio Rico-Martín
- Department of Nursing, Faculty of Nursing and Occupational Therapy, University of Extremadura, Cáceres, Extremadura, Spain
| | - Fidel López-Espuela
- Department of Nursing, Faculty of Nursing and Occupational Therapy, University of Extremadura, Cáceres, Extremadura, Spain
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Filomeno L, Feller EA, Raimondi F, Di Mario S. Nurse managers coping strategies for crisis management: qualitative systematic review. ENFERMERIA CLINICA (ENGLISH EDITION) 2024; 34:214-223. [PMID: 38642838 DOI: 10.1016/j.enfcle.2024.04.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/21/2023] [Revised: 01/08/2024] [Accepted: 01/28/2024] [Indexed: 04/22/2024]
Abstract
Stressor-related disorders are a growing issue for both the individual and the organizations. The aim of the study was to analyze the strategies used by nurse managers to face crises. A systematic review of the literature, including qualitative studies was performed. Data were analyzed using framework-based synthesis and summarized into domains. Quality was evaluated using the JBI QARI Checklist. 10 studies met the inclusion criteria. Data collection was based on interviews, followed by questionnaires and focus groups. Good communication, organizational commitment and emotional support were the principal domains. Institutions should support nurse managers to cope with stress and make suggestions for adaptations.
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Affiliation(s)
- Lucia Filomeno
- Department of Biomedicine and Prevention, Tor Vergata University of Rome, Rome, Italy
| | - Eartha Agatha Feller
- Department of Public Health and Infectious Diseases, Sapienza University of Rome, Rome, Italy
| | - Federica Raimondi
- Department of Public Health and Infectious Diseases, Sapienza University of Rome, Rome, Italy
| | - Sofia Di Mario
- Department of Public Health and Infectious Diseases, Sapienza University of Rome, Rome, Italy.
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Hoedl M, Reiter L, Schuettengruber G, Bauer S, Schoberer D. Exploring the effects of the COVID-19 pandemic on nurse managers. Nurs Manag (Harrow) 2024:e2121. [PMID: 38651185 DOI: 10.7748/nm.2024.e2121] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/13/2024] [Indexed: 04/25/2024]
Abstract
BACKGROUND Research shows that front-line nurses' workload and stress levels increased during the coronavirus disease 2019 (COVID-19) pandemic, however, there is little research of these factors in relation to nurse managers. Previous research undertaken in Austria found that some nurse managers working in nursing homes undertook clinical as well as managerial functions during the pandemic, a double burden that could have increased their stress levels and have had adverse psychological, physical and social consequences. AIM To investigate the effects of the COVID-19 pandemic on nurse managers' workload, perceptions of teamwork and stress levels, and the physical, psychological and social consequences of working during the pandemic. METHOD A cross-sectional design was used. Respondents (n=238) were sent an online questionnaire during the second wave of the pandemic (which in Austria was November 2020 to March 2021) containing questions on demographics and fear of infection, their current workload compared with pre-pandemic workload, their perceptions of the influence of the pandemic on teamwork, their levels of stress measured using the Perceived Stress Scale (PSS), and the physical, psychological and social consequences of working during the pandemic. RESULTS Most respondents (95%) had to undertake more or much more work than usual during the pandemic, while just over half (52%) perceived that the influence of the pandemic on teamwork had been positive throughout or partially positive. Overall, the respondents' level of stress was moderate, as measured by the PSS. Around 28% of respondents were afraid of infecting someone other than themselves, notably their families, employees and patients. Fear for themselves, their families and their patients or residents were commonly reported psychological consequences of working during the pandemic, while confusion due to information overload was the second most commonly reported psychological consequence. CONCLUSION Comparing results with previous research is difficult due to the lack of research of nurse managers' experiences of the pandemic. Fear appears to have been a major issue for nurse managers during the pandemic, particularly in relation to infection and information overload. This emphasises the need for healthcare organisations to focus on the mental health and well-being of nurse managers, as well as front-line staff, during and after crisis situations such as a pandemic. Organisations may consider reworking and adopting already-established COVID-19 regulations, schedules and local guidelines, particularly in terms of communication and infection control, which could help to reduce nurse managers' fear in future crisis situations.
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Affiliation(s)
- Manuela Hoedl
- Institute of Nursing Science, Medical University Graz, Graz, Austria
| | - Lea Reiter
- Institute of Nursing Science, Medical University Graz, Graz, Austria
| | | | - Silvia Bauer
- Institute of Nursing Science, Medical University Graz, Graz, Austria
| | - Daniela Schoberer
- Institute of Nursing Science, Medical University Graz, Graz, Austria
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Deng J, Kou X, Ma H, Niu A, Luo Y. Qualitative study on the core competencies of nursing personnel in emergency medical rescue teams at comprehensive hospitals in Chongqing, China. BMJ Open 2024; 14:e077821. [PMID: 38604634 PMCID: PMC11015181 DOI: 10.1136/bmjopen-2023-077821] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/16/2023] [Accepted: 03/22/2024] [Indexed: 04/13/2024] Open
Abstract
OBJECTIVE As an integral part of emergency medical rescue teams during public health events, understanding the core competencies that nursing personnel should possess-including theoretical knowledge, practical skills, comprehensive abilities and personal traits-can provide a practical basis for better preparation and targeted training for future emergency rescue works. Thus, this study aims to provide a scientific and applicable reference for perfecting the routine training strategy of nursing personnel assembled by emergency medical rescue teams and improving the overall guarantee ability level of this group. DESIGN This is a qualitative study conducted using individual semi-structured interviews. All interviews were recorded and transcribed verbatim for the purpose of thematic analysis and extraction. SETTING Participants were recruited from February to March 2023, from four comprehensive hospitals in Chongqing China with the highest number of emergency relief works. PARTICIPANTS A sample of experts (N=15) with extensive experience in emergency relief works was recruited in Chongqing, China. RESULTS 60% of the experts held master's degrees or higher, 73.3% held senior or higher titles, 36.7% had participated in work execution more than five times and 73.3% held leadership positions in their current units and in the execution of emergency relief works. Four main themes and 22 corresponding subthemes were derived for the core competencies required for nursing personnel selected for emergency medical rescue teams in public health events, including theoretical knowledge, practical skills, comprehensive abilities and personal traits. CONCLUSIONS Our study revealed that through interviews with 15 experts with extensive experience in the public health event, the essential elements of core competencies for nursing personnel assigned to emergency medical rescue teams during the public health event were identified. These can serve as a reference standard for the selection of nursing personnel in public health events, and provide a basis for the cultivation and evaluation of competency for nursing personnel assigned to emergency medical rescue teams in the public health event in China and globally.
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Affiliation(s)
- Jing Deng
- School of Nursing, Army Medical University/Third Military Medical University, Chongqing, China
| | - Xun Kou
- Department of Nuclear Medicine (Treatment Center of Minimally Invasive Intervention and Radioactive Particles), First Affiliated Hospital of Army Medical University, Chongqing, China
| | - Huijuan Ma
- School of Nursing, Army Medical University/Third Military Medical University, Chongqing, China
| | - Aifang Niu
- School of Nursing, Army Medical University/Third Military Medical University, Chongqing, China
| | - Yu Luo
- School of Nursing, Army Medical University/Third Military Medical University, Chongqing, China
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Cho SM, Choi J. Integral leadership in nursing: Development and psychometric validation of a Korean version of the Integral Nursing Leadership Scale. Int J Nurs Stud 2024; 152:104697. [PMID: 38295669 DOI: 10.1016/j.ijnurstu.2024.104697] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/07/2023] [Revised: 12/13/2023] [Accepted: 01/10/2024] [Indexed: 03/12/2024]
Abstract
BACKGROUND With the importance of nursing leadership roles, there is a need for a more integrated approach to nursing leadership that can adapt quickly to many challenges in today's healthcare environments. In recent years, integral leadership that can apply a more holistic and inclusive approach to leadership has gained growing attention in other disciplines. However, research on integral leadership in nursing is sparse since no instrument specifically measuring integral leadership in nursing contexts is available. OBJECTIVE The study aimed to develop an integral nursing leadership scale and evaluate its psychometric properties. METHODS The scale was developed in two phases. In the first phase, items were generated to reflect the attributes of integral leadership in the nursing context. These attributes were identified through a conceptualization process using a literature review and semi-structured interviews. The process was based on the four dimensions of the integral leadership framework, adopting Wilber's four quadrants of integral theory. Then, the psychometric properties of the scale, including content validity, structural validity, and internal consistency reliability, were evaluated. Data were collected from a convenience sample of 806 Korean nurses and were analyzed using both exploratory factor analysis and second-order confirmatory factor analysis, using two separate random halves of the sample. RESULTS The newly developed scale consisted of 30 items across four dimensions: individual leadership qualities, individual performance, influencing organizational culture, and organizational excellence. Content validity for the 30 items was calculated to be 0.84 for item-level content validity and 0.96 for the scale's content validity averaging method, indicating adequate content validity. The four-factor structure of integral nursing leadership was cross-validated by exploratory factor analysis and second-order confirmatory factor analysis. The internal consistency reliability was also found to be acceptable, as indicated by a Cronbach's alpha of 0.97 and a McDonald's ω estimate of 0.98. CONCLUSION Findings demonstrate that the Integral Nursing Leadership Scale has acceptable content validity, structural validity, and reliability in measuring integral leadership, specifically in the context of nursing. More research is needed to further refine and establish strong validity of the scale.
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Affiliation(s)
- Seon Mi Cho
- Kyung Hee University Hospital at Gangdong, Seoul, South Korea
| | - JiSun Choi
- College of Nursing Science, Kyung Hee University, Seoul, South Korea.
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Jääski T, Talvio H, Kuha S, Kanste O. Crisis management competencies needed in a hospital setting during the COVID-19 pandemic: A qualitative study of nurse leaders. Nurs Open 2024; 11:e2138. [PMID: 38456598 PMCID: PMC10921420 DOI: 10.1002/nop2.2138] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/15/2023] [Revised: 02/16/2024] [Accepted: 02/23/2024] [Indexed: 03/09/2024] Open
Abstract
AIM To describe the crisis management competencies needed in a hospital setting during the COVID-19 pandemic from the perspective of nurse leaders. BACKGROUND The COVID-19 pandemic generated many challenges for nurse leaders in hospitals, and management competencies are highlighted. However, there is little evidence available about nurse leaders' perceptions of the crisis management competencies needed in such situations. METHODS A qualitative, descriptive, semi-structured interview study of nurse leaders (n = 20) was conducted between June and October 2021 in one Finnish central hospital. The data were analysed using inductive content analysis. RESULTS The analysis yielded five main categories of crisis management competencies needed in a hospital setting during the pandemic: interactive communication competence, psychological resource management competence, systematic and proactive organising competence, active networking abilities and practices and change management approach in crisis management. CONCLUSIONS Nurse leaders need new and different crisis management competencies in hospital organisations. The COVID-19 pandemic changed the working culture of nurse leaders, as they faced challenges that needed knowledge and skills beyond their previous management competence. IMPLICATIONS FOR NURSING MANAGEMENT Additional training for nurse leaders in crisis management is needed. This training should reflect the competencies identified as necessary in crisis situations so that nurse leaders will be able to manage crisis situations effectively in future. REPORTING METHOD The Consolidated Criteria for Reporting Qualitative Research (COREQ) checklist was used in reporting the findings. PATIENT OR PUBLIC CONTRIBUTION No patient or public contribution.
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Affiliation(s)
- Tarja Jääski
- Research Unit of Health Sciences and Technology, Faculty of MedicineUniversity of OuluOuluFinland
| | - Hanne Talvio
- Research Unit of Health Sciences and Technology, Faculty of MedicineUniversity of OuluOuluFinland
| | - Suvi Kuha
- Research Unit of Health Sciences and Technology, Faculty of MedicineUniversity of OuluOuluFinland
| | - Outi Kanste
- Research Unit of Health Sciences and Technology, Faculty of MedicineUniversity of OuluOuluFinland
- Medical Research CenterOulu University HospitalOuluFinland
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Tolotti A, Liptrott SJ, Bonetti L, Cavatorti S, Sari D, Caoduro L, Biegger A, Bressan A, Valcarenghi D. Managing the COVID-19 Pandemic: Experience of Managers in Healthcare: A Narrative Inquiry. Healthcare (Basel) 2024; 12:447. [PMID: 38391823 PMCID: PMC10887853 DOI: 10.3390/healthcare12040447] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2024] [Revised: 02/05/2024] [Accepted: 02/07/2024] [Indexed: 02/24/2024] Open
Abstract
The pandemic represented a challenge for hospital managers at different levels, required to reorganise services without compromising care. This study aimed to analyse the experiences of hospital managers during the COVID-19 pandemic. A narrative inquiry was conducted in a multisite acute hospital. Data were collected through narratives and open-ended questions. Direct and non-direct-care managers were invited to participate. Data were analyzed considering Clandinin & Connelly's (2000) framework and Braun & Clarke, (2006). Thirty-six narratives and open-ended question responses were analysed. Participants were nurses (n = 20), doctors, technicians, administrative and hospitality service managers. Themes were grouped into three narrative dimensions: (1) personal-"the emergency engulfed us", (2) practical/professional-"managing the pandemic", (3) social-"the strength of the team and people". Different narrative threads were identified between direct-care and non direct-care managers. Problems faced, factors helpful for management and suggestions for improvement were also reported. The pandemic had an important impact on managers and their roles, in terms of the need for clear concise information, staff support, and adequate professional and technical resources. A sense of unity and belonging facilitated management.
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Affiliation(s)
- Angela Tolotti
- Nursing Development and Research Unit, Oncology Institute of Southern Switzerland, Ente Ospedaliero Cantonale (EOC), via Gallino 12, 6500 Bellinzona, Switzerland
| | - Sarah Jayne Liptrott
- Nursing Development and Research Unit, Oncology Institute of Southern Switzerland, Ente Ospedaliero Cantonale (EOC), via Gallino 12, 6500 Bellinzona, Switzerland
| | - Loris Bonetti
- Nursing Development and Research Unit, Oncology Institute of Southern Switzerland, Ente Ospedaliero Cantonale (EOC), via Gallino 12, 6500 Bellinzona, Switzerland
| | - Shaila Cavatorti
- Department of Nursing, Regional Hospital of Bellinzona e Valli, Ente Ospedaliero Cantonale (EOC), via Gallino 12, 6500 Bellinzona, Switzerland
| | - Davide Sari
- Department of Nursing, Oncology Institute of Southern Switzerland, Ente Ospedaliero Cantonale (EOC), via Gallino 12, 6500 Bellinzona, Switzerland
| | - Luigi Caoduro
- Department of Nursing, Pediatric Institute of Southern Switzerland, Ente Ospedaliero Cantonale (EOC), via Gallino 12, 6500 Bellinzona, Switzerland
| | - Annette Biegger
- Nursing Direction Department, Ente Ospedaliero Cantonale (EOC), viale Officina 3, 6500 Bellinzona, Switzerland
| | - Alessandro Bressan
- Hospital Directorate, Regional Hospital of Bellinzona e Valli, Ente Ospedaliero Cantonale (EOC), via Gallino 12, 6500 Bellinzona, Switzerland
| | - Dario Valcarenghi
- Nursing Development and Research Unit, Oncology Institute of Southern Switzerland, Ente Ospedaliero Cantonale (EOC), via Gallino 12, 6500 Bellinzona, Switzerland
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Starr M, Webber-Ritchey KJ, Harris B, Simonovich SD. Exploring US Nursing Leadership During the Initial COVID-19 Pandemic Response: A Qualitative Descriptive Study to Guide Leadership Development for Future Emergent Situations. J Nurs Adm 2024; 54:118-125. [PMID: 38261644 DOI: 10.1097/nna.0000000000001391] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/25/2024]
Abstract
OBJECTIVE This study aimed to describe the experiences of nurse leaders during the 1st wave of the COVID-19 pandemic to enhance understanding in preparation for future disasters. BACKGROUND The COVID-19 pandemic has posed significant challenges to the healthcare system globally. Nurse leaders play an essential part and have a significant impact on the efficacy of disaster management in future emergent situations. METHODS The parent study conducted interviews with 100 nurses in the United States across specialty areas. This article presents a subgroup analysis of interview data from 13 self-identified nurse leaders. The research team used qualitative descriptive methodology and thematic analysis to identify patterns within the data. RESULTS Five themes were identified for effective nurse leadership during an emerging pandemic: 1) responsiveness; 2) anticipating needs; 3) care innovations; 4) collaboration; and 5) adaptability. CONCLUSION Supporting nurse leaders to exhibit effective leadership during periods of crisis is imperative to increase preparedness for future health events, protect population health, and create a pipeline of future nursing leadership. Involving nursing in developing and reforming policy is integral.
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Affiliation(s)
- Madeleine Starr
- Author Affiliations: DNP Program Graduate (Dr Starr), Associate Professor (Dr Webber-Ritchey), and Associate Professor (Drs Harris and Simonovich), School of Nursing, College of Science and Health, DePaul University, Chicago, Illinois
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Gunawan J, Aungsuroch Y, Fisher ML, Marzilli C, Nazliansyah, Hastuti E. Refining core competencies of first-line nurse managers in the hospital context: A qualitative study. Int J Nurs Sci 2023; 10:492-502. [PMID: 38020840 PMCID: PMC10667124 DOI: 10.1016/j.ijnss.2023.08.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/18/2023] [Revised: 07/17/2023] [Accepted: 08/08/2023] [Indexed: 12/01/2023] Open
Abstract
Objectives As the world moves towards a new normal, challenges continue to emerge while simultaneously inspiring us with new solutions. Strengthening the skills of first-line nurse managers (FLNMs) to fulfill a wide range of complex roles and responsibilities effectively necessitates refining core competency guidelines or standards. This study aimed to explore the perceived core competencies of Indonesian FLNMs within the context of the post-pandemic era. Methods The study employed a qualitative descriptive design. Face-to-face interviews were conducted in a public hospital in Indonesia from January 2022 through August 2022. Seven head nurses with direct experience managing a unit during the COVID-19 pandemic were selected. The interviews were audio-recorded, transcribed verbatim, and validated by re-listening. Data were analyzed using thematic analysis. Results Four main themes of the core competencies developed, including 1) managerial core competencies, 2) clinical core competencies, 3) technological core competencies, and 4) socio-emotional skills/personal traits consisting of the following: be brave, fast, patient, optimistic, consistent, and responsible. Conclusions The findings demonstrate that the managerial and clinical core competencies of the FLNMs must be aligned, while technological core competencies are the mediating component of both. Personal traits are essential for FLNMs as they undergird the other three core competencies and the success of the FLNMs.
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Affiliation(s)
- Joko Gunawan
- Faculty of Nursing, Chulalongkorn University, Bangkok, Thailand
| | | | - Mary L. Fisher
- Indiana University School of Nursing, Indianapolis, IN, USA
- College of Nursing, University of Florida, Gainesville, FL, USA
| | | | - Nazliansyah
- Department of Nursing, Politeknik Kesehatan Kementrian Kesehatan Pangkal Pinang, Bangka Belitung, Indonesia
| | - Ety Hastuti
- dr. H. Marsidi Judono General Hospital, Belitung, Indonesia
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Dobrowolska B, Gutysz-Wojnicka A, Dziurka M, Ozdoba P, Ozga D, Penar-Zadarko B, Markiewicz R, Markiewicz-Gospodarek A, Palese A. Intensive care nurse managers' experiences during the first wave of the Covid-19 pandemic: Implications for future epidemiological crises. PLoS One 2023; 18:e0290722. [PMID: 37624792 PMCID: PMC10456190 DOI: 10.1371/journal.pone.0290722] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/01/2023] [Accepted: 08/13/2023] [Indexed: 08/27/2023] Open
Abstract
BACKGROUND Nurse managers play an important role in coordinating the multidisciplinary teamwork, which is specifically important in emergency and crises situations like the COVID-19 pandemic. The aim of this qualitative study is twofold: (1) to explore the experiences of the Intensive care units (ICU) nurse managers regarding their work during the first wave of the COVID-19 pandemic, and (2) to analyse what implications might be provided based on experiences of nurse managers for future possible epidemiological crises. METHODS In-depth phone interviews were conducted to explore the experiences of ward managers-nurses (n = 15) working in different hospitals across Poland. Interviews were taped and transcribed verbatim, and then qualitatively analysed. RESULTS Three main categories were identified: (1) Challenge of working with the unknown, (2) Nurse managers' expectations, and (3) Methods of coping and received support. The COVID-19 pandemic strongly affected the work of ICU nurse managers and uncovered the malfunctioning of the healthcare system. CONCLUSION It is important to improve the knowledge and competence of hospital management personnel through exercises and in-service training on how to handle emergencies in order to improve the management of healthcare facilities, increase the safety of patients and employees, and the quality of healthcare.
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Affiliation(s)
- Beata Dobrowolska
- Department of Holistic Care and Nursing Management, Faculty of Health Sciences, Medical University of Lublin, Lublin, Poland
| | - Aleksandra Gutysz-Wojnicka
- Department of Nursing, School of Health Sciences, Collegium Medicum, University of Warmia and Mazury in Olsztyn, Olsztyn, Poland
| | - Magdalena Dziurka
- Department of Holistic Care and Nursing Management, Faculty of Health Sciences, Medical University of Lublin, Lublin, Poland
| | - Patrycja Ozdoba
- Department of Holistic Care and Nursing Management, Faculty of Health Sciences, Medical University of Lublin, Lublin, Poland
| | - Dorota Ozga
- Institute of Health Sciences, College of Medical Sciences of the University of Rzeszow, Rzeszow, Poland
| | - Beata Penar-Zadarko
- Department of Nursing and Public Health, Laboratory of Methodology of Research and Education in Nursing, Institute of Health Sciences, College of Medical Sciences of the University of Rzeszow, Rzeszow, Poland
| | - Renata Markiewicz
- Department of Neurology, Neurological and Psychiatric Nursing, Medical University of Lublin, Lublin, Poland
| | | | - Alvisa Palese
- Department of Medical Sciences, University of Udine, Udine, Italy
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Kuleyin B, Basaran-Acil S. The Turkish version of the Casey-Fink Readiness for Practice Scale: A validity and reliability study. Nurse Educ Pract 2023; 70:103667. [PMID: 37253288 DOI: 10.1016/j.nepr.2023.103667] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/26/2022] [Revised: 05/12/2023] [Accepted: 05/15/2023] [Indexed: 06/01/2023]
Abstract
AIM The aim was to translate and adapt the Casey-Fink Readiness for Practice Scale (CFRPS) into Turkish and assess its validity and reliability for senior nursing students. BACKGROUND Nursing students' readiness for practice is important for quality nursing care and to support new graduate nurses and orient them quickly for their professional life. Nurse educators and nurse managers are responsible for develop nursing students' and new graduate nurses' readiness for practice. Currently, there is no valid and reliable tool to assess this metric for senior nursing students in Turkey. DESIGN The study was conducted using a methodological approach. METHODS The sample of the study consisted of 179 students who were enrolled in the last year of nursing school across three state universities in one region of Turkey. A socio-demographic form and the Turkish version of the CFRPS were used for data collection. Data were collected online between 12 April - 17 May 2021. Content validity was assessed using expert approval. Confirmatory factor analysis, exploratory factor analysis and structural equation modelling were used to assess validity. Cronbach's alpha and test-retest were performed to assess reliability. RESULTS Nursing students' mean age was found to be 22.3 ± 1.12. The content validity index of the scale was calculated as 0.94. Confirmatory and exploratory factor analysis identified 15 items, which could be categorized under one factor, that were obtained differently from the original scale. The factor loads were found to be between 0.39 and 0.70. The Cronbach's alpha of the scale was 0.881. One factor model achieved a good fit. CONCLUSIONS The study demonstrated that the Turkish version of the CFRPS is a valid and reliable assessment tool to evaluate senior nursing students' readiness for practice. Information in the Turkish version of the CFRPS was obtained differently from the original scale. Nurse educators can use this tool to assess their students' progress in readiness for practice before they graduate.
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Affiliation(s)
- Bahar Kuleyin
- Bandirma Onyedi Eylul University Faculty of Health Sciences, Department of Nursing Management, Balikesir, Turkey.
| | - Seher Basaran-Acil
- Hacettepe University Faculty of Nursing, Nursing Services Administration Department, Ankara, Turkey.
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Borzuchowska M, Kilańska D, Kozłowski R, Iltchev P, Czapla T, Marczewska S, Marczak M. The Effectiveness of Healthcare System Resilience during the COVID-19 Pandemic: A Case Study. MEDICINA (KAUNAS, LITHUANIA) 2023; 59:medicina59050946. [PMID: 37241178 DOI: 10.3390/medicina59050946] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/17/2023] [Revised: 04/19/2023] [Accepted: 05/06/2023] [Indexed: 05/28/2023]
Abstract
Introduction: The outbreak of the COVID-19 pandemic was a period of uncertainty and stress for healthcare managers due to the lack of knowledge (about the transmission of the virus, etc.) and also due to the lack of uniform organisational and treatment procedures. It was a period where the ability to prepare for a crisis, to adapt to the existing conditions, and to draw conclusions from the situation were of critical importance to keep ICUs (intensive care units) operating. The aim of this project is to compare the pandemic response to COVID-19 in Poland during the first and second waves of the pandemic. This comparison will be used to identify the strengths and weaknesses of the response, including challenges presented to health professionals and health systems and ICUs with COVID-19 patients according to the European Union Resilience Model (2014) and the WHO Resilience Model (2020). The WHO Resilience model was suitable to the COVID-19 situation because it was developed based on this experience. Methods: A matrix of 6 elements and 13 standards assigned to them was created using the EC and WHO resilience guidelines. Results: Good governance in resilient systems ensures access to all resources without constraints, free and transparent flow of information, and a sufficient number of well-motivated human resources. Conclusions: Appropriate preparation, adaptation to the existing situation, and effective management of crisis situations are important elements of ensuring the resilience of ICUs.
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Affiliation(s)
- Monika Borzuchowska
- Department of Management and Logistics in Healthcare, Medical University of Lodz, 90-131 Lodz, Poland
| | - Dorota Kilańska
- Institute of Nursing and Midwifery, Medical University of Gdansk, 80-210 Gdansk, Poland
- Department of Coordinated Care, Medical University of Lodz, Al. Kościuszki 4, 90-131 Lodz, Poland
| | - Remigiusz Kozłowski
- Department of Management and Logistics in Healthcare, Medical University of Lodz, 90-131 Lodz, Poland
| | - Petre Iltchev
- Department of Management and Logistics in Healthcare, Medical University of Lodz, 90-131 Lodz, Poland
| | - Tomasz Czapla
- Department of Management, Faculty of Management, University of Lodz, 90-237 Lodz, Poland
| | - Sylwia Marczewska
- Department of Coordinated Care, Medical University of Lodz, Al. Kościuszki 4, 90-131 Lodz, Poland
| | - Michał Marczak
- Collegium of Management WSB University of Warsaw, 03-204 Warsaw, Poland
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13
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Ahti M, Taipale-Walsh L, Kuha S, Kanste O. Health-care leaders' experiences of the competencies required for crisis management during COVID-19: a systematic review of qualitative studies. Leadersh Health Serv (Bradf Engl) 2023; ahead-of-print:595-610. [PMID: 37161983 PMCID: PMC10853848 DOI: 10.1108/lhs-10-2022-0104] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/28/2022] [Revised: 01/05/2023] [Accepted: 04/17/2023] [Indexed: 05/11/2023]
Abstract
PURPOSE This paper aims to synthesize health-care leaders' experiences of the competencies required for crisis management. DESIGN/METHODOLOGY/APPROACH The systematic review followed the joanna briggs institute (JBI) guidance for systematic reviews of qualitative evidence. The search strategy included free text words and medical subject headings and peer-reviewed qualitative studies published in English, Finnish and Swedish and was not limited by year or country of publication. The databases searched in March 2022 were Scopus, PubMed, CINAHL, ABI/INFORM and the Finnish database Medic. Gray literature was searched using MedNar and EBSCO Open Dissertations. Studies were screened by title and abstract (n = 9,014) and full text (n = 43), and their quality was assessed by two independent reviewers. Eight studies were included. The data was analyzed using meta-aggregation. FINDINGS Fifty-one findings (themes and subthemes) were extracted, and 11 categories were created based on their similarities. Five synthesized findings were developed: the competence to comprehend the operational environment; the competence to stay resilient amidst change; the competence to adapt to and manage change; the competence to manage and take care of staff; and the competence to co-operate and communicate with diverse stakeholders. ORIGINALITY/VALUE This systematic review produced novel information about health-care leaders' experiences of the competencies required for crisis management during COVID-19. This study complements the field of research into crisis management in health care by introducing five original and unique competency clusters required for crisis management during the acute phase of COVID-19.
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Affiliation(s)
- Miro Ahti
- Research Unit of Health Sciences and Technology, Faculty of Medicine,
University of Oulu, Oulu, Finland
| | - Leonie Taipale-Walsh
- Research Unit of Health Sciences and Technology, Faculty of Medicine,
University of Oulu, Oulu, Finland
| | - Suvi Kuha
- Research Unit of Health Sciences and Technology, Faculty of Medicine,
University of Oulu, Oulu, Finland and Finnish Centre for Evidence-Based Health
Care, Helsinki, Finland
| | - Outi Kanste
- Research Unit of Health Sciences and Technology, Faculty of Medicine,
University of Oulu, Oulu, Finland and Finnish Centre for Evidence-Based Health
Care, Helsinki, Finland
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14
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Ashipala DO, Tomas N, Costa Tenete G. Barriers and Facilitators Affecting the Uptake of COVID-19 Vaccines: A Qualitative Perspective of Frontline Nurses in Namibia. SAGE Open Nurs 2023; 9:23779608231158419. [PMID: 36861054 PMCID: PMC9969425 DOI: 10.1177/23779608231158419] [Citation(s) in RCA: 7] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/07/2022] [Revised: 11/22/2022] [Accepted: 01/31/2023] [Indexed: 03/03/2023] Open
Abstract
Aim Vaccinations remain one of the most effective measures to prevent and control the spread of COVID-19, while also reducing hospitalizations and deaths, yet many are unwilling to be vaccinated. This study explores the barriers and facilitators affecting the uptake of COVID-19 vaccines among frontline nurses. Design A qualitative, explorative, descriptive, and contextual research strategy was employed. Methods A sample of 15 nurses were selected via purposeful sampling to the point of data saturation. The participants were nurses at the COVID-19 vaccinations Centre in Rundu, Namibia. Data were collected using semistructured interviews and analyzed thematically. Results Three themes and 11 subthemes were identified, namely: (a) barriers, (b) facilitators, and (c) measures to increase the COVID-19 vaccine uptake. Barriers included living in deep rural areas, unavailability of vaccines, and misinformation, whereas scared of death, availability of COVID-19 vaccines, and family influence and peer pressure emerged as facilitators to the uptake of COVID-19 vaccines. Adoption of vaccination passport as a requirement to work premises and as an international travel requirement were the measures proposed to increase the COVID-19 vaccine uptake. Conclusion The study found several facilitators and barriers to COVID-19 vaccine uptake among frontline nurses. The identified barriers cover the individual, health system, and social factors hindering the COVID-19 vaccine uptake among frontline nurses. Whereas fear of COVID-19 deaths, family influence, and availability of vaccines were found to promote COVID-19 uptake. This study recommends targeted interventions to improve the uptake of COVID-19 vaccines.
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Affiliation(s)
- Daniel Opotamutale Ashipala
- Department of General Nursing Science, School of Nursing and
Public Health, Faculty of Health Sciences and Veterinary Medicine, University of Namibia
(UNAM), Rundu, Namibia
| | - Nestor Tomas
- Department of General Nursing Science, School of Nursing and
Public Health, Faculty of Health Sciences and Veterinary Medicine, University of Namibia
(UNAM), Rundu, Namibia,Nestor Tomas, Department of General Nursing
Science, School of Nursing and Public Health, Faculty of Health Sciences and
Veterinary Medicine, University of Namibia (UNAM), PO Box 88, Kaisosi Road,
Rundu, Namibia.
| | - Godwin Costa Tenete
- Department of General Nursing Science, School of Nursing and
Public Health, Faculty of Health Sciences and Veterinary Medicine, University of Namibia
(UNAM), Rundu, Namibia
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15
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Abstract
Background Nurses have crucial roles in caring for patients and preventing the spread of COVID-19. Therefore, nurse managers have a prominent role during the pandemic, being responsible for the support and training of the nursing team to ensure quality care. While performing their duties in this time of fear and uncertainty, nurse managers face several challenges. Aim To identify the challenges faced by nurse managers during the COVID-19 pandemic. Methods It is an integrative literature review whose search for articles was carried out in Medline, PubMed and Scopus. Qualitative content analysis was used. Results Twelve primary research studies were included. Four themes emerged: (1) Workplace demands, (2) Impacts on physical and psychological health, (3) Coping measures and resilience and (4) Recommendations to better support nurse managers in times of crisis. Nurse managers had their roles expanded or completely changed, and they experienced many pressures and stressors in the workplace. Nurse managers also faced physical and psychological health problems. Nurse managers drew on experience; management skills; social media applications; support from family, colleagues and hospital administrators; training, and continuing education to solve the problems that emerged due to the COVID-19 pandemic. Organisations should use collaborative, inclusive and participatory practices for better crisis management. Conclusions Knowing the experiences of nurse managers during the pandemic period may help health institutions and policymakers better prepare for emergencies.
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Affiliation(s)
- Ana Luiza Ferreira Aydogdu
- Assistant Professor, Department of Nursing, Faculty of Health Sciences, Istanbul Health and Technology University, Istanbul, Turkey
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16
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Björk L, Corin L, Akerstrom M, Jonsdottir IH, Innocenti AD, Wijk H, Ahlstrom L. Under pressure - The working situation of Swedish healthcare managers during the first wave of COVID-19. Front Psychol 2023; 13:1052382. [PMID: 36710753 PMCID: PMC9874142 DOI: 10.3389/fpsyg.2022.1052382] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/23/2022] [Accepted: 12/21/2022] [Indexed: 01/13/2023] Open
Abstract
Introduction The aim of this study is to provide insight into the psychosocial work situation of hospital managers during the first wave of the COVID-19 pandemic. Methods Mixed-effect modelling was used on survey data on job demands, job resources, job motivation, and work-life balance among over 500 managers working in 55 departments of a large Swedish university hospital in 2019 and 2020. Responses from 6011 employees were then used to stratify the analysis for COVID-19 exposure. Inductive content analysis was applied to open-ended questions on the managers' views on organisational prerequisites during the onset of the pandemic. Results The proportion of managers reporting difficulties with role clarity, quantitative demands, decision-making authority, and emotional support, time for recovery at work, motivation deficits, or problems with work-life balance clearly increased during the first wave of the pandemic. The proportion of managers reporting negative responses was higher in departments with high COVID-19 exposure. The qualitative analysis shows that overall governance in terms of clear, fair, and well-communicated routines, resource allocation, and division of responsibilities constituted an important framework for managerial during the crisis. First-line managers also require a mandate to re-organize their roles and their teams to successfully adapt to the situation. Organisational and social support was also important resources. Discussion This is the first study investigating healthcare managers' work situation during the first wave of the COVID-19 pandemic in a Swedish context. As expected, it indicates an increasingly strained work situation during the crisis, but it also provides findings on organisational prerequisites that allow healthcare managers to cope with stressful situations. In line with previous research on organisational resilience, the study provides suggestions for how higher-level managers can act in order to provide front-line managers with the organisational prerequisites they need to adapt, learn and develop successfully during times of unpredictability, insecurity, and rapid change in order to offer the best possible support to health care workers.
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Affiliation(s)
- Lisa Björk
- Region Västra Götaland, Institute of Stress Medicine, Gothenburg, Sweden,Department of Sociology and Work Science, University of Gothenburg, Gothenburg, Sweden,*Correspondence: Lisa Björk, ✉
| | - Linda Corin
- Region Västra Götaland, Institute of Stress Medicine, Gothenburg, Sweden,Department of Sociology and Work Science, University of Gothenburg, Gothenburg, Sweden
| | - Magnus Akerstrom
- Region Västra Götaland, Institute of Stress Medicine, Gothenburg, Sweden,School of Public Health and Community Medicine, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
| | - Ingibjörg H. Jonsdottir
- Region Västra Götaland, Institute of Stress Medicine, Gothenburg, Sweden,School of Public Health and Community Medicine, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
| | - Alessio Degl Innocenti
- Department of Psychiatry and Neurochemistry, Centre for Ethics, Law and Mental Health (CELAM), Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden,Region Västra Götaland, Sahlgrenska University Hospital, Gothia Forum for Clinical Trials, Gothenburg, Sweden
| | - Helle Wijk
- Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden,Department of Quality Strategies, Region Västra Götaland, Sahlgrenska University Hospital, Gothenburg, Sweden,Department of Architecture and Civil Engineering, Chalmers University of Technology, Gothenburg, Sweden
| | - Linda Ahlstrom
- Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden,Department of Orthopedics, Region Västra Götaland, Sahlgrenska University Hospital, Gothenburg, Sweden
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Andersson M, Fredholm A, Nordin A, Engström Å. Moral Distress, Health and Intention to Leave: Critical Care Nurses' Perceptions During COVID-19 Pandemic. SAGE Open Nurs 2023; 9:23779608231169218. [PMID: 37089200 PMCID: PMC10116007 DOI: 10.1177/23779608231169218] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/02/2023] [Revised: 03/03/2023] [Accepted: 03/24/2023] [Indexed: 04/25/2023] Open
Abstract
Introduction Moral distress increases the risk that critical care nurses will lose the ability to provide quality nursing care. Aims To describe person-related conditions and perceptions of moral distress, health and intention to leave among critical care nurses in intensive care units, and to examine the relationship between person-related conditions, moral distress, health and intention to leave. Method Cross-sectional, with 220 critical care nurses in 15 Swedish ICUs, and data gathered via a self-reported questionnaire. Results Highest moral distress scores were reported in futile care and poor teamwork and 21% reported entertaining an intention to leave. Self-reported health was lower than before the COVID-19 pandemic and 4.1% reported pronounced exhaustion disorder. Self-reported health, reduced capacity to tolerate demands under time pressure, emotional instability or irritability, physical weakness, or being more easily fatigued and with decreased well-being were factors that had a relationship with futile care. Sleeping problems and intention to leave had a relationship with poor teamwork. Conclusions Different strategies are needed to reduce moral distress and the leadership is crucial for managing crises such as the COVID-19 pandemic.
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Affiliation(s)
- Maria Andersson
- Swedish Red Cross University College, Huddinge, Sweden
- Department of Health, Education and Technology, Division of Nursing and Medical Technology, Lulea University of Technology, Luleå, Sweden
| | - Angelica Fredholm
- County Council Värmland, Karlstad, Sweden
- Department of Health Science, Faculty of Health, Science, and Technology, Karlstad University, Karlstad, Sweden
| | - Anna Nordin
- Department of Health, Education and Technology, Division of Nursing and Medical Technology, Lulea University of Technology, Luleå, Sweden
- Department of Health Science, Faculty of Health, Science, and Technology, Karlstad University, Karlstad, Sweden
| | - Åsa Engström
- Department of Health, Education and Technology, Division of Nursing and Medical Technology, Lulea University of Technology, Luleå, Sweden
- Åsa Engström, Department of Health, Education and Technology, Division of Nursing and Medical Technology, Lulea University of Technology, SE-97187 Luleå, Sweden.
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18
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Montgomery AP, Patrician PA. Work environment, resilience, burnout, intent to leave during COVID pandemic among nurse leaders: A cross-sectional study. J Nurs Manag 2022; 30:4015-4023. [PMID: 36190507 PMCID: PMC9874867 DOI: 10.1111/jonm.13831] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/03/2022] [Revised: 09/28/2022] [Accepted: 09/30/2022] [Indexed: 01/27/2023]
Abstract
AIMS The aims of this work are to (1) investigate the work environment, resilience, burnout, and turnover intention and (2) examine how work environment and personal resilience impact burnout and turnover intention among nurse leaders in the midst of the COVID-19 crisis. BACKGROUND The COVID-19 pandemic introduced tremendous stressors to nurse leaders, for example, managing the complex staffing situation while balancing patients' and family's needs. METHODS During May to September 2021, an electronic survey was sent out to nurse leaders in Birmingham, Alabama, USA, and surrounding areas. RESULTS Fifty-six respondents were included in the study. The composite score of the work environment measure was moderately to highly related to resilience [ρ (rho) = .59] and burnout [ρ = -.63 to -.68] but had small association to intent to leave [ρ = -.30]. The resilience was highly correlated to burnout [ρ = -.53 to -.59] and moderately associated to intent to leave [ρ = -.32]. CONCLUSIONS A better work environment for nurse leaders is related to higher resilience, lower burnout, and lower turnover intention. Resilience impacts burnout and turnover intention among nurse leaders. IMPLICATIONS FOR NURSING MANAGEMENT Health care organizations and stakeholders should implement effective strategies to improve the work environment, which could lead to enhanced resilience, reduced burnout, and lower turnover intention of their nurse leaders especially during and following this pandemic.
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Affiliation(s)
- Aoyjai P. Montgomery
- Department of Epidemiology, School of Public HealthUniversity of Alabama at BirminghamBirminghamAlabamaUSA
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19
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Takemura Y, Inoue M, Ichikawa N, Kida R, Koyanagi H, Ikezaki S, Ikeda M. Key strategies for managing nursing care under the COVID-19 pandemic: A multiple-case study of nursing directors. J Nurs Manag 2022; 30:4042-4053. [PMID: 36194470 PMCID: PMC9874585 DOI: 10.1111/jonm.13844] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2022] [Revised: 09/27/2022] [Accepted: 09/30/2022] [Indexed: 01/27/2023]
Abstract
AIM We aim to identify measures implemented by hospital nursing directors early in the COVID-19 pandemic and enabling factors. BACKGROUND Managerial factors affect nurses' physical and mental health and willingness to work, especially early in a pandemic. METHOD We used multiple-case study of 15 hospitals, comparing management approaches by interviewing 28 nursing directors and their assistants from August to December 2020. RESULTS Hospitals that accepted COVID-19 patients and hospitals that unexpectedly experienced clusters underwent a nursing provision system organization phase, followed by an adjustment phase to maintain nursing organization function. Two factors aided measure implementation: an emergency system and staff protection policies. CONCLUSION Early epidemic management strategies apply across contexts. The hospital's basic attitude is key to effective implementation of the strategies. IMPLICATIONS FOR NURSING MANAGEMENT The results suggest that hospitals, nursing directors and nurses can each prepare for future emerging infectious disease epidemics.
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Affiliation(s)
- Yukie Takemura
- Nursing DepartmentThe University of Tokyo HospitalTokyoJapan
| | - Maho Inoue
- Department of Nursing Administration, Division of Health Sciences and Nursing, Graduate School of MedicineThe University of TokyoTokyoJapan
| | - Naoko Ichikawa
- Department of Nursing Administration, Division of Health Sciences and Nursing, Graduate School of MedicineThe University of TokyoTokyoJapan
| | - Ryohei Kida
- Department of Nursing Administration, Division of Health Sciences and Nursing, Graduate School of MedicineThe University of TokyoTokyoJapan
| | - Hiroe Koyanagi
- Research Center for Implementation Nursing Science Initiative, School of Health SciencesFujita Health UniversityToyoakeJapan
| | - Sumie Ikezaki
- Department of Health Promotion in Nursing and Midwifery, Graduate School of NursingChiba UniversityChibaJapan
| | - Mari Ikeda
- Department of Family Nursing, Division of Health Sciences and Nursing, Graduate School of MedicineThe University of TokyoTokyoJapan
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20
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Gadolin C, Skyvell Nilsson M, Larsman P, Pousette A, Törner M. Managing health care under heavy stress: Effects of the COVID-19 pandemic on care unit managers' ability to support the nurses-A mixed-methods approach. J Nurs Manag 2022; 30:4080-4089. [PMID: 36197805 PMCID: PMC9874776 DOI: 10.1111/jonm.13857] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2022] [Revised: 09/21/2022] [Accepted: 10/02/2022] [Indexed: 01/27/2023]
Abstract
AIM(S) This study aims to investigate care unit managers' perceptions of how the COVID-19 pandemic influenced their ability to support the nurses. BACKGROUND The COVID-19 pandemic placed extreme pressure on health care organizations. More knowledge regarding how the pandemic influenced care unit managers' ability to support nurses is central to ensuring high-quality health care in future crises. METHOD(S) A mixed-methods study in Swedish hospitals with a survey (n = 128) and interviews (n = 20) with care unit managers. RESULTS Approximately half of the managers reported having spent more time available to and supporting the nurses. Availability was positively predicted by their perceived organizational support while negatively by their job demands. These job demands concerned meeting staff anxiety and managing organizational restructuring. Full focus on direct patient care and strong professional and social support were important job resources. CONCLUSION(S) For care unit managers to effectively support the nurses during a crisis, they need proficient job resources and moderate job demands. Managers' perceived organizational support positively affects the quality of their crisis leadership. Creating arenas in which staff collegiality can form and develop is beneficial for the ability to meet future crises. IMPLICATIONS FOR NURSING MANAGEMENT This study specifies important job resources that should be acknowledged and reinforced to strengthen the ability of care unit managers to actively support the nurses during a crisis.
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Affiliation(s)
- Christian Gadolin
- School of Business, Economics and ITUniversity WestTrollhättanSweden
| | | | - Pernilla Larsman
- Department of PsychologyUniversity of GothenburgGothenburgSweden
| | - Anders Pousette
- Department of PsychologyUniversity of GothenburgGothenburgSweden,School of Public Health and Community Medicine, Institute of Medicine, Sahlgrenska AcademyUniversity of GothenburgGothenburgSweden
| | - Marianne Törner
- School of Public Health and Community Medicine, Institute of Medicine, Sahlgrenska AcademyUniversity of GothenburgGothenburgSweden
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21
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Ozmen S, Arslan Yurumezoglu H. Nurse managers' challenges and opportunities in the COVID-19 pandemic crisis: A qualitative descriptive study. J Nurs Manag 2022; 30:2609-2619. [PMID: 36189859 PMCID: PMC9874453 DOI: 10.1111/jonm.13817] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/25/2022] [Revised: 08/16/2022] [Accepted: 09/25/2022] [Indexed: 01/27/2023]
Abstract
AIM The study was conducted to understand the experiences of nurse managers with regard to the difficulties and opportunities they encountered during the pandemic. BACKGROUND Although many studies have been carried out to understand how nurses were affected in the COVID-19 pandemic, there are few studies that treat the experiences of nurse managers. METHODS In this qualitative descriptive study with 19 nurse managers working in pandemic management at a university hospital in Turkey during the first three waves of the pandemic, data were collected between April and July 2021 using the semi-structured interview method. Content analysis was performed to analyse the data. RESULTS Six themes were identified with respect to the experiences of nurse managers during the pandemic. These themes were initial reactions to the crisis, ineffective crisis management, excessive workload, the moral burden in decision-making, support of colleagues and other multidisciplinary team and nurse manager empowerment. CONCLUSIONS The nurse managers had difficulties in their managerial roles during the pandemic. However, they also viewed the crisis as an opportunity because they were able to note the deficiencies in management at all levels of the hospital and their leadership and decision-making roles took on more importance. IMPLICATIONS FOR NURSING MANAGEMENT Nurse managers may use the results of this study to be prepared for the continuing COVID-19 pandemic and any other emergency circumstances that they may have to face in the future.
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Affiliation(s)
- Sinem Ozmen
- Institute of Health ScienceDokuz Eylul UniversityİzmirTurkey
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22
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Choi PP, Lee WM, Wong SS, Tiu MH. Competencies of Nurse Managers as Predictors of Staff Nurses' Job Satisfaction and Turnover Intention. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:11461. [PMID: 36141733 PMCID: PMC9517267 DOI: 10.3390/ijerph191811461] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/10/2022] [Revised: 09/05/2022] [Accepted: 09/08/2022] [Indexed: 06/16/2023]
Abstract
Nurse managers have played an integral role in stabilizing the nursing work environment and workforce in the face of the COVID-19 pandemic, yet the competencies required for such a feat are largely unknown. This study was conducted during the pandemic to identify the specific domains of nurse manager competencies that associate with nurse outcomes. A cross-sectional survey was conducted on a convenience sample of 698 staff nurses to measure the perceived competence of their nurse managers and their job satisfaction and turnover intention levels. The overall perceived nurse manager competency level in our sample was 3.15 out of 5 (SD = 0.859). The findings indicated that 34.3% of nurses were dissatisfied with their current jobs, and 36.3% of nurses were considering leaving their current workplace. Regression analyses identified "Team Communication and Collaboration" (β = 0.289; p = 0.002), "Staff Advocacy and Development" (β = 0.229; p = 0.019), and "Quality Monitoring and Pursuance" (β = 0.213; p = 0.031) as significant predictors of staff nurses' job satisfaction and "Staff Advocacy and Development" (β = -0.347; p < 0.000) and "Team Communication and Collaboration" (β = -0.243; p = 0.012) as significant predictors of nurses' turnover intention. The findings of the study have implications for the future recruitment, training, and performance evaluation of nurse managers.
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Affiliation(s)
- Pin-Pin Choi
- School of Nursing and Health Studies, Hong Kong Metropolitan University, Hong Kong
| | - Wai-Man Lee
- School of Nursing and Health Studies, Hong Kong Metropolitan University, Hong Kong
| | - Suet-Shan Wong
- School of Nursing and Health Studies, Hong Kong Metropolitan University, Hong Kong
| | - Mei-Ha Tiu
- School of Nursing, St. Teresa’s Hospital, Hong Kong
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23
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Frangieh J, Jones T. Factors Facilitating or Inhibiting the Capacity for Effective Leadership Among Front-Line Nurse Managers: A Scoping Review. J Nurs Manag 2022; 30:2653-2669. [PMID: 36044393 DOI: 10.1111/jonm.13776] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/17/2022] [Revised: 08/14/2022] [Accepted: 08/29/2022] [Indexed: 11/29/2022]
Abstract
AIMS The purpose of this scoping review is to map and synthesize research studies addressing the factors that impact leadership behaviors of Front-Line Nurse Managers. BACKGROUND Leadership is a fundamental component of the role of Front-Line Nurse Managers. Ineffective leadership is associated with costly outcomes; thus, organizations seek effective strategies to facilitate consistent demonstration of leadership behaviors. EVALUATION Using a scoping review methodology, findings from 26 empirical studies were mapped to identify barriers and facilitators of leadership among Front-Line Nurse Managers. Major categories included personal and environmental factors with subthemes of personal characteristics, competencies, and social support. KEY ISSUES Available evidence captures the influence of personal characteristics, education, competency, and formal social support on leadership capacity. The role of informal social support was not captured. CONCLUSIONS Multiple personal and environmental factors influence the capacity for leadership behaviors among Front-Line Nurse Managers. Strategies such as leadership development programs, mentorship and peer support programs, and work environments that support relational and structural support may increase leadership capacity for Front-Line Nurse Managers IMPLICATIONS FOR NURSING MANAGEMENT: Senior nurse leaders can use the results of this review to guide implementation of evidence-based strategies to recruit and retain Front-Line Nurse Managers.
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Affiliation(s)
- Jihane Frangieh
- Virginia Commonwealth University, School of Nursing, Richmond, Virginia
| | - Terry Jones
- Virginia Commonwealth University, School of Nursing, Department of adult health and nursing system
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24
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Curtin M, Richards HL, Fortune DG. Resilience among health care workers while working during a pandemic: A systematic review and meta synthesis of qualitative studies. Clin Psychol Rev 2022; 95:102173. [PMID: 35636130 PMCID: PMC9126830 DOI: 10.1016/j.cpr.2022.102173] [Citation(s) in RCA: 17] [Impact Index Per Article: 8.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/06/2021] [Revised: 05/18/2022] [Accepted: 05/18/2022] [Indexed: 12/23/2022]
Abstract
Background Aim Method Results Conclusion
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Affiliation(s)
- Mariah Curtin
- Department of Psychology, University of Limerick, Limerick V94 T9P, Ireland
| | - Helen L Richards
- Department of Psychology, University of Limerick, Limerick V94 T9P, Ireland; Department of Clinical Health Psychology, Mercy University Hospital, Cork T12 WE28, Ireland
| | - Donal G Fortune
- Department of Psychology, University of Limerick, Limerick V94 T9P, Ireland; Clinical Psychology, Health Service Executive, CHO3 Mid West, Ireland.
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25
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Ahmed FR, Dias JM, Al Yateem N, Subu MA, Raz MA. Lessons learned and recommendations from the COVID‐19 pandemic: Content analysis of semi‐structured interviews with intensive care unit nurse managers in the United Arab Emirates. J Nurs Manag 2022; 30:2479-2487. [PMID: 35569817 PMCID: PMC9348092 DOI: 10.1111/jonm.13677] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/22/2022] [Accepted: 05/09/2022] [Indexed: 11/28/2022]
Abstract
Aim Background Method Results Conclusions Implications for Nursing Management
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Affiliation(s)
- Fatma Refaat Ahmed
- Department of Nursing, College of Health Sciences University of Sharjah Sharjah United Arab Emirates
- Department of Critical Care and Emergency Nursing, Faculty of Nursing Alexandria University Egypt
| | - Jacqueline Maria Dias
- Department of Nursing, College of Health Sciences University of Sharjah Sharjah United Arab Emirates
| | - Nabeel Al Yateem
- Department of Nursing, College of Health Sciences University of Sharjah Sharjah United Arab Emirates
| | | | - Mohannad Abu Raz
- Department of Nursing, College of Health Sciences University of Sharjah Sharjah United Arab Emirates
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26
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Vázquez-Calatayud M, García-Díez R. ZERO projects in intensive care units: Challenges during SARS-CoV-2 pandemic and future recommendations. ENFERMERÍA INTENSIVA (ENGLISH ED.) 2022; 33:55-57. [PMID: 35577740 PMCID: PMC9058049 DOI: 10.1016/j.enfie.2022.03.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 02/24/2022] [Accepted: 03/11/2022] [Indexed: 10/30/2022]
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27
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Vázquez-Calatayud M, García-Díez R. Proyectos zero en las unidades de cuidados intensivos: retos durante la COVID-19 y futuras recomendaciones. ENFERMERÍA INTENSIVA 2022; 33:55-57. [PMID: 35340353 PMCID: PMC8938202 DOI: 10.1016/j.enfi.2022.03.001] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Indexed: 11/02/2022]
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28
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Vázquez-Calatayud M, Regaira-Martínez E, Rumeu-Casares C, Paloma-Mora B, Esain A, Oroviogoicoechea C. Experiences of frontline nurse managers during the COVID-19: A qualitative study. J Nurs Manag 2021; 30:79-89. [PMID: 34592013 PMCID: PMC8646738 DOI: 10.1111/jonm.13488] [Citation(s) in RCA: 25] [Impact Index Per Article: 8.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/01/2021] [Revised: 08/24/2021] [Accepted: 09/24/2021] [Indexed: 01/10/2023]
Abstract
Aim To explore experiences of frontline nurse managers during COVID‐19. Background The COVID‐19 pandemic has complicated care provision and healthcare management around the world. Nurse managers have had to face the challenge of managing a crisis with precarious resources. Little research has been published about the experiences of nurse managers during the COVID‐19 pandemic. Methods A qualitative descriptive study of 10 frontline nurse managers at a highly specialized university hospital in Spain was carried out. Semi‐structured interviews were conducted between June and September 2020. The Consolidated Criteria for Reporting Qualitative Research checklist was used for reporting. Results Six themes emerged: constant adaptation to change, participation in decision‐making, management of uncertainty, prioritization of the biopsychosocial well‐being of the staff, preservation of humanized care and ‘one for all’. Conclusions This study provides evidence for the experiences of nurse managers during the COVID‐19 pandemic. In addition, analysing these experiences has helped identify some of the key competencies that these nurses must have to respond to a crisis and in their dual role as patient and nurse mediators. Implications for Nursing Management Knowing about the experiences of frontline nurse managers during the pandemic can facilitate planning and preparing nurse managers for future health disasters, including subsequent waves of COVID‐19.
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Affiliation(s)
- Mónica Vázquez-Calatayud
- Clínica Universidad de Navarra, Pamplona, Spain.,School of Nursing, Campus Universitario, Universidad de Navarra, Pamplona, Spain.,Innovation for a Person-Centred Care Research Group (ICCP-UNAV), University of Navarra, Pamplona, Spain.,Navarra's Health Research Institute (IdiSNA), Pamplona, Spain
| | | | - Carmen Rumeu-Casares
- Clínica Universidad de Navarra, Pamplona, Spain.,Innovation for a Person-Centred Care Research Group (ICCP-UNAV), University of Navarra, Pamplona, Spain
| | - Beatriz Paloma-Mora
- Clínica Universidad de Navarra, Pamplona, Spain.,Innovation for a Person-Centred Care Research Group (ICCP-UNAV), University of Navarra, Pamplona, Spain
| | | | - Cristina Oroviogoicoechea
- Clínica Universidad de Navarra, Pamplona, Spain.,Innovation for a Person-Centred Care Research Group (ICCP-UNAV), University of Navarra, Pamplona, Spain.,Navarra's Health Research Institute (IdiSNA), Pamplona, Spain
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