[Work-organizational Strategies and Measures for Pandemic Management in Inpatient Care: Findings from Scenario...

The aim of this study was to develop suitable measures and strategies through a trans- and interdisciplinary discourse to improve pandemic management in (acute) inpatient care facilities (clinics, nursing homes) and thereby reduce the burden on nursing staff.Two scenario-based workshops were conducted-one focused on acute care and the other on long-term care. Following a collaborative, transdisciplinary approach, the workshops integrated perspectives from nursing practice, research, and relevant institutions. Using foresight methods such as the Futures Wheel and Ideation Canvas, participants co-developed potential solutions for optimizing pandemic preparedness and response. A total of 38 participants took part in the two-day workshops (acute care: 18; long-term care: 20).Participants developed outcomes at both structural and organizational levels, identifying short- and long-term effective strategies and interventions. Key findings addressed areas such as communication, internal organization, interface management, and the involvement of nursing practitioners. Examples include the (political) empowerment and increased participation of nurses, the development of digital and interdisciplinary structures, including skill-grade mix teams. Across both care settings, participants emphasized the need for formal nursing representation and clearly defined professional roles and responsibilities.Effective crisis management in inpatient care settings requires a systemic approach that integrates actions at the micro, meso, and macro levels. Coordinated collaboration between policy, science, and practice is essential to strengthen system resilience and sustainably improve working conditions in healthcare.