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Key strategies for managing nursing care under the COVID-19 pandemic: A multiple-case study of nursing directors
Yukie Takemura1, Maho Inoue2, Naoko Ichikawa2
1Nursing Department, The University of Tokyo Hospital, Tokyo, Japan.
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.
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