Exploring the Long-Term Impact of Emotional Exhaustion on Frontline Nurse Managers Post-COVID-19: A Qualitative Study

IF 3.7 2区 医学 Q2 MANAGEMENT
David Sanabria-Delgado, Sergio Barrientos-Trigo, Ana María Porcel-Gálvez
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引用次数: 0

Abstract

Aim: To explore emotional exhaustion in frontline nurse managers after 3 years of COVID-19, considering their essential role in healthcare systems and the prolonged impact of the pandemic on staff well-being and organizational effectiveness.

Design: A qualitative phenomenological study was used. This approach attempts to uncover the essence of the experiences that nurse managers may have had.

Method: Semi-structured interviews were conducted with 12 frontline nurse managers at a tertiary-level university hospital in Spain during May 2023. The data were analyzed using thematic analysis. A thematic framework was developed, and coding was guided by a well-established methodological approach.

Results: Five categories were established after the analysis: general difficulties related to fear and uncertainty, and continuous changes in protocols, availability of human resources, accessibility to material resources, management carried out with relatives of patients, and emotional management.

Results: Following the analysis, five key categories were identified that reflect the main challenges faced by nurse managers: (1) general difficulties related to fear and uncertainty, aggravated by frequent changes in protocols and the work environment; (2) availability of human resources, marked by high absenteeism and work overload; (3) accessibility to material resources, where the shortage of protective equipment and medical supplies generated ethical dilemmas and operational tensions; (4) management with patients’ relatives, a significant emotional component that required balancing empathy and safety measures in high-conflict contexts; and (5) emotional management of managers, which evidenced a significant emotional impact, highlighting the need for clear strategies to prevent burnout and foster resilience in these critical roles.

Conclusions: Nursing managers experienced emotional exhaustion during the pandemic, not only due to the health consequences of the virus but also due to the complex management of material, human, and family resources. They faced difficult situations with families justifiably separated from their vulnerable loved ones. This highlights the need for specific interventions, such as psychological support, leadership training, and better allocation of resources, to reduce the risk of burnout and strengthen a more resilient healthcare system.

探讨情绪耗竭对covid -19后一线护士管理人员的长期影响:一项定性研究
目的:考虑到一线护士管理人员在医疗保健系统中的重要作用,以及疫情对员工福祉和组织效率的长期影响,探讨一线护士管理人员在COVID-19爆发3年后的情绪耗竭情况。设计:采用定性现象学研究。这种方法试图揭示护士管理者可能拥有的经验的本质。方法:于2023年5月对西班牙某三级大学医院的12名一线护士管理人员进行半结构化访谈。采用专题分析法对数据进行分析。制定了一个专题框架,并以一种行之有效的方法方法指导编码。结果:分析后确定了五类:与恐惧和不确定性相关的一般困难,以及方案的持续变化,人力资源的可用性,物质资源的可及性,与患者亲属进行的管理以及情绪管理。结果:通过分析,确定了反映护理管理人员面临的主要挑战的五个关键类别:(1)与恐惧和不确定性相关的一般困难,由于协议和工作环境的频繁变化而加剧;(2)人力资源的可用性,以高缺勤率和超负荷工作为特征;(3)能否获得物质资源,防护设备和医疗用品的短缺造成道德困境和业务紧张;(4)与患者亲属的管理,这是一个重要的情感组成部分,需要在高冲突环境中平衡共情和安全措施;(5)管理者的情绪管理,证实了显著的情绪影响,强调了在这些关键角色中需要明确的策略来防止倦怠和培养弹性。结论:大流行期间,护理管理人员经历了情绪衰竭,这不仅是因为病毒对健康造成的后果,还因为对物质、人力和家庭资源的复杂管理。他们面临着家庭与脆弱的亲人分离的困境。这突出表明需要采取具体干预措施,如心理支持、领导力培训和更好地分配资源,以减少倦怠风险,并加强更具复原力的卫生保健系统。
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来源期刊
CiteScore
9.40
自引率
14.50%
发文量
377
审稿时长
4-8 weeks
期刊介绍: The Journal of Nursing Management is an international forum which informs and advances the discipline of nursing management and leadership. The Journal encourages scholarly debate and critical analysis resulting in a rich source of evidence which underpins and illuminates the practice of management, innovation and leadership in nursing and health care. It publishes current issues and developments in practice in the form of research papers, in-depth commentaries and analyses. The complex and rapidly changing nature of global health care is constantly generating new challenges and questions. The Journal of Nursing Management welcomes papers from researchers, academics, practitioners, managers, and policy makers from a range of countries and backgrounds which examine these issues and contribute to the body of knowledge in international nursing management and leadership worldwide. The Journal of Nursing Management aims to: -Inform practitioners and researchers in nursing management and leadership -Explore and debate current issues in nursing management and leadership -Assess the evidence for current practice -Develop best practice in nursing management and leadership -Examine the impact of policy developments -Address issues in governance, quality and safety
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