Faculty of Nursing, University of Windsor, Windsor, Canada.
Department of Psychology, University of Windsor, Windsor, Canada.
J Health Organ Manag. 2021 Aug 31;ahead-of-print(ahead-of-print). doi: 10.1108/JHOM-02-2021-0051.
Nurses working during the coronavirus disease 2019 (COVID-19) pandemic have reported elevated levels of anxiety, burnout and sleep disruption. Hospital administrators are in a unique position to mitigate or exacerbate stressful working conditions. The goal of this study was to capture the recommendations of nurses providing frontline care during the pandemic.
DESIGN/METHODOLOGY/APPROACH: Semi-structured interviews were conducted during the first wave of the COVID-19 pandemic, with 36 nurses living in Canada and working in Canada or the United States.
The following recommendations were identified from reflexive thematic analysis of interview transcripts: (1) The nurses emphasized the need for a leadership style that embodied visibility, availability and careful planning. (2) Information overload contributed to stress, and participants appealed for clear, consistent and transparent communication. (3) A more resilient healthcare supply chain was required to safeguard the distribution of equipment, supplies and medications. (4) Clear communication of policies related to sick leave, pay equity and workload was necessary. (5) Equity should be considered, particularly with regard to redeployment. (6) Nurses wanted psychological support offered by trusted providers, managers and peers.
Over-reliance on employee assistance programmes and other individualized approaches to virtual care were not well-received. An integrative systems-based approach is needed to address the multifaceted mental health outcomes and reduce the deleterious impact of the COVID-19 pandemic on the nursing workforce.
ORIGINALITY/VALUE: Results of this study capture the recommendations made by nurses during in-depth interviews conducted early in the COVID-19 pandemic.
在 2019 年冠状病毒病（COVID-19）大流行期间工作的护士报告焦虑、倦怠和睡眠中断水平升高。医院管理人员处于缓解或加剧紧张工作条件的独特地位。本研究的目的是捕捉在大流行期间提供一线护理的护士的建议。
设计/方法/方法：在 COVID-19 大流行的第一波期间，对居住在加拿大并在加拿大或美国工作的 36 名护士进行了半结构式访谈。
通过对访谈记录的反思性主题分析，确定了以下建议：（1）护士强调需要一种体现可见性、可用性和精心规划的领导风格。（2）信息过载导致压力，参与者呼吁清晰、一致和透明的沟通。（3）需要更具弹性的医疗供应链来保护设备、用品和药物的分配。（4）需要明确与病假、薪酬公平和工作量相关的政策。（5）应考虑公平性，特别是在重新部署方面。（6）护士希望由值得信赖的提供者、经理和同事提供心理支持。
过度依赖员工援助计划和其他针对虚拟护理的个性化方法并未得到很好的接受。需要采取综合的系统方法来解决多方面的心理健康结果，并减少 COVID-19 大流行对护理人员队伍的不利影响。
原创性/价值：本研究的结果捕捉了在 COVID-19 大流行早期进行的深入访谈中护士提出的建议。
