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南非豪登省一家学术医院在新冠疫情期间的资源管理:护士长的经历

Management of resources during COVID-19 pandemic at an academic hospital in Gauteng, South Africa: nurse managers' experiences.

作者信息

Tukisi Kagiso Prince, Matshidza Mmaphala Mavis, Malesela Jacobeth Mmabyala Louisa

机构信息

Department of Nursing Science, University of Johannesburg, Cnr Siemert & Beit Streets, Doornfontein, Johannesburg, 2094, South Africa.

Department of Nursing, School of Health Care Sciences, Sefako Makgatho Health Sciences University, Pretoria, South Africa.

出版信息

BMC Nurs. 2025 Mar 26;24(1):328. doi: 10.1186/s12912-025-02982-5.

Abstract

BACKGROUND

The onset of the COVID-19 pandemic required the mobilization of resources specifically for managing patients during the pandemic. The need for the mobilization of resources at the time of COVID-19 increased the nurse managers' responsibilities regarding the management of resources. Failure to prioritize the requirement for resource mobilization during COVID-19 can result in several adverse effects, notably in terms of nurse managers' obligations. Such a negative incident could result from decreased quality and patient safety. The study, therefore, sought to examine the nurse managers' resource management experiences under the new context caused by the pandemic.

OBJECTIVE

The study aimed to explore and describe nurse managers' experiences regarding managing resources during the COVID-19 pandemic in an academic hospital in the Tshwane District of the Gauteng Province.

METHODS

A qualitative, exploratory, descriptive, and contextual research design was followed. Twenty-six purposefully sampled nurse managers attended semi-structured interviews. A thematic analysis was conducted to identify patterns and themes within the data collected.

RESULTS

The following three themes emerged: The nurse managers experienced budget constraints to address the patient's health needs. More human and material resources are needed, which makes monitoring patient care challenging. Lastly, the hospital infrastructure needed to be Inadequate and unsupportive for easy management of the pandemic.

CONCLUSION

The management of resources is critical for managing crises. Therefore, the managers must actively participate in the strategic plans and budget allocation meetings. The nurse manager's active involvement in budgetary plans will enable the managers to pre-empt administrative challenges in case of disaster. Consequently, the nurse managers may have control over finance, human, and material resources in their roles as accounting officers.

CONTRIBUTION

The findings provided some insights into the experiences of nurse managers in managing resources during the COVID-19 pandemic. It will assist nurse managers in reviewing existing contingency plans to address intensified and prolonged crises like COVID-19 pandemic.

摘要

背景

新冠疫情的爆发需要专门调集资源来应对疫情期间的患者管理。新冠疫情期间对资源调集的需求增加了护士长在资源管理方面的职责。在新冠疫情期间未能优先考虑资源调集需求可能会导致若干不利影响,尤其是在护士长的职责方面。这样的负面事件可能会导致护理质量下降和患者安全问题。因此,本研究旨在考察在疫情引发的新背景下护士长的资源管理经验。

目的

本研究旨在探索和描述豪登省茨瓦内区一家学术医院的护士长在新冠疫情期间管理资源的经验。

方法

采用定性、探索性、描述性和情境性研究设计。26名经过有目的抽样的护士长参加了半结构化访谈。进行了主题分析以识别所收集数据中的模式和主题。

结果

出现了以下三个主题:护士长在满足患者健康需求方面面临预算限制。需要更多的人力和物力资源,这使得监测患者护理工作具有挑战性。最后,医院基础设施不足且不利于疫情的轻松管理。

结论

资源管理对于危机管理至关重要。因此,管理人员必须积极参与战略规划和预算分配会议。护士长积极参与预算计划将使管理人员能够在灾难发生时预先应对管理挑战。因此,护士长作为会计官员在其角色中可能会对财务、人力和物力资源进行控制。

贡献

研究结果为护士长在新冠疫情期间管理资源的经验提供了一些见解。它将帮助护士长审查现有的应急计划,以应对像新冠疫情这样的强化和长期危机。

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Nursing workload in the COVID-19 era.新冠疫情时代的护理工作量。
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