Department of Business Economics, Health and Social Care, University of Applied Sciences and Arts of Southern Switzerland, Manno, Switzerland.
J Nurs Manag. 2021 Oct;29(7):1956-1964. doi: 10.1111/jonm.13339. Epub 2021 Jun 22.
To explore the experiences of middle management nurses during the COVID-19 pandemic in Switzerland.
The outbreak of COVID-19 has placed extraordinary demands on health care systems worldwide, which were found mostly unprepared. In this situation, middle management nurses played a strategic role because they acted as a link between organizational directives and the clinical practice.
This is a qualitative study that used a face-to-face interview with semi-structured questions to learn about the experiences of middle management nurses during the COVID-19 pandemic. After recruiting participants through purposeful sampling, data were analysed by means of thematic analysis using Nvivo 12.
In total, 12 middle managers were interviewed. Data analysis identified four macro-themes-Changes; Conflicting emotions; Relation; Role-and 20 sub-themes.
The sudden challenges posed by the pandemic required middle managers to shift their focus from advanced planning to negotiation for meeting the rapidly evolving needs of nursing staff and top management, in order to guarantee the nursing team's well-being and organizational efficiency.
Lessons learned from the pandemic suggest the need for fine-tuning organizational models and the importance that nurse middle managers affirm and uphold the core values for nursing and engage patient and staff advocacy.
探索瑞士新冠疫情期间中层管理护士的经历。
新冠疫情的爆发对全球医疗系统提出了特殊要求，但大多数医疗系统都没有做好准备。在这种情况下，中层管理护士发挥了战略作用，因为他们充当了组织指令与临床实践之间的桥梁。
这是一项定性研究，采用面对面访谈和半结构化问题，了解新冠疫情期间中层管理护士的经历。通过目的性抽样招募参与者后，使用 Nvivo 12 进行主题分析来分析数据。
共访谈了 12 名中层管理人员。数据分析确定了四个宏观主题——变化；矛盾情绪；关系；角色——以及 20 个子主题。
疫情带来的突然挑战要求中层管理人员将注意力从预先规划转移到谈判上，以满足护理人员和高层管理部门不断变化的需求，从而保证护理团队的福祉和组织效率。
从疫情中吸取的教训表明，需要调整组织模式，强调护士中层管理人员肯定和维护护理核心价值观，并参与患者和员工的倡导。
