Catania Gianluca, Zanini Milko, Hayter Mark, Timmins Fiona, Dasso Nicoletta, Ottonello Giulia, Aleo Giuseppe, Sasso Loredana, Bagnasco Annamaria
Department of Health Sciences, University of Genoa, Genoa, Italy.
Faculty of Health Sciences, University of Hull, Hull, UK.
J Nurs Manag. 2021 Apr;29(3):404-411. doi: 10.1111/jonm.13194. Epub 2020 Nov 15.
To explore nursing management issues within COVID-19 narratives of Italian front-line nurses.
The COVID-19 pandemic has dramatically affected health systems and professionals worldwide. Italian nurses have key messages for nursing leaders following their acute experiences in the pandemic.
A descriptive qualitative study with thematic analysis.
Twenty-three testimonies from clinical nurses were analysed. Six macrothemes were identified as follows: organisational and logistic change; leadership models adopted to manage the emergency; changes in nursing approaches; personal protective equipment issues; physical and psychological impact on nurses; and team value/spirit.
Our testimonies highlighted the huge impact of COVID-19 on the Italian nursing workforce, especially in terms of the high risks associated with caring for COVID-19 patients, exacerbated by the shortage of appropriate personal protective equipment. Nurses had to care for their colleagues and live separately from their families to avoid infecting them, revealing nurses' resilience and the important role of effective and sensitive management.
Nurse managers must be prepared for the impact of pandemics on staff and need to ensure availability and replacement of quality personal protective equipment, rehearse strategies for communicating with patients while wearing personal protective equipment and establish protocols for communicating with relatives.
探讨意大利一线护士关于新冠疫情叙述中的护理管理问题。
新冠疫情对全球卫生系统和专业人员产生了巨大影响。意大利护士在经历疫情急性期后，为护理领导者提供了关键信息。
一项采用主题分析的描述性定性研究。
分析了23名临床护士的证词。确定了六个宏观主题，如下所示：组织和后勤变革；应对紧急情况所采用的领导模式；护理方法的变化；个人防护装备问题；对护士的身心影响；以及团队价值/精神。
我们的证词突出了新冠疫情对意大利护理人员的巨大影响，特别是在护理新冠患者相关高风险方面，而适当个人防护装备的短缺使情况更加恶化。护士不得不照顾同事并与家人分开居住以避免感染他们，这显示了护士的适应能力以及有效且贴心管理的重要作用。
护士管理者必须为疫情对员工的影响做好准备，需要确保优质个人防护装备的供应和更换，演练在佩戴个人防护装备时与患者沟通的策略，并制定与亲属沟通的方案。
