Nurses as Clinical Advisors in an Interprofessional COVID-19 Crisis Command Center

Sansolo, Homey; Wuerz, Lorelle; Grandstaff, Katie; Schwartz, Tzipora; Perez-Mir, Ernesto

doi:10.1097/nna.0000000000001187

Cited by 3 publications

(4 citation statements)

References 4 publications

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“…Outro ponto relevante nos estudos E3 e E4, foi o uso da tecnologia como facilitador da comunicação, frente ao impedimento de grupos de trabalhos presenciais, o que contribuiu para construção de equipes multiprofissionais e translacionais, de modo a contribuir para discussão e construção de consensos sobre as decisões na educação interprofissional nas áreas da saúde (SANSOLO et al, 2022).…”

Section: Resultsunclassified

O efeito silo nas relações interpessoais durante a pandemia da COVID-19

Fernandes,

Moreira,

Manso

et al. 2023

Revista Científica Multidisciplinar Núcleo do Conhecimento

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Introdução: a comunicação apresenta-se como um conector em todas as atividades profissionais, inclusive na enfermagem, e principalmente na Pandemia da Covid-19, mostrou-se bastante relevante para a mediação de conflitos. Este trabalho teve como objetivo investigar, por meio da literatura, quais as evidências dos relacionamentos interpessoais nos serviços de saúde em virtude da Covid-19. Metodologia: realizou-se um levantamento bibliográfico em bases de dados, utilizando os Descritores em Ciências da Saúde (DeCS) enfermagem (nursing, enfermeria), enfermagem do trabalho (ocupational health care, enfermeria del trabajo), relações interprofissionais (Relations interprofitionales, relaciones interprofissionales) e infecções por Coronavírus (sars/covid, covid-19). Resultados: o presenteísmo e a formação de silos foram evidenciados nos artigos. A pandemia da Covid-19 acelerou o processo de gestão partilhada e uma estrutura holárquica, na qual todos contribuem com seus conhecimentos, tornando obsoleta a antiga gestão de processos de trabalho e priorizando a construção coletiva. Conclusão: a literatura evidencia a importância da comunicação e o uso da teleenfermagem na mediação de conflitos e no acolhimento dos profissionais e da comunidade. A enfermagem, durante a pandemia, esteve envolvida em ações estratégicas para o ensino do paciente, da enfermagem e da sociedade, estabelecendo assim relacionamentos entre os pares, pacientes e sociedade.

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Section: Resultsunclassified

O efeito silo nas relações interpessoais durante a pandemia da COVID-19

Fernandes,

Moreira,

Manso

et al. 2023

Revista Científica Multidisciplinar Núcleo do Conhecimento

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“…A personal information form was prepared by the researchers based on a literature review and group discussion ( Mamais et al, 2022 ; Sansolo et al, 2022 ). The form contained 12 areas, including basic information such as hospital level, age, and history of training for public health emergencies.…”

Section: Methodsmentioning

confidence: 99%

Stress overload, influencing factors, and psychological experiences of nurse managers during early stages of the COVID-19 pandemic: a sequential explanatory mixed method study

et al. 2023

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BackgroundHealthcare systems had an exceptionally difficult time during the early COVID-19 pandemic. Nurse managers in particular made enormous contributions to ensuring the safety of patients and front-line nurses while being under excessive psychological stress. However, little is known about their experiences during this time.ObjectiveThe aim of this study was thus to assess the level of stress overload and psychological feelings of nurse managers during the early COVID-19 pandemic.MethodsA mixed methods sequential explanatory design study with non-random convenience sampling was performed, following the STROBE and COREQ checklists. The study was conducted at the Affiliated Dongyang Hospital, Wenzhou Medical University, with data collected from six provinces in southern China (Zhejiang, Hubei, Shanghai, Jiangsu, Hunan and Jiangxi) during March 2020 and June 2020. A total of 966 nurse managers completed the Stress Overload Scale and Work-Family Support Scale. In addition, a nested sample of nurse managers participated in semi-structured face-to-face interviews. The data were then analyzed using qualitative content analysis, Pearson correlation, and multiple linear regression.ResultsThe quantitative results showed that nurse managers experienced a moderate level of stress load. There was a significant negative correlation between work-family support and stress load (r = −0.551, p < 0.01). Concerns about protecting front-line nurses and work-family support were the main factors affecting the stress load, which accounted for 34.0% of the total variation. Qualitative analysis identified four main thematic analyses that explained stress load: (1) great responsibility and great stress, (2) unprecedented stress-induced stress response, (3) invisible stress: the unknown was even more frightening, and (4) stress relief from love and support. Taken together these findings indicate that concern about protecting front-line nurses and negative work-family support of nurse managers were the main factors causing stress overload.ConclusionImplementing measures focused on individual psychological adjustment combined with community and family support and belongingness is one potential strategy to reduce psychological stress among nurse managers.

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“…158, 159). And, others show that the voice of nurses at the board level creates conditions that enhance organizational performance (Sundean & Gatiba, 2022), especially in crisis (Sansolo et al, 2022). All these studies resonate that nursing expertise at the board level is needed for managing the complexity of hospitals.…”

Section: Introductionmentioning

confidence: 99%

“…This frame aligns with the frame of nurses as “heroes at the bedside,” resurfacing during the pandemic (Boulton et al, 2022). After all, both frame nursing as a caring profession and disregard the invisible (Allen, 2014), organizing (Noordegraaf, 2011), and “‘heads‐on’ caring work” (Lalleman, Smid, et al, 2017, p. 9) as an essential part of nursing in hospital crises settings (Irwin, 2017; Sansolo et al, 2022). This disregard is due to “the limitations in language to articulate the nature of (…) [the] distinctive [nursing] professional discipline” (Thorne, 2015).…”

Section: Introductionmentioning

confidence: 99%

Board talk: How members of executive hospital boards influence the positioning of nursing in crisis through talk

Verhoeven,

Marres,

van de Loo

et al. 2023

Nursing Inquiry

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Talk by members of executive hospital boards influences the organizational positioning of nurses. Talk is a relational leadership practice. Using a qualitative‐interpretive design we organized focus group meetings wherein members of executive hospital boards (7), nurses (14), physicians (7), and managers (6), from 15 Dutch hospitals, discussed the organizational positioning of nursing during COVID crisis. We found that members of executive hospital boards consider the positioning of nursing in crisis a task of nurses themselves and not as a collective, interdependent, and/or specific board responsibility. Furthermore, members of executive hospital boards talk about the nursing profession as (1) more practical than strategic, (2) ambiguous in positioning, and (3) distinctive from the medical profession. Such talk seemingly contrasts with the notion of interdependence that highlights how actors depend on each other in interaction. Interdependence is central to collaboration in hospital crises. In this paper, therefore, we depart from the members of executive hospital boards as leader and “positioner,” and focus on talk—as a discursive leadership practice—to illuminate leadership and governance in hospitals in crisis, as social, interdependent processes.

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Nurses as Clinical Advisors in an Interprofessional COVID-19 Crisis Command Center

Cited by 3 publications

References 4 publications

O efeito silo nas relações interpessoais durante a pandemia da COVID-19

O efeito silo nas relações interpessoais durante a pandemia da COVID-19

Stress overload, influencing factors, and psychological experiences of nurse managers during early stages of the COVID-19 pandemic: a sequential explanatory mixed method study

Board talk: How members of executive hospital boards influence the positioning of nursing in crisis through talk

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