Nurse workforce scheduling: A qualitative study of Indonesian nurse managers’ experiences during the COVID-19 pandemic

Sugianto, Kartika Mawar Sari; Hariyati, Rr. Tutik Sri; Pujasari, Hening; Novieastari, Enie; Handiyani, Hanny

doi:10.33546/bnj.1735

Cited by 10 publications

(7 citation statements)

References 21 publications

(30 reference statements)

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“…The current findings echo those in a study of Indonesian nurse mangers during the COVID-19 pandemic ( Sugianto et al, 2022 ). The authors reported a reduction in nursing staff and an increase in the number of patients during the pandemic.…”

Section: Discussionsupporting

confidence: 88%

“…The authors reported a reduction in nursing staff and an increase in the number of patients during the pandemic. The nurse managers described feeling exhausted and stated that patient care was not ideal due to lack of staff ( Sugianto et al, 2022 ). This aligns with the present study in which participants also experienced exhaustion and staffing shortages.…”

Section: Discussionmentioning

confidence: 99%

“…Existing research indicates that the COVID-19 pandemic has caused significant psychological stress for nurses (Gillen et al, 2022; Labrecque et al, 2021; Ren et al, 2021; Sultan et al, 2022) including burnout (Sayilan et al, 2020; Sullivan et al, 2021), anxiety (Gao et al, 2020; Garcia-Martin et al, 2020; Kackin et al, 2020; Labrague & de los Santos, 2020; Sadati et al, 2020), exhaustion (Liu et al, 2020; Tan et al, 2020), and depression (Kackin et al, 2020; Tan et al, 2020). The situation was compounded by additional workplace disruptions related to staffing shortages (Sugianto et al, 2022), lack of equipment (Kackin et al, 2020), and lack of personal protective equipment (PPE) (Sadati et al, 2020). Despite these challenges, nurses around the world have not backed down and continue to put their personal safety at risk for their patients (Zipf et al, 2021).…”

Section: Background and Purposementioning

confidence: 99%

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Rural Home Care Nursing During COVID-19

et al. 2023

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Background The SARS-CoV-2 (COVID-19) pandemic continues to be a challenging time for the nursing profession globally. Research indicates that the care of patients with COVID-19 has caused significant psychological stress for nurses. Although much of the world's attention has been on nurses working in emergency departments and intensive care units, the pandemic also posed significant challenges for nurses providing home care services in rural communities. Purpose The purpose of this work was to describe the experiences of rural Canadian home care nurses during the early stages of the COVID-19 pandemic. Methods The data for this analysis was derived from a study that explored the continuing education needs of rural home care nurses. Since the data collection for the primary objective occurred in the early stages of the COVID-19 pandemic, COVID-19 related themes were created using interpretive description methodology. Snowball and purposive sampling were used to recruit rural home care registered nurses who were employed in the central and southern areas of a western Canadian province. Results Six themes were constructed from the data including: Nurses Must Work, Constant State of Flux, Threatened Safety, Loss of Learning Opportunities, Fearing the Unknown, and Hindsight is Easy. Conclusion The experiences of rural home care nurses during COVID-19 reflects the chaos, uncertainty, and fear that was felt globally. Based on the findings of this study, recommendations for future pandemic planning are suggested.

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Section: Discussionsupporting

confidence: 88%

Section: Discussionmentioning

confidence: 99%

Section: Background and Purposementioning

confidence: 99%

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Rural Home Care Nursing During COVID-19

et al. 2023

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“…There is no longer shift in the nurse's schedule adjustment, the participants keep the nurses from getting tired and things that are also taken into consideration in meeting the needs of existing staff must be adjusted to the capabilities of a country or region. So there will be differences to fulfill needs of the country in each country or region (Sugianto et al, 2022).…”

Section: Sub-theme B: Schedulling During Pandemicmentioning

confidence: 99%

Phenomenological Studies: The Nursing Manager Experience to Manage Nursing Staff During A Pandemic

Widyastuti¹,

Nurjannah²

2022

J. Sci. n.a

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The increase in cases of COVID 19 patients in hospitals increases the demand for human resource management, one of which is the nursing staff. Management of nursing staff, especially during a pandemic very necessary because the mismanagement of nursing staff can add to the heavier the nurse's workload, causing stress and fatigue that affect nurse performance to patient safety. The goals of this study to explore the experiences of nursing managers to manage nursing staff during a pandemic. A qualitative phenomenological research design was used in this study. Fours nursing managers were selected using purposive sampling and the participants from three COVID-19 which three referral hospitals and one unreferral hospital. The participants were interviewed about their experiences via zoom and a semi structured interview guide. Four themes were developed: (i) Maximizing the ward, (ii) Nursing schedull adjustment, (iii) New staff recruitment, and (iv) Nursing staff maintenance. Hospital readiness, especially in the nursing field, is needed to prepare several policies that can be operationalized in the face of unexpected events such as the COVID-19 pandemic, as well as regular training for all nursing staff in hospitals to be prepared both scientifically and practice in dealing with disease outbreaks to decrease anxiety.

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“…However, nurse leaders’ roles face complex challenges (Sugianto et al, 2022 ), including ethical challenges in their daily practice, such as complaints, critical decision-making, patient and family demands, and conflicts between staff (Aitamaa et al, 2016 ), which require an excellent strategy to respond appropriately. Thus, ethical leadership is crucial, aligning nursing fundamentals with ethical nursing behavior and positively impacting clinical practice (Barkhordari-Sharifabad et al, 2018 ; Zhang et al, 2019 ).…”

Section: Introductionmentioning

confidence: 99%

Strategies and challenges in addressing ethical issues in the hospital context: A phenomenological study of nurse team leaders

Wati¹,

Juanamasta²,

Thongsalab³

et al. 2023

Belitung Nurs J

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Background: Nurse team leaders encounter considerable ethical challenges that necessitate using effective strategies to overcome them. However, there is a lack of research exploring the experiences of nurse team leaders in Indonesia who face ethical dilemmas in their professional duties. Objective: This study aimed to explore nurse team leaders’ experiences regarding strategies and challenges in dealing with ethical problems in hospital settings in Indonesia. Methods: This qualitative study employed a hermeneutic phenomenology design. Online semi-structured interviews were conducted between November 2021 and February 2022 among 14 nurse team leaders selected using a snowball sampling from seven hospitals (three public and four private hospitals). Van Manen’s approach was used for data analysis. Results: The strategies for overcoming ethical dilemmas included (i) seeking the facts, (ii) stepping back, (iii) considering support, and (iv) standing by patients. The challenges for the nurse team leaders in resolving ethical problems consisted of (i) seniority, (ii) trust issue, and (iii) lack of reflection and ethics training. Conclusion: Nurse team leaders recognize their specific roles in the midst of ethical challenges and seek strategies to deal with them. However, a negative working environment might impact ethical behavior and compromise the provision of quality care. Therefore, it is imperative for hospital management to take note of these findings and address issues related to seniority by providing regular ethics training and group reflection sessions to maintain nurses' ethical knowledge in hospital practice. Such interventions can support nurse team leaders in resolving ethical dilemmas and provide a conducive environment for ethical decision-making, ultimately improving patient outcomes.

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Nurse workforce scheduling: A qualitative study of Indonesian nurse managers’ experiences during the COVID-19 pandemic

Cited by 10 publications

References 21 publications

Rural Home Care Nursing During COVID-19

Rural Home Care Nursing During COVID-19

Phenomenological Studies: The Nursing Manager Experience to Manage Nursing Staff During A Pandemic

Strategies and challenges in addressing ethical issues in the hospital context: A phenomenological study of nurse team leaders

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