Evidence map›Paper›PMID 42667137›Full record

ArticleJournal of nursing management2026

Leading, Connecting and Coping: Nurses' Responses to Sustaining Well-Being During the COVID-19 Crisis-A Qualitative Study.

Pauline Calleja, Jenny Kelly, Stephen Yu, Colleen Ryan, Matthew Hiskens, Burton Linda Roszak, Lynette Graham, Marree Porch, Caroline Laker, Pamela Knight-Davidson and 1 more

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. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

11 authors.

Pauline CallejaCollege of Healthcare Sciences, James Cook University, Townsville, Queensland, Australia, health.qld.gov.au.ORCID https://orcid.org/0000-0001-5674-1404
Jenny KellyCollege of Healthcare Sciences, James Cook University, Townsville, Queensland, Australia, health.qld.gov.au.ORCID https://orcid.org/0000-0003-2149-9069
Stephen YuCollege of Healthcare Sciences, James Cook University, Townsville, Queensland, Australia, health.qld.gov.au.ORCID https://orcid.org/0000-0003-1996-9957
Colleen RyanSchool of Nursing, Midwifery & Social Sciences, CQUniversity, Rockhampton, Australia, cqu.edu.au.ORCID https://orcid.org/0000-0002-1126-3901
Matthew HiskensMackay Hospital and Health Service, Mackay, Queensland, Australia, health.qld.gov.au.ORCID https://orcid.org/0000-0001-7054-1492
Burton Linda RoszakDRW Coaching, Baltimore, USA.ORCID https://orcid.org/0009-0005-3210-6306
Lynette GrahamCairns and Hinterland Hospital and Health Service, Cairns, Queensland, Australia, health.qld.gov.au.
Marree PorchCairns and Hinterland Hospital and Health Service, Cairns, Queensland, Australia, health.qld.gov.au.
Caroline LakerSchool of Health & Psychological Sciences, University of London, London, UK, london.ac.uk.ORCID https://orcid.org/0000-0002-3650-8004
Pamela Knight-DavidsonFaculty of Health, Education, Medicine and Social Care, Anglia Ruskin University, Chelmsford, UK, anglia.ac.uk.ORCID https://orcid.org/0000-0003-0855-2574
Michelle ClearySchool of Nursing & Midwifery, University of Technology, Sydney, New South Wales, Australia, uts.edu.au.ORCID https://orcid.org/0000-0002-1453-4850

Funding

Central Queensland University RSH/6141Council of Australasian University Librarians
6 · The paper itself

Abstract

aimTo explore nurses' perceptions of the strategies used to support their mental health and well-being during a recent public health crisis.

designA pragmatic, qualitative, exploratory design was employed.

methodsSemistructured interviews were conducted with a purposive sample of 20 nurses working in two large, regional public hospitals and health services in Queensland, Australia, between July and October 2023.

resultsThree main themes were constructed from the data: (i) management and leadership approaches, (ii) connection to others and (iii) self-care practices. Eight subthemes support the three themes.

conclusionAlthough nurses and healthcare leaders could not control the broader impact of the crisis, the prolonged and evolving nature of the situation brought significant challenges to workforce management. Amidst the uncertainty, adaptability emerged as essential. The crisis also created space for innovations in flexibility and revealed the central role of peer support and teamwork in coping. Moreover, the importance of self-care, particularly through maintaining boundaries between professional and personal life, was widely recognised as crucial to sustaining well-being. IMPLICATIONS FOR NURSING MANAGEMENT: Nursing management has an important role in sustaining staff well-being during prolonged crisis conditions. Given the centrality of peer support and teamwork as coping strategies, nursing managers should prioritise team cohesion through structured opportunities for connection and debriefing. Organisational approaches should also move beyond short-term gestures and embed accessible, proactive well-being supports that enable boundaries and recovery over time. REPORTING

methodThe study adheres to the COREQ reporting guidelines. PATIENT OR PUBLIC CONTRIBUTION: Participants in this study were registered nurses employed in two regional public hospitals in Queensland, Australia. Participants shared their experiences through in-depth interviews. Each participant provided informed consent before taking part in the study.

Indexed as

Adaptation, PsychologicalCOVID-19LeadershipNursesAdultAttitude of Health PersonnelCoping SkillsFemaleHumansMaleMiddle AgedPsychological Well-BeingQualitative ResearchQueenslandmental healthnursesorganisational crisispublic healthsupport strategieswell-being

Identifiers

PMID42667137
PMCPMC13525546

What OpenQuestion holds

Textmetadata
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.