Evidence map›Paper›PMID 35170069›Full record

ArticleJournal of advanced nursing2022

The context, contribution and consequences of addressing the COVID-19 pandemic: A qualitative exploration of executive nurses' perspectives.

Kathryn Riddell, Laura Bignell, Debra Bourne, Leanne Boyd, Shane Crowe, Sinéad Cucanic, Maria Flynn, Kate Gillan, Denise Heinjus, Jac Mathieson and 6 more

Abstract read
In one paragraph

Article in Journal of advanced nursing, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Review
  6. Multidisciplinary First-Line Healthcare Leaders' Roles and Experiences During the COVID-19 Pandemic in Ontario Canada.The Canadian journal of nursing research = Revue canadienne de recherche en sciences infirmieres · 2024
    Article
  7. Article
  8. Article
  9. Providing End-of-Life Care to COVID-19 Patients: The Lived Experiences of ICU Nurses in the Philippines.International journal of environmental research and public health · 2022
    Article
  10. Article
  11. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors.

Kathryn RiddellVictorian Metro Public Health Nursing and Midwifery Executive Group, St Vincent's Hospital Melbourne, Fitzroy, Victoria, Australia.
Laura BignellNeonatal Services, The Royal Women's Hospital, Parkville, Victoria, Australia.
Debra BourneNorthern Health, Epping, Victoria, Australia.
Leanne BoydEastern Health, Box Hill, Victoria, Australia.
Shane CroweWestern Health, St Albans, Victoria, Australia.
Sinéad CucanicRoyal Victorian Eye & Ear Hospital, East Melbourne, Victoria, Australia.
Maria FlynnRoyal Childrens's Hospital, Parkville, Victoria, Australia.
Kate GillanBarwon Health, Geelong, Victoria, Australia.
Denise HeinjusMelbourne Health, RMH, Parkville, Victoria, Australia.
Jac MathiesonPeter MacCallum Cancer Centre, Melbourne, Victoria, Australia.
Katrina NankervisMonash Health, Clayton, Victoria, Australia.
Fiona ReedPeninsula Health, Frankston, Victoria, Australia.
Linda TownsendMercy Health, Richmond, Victoria, Australia.
Bernadette TwomeyAustin Health, Heidelberg, Victoria, Australia.
Janet Weir-PhylandAlfred Health, Melbourne, Victoria, Australia.
Kathleen BagotData Drawer Consulting, Sandringham, Victoria, Australia.ORCID https://orcid.org/0000-0003-2895-4327

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsTo explore (1) the context in which nursing executives were working, (2) nursing's contribution to the healthcare response and (3) the impact from delivering healthcare in response to the pandemic.

designRetrospective, constructivist qualitative study.

methodsIndividual interviews using a semi-structured interview guide were conducted between 12 February and 29 March 2021. Participants were purposively sampled from the Victorian Metropolitan Executive Directors of Nursing and Midwifery Group, based in Melbourne, Victoria the epi-centre of COVID-19 in Australia during 2020. All members were invited; 14/16 executive-level nurse leaders were participated. Individual interviews were recorded with participant consent, transcribed and analysed using thematic analysis.

resultsFour inter-related themes (with sub-themes) were identified: (1) rapid, relentless action required (preparation insufficient, extensive information and communication flow, expanded working relationships, constant change, organizational barriers removed); (2) multi-faceted contribution (leadership activities, flexible work approach, knowledge development and dissemination, new models of care, workforce numbers); (3) unintended consequences (negative experiences, mix of emotions, difficult conditions, negative outcomes for executives and workforce) and (4) silver linings (expanded ways of working, new opportunities, strengthened clinical practice, deepened working relationships).

conclusionResponding to the COIVD-19 health crisis required substantial effort, but historical and industrial limits on nursing practice were removed. With minimal information and constantly changing circumstances, nursing executives spearheaded change with leadership skills including a flexible approach, courageous decision-making and taking calculated risks. Opportunities for innovative work practices were taken, with nursing leading policy development and delivery of care models in new and established healthcare settings, supporting patient and staff safety. IMPACT: Nursing comprises the majority of the healthcare workforce, placing executive nurse leaders in a key role for healthcare responses to the COVID-19 pandemic. Nursing's contribution was multi-faceted, and advantages gained for nursing practice must be maintained and leveraged. Recommendations for how nursing can contribute to current and future widespread health emergencies are provided.

Indexed as

COVID-19Nurse AdministratorsHumansPandemicsQualitative ResearchRetrospective StudiesVictoriaCOVID-19nurses' rolenursingnursing modelsqualitative research

Identifiers

PMID35170069
PMCPMC9111415

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.