Universidade Federal de São Paulo, Escola Paulista de Enfermagem, São Paulo, SP, Brazil.
Universidade Federal de Santa Catarina, Departamento de Enfermagem, Florianópolis, SC, Brazil.
Rev Esc Enferm USP. 2024 Sep 9;58:e20240049. doi: 10.1590/1980-220X-REEUSP-2024-0049en. eCollection 2024.
To understand how nursing care management occurred during the COVID-19 pandemic.
A qualitative study conducted at a university hospital in São Paulo, Brazil. The sample consisted of eight nurses who worked caring for patients who tested positive for COVID-19. Data collection was carried out through semi structured interviews about experiences in managing care in coping with the pandemic. Thematic analysis and interpretation based on psychodynamics of work were used in data analysis.
The results allowed constructing three thematic categories: The invisible that limits: biosafety, distress, uncertainty and fear of the pandemic, protecting oneself and ensuring the protection of others; Management work process instruments: team training, staff sizing, materials management, creative practice in the face of insufficiency; The competencies involved with the team, teamwork and leadership.
Care management in COVID-19 was permeated by objective and subjective conditions, with situations of distress, pleasure, fear, insecurity and creative adaptation. Teamwork and leadership competencies, when present, can alleviate the distress that occurs in nursing work.
了解 COVID-19 大流行期间护理管理是如何发生的。
在巴西圣保罗的一家大学附属医院进行的定性研究。样本由 8 名护士组成，他们负责照顾 COVID-19 检测呈阳性的患者。通过半结构化访谈收集有关在应对大流行期间管理护理经验的数据。在数据分析中使用了基于工作心理动力学的主题分析和解释。
研究结果构建了三个主题类别：限制的无形性：生物安全、困扰、对大流行的不确定性和恐惧、保护自己和确保他人的保护；管理工作流程工具：团队培训、人员配置、材料管理、面对不足的创造性实践；团队相关的能力、团队合作和领导力。
COVID-19 大流行期间的护理管理受到客观和主观条件的影响，存在困扰、愉悦、恐惧、不安全和创造性适应等情况。当团队合作和领导力能力存在时，可以减轻护理工作中出现的困扰。
