Frontline nurses’ sensemaking during the initial phase of the COVID-19 pandemic in 2020 Aotearoa New Zealand

Cook, Catherine; Brunton, Margaret; Chapman, Marie K; Roskruge, Matthew

doi:10.36951/27034542.2021.034

Cited by 6 publications

(8 citation statements)

References 22 publications

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“…During the pandemic, the supportive nature of these styles places an emphasis on the wellbeing of nurses according to Rosser et al (2020) and James et al (2020). Preparedness of leaders was evident only in two papers (Cook et al, 2021; Duncan, 2020) although others identified experience and knowledge of ‘self’ as important in being a prepared leader. The role of propositional knowledge, developed through role experience, was echoed by several authors (Ernst, 2020; Harrington, 2021; Quinn et al, 2021).…”

Section: Data Extractionmentioning

confidence: 99%

UK nurses' and midwives' experiences of healthful leadership practices during the COVID‐19 pandemic: A rapid realist review

Dickson

Davies

McCormack

et al. 2022

J Nursing Management

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Aim To explore healthful leadership practices in nursing and midwifery evident within the Covid‐19 pandemic in the UK, the contextual facilitators, barriers, and outcomes. Background Globally, the health and care sector are under pressure and despite nurses and other professionals demonstrating resilience and resourcefulness in the COVID‐19 pandemic, this has negatively impacted on their health and wellbeing and on patient care. Evaluation Two searches were conducted in July 2021 and December 2021. Inclusion/exclusion criteria were identified to refine the search, including papers written since the beginning of the pandemic in 2020. A total of 38 papers were included principally from the USA and UK. 10 were research papers, the others were commentaries, opinion pieces and editorials. MS Teams literature repository was created. A unique critical appraisal tool was devised to capture contexts, mechanisms and outcomes whilst reflecting more standardised tools i.e., the Critical Appraisal Skills Programme and the Authority, Accuracy, Coverage, Objectivity and Date tool (AACOD) tool for reviewing grey literature to refine the search further. Key Issues Six tentative theories of healthful leadership emerged from the literature around leadership strategies which are relational, being visible and present; being open and engaging; caring for self and others; embodying values; being prepared and preparing others and u sing available information and support . Contextual factors that enable healthful leadership practices are in the main, created by leaders’ values, attributes, and style, as well as the culture within which they lead. The literature suggests leaders who embody values of compassion, empathy, courage, and authenticity create conditions for positive and healthful relations between leaders and others. Nurse and midwives’ voices are however absent from the literature in this review. Conclusion Current available literature would suggest healthful leadership practices are not prioritized by nurse leaders but the perspectives of nurses’ and midwives’ about the impact of such practices on their well‐being is missing. Tentative theories are offered as a means of identifying healthful leadership strategies, the context that enable these and potential outcomes for nurses an midwives. These will be explored in phase two of this study. Implications for nursing management Nurse leaders must be adequately prepared to create working environments that support nurses’ and midwives’ wellbeing, so that they may be able to provide high quality care. Ensuring a supportive organisational culture which embodies the values of healthfulness may help to mitigate the impact of the COVID‐19 pandemic on nurses’ and midwives’ wellbeing in the immediate afte...

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Section: Data Extractionmentioning

confidence: 99%

UK nurses' and midwives' experiences of healthful leadership practices during the COVID‐19 pandemic: A rapid realist review

Dickson

Davies

McCormack

et al. 2022

J Nursing Management

View full text Add to dashboard Cite

show abstract

“…The nursing profession is inseparable from values such as “empathy, love, and self-sacrifice,” so a culture of self-sacrifice has become an integral element of this occupation ( 3 ). In spite of the harsh conditions, nurses make sacrifices, provide for patients’ needs, and disregard their own needs and wellness, spending all their power on providing quality care and fulfilling patients’ needs ( 4 ). From the beginning of the COVID-19 crisis, nurses have faced threats, danger, and uncertainty caused by infection, fear of transmitting the virus ( 5 ), death anxiety ( 6 ), and the necessity of quick adaptation to rapid changes in care procedures ( 7 ).…”

Section: Introductionmentioning

confidence: 99%

Self-Sacrifice in a Distressful and Threatening Environment: The Consequences of the COVID-19 Crisis in Intensifying Workplace Violence

Rigi

Shahrbabaki²,

Ahmadi³

et al. 2022

Front. Psychiatry

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BackgroundThe stress and mental pressure resulting from the challenges posed by the COVID-19 crisis exacerbated occupational stressors such as workplace violence against nurses even though nurses were endangering their lives to provide high-quality care and reduce patients’ suffering. Therefore, the present study aimed to explain Iranian nurses’ experiences of workplace violence during the COVID-19 crisis.Materials and MethodsThis study was conducted using a qualitative approach. Twenty-five semi-structured interviews were conducted with nurses who had experienced workplace violence at COVID-19 referral centers in Kerman during the COVID-19 crisis. Conventional content analysis was used to analyze the data, and the research was reported via the COREQ checklist.ResultsAnalysis of the findings led to one main category, “nurses’ self-sacrifice in a distressful and threatening environment,” and four subcategories, which included “omitting entertainment and fun activities,” “having challenging duties in unsafe conditions,” “receiving insufficient support,” and “nurses’ toleration of disrespect.”ConclusionCrises can exacerbate workplace violence toward nurses. Thus, it is necessary to design educational programs and prevention strategies to manage the destructive psychological and occupational impact of the crises on nurses. Nurses should receive training in crisis management to cope with the intensified aggressive behavior of managers, colleagues, patients, and patient companions during the crisis. Policy-makers must be prepared to deal with crises, and they should take measures to improve nurses’ mental health and quality of care.

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“…This positioning was also identified by our participants. Recent studies highlight this vital surrogate role staff have played during the COVID-19 pandemic around relational connection and end-of-life care [ 62 , 63 ].…”

Section: Discussionmentioning

confidence: 99%

Palliative Care, Intimacy, and Sexual Expression in the Older Adult Residential Care Context: “Living until You Don’t”

Cook

Henrickson

Schouten

2022

IJERPH

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Commonly, frail older adults move to residential care, a liminal space that is their home, sometimes a place of death, and a workplace. Residential facilities typically espouse person-centred values, which are variably interpreted. A critical approach to person-centred care that focuses on social citizenship begins to address issues endemic in diminishing opportunities for intimacy in the end-of-life residential context: risk-averse policies; limited education; ageism; and environments designed for staff convenience. A person-centred approach to residents’ expressions of intimacy and sexuality can be supported throughout end-of-life care. The present study utilised a constructionist methodology to investigate meanings associated with intimacy in the palliative and end-of-life care context. There were 77 participants, including residents, family members and staff, from 35 residential facilities. Analysis identified four key themes: care home ethos and intimacy; everyday touch as intimacy; ephemeral intimacy; and intimacy mediated by the built environment. Residents’ expressions of intimacy and sexuality are supported in facilities where clinical leaders provide a role-model for a commitment to social citizenship. Ageism, restrictive policies, care-rationing, functional care, and environmental hindrances contribute to limited intimacy and social death. Clinical leaders have a pivotal role in ensuring person-centred care through policies and practice that support residents’ intimate reciprocity.

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Frontline nurses’ sensemaking during the initial phase of the COVID-19 pandemic in 2020 Aotearoa New Zealand

Cited by 6 publications

References 22 publications

UK nurses' and midwives' experiences of healthful leadership practices during the COVID‐19 pandemic: A rapid realist review

UK nurses' and midwives' experiences of healthful leadership practices during the COVID‐19 pandemic: A rapid realist review

Self-Sacrifice in a Distressful and Threatening Environment: The Consequences of the COVID-19 Crisis in Intensifying Workplace Violence

Palliative Care, Intimacy, and Sexual Expression in the Older Adult Residential Care Context: “Living until You Don’t”

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