NewYork-Presbyterian/Weill Cornell Medical Center, New York City.
Nurs Adm Q. 2022;46(2):177-184. doi: 10.1097/NAQ.0000000000000515.
New York City (NYC) was in the eye of the COVID-19 pandemic storm in the spring of 2020. Since that time, the country has seen wave after wave of outbreaks and concurrent psychosocial crises. Clinical nurses and nurse leaders delivered extraordinary care with grit, innovation, agility, and resilience. When in the eye of the storm, staff have to feel safe and have a voice even in command-control, adaptive modes. Nurses and nurse leaders have been resilient, and organizations have to play their part in decreasing work burden and creating positive work environments. Non-value-added work as well as barriers to practice should be eliminated permanently. This article describes the many challenges including intensive care unit capacity, staffing, well-being, and lack of visitation, as well as leadership lessons such as the importance of presence, based on the NYC experience of a chief nursing officer in a large academic medical center. These lessons and their implications for our workforce, for public health, and for leadership development and competencies and have taught us how to lead into the future.
纽约市(NYC)在 2020 年春季处于 COVID-19 大流行的风暴眼中。自那时以来,美国一波又一波的疫情爆发和并发的心理社会危机。临床护士和护理领导人以勇气、创新、敏捷性和弹性提供了非凡的护理。当处于风暴眼中时,即使在指挥控制、适应性模式下,员工也必须感到安全并能发表意见。护士和护理领导人具有弹性,而组织必须在减轻工作负担和创造积极的工作环境方面发挥作用。非增值性工作以及实践障碍应永久消除。本文根据一名大型学术医疗中心首席护理官在纽约市的经历,描述了许多挑战,包括重症监护病房容量、人员配备、福祉和探视受限,以及领导力经验,例如存在的重要性。这些经验及其对我们的劳动力、公共卫生以及领导力发展和能力的影响,教会了我们如何引领未来。