Nurses' perception of solutions proposed by nurse leaders in face of COVID‐19 pandemic: A cross‐sectional study

• Published in: Journal of nursing management Vol. 30; no. 8; pp. 4145 - 4155
• Main Authors: Freitas, Juliana Santana, Savieto, Roberta Maria, Melo, Ana Laura Queiroz, Bortotti, Isabelle Maria, Laselva, Cláudia Regina, Leão, Eliseth Ribeiro
• Format: Journal Article
• Language: English
• Published: England Hindawi Limited 01-11-2022; John Wiley and Sons Inc
• Subjects: Adequacy; Availability; Child; COVID-19; COVID-19 - epidemiology; Cross-Sectional Studies; Day care; Health care; healthcare; hospital personnel administration; Humans; Leadership; Medical personnel; Medical supplies; Nurses; nursing; Nursing administration; Original; Pandemics; Patients; Perception; Proximity; Regular Issue; COVID-19; nursing; hospital personnel administration; leadership; healthcare
• DOI: 10.1111/jonm.13896
• EISSN: 1365-2834
• ISSN: 0966-0429

Aim
To evaluate the perception of bedside nurses regarding the implementation of solutions proposed by nurse leaders for patient and employee care during the COVID‐19 pandemic.
Background
Nurse leaders have proposed solutions to better manage the challenges of the pandemic. However, multiple factors influence the transposal of actions from the tactical to the operational levels.
Method
This cross‐sectional study was carried out in a 620‐bed non‐profit institution. Participants were bedside nurses who completed an online survey.
Results
One hundred sixty‐eight nurses participated in the study. Most of the proposed solutions were very effective and easily identified by the nurses. These solutions included adaptations of the physical structure, availability of medical supplies and adequacy of institutional protocols. The actions that stood out with low perception were adequate integration of new employees and the availability of remote work, hotel accommodations for frontline health care workers and day care for children whose parents worked at the hospital.
Conclusion
Bedside nurses were able to recognize most of the solutions proposed by their nurse leaders during the COVID‐19 pandemic.
Implications for nursing management
Tactical‐level nurse leaders need constant proximity to bedside nurses and continuous elucidation of the objectives to be achieved by the strategies adopted.