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Varanda PAG, da Silva GTR, Amestoy SC, Backes VMS, Lanzoni GMDM, Umpiérrez AF. Nursing leadership strategies in addressing COVID-19 in light of John Kotter's framework. Rev Bras Enferm 2024; 77Suppl 1:e20230289. [PMID: 38958354 PMCID: PMC11213536 DOI: 10.1590/0034-7167-2023-0289] [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: 08/22/2023] [Accepted: 12/15/2023] [Indexed: 07/04/2024] Open
Abstract
OBJECTIVE To analyze the leadership strategies of nurses in university hospitals in response to care management changes during the COVID-19 pandemic, informed by John Kotter's insights. METHODS This multicentric study utilized qualitative and analytical methods. It was conducted through semi-structured interviews with 139 lead nurses from 10 university hospitals in Brazil. Data analysis included Bardin's content analysis and the webQDA software. RESULTS The primary category identified was "Nursing Leadership Strategies in the Battle Against COVID-19," encompassing five subcategories. This category underscored the importance of strategic vision in nursing leadership for combating COVID-19 within hospital settings, as well as the necessity of working collaboratively with their teams and other healthcare professionals. FINAL CONSIDERATIONS The results highlight the strategies used by lead nurses in confronting COVID-19, which can be associated with John Kotter's theoretical framework and his model of change.
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Gómez-Moreno C, García-Carpintero Blas E, Lázaro P, Vélez-Vélez E, Alcalá-Albert GJ. Challenge, fear and pride: nursing students working as nurses in COVID-19 care units. Int J Qual Stud Health Well-being 2022; 17:2100611. [PMID: 35861598 PMCID: PMC9310785 DOI: 10.1080/17482631.2022.2100611] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/01/2022] Open
Abstract
Context and Purpose Methods Results Conclusion
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Affiliation(s)
- Cristina Gómez-Moreno
- Fundación Jiménez Díaz School of Nursing of Madrid, Autonomous University of Madrid, Madrid, Spain
| | | | - Pablo Lázaro
- Health Research Department Independent Health Services Researcher, Madrid, Spain
| | - Esperanza Vélez-Vélez
- Fundación Jiménez Díaz School of Nursing of Madrid, Autonomous University of Madrid, Madrid, Spain
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Velarde-García JF, Cachón-Pérez JM, Rodríguez-García M, Oliva-Fernández O, González-Sanz P, Espejo MM, González-Hervías R, Álvarez-Embarba B, Moro-López-Menchero P, Fernández-de-Las-Peñas C, Palacios-Ceña D. The challenges of "learning on the go": A qualitative study of final-year Spanish nursing students incorporated to work during the first Covid-19 pandemic. NURSE EDUCATION TODAY 2021; 103:104942. [PMID: 33965720 PMCID: PMC9756394 DOI: 10.1016/j.nedt.2021.104942] [Citation(s) in RCA: 19] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/20/2021] [Revised: 04/06/2021] [Accepted: 04/22/2021] [Indexed: 05/13/2023]
Abstract
BACKGROUND The first wave of the COVID-19 pandemic caused a shortage of qualified nurses in Spain. As a result, the government authorized the hiring of senior students. OBJECTIVES To explore the perspectives of a group of final-year nursing students who were hired on the basis of a relief contract for health professionals during the first COVID-19 outbreak, regarding their learning process and their mixed role as students and novice nurses. DESIGN A qualitative exploratory study was conducted. SETTINGS The Nursing Department of the European University of Madrid, and the Red Cross College of Nursing. PARTICIPANTS Eighteen nursing students were recruited, aged between 18 and 65 years old, enrolled in the fourth year of Nursing Studies and who were hired under a relief contract for health professionals during the pandemic. METHODS Purposive sampling was used. Semi-structured, in-depth interviews were carried out using a question guide. Interviews were conducted in a private video chat room platform. Also, a thematic, inductive analysis was performed. This study was conducted according to the Consolidated Criteria for Reporting Qualitative Research and the Standards for Reporting Qualitative Research. RESULTS Four specific themes emerged: a) The students' role during the relief contract; b) The learning process during the pandemic; c) Barriers to learning; and d) A unique learning opportunity. The students had an undefined mixed role, which hindered their skills and activities. Learning was self-directed, sometimes through trial and error, and through experiencing critical events. Time constraints and having to learn under pressure were experienced as difficulties for learning. Nevertheless, this was a unique professional learning opportunity. The students learned to be organized and effective, acknowledge their limitations, gain confidence, face their fears, and mature. CONCLUSIONS These results can help inform nurse training programs and improve the organization and incorporation of nurses in health care facilities during the COVID-19 pandemic.
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Affiliation(s)
- Juan Francisco Velarde-García
- Research Nursing Group of Instituto de Investigación Sanitaria Gregorio Marañón (IiSGM). Calle del Dr. Esquerdo, 46, 28007 Madrid, Spain; Department of Nursing, Red Cross College of Nursing, Universidad Autónoma de Madrid, Avenida Reina Victoria 28, 28003 Madrid, Spain
| | - Jose Miguel Cachón-Pérez
- Department of Nursing. Facultad Ciencias Salud. Research Group of Teaching methodologies and assessment systems in nursing, Universidad Europea de Madrid. Calle Tajo, s/n, 28670 Villaviciosa de Odón, Madrid, Spain.
| | - Marta Rodríguez-García
- Department of Nursing. Facultad Ciencias Salud. Research Group of Teaching methodologies and assessment systems in nursing, Universidad Europea de Madrid. Calle Tajo, s/n, 28670 Villaviciosa de Odón, Madrid, Spain
| | - Oscar Oliva-Fernández
- Department of Nursing. Facultad Ciencias Salud. Research Group of Teaching methodologies and assessment systems in nursing, Universidad Europea de Madrid. Calle Tajo, s/n, 28670 Villaviciosa de Odón, Madrid, Spain
| | - Pilar González-Sanz
- Department of Nursing. Facultad Ciencias Salud. Research Group of Teaching methodologies and assessment systems in nursing, Universidad Europea de Madrid. Calle Tajo, s/n, 28670 Villaviciosa de Odón, Madrid, Spain
| | - Marta Mas Espejo
- Department of Nursing, Red Cross College of Nursing, Universidad Autónoma de Madrid, Avenida Reina Victoria 28, 28003 Madrid, Spain
| | - Raquel González-Hervías
- Department of Nursing, Red Cross College of Nursing, Universidad Autónoma de Madrid, Avenida Reina Victoria 28, 28003 Madrid, Spain
| | - Beatriz Álvarez-Embarba
- Department of Nursing, Red Cross College of Nursing, Universidad Autónoma de Madrid, Avenida Reina Victoria 28, 28003 Madrid, Spain
| | - Paloma Moro-López-Menchero
- Department of Physical Therapy, Occupational Therapy, Physical Medicine and Rehabilitation, Research Group of Humanities and Qualitative Research in Health Science of Universidad Rey Juan Carlos (Hum&QRinHS), Avenida Atenas s/n, 28922 Alcorcón, Spain
| | - César Fernández-de-Las-Peñas
- Department of Physical Therapy, Occupational Therapy, Physical Medicine and Rehabilitation, Research Group of Manual Therapy, Dry Needling and Therapeutic Exercise of Universidad Rey Juan Carlos (GITM-URJC), 28001 Madrid, Spain
| | - Domingo Palacios-Ceña
- Department of Physical Therapy, Occupational Therapy, Physical Medicine and Rehabilitation, Research Group of Humanities and Qualitative Research in Health Science of Universidad Rey Juan Carlos (Hum&QRinHS), Avenida Atenas s/n, 28922 Alcorcón, Spain
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