Lessons from Italian front-line nurses' experiences during the COVID-19 pandemic: A qualitative descriptive study.
Adult
COVID-19
/ epidemiology
Clinical Competence
Communication
Female
Humans
Italy
Leadership
Male
Middle Aged
Models, Organizational
Nurse Administrators
/ psychology
Nursing Staff, Hospital
/ psychology
Pandemics
Personal Protective Equipment
/ standards
Qualitative Research
SARS-CoV-2
Stress, Psychological
/ epidemiology
Workflow
Young Adult
COVID-19
experience
management
nursing
qualitative
Journal
Journal of nursing management
ISSN: 1365-2834
Titre abrégé: J Nurs Manag
Pays: England
ID NLM: 9306050
Informations de publication
Date de publication:
Apr 2021
Apr 2021
Historique:
revised:
14
10
2020
received:
31
07
2020
accepted:
20
10
2020
pubmed:
28
10
2020
medline:
29
4
2021
entrez:
27
10
2020
Statut:
ppublish
Résumé
To explore nursing management issues within COVID-19 narratives of Italian front-line nurses. The COVID-19 pandemic has dramatically affected health systems and professionals worldwide. Italian nurses have key messages for nursing leaders following their acute experiences in the pandemic. A descriptive qualitative study with thematic analysis. Twenty-three testimonies from clinical nurses were analysed. Six macrothemes were identified as follows: organisational and logistic change; leadership models adopted to manage the emergency; changes in nursing approaches; personal protective equipment issues; physical and psychological impact on nurses; and team value/spirit. Our testimonies highlighted the huge impact of COVID-19 on the Italian nursing workforce, especially in terms of the high risks associated with caring for COVID-19 patients, exacerbated by the shortage of appropriate personal protective equipment. Nurses had to care for their colleagues and live separately from their families to avoid infecting them, revealing nurses' resilience and the important role of effective and sensitive management. Nurse managers must be prepared for the impact of pandemics on staff and need to ensure availability and replacement of quality personal protective equipment, rehearse strategies for communicating with patients while wearing personal protective equipment and establish protocols for communicating with relatives.
Sections du résumé
AIM
OBJECTIVE
To explore nursing management issues within COVID-19 narratives of Italian front-line nurses.
BACKGROUND
BACKGROUND
The COVID-19 pandemic has dramatically affected health systems and professionals worldwide. Italian nurses have key messages for nursing leaders following their acute experiences in the pandemic.
METHOD
METHODS
A descriptive qualitative study with thematic analysis.
RESULTS
RESULTS
Twenty-three testimonies from clinical nurses were analysed. Six macrothemes were identified as follows: organisational and logistic change; leadership models adopted to manage the emergency; changes in nursing approaches; personal protective equipment issues; physical and psychological impact on nurses; and team value/spirit.
CONCLUSIONS
CONCLUSIONS
Our testimonies highlighted the huge impact of COVID-19 on the Italian nursing workforce, especially in terms of the high risks associated with caring for COVID-19 patients, exacerbated by the shortage of appropriate personal protective equipment. Nurses had to care for their colleagues and live separately from their families to avoid infecting them, revealing nurses' resilience and the important role of effective and sensitive management.
IMPLICATIONS FOR NURSING MANAGEMENT
CONCLUSIONS
Nurse managers must be prepared for the impact of pandemics on staff and need to ensure availability and replacement of quality personal protective equipment, rehearse strategies for communicating with patients while wearing personal protective equipment and establish protocols for communicating with relatives.
Types de publication
Journal Article
Langues
eng
Pagination
404-411Informations de copyright
© 2020 John Wiley & Sons Ltd.
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