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一线护士管理者在 COVID-19 期间的经历:一项定性研究。

Experiences of frontline nurse managers during the COVID-19: A qualitative study.

机构信息

Clínica Universidad de Navarra, Pamplona, Spain.

School of Nursing, Campus Universitario, Universidad de Navarra, Pamplona, Spain.

出版信息

J Nurs Manag. 2022 Jan;30(1):79-89. doi: 10.1111/jonm.13488. Epub 2021 Oct 24.

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.

摘要

目的

探索新冠疫情期间一线护士长的经验。

背景

新冠疫情使全球的医疗护理提供和医疗管理变得复杂。护士长必须面对资源匮乏的情况下管理危机的挑战。目前,关于新冠疫情期间护士长经验的研究甚少。

方法

对西班牙一家高度专业化大学医院的 10 名一线护士长进行了定性描述性研究。2020 年 6 月至 9 月期间进行了半结构化访谈。采用《定性研究报告的统一标准》报告清单进行报告。

结果

出现了 6 个主题:不断适应变化、参与决策、管理不确定性、优先考虑员工的身心健康、维护人性化护理和“一荣俱荣”。

结论

本研究为新冠疫情期间护士长的经验提供了证据。此外,分析这些经验有助于确定这些护士在应对危机及其作为患者和护士调解人的双重角色中必须具备的一些关键能力。

护理管理意义

了解疫情期间一线护士长的经验,可以为未来的卫生灾难(包括新冠疫情的后续浪潮)规划和准备护士长提供便利。

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本文引用的文献

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Front-line nurses' responses to organisational changes during the COVID-19 in Spain: A qualitative rapid appraisal.
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