Managing health care under heavy stress: Effects of the COVID-19 pandemic on care unit managers' ability to support the nurses-A mixed-methods approach.
managers' resources
managers' role stress
perceived organizational support
Journal
Journal of nursing management
ISSN: 1365-2834
Titre abrégé: J Nurs Manag
Pays: England
ID NLM: 9306050
Informations de publication
Date de publication:
Nov 2022
Nov 2022
Historique:
revised:
21
09
2022
received:
01
06
2022
accepted:
02
10
2022
pubmed:
6
10
2022
medline:
30
12
2022
entrez:
5
10
2022
Statut:
ppublish
Résumé
This study aims to investigate care unit managers' perceptions of how the COVID-19 pandemic influenced their ability to support the nurses. The COVID-19 pandemic placed extreme pressure on health care organizations. More knowledge regarding how the pandemic influenced care unit managers' ability to support nurses is central to ensuring high-quality health care in future crises. A mixed-methods study in Swedish hospitals with a survey (n = 128) and interviews (n = 20) with care unit managers. Approximately half of the managers reported having spent more time available to and supporting the nurses. Availability was positively predicted by their perceived organizational support while negatively by their job demands. These job demands concerned meeting staff anxiety and managing organizational restructuring. Full focus on direct patient care and strong professional and social support were important job resources. For care unit managers to effectively support the nurses during a crisis, they need proficient job resources and moderate job demands. Managers' perceived organizational support positively affects the quality of their crisis leadership. Creating arenas in which staff collegiality can form and develop is beneficial for the ability to meet future crises. This study specifies important job resources that should be acknowledged and reinforced to strengthen the ability of care unit managers to actively support the nurses during a crisis.
Sections du résumé
AIM(S)
OBJECTIVE
This study aims to investigate care unit managers' perceptions of how the COVID-19 pandemic influenced their ability to support the nurses.
BACKGROUND
BACKGROUND
The COVID-19 pandemic placed extreme pressure on health care organizations. More knowledge regarding how the pandemic influenced care unit managers' ability to support nurses is central to ensuring high-quality health care in future crises.
METHOD(S)
METHODS
A mixed-methods study in Swedish hospitals with a survey (n = 128) and interviews (n = 20) with care unit managers.
RESULTS
RESULTS
Approximately half of the managers reported having spent more time available to and supporting the nurses. Availability was positively predicted by their perceived organizational support while negatively by their job demands. These job demands concerned meeting staff anxiety and managing organizational restructuring. Full focus on direct patient care and strong professional and social support were important job resources.
CONCLUSION(S)
CONCLUSIONS
For care unit managers to effectively support the nurses during a crisis, they need proficient job resources and moderate job demands. Managers' perceived organizational support positively affects the quality of their crisis leadership. Creating arenas in which staff collegiality can form and develop is beneficial for the ability to meet future crises.
IMPLICATIONS FOR NURSING MANAGEMENT
CONCLUSIONS
This study specifies important job resources that should be acknowledged and reinforced to strengthen the ability of care unit managers to actively support the nurses during a crisis.
Identifiants
pubmed: 36197805
doi: 10.1111/jonm.13857
pmc: PMC9874776
doi:
Types de publication
Journal Article
Langues
eng
Pagination
4080-4089Subventions
Organisme : AFA Försärking
ID : 180085
Informations de copyright
© 2022 The Authors. Journal of Nursing Management published by John Wiley & Sons Ltd.
Références
J Nurs Manag. 2022 Sep;30(6):1922-1930
pubmed: 35478424
J Nurs Manag. 2020 Jul;28(5):1002-1009
pubmed: 32255222
J Appl Psychol. 2001 Jun;86(3):499-512
pubmed: 11419809
J Nurs Manag. 2021 Jul;29(5):1159-1168
pubmed: 33480145
Int J Ment Health Nurs. 2018 Feb;27(1):20-32
pubmed: 29243348
Workplace Health Saf. 2021 Apr;69(4):174-181
pubmed: 33514301
Int Nurs Rev. 2021 Jun;68(2):202-213
pubmed: 33420749
Nurs Forum. 2021 Jul;56(3):539-549
pubmed: 33870510
Appl Ergon. 2017 Mar;59(Pt A):45-55
pubmed: 27890158
Psychiatry Res. 2020 Oct;292:113360
pubmed: 32771837
J Nurs Manag. 2020 Oct;28(7):1653-1661
pubmed: 32770780
J Nurs Manag. 2022 Jan;30(1):79-89
pubmed: 34592013
J Glob Health. 2021 Apr 10;11:05009
pubmed: 33884193
J Adv Nurs. 2003 Apr;42(2):169-200
pubmed: 12670386
J Nurs Manag. 2021 Sep;29(6):1525-1534
pubmed: 33690928
Anxiety Stress Coping. 2017 May;30(3):317-332
pubmed: 27576066
Scand J Psychol. 2022 Dec;63(6):648-657
pubmed: 35775142
J Health Organ Manag. 2021 Sep 13;35(9):281-297
pubmed: 34523305
Nurse Educ Today. 2004 Feb;24(2):105-12
pubmed: 14769454
Contemp Nurse. 2006 Oct;23(1):3-11
pubmed: 17083315
J Nurs Manag. 2022 Nov;30(8):4080-4089
pubmed: 36197805
J Adv Nurs. 2021 Sep;77(9):3880-3893
pubmed: 34309922
Psychiatry Res. 2020 Nov;293:113366
pubmed: 32798932
J Nurs Manag. 2021 Oct;29(7):1956-1964
pubmed: 33853201
J Nurs Manag. 2013 May;21(4):638-47
pubmed: 23700980
J Nurs Manag. 2022 Jul;30(5):1087-1095
pubmed: 35338532
Qual Health Res. 2016 Nov;26(13):1753-1760
pubmed: 26613970
Nurs Health Sci. 2005 Mar;7(1):57-65
pubmed: 15670007
J Nurs Manag. 2022 Sep;30(6):1913-1921
pubmed: 35478365