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Reflections From the Middle: Exploring the Experience of Nurse Managers Across the United States During the COVID-19
Esther Chipps1, Marjorie M Kelley, Cheryl Monturo
1Author Affiliations: Professor of Clinical Nursing and Clinical Nurse Scientist (Dr Chipps), The Ohio State University College of Nursing, The Ohio State University Wexner Medical Center, Columbus, Ohio; Research Assistant (Dr Kelley), The Ohio State University College of Nursing, Columbus, Ohio; Senior Nurse Scientist (Dr Monturo), Chester County Hospital-Penn Medicine, West Chester, Pennsylvania; Associate Chief Nursing Officer (Mr Baldwin), The Ohio State University Wexner Medical Center, Columbus, Ohio; Senior Nurse Scientist (Dr Miller), UCLA Health, Center for Nursing Excellence, Los Angeles, California; and Associate Professor (Dr O'Mathúna), College of Nursing, OSU Center for Bioethics and Medical Humanities, Director Cochrane Affiliate, Helene Fuld Health Trust National Institute for Evidence-based Practice in Nursing and Health, Columbus, Ohio; Project and Administration Coordinator (Ms Roberts), Instructor of Clinical Practice, The Ohio State University College of Nursing, Columbus, Ohio (Dr Smith), Grayce Sills Endowed Professor in Psychiatric-Mental Health Nursing, Director of DNP Nurse Executive Track, and Director of Implementation Science Core (Dr Tucker), and Assistant Professor of Clinical Nursing and Director Academic Core The Helene Fuld Health Trust National Institute for Evidenced-Based Practice in Nursing and Healthcare (Dr Zellefrow), The Ohio State University College of Nursing, Columbus, Ohio.
Objective:
The objective of this multisite study was to explore the professional and personal experiences of US nurse managers (NMs) during the COVID-19 pandemic.
Background:
NMs are the most accessible and visible nurse leaders to the frontline staff during this pandemic.
Methods:
Thirty-nine NMs from 5 health systems across the US participated in focus groups in this qualitative study. Data were analyzed using a constant comparative method.
Results:
Three major themes were identified: challenges, feelings and emotions, and coping. Subthemes emerged within each major theme.
Conclusion:
NMs across the country accepted considerable responsibility at great professional and personal consequence during the pandemic. NMs experienced challenges, ethical dilemmas, and expressed negative emotions. As the usual coping strategies failed, NMs reported that they are considering alternative career choices. This work provided evidence to help senior leaders strategize about mechanisms for reducing managerial dissonance during times of stress.
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