Experience of middle management nurses during the COVID-19 pandemic in Switzerland: A qualitative study
Experience of middle management nurses during the COVID-19 pandemic in Switzerland: A qualitative study
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DOI：
10.1111/jonm.13339
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发表时间：
2021-06-22
影响因子：
5.5
通讯作者：
Bonetti, Loris
中科院分区：
文献类型：
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作者：
Bianchi, Monica;Prandi, Cesarina;Bonetti, Loris
目的探讨新冠肺炎疫情期间瑞士中层管理护士的经验。2019冠状病毒病疫情对世界各地的卫生保健系统提出了非凡的要求，而这些系统大多没有做好准备。在这种情况下，中层管理护士发挥了战略作用，因为他们是组织指令和临床实践之间的纽带。方法采用质性研究，采用面对面访谈、半结构化问题的方法，了解新冠肺炎大流行期间中层管理护士的经历。通过有目的的抽样招募参与者后，通过使用Nvivo 12进行主题分析来分析数据。结果共访谈了12名中层管理人员。数据分析确定了四个宏观主题：变化；矛盾的情感;关系;角色和20个子主题。结论大流行带来的突如其来的挑战要求中层管理人员将工作重点从事前规划转向协商，以满足护理人员和高层管理人员快速变化的需求，从而保证护理团队的福祉和组织效率。从大流行中吸取的教训表明，有必要对组织模式进行微调，护士中层管理人员必须肯定和维护护理的核心价值观，并参与患者和工作人员的宣传。
Aims To explore the experiences of middle management nurses during the COVID-19 pandemic in Switzerland. Background The outbreak of COVID-19 has placed extraordinary demands on health care systems worldwide, which were found mostly unprepared. In this situation, middle management nurses played a strategic role because they acted as a link between organizational directives and the clinical practice. Methods This is a qualitative study that used a face-to-face interview with semi-structured questions to learn about the experiences of middle management nurses during the COVID-19 pandemic. After recruiting participants through purposeful sampling, data were analysed by means of thematic analysis using Nvivo 12. Results In total, 12 middle managers were interviewed. Data analysis identified four macro-themes-Changes; Conflicting emotions; Relation; Role-and 20 sub-themes. Conclusion The sudden challenges posed by the pandemic required middle managers to shift their focus from advanced planning to negotiation for meeting the rapidly evolving needs of nursing staff and top management, in order to guarantee the nursing team's well-being and organizational efficiency. Implications for Nursing Management Lessons learned from the pandemic suggest the need for fine-tuning organizational models and the importance that nurse middle managers affirm and uphold the core values for nursing and engage patient and staff advocacy.