Evidence map›Paper›PMID 42420791›Full record

ArticleJournal of nursing management2026

Frontline Healthcare Workers' Reflections on Operationalizing the COVID-19 Pandemic Response: A Qualitative Study.

Karen McKenna, Stéphane Bouchoucha, Bernice Redley, Ana Hutchinson

Abstract read
In one paragraph

Article in Journal of nursing management, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. 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

4 authors.

Karen McKennaAustralasian College for Infection Prevention and Control, Hobart, Australia.ORCID https://orcid.org/0000-0002-7556-6426
Stéphane BouchouchaSchool of Nursing and Midwifery, Centre for Quality and Patient Safety Research in the Institute for Health Transformation, Deakin University, Geelong, Victoria, Australia, deakin.edu.au.ORCID https://orcid.org/0000-0001-7066-0133
Bernice RedleyCentre for Quality and Patient Safety Research in the Institute for Health Transformation, School of Nursing and Midwifery, Deakin University Geelong, Geelong, Victoria, Australia, deakin.edu.au.
Ana HutchinsonCentre for Innovation in Infectious Disease and Immunology Research (CIIDIR), Deakin University, Geelong, Victoria, Australia, deakin.edu.au.ORCID https://orcid.org/0000-0002-0014-689X

Funding

Council of Australasian University LibrariansDeakin University
6 · The paper itself

Abstract

introductionThe COVID-19 pandemic provided opportunities to learn from healthcare workers involved in implementing pandemic plans within healthcare settings. This study explores healthcare workers' reflections on the first 3 years of the COVID-19 pandemic and their experiences activating health service pandemic plans.

methodsA qualitative exploratory descriptive study design was used to explore through focus groups' frontline healthcare workers' experiences related to emergency response planning, operationalizing the pandemic response plan, the workforce mindset, and re-evaluation of the organizations' response once the crisis had abated. Thematic analysis guided by Braun and Clark's six-steps was used to identify themes.

resultsThirty-two healthcare workers participated in 10 focus group discussions. The following six key themes were identified and explored (1): unprepared emergency response systems and processes, (2) adaptive crisis management under pressure, (3) the evolving reality of the pandemic response and embedding the basics, (4) leadership styles and communication challenges when managing a crisis, (5) psychological challenges of leading the workforce during a prolonged crisis, and (6) organizational preparedness for future pandemics.

conclusionHealthcare workers were required to respond rapidly to maintain safety and meet healthcare needs, with little understanding of the organization's pandemic plan. This study provides an opportunity to learn from the experiences of healthcare workers in integrating the frontline perspective into the design and execution of emergency response plans, to enhance workforce sustainability and organizational preparedness.

Indexed as

Attitude of Health PersonnelCOVID-19Frontline WorkersHealth PersonnelFocus GroupsHumansLeadershipPandemic PreparednessPandemicsQualitative ResearchSARS-CoV-2clinical leadershipCOVID-19 pandemiccrisis communicationfrontline healthcare workersoperationalization of pandemic plans

Identifiers

PMID42420791
PMCPMC13345994

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.