从中反思：探索美国各地护士经理在 COVID-19 大流行期间的经历。
Reflections From the Middle: Exploring the Experience of Nurse Managers Across the United States During the COVID-19 Pandemic.
机构信息
Author Affiliations: Professor of Clinical Nursing and Clinical Nurse Scientist (Dr Chipps), The Ohio State University College of Nursing, The Ohio State University Wexner Medical Center, Columbus, Ohio; Research Assistant (Dr Kelley), The Ohio State University College of Nursing, Columbus, Ohio; Senior Nurse Scientist (Dr Monturo), Chester County Hospital-Penn Medicine, West Chester, Pennsylvania; Associate Chief Nursing Officer (Mr Baldwin), The Ohio State University Wexner Medical Center, Columbus, Ohio; Senior Nurse Scientist (Dr Miller), UCLA Health, Center for Nursing Excellence, Los Angeles, California; and Associate Professor (Dr O'Mathúna), College of Nursing, OSU Center for Bioethics and Medical Humanities, Director Cochrane Affiliate, Helene Fuld Health Trust National Institute for Evidence-based Practice in Nursing and Health, Columbus, Ohio; Project and Administration Coordinator (Ms Roberts), Instructor of Clinical Practice, The Ohio State University College of Nursing, Columbus, Ohio (Dr Smith), Grayce Sills Endowed Professor in Psychiatric-Mental Health Nursing, Director of DNP Nurse Executive Track, and Director of Implementation Science Core (Dr Tucker), and Assistant Professor of Clinical Nursing and Director Academic Core The Helene Fuld Health Trust National Institute for Evidenced-Based Practice in Nursing and Healthcare (Dr Zellefrow), The Ohio State University College of Nursing, Columbus, Ohio.
出版信息
J Nurs Adm. 2022 Jun 1;52(6):345-351. doi: 10.1097/NNA.0000000000001159. Epub 2022 May 7.
OBJECTIVE
The objective of this multisite study was to explore the professional and personal experiences of US nurse managers (NMs) during the COVID-19 pandemic.
BACKGROUND
NMs are the most accessible and visible nurse leaders to the frontline staff during this pandemic.
METHODS
Thirty-nine NMs from 5 health systems across the US participated in focus groups in this qualitative study. Data were analyzed using a constant comparative method.
RESULTS
Three major themes were identified: challenges, feelings and emotions, and coping. Subthemes emerged within each major theme.
CONCLUSION
NMs across the country accepted considerable responsibility at great professional and personal consequence during the pandemic. NMs experienced challenges, ethical dilemmas, and expressed negative emotions. As the usual coping strategies failed, NMs reported that they are considering alternative career choices. This work provided evidence to help senior leaders strategize about mechanisms for reducing managerial dissonance during times of stress.
目的
这项多地点研究的目的是探讨美国护士经理（NM）在 COVID-19 大流行期间的专业和个人经历。
背景
在这场大流行中，NM 是最接近和最能接触到一线工作人员的可及和可见的护士领导者。
方法
这项定性研究中，来自美国 5 个卫生系统的 39 名 NM 参加了焦点小组。使用恒定性比较方法对数据进行分析。
结果
确定了三个主要主题：挑战、感受和情绪以及应对。每个主要主题下都出现了子主题。
结论
在大流行期间，全国范围内的 NM 承担了相当大的责任，付出了巨大的职业和个人代价。NM 经历了挑战、伦理困境，并表达了负面情绪。由于通常的应对策略失败，NM 报告说他们正在考虑其他职业选择。这项工作提供了证据，帮助高级领导人为减轻压力时期管理不和谐制定策略。
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