Who speaks for nursing? COVID-19 highlighting gaps in leadership.
TL;DR: The State of the World's Nursing 2020 report provides a compelling case for development of the global nursing workforce, investment in nursing education, jobs, and leadership, however, operationalizing these recommendations will require investment and support at all levels of government and across all health jurisdictions.
Abstract: In many areas of the world, the discipline and profession of nursing has been strengthened through the efforts of strong and effective leaders in education, research and clinical practice. The Seventy-second World Health Assembly designated 2020 as the International Year of the Nurse and the Midwife; not only to honour the 200th anniversary of the birth of Florence Nightingale, but also to recognize the contributions of nurses and midwives to the health and well-being of the world's population. Recently, on World Health Day, the World Health Organisation (WHO) released the State of the World's Nursing 2020 report providing data on nursing globally (WHO 2020). The report also provides a compelling case for development of the global nursing workforce, investment in nursing education, jobs, and leadership. However, operationalizing these recommendations will require investment and support at all levels of government and across all health jurisdictions.
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TL;DR: Nurse leaders must ensure adequate PPE supply, upskill nurses to provide safe, quality care for patients with COVID‐19, and promote restorative self‐care plans to ease anxiety and support renewal and resilience.
Abstract: Aims Identify strategies and resources for nurse leaders to use to lead with empathy and prudence to improve quality of care and to ease the psychological toll on nurses caring for patients with COVID-19. Background In a 2020 report, clinicians caring for patients during the COVID-19 pandemic said their healthcare leaders needed to: 'hear me, protect me, prepare me, support me, and care for me'. These words provide an action plan for nurse leaders to communicate, educate, and support nurses to practice competently and safely (physically and mentally) in the context of COVID-19. Design Discursive paper. Method Identification and inclusion of relevant international evidence with clinical discussion. Findings Nurse leaders can mobilise system and individual level strategies and resources to support nurses to manage pandemic-related issues including: anxiety due to the risk of infection, supporting anxious children, mitigating moral injury; providing safe and quality nursing care for patients with COVID-19 and end-of-life care as needed; supporting relatives who cannot be present with a dying relative, and care for grieving relatives and colleagues. We categorise a selection of evidence-based, online sources providing current COVID-19 information, practice updates, and resources to develop personalised self-care plans to ease anxiety and support renewal and resilience. Conclusions Nurse leaders must ensure adequate PPE supply, upskill nurses to provide safe, quality care for patients with COVID-19, and promote restorative self-care plans. Relevance to clinical practice The strategic actions nurse leaders take today can positively impact nurses' wellbeing and ability to provide safe and quality care for patients in the context of COVID-19.
80 citations
TL;DR: A period of complacency and a lack of focus on potential pandemics has meant that documented shortages of personnel, workforce and equipment has limited healthcare delivery in developed economies.
Abstract: SARS‐CoV‐2, the virus that causes COVID‐19, is wreaking havoc around the world. This unprecedented pandemic has led to illness, death, and economic destruction. The pandemic has challenged health care systems globally for a range of reasons. In developed economies the focus on non‐communicable diseases rather than infectious diseases have caught us short. A period of complacency and a lack of focus on potential pandemics has meant that documented shortages of personnel, workforce and equipment has limited healthcare delivery.
68 citations
Cites background from "Who speaks for nursing? COVID-19 hi..."
...The lack of access to personal protective commitment (PPE), lack of training and workforce shortages have exposed the vulnerability of healthcare workers (Daly et al. 2020)....
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TL;DR: Wang et al. as discussed by the authors identified the impact of the Coronavirus Disease 2019 pandemic on the psychology of Chinese nurses in emergency departments and fever clinics and identified associated factors such as female gender, fear of infection among family members, regretting being a nurse, less rest time, more night shifts, having children, lack of confidence in fighting transmission, not having emergency protection training, and negative professional attitude.
Abstract: Background During the Coronavirus Disease 2019 (COVID-19) pandemic, emergency departments and fever clinics nurses acted as gatekeepers to the health care system. To manage the psychological problems that these nurses experience, we should develop appropriate training and intervention programs. Objective To identify the impact of COVID-19 on the psychology of Chinese nurses in emergency departments and fever clinics and to identify associated factors. Methods This online cross-sectional study recruited participants through snowball sampling between 13 February and 20 February 2020. Nurses self-administered the online questionnaires, including a general information questionnaire, the Self-Rating Anxiety Scale, the Perceived Stress Scale-14, and the Simplified Coping Style Questionnaire. Results We obtained 481 responses, of which 453 were valid, an effective response rate of 94.18%. Participants who had the following characteristics had more mental health problems: female gender, fear of infection among family members, regretting being a nurse, less rest time, more night shifts, having children, lack of confidence in fighting transmission, not having emergency protection training, and negative professional attitude. Conclusion Effective measures are necessary to preserve mental health of nurses in emergency departments and fever clinics. These include strengthening protective training, reducing night shifts, ensuring adequate rest time, and timely updating the latest pandemic situation.
54 citations
TL;DR: Findings indicate inclusive leadership style serves as a sustainable mechanism to reduce psychological distress during pandemics and provides empirical support for social exchange theory through high work engagement to help control psychological distress among nurses.
Abstract: Traumatic events such as a pandemic shatter the assumption of the workplace as a safe place. Nurses face risks of life-threatening infection, which can create psychological distress. Quality of care for infected patients depends on mental well-being of nurses which calls for research on predictors of stress among health care workers. Responding to a call for research on the effects of leadership styles on psychological distress during traumatic events, this paper uses the theoretical lens of social exchange theory and contributes to literature on relationships between inclusive leadership, psychological distress, work engagement, and self-sacrifice. Participants of this cross sectional study included 497 registered nurses from five hospitals in Wuhan. Data were collected with temporal separation through an online questionnaire. Partial least-squares structural equation modeling was used to analyze data. Results show inclusive leadership has a significant negative relationship with psychological distress. Work engagement mediates this relationship, and nurses' self-sacrificial behavior moderates it. Findings indicate inclusive leadership style serves as a sustainable mechanism to reduce psychological distress during pandemics. It can operationalize the delivery of mental health support in real-time in work settings. Results provide empirical support for social exchange theory through high work engagement to help control psychological distress among nurses.
51 citations
TL;DR: In this paper, the experiences of hospital nurse managers and assistant nurse managers during the COVID-19 pandemic in the United States were investigated using audio-video teleconferencing and a semi-structured interview guide.
Abstract: AIM: To understand the experiences of hospital nurse managers and assistant nurse managers during the COVID-19 pandemic in the United States. BACKGROUND: Little research has been published about the experiences of nurse managers during the COVID-19 pandemic. Experiences of front-line nurses have been well documented. This is the first phenomenological study to date in the United States on experiences of hospital nurse managers during the COVID-19 pandemic. DESIGN: Phenomenological qualitative approach. METHODS: Thirteen managers, seven nurse managers and six assistant nurse managers were interviewed about their experiences using audio-video teleconferencing and a semi-structured interview guide. Consolidated Criteria for Reporting Qualitative Research criteria for reporting qualitative research were used. RESULTS: The four major themes that emerged were as follows: being there for everyone; leadership challenges; struggles, support and coping; and strengthening my role. There were 11 subthemes. CONCLUSIONS: A major focus of nurse managers during the pandemic was psychosocial support of front-line nurses while at the same time experiencing stress and exhaustion themselves. IMPLICATIONS FOR NURSING MANAGEMENT: More attention on the psychosocial needs of nurse managers, interventions to allay their exhaustion and provisions for readily available support are warranted.
33 citations
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TL;DR: The COVID-19 pandemic is providing many painful lessons particularly the vulnerability of individuals living with chronic conditions and the need for preparedness, coordination, and monitoring.
Abstract: The COVID-19 pandemic is providing us with many painful lessons particularly the vulnerability of individuals living with chronic conditions and the need for preparedness, coordination, and monitoring. Long-term care facilities, including nursing homes, skilled nursing facilities, and assisted living facilities, provide care for some of the most vulnerable populations in society, including older people and those with chronic medical conditions. In the United Kingdom, there are about 17,000 people living in nursing and residential care homes and 200,000 Australians live or stay in residential aged care on any given day.
119 citations
"Who speaks for nursing? COVID-19 hi..." refers background in this paper
...The moral distress that many nurses feel from the death of vulnerable populations is palpable (Davidson & Szanton 2020)....
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