Nurses must have a personal knowledge of the experiences and needs of the patients. To do this, nurses should create care environments that promote an exchange of experiences and knowledge between the nurse and the patient and family.

Aim To explore experiences of frontline nurse managers during COVID‐19. Background The COVID‐19 pandemic has complicated care provision and healthcare management around the world. Nurse managers have had to face the challenge of managing a crisis with precarious resources. Little research has been published about the experiences of nurse managers during the COVID‐19 pandemic. Methods A qualitative descriptive study of 10 frontline nurse managers at a highly specialized university hospital in Spain was carried out. Semi‐structured interviews were conducted between June and September 2020. The Consolidated Criteria for Reporting Qualitative Research checklist was used for reporting. Results Six themes emerged: constant adaptation to change, participation in decision‐making, management of uncertainty, prioritization of the biopsychosocial well‐being of the staff, preservation of humanized care and ‘one for all’. Conclusions This study provides evidence for the experiences of nurse managers during the COVID‐19 pandemic. In addition, analysing these experiences has helped identify some of the key competencies that these nurses must have to respond to a crisis and in their dual role as patient and nurse mediators. Implications for Nursing Management Knowing about the experiences of frontline nurse managers during the pandemic can facilitate planning and preparing nurse managers for future health disasters, including subsequent waves of COVID‐19.

The rapid introduction of IT systems for clinical practice urges evaluation of already implemented systems examining how and in what circumstances they work to guide effective further development and implementation of IT systems to enhance clinical practice. Evaluation involves more factors than just involving technologies such as changing attitudes, cultures and healthcare practices. Realistic evaluation could provide configurations of context-mechanism-outcomes that explain the underlying relationships to understand why and how a programme or intervention works.

This paper is a literature review of the clinical nurse manager role. The purpose is to identify, in today's health care environment, what expectations organizations in this role have, and therefore to determine the skills and characteristics required to be effective at this level. An analysis of the literature revealed a consensus that human and leadership skills are taking the place of clinical skills. It is suggested that within them decision-making is the key factor in responding to the changing and competitive health care environment.

Measurements.A questionnaire was distributed to all nurses working in in-patient units of a university hospital in Spain (n= 227). Quantitative data were analysed using SPSS 13.0. Descriptive statistics were used for an overall overview of nurses' perception. Inferential analysis, including both bivariate and multivariate methods (path analysis), were used for cross-tabulation of variables searching for CMO relationships. Conclusion.Results from the study looking at subtle variations in users and units provide insight into how important professional culture and working practices could be in IT (information technology) implementation. The socio-technical approach on IT systems evaluation suggested in the recent literature appears to be an adequate 3 theoretical underpinning for IT evaluation research. Realistic evaluation has proven to be an adequate method for IT evaluation.

The complicated situation experienced by chronic heart failure (CHF) patients affects their entire well-being but clinical practice continues to fail to adequately respond to their demands. The aim of this study was to understand the meaning of living with CHF from the patient’s perspective. A hermeneutic phenomenological study was conducted according to Van Manen’s phenomenology of practice method. Individual conversational interviews were held with 20 outpatients with CHF. Six main themes emerged from the analysis: (1) Living with CHF involves a profound change in the person; (2) The person living with CHF has to accept their situation; (3) The person with CHF needs to feel that their life is normal and demonstrate it to others; (4) The person with CHF needs to have hope; (5) Having CHF makes the person continuously aware of the possibility of dying; (6) The person with CHF feels that it negatively influences their close environment.

The instrument could provide insight into nurses' experience of IT implementation that will guide further development of systems to enhance clinical practice.

Aim To explore the literature regarding how nursing narratives have been used to enhance reflective practice. Design Theoretical review. Data sources A literature search from 1990 – 2017 was conducted in PubMed, CINHAL and PsycINFO databases. Review methods After applying the selection criteria, 13 studies were identified. The quality of articles was evaluated. Results Three themes were identified as the main components of an ongoing narrative process based on looking back to past clinical experiences, creating spaces for dialogue and bringing the worlds of theory and practice closer together. Conclusions This review provides a forum for exploring the use of narratives to enhance reflective practice, which may lead to the acquisition of professional competences.