Key strategies for managing nursing care under the COVID-19 pandemic: A multiple-case study of nursing directors

作     者：Takemura, Yukie Inoue, Maho Ichikawa, Naoko Kida, Ryohei Koyanagi, Hiroe Ikezaki, Sumie Ikeda, Mari 

作者机构：Univ Tokyo Hosp Nursing Dept Tokyo Japan Univ Tokyo Grad Sch Med Dept Nursing Adm Div Hlth Sci & Nursing Tokyo Japan Fujita Hlth Univ Res Ctr Implementat Nursing Sci Initiat Sch Hlth Sci Toyoake Aichi Japan Chiba Univ Grad Sch Nursing Dept Hlth Promot Nursing & Midwifery Chiba Japan Univ Tokyo Grad Sch Med Dept Family Nursing Div Hlth Sci & Nursing Tokyo Japan 

出 版 物：《JOURNAL OF NURSING MANAGEMENT》 (护理管理杂志)

年 卷 期：2022年第30卷第8期

页      面：4042-4053页

核心收录：

学科分类：1201[管理学-管理科学与工程(可授管理学、工学学位)] 1011[医学-护理学（可授医学、理学学位）] 10[医学] 

基　　金：Health  Labour and Welfare Sciences Research Grants: Special Research [20CA2029] 

主　　题：COVID-19 hospital management multiple-case study nurse nursing director 

摘      要：Aim We aim to identify measures implemented by hospital nursing directors early in the COVID-19 pandemic and enabling factors. Background Managerial factors affect nurses physical and mental health and willingness to work, especially early in a pandemic. Method We used multiple-case study of 15 hospitals, comparing management approaches by interviewing 28 nursing directors and their assistants from August to December 2020. Results Hospitals that accepted COVID-19 patients and hospitals that unexpectedly experienced clusters underwent a nursing provision system organization phase, followed by an adjustment phase to maintain nursing organization function. Two factors aided measure implementation: an emergency system and staff protection policies. Conclusion Early epidemic management strategies apply across contexts. The hospital s basic attitude is key to effective implementation of the strategies. Implications for Nursing Management The results suggest that hospitals, nursing directors and nurses can each prepare for future emerging infectious disease epidemics.