Managing the COVID-19 Pandemic: Experience of Managers in Healthcare: A Narrative Inquiry

The pandemic represented a challenge for hospital managers at different levels, required to reorganise services without compromising care. This study aimed to analyse the experiences of hospital managers during the COVID-19 pandemic. A narrative inquiry was conducted in a multisite acute hospital. Data were collected through narratives and open-ended questions. Direct and non-direct-care managers were invited to participate. Data were analyzed considering Clandinin & Connelly’s (2000) framework and Braun & Clarke, (2006). Thirty-six narratives and open-ended question responses were analysed. Participants were nurses (n = 20), doctors, technicians, administrative and hospitality service managers. Themes were grouped into three narrative dimensions: (1) personal—“the emergency engulfed us”, (2) practical/professional—“managing the pandemic”, (3) social—“the strength of the team and people”. Different narrative threads were identified between direct-care and non direct-care managers. Problems faced, factors helpful for management and suggestions for improvement were also reported. The pandemic had an important impact on managers and their roles, in terms of the need for clear concise information, staff support, and adequate professional and technical resources. A sense of unity and belonging facilitated management.

[1]  A. Alenezi,et al.  Management of the COVID-19 pandemic: challenges, practices, and organizational support , 2022, BMC Nursing.

[2]  C. Vindrola‐Padros,et al.  Training and redeployment of healthcare workers to intensive care units (ICUs) during the COVID-19 pandemic: a systematic review , 2022, BMJ Open.

[3]  G. A. Abu Shosha,et al.  Experiences of First-line Nurse Managers During COVID-19: A Jordanian Qualitative Study. , 2021, Journal of nursing management.

[4]  S. Barello,et al.  Ethical Conflict and Its Psychological Correlates among Hospital Nurses in the Pandemic: A Cross-Sectional Study within Swiss COVID-19 and Non-COVID-19 Wards , 2021, International journal of environmental research and public health.

[5]  Jonathan Sanders,et al.  Clinical leadership during the COVID-19 pandemic: Reflections and lessons learned , 2021, Healthcare management forum.

[6]  Zhila Fereidouni,et al.  Exploring senior managers’ perceptions of the COVID-19 Crisis in Iran: a qualitative content analysis study , 2021, BMC Health Services Research.

[7]  C. Oroviogoicoechea,et al.  Experiences of frontline nurse managers during the COVID‐19: A qualitative study , 2021, Journal of nursing management.

[8]  K. Mach,et al.  News media coverage of COVID-19 public health and policy information , 2021, Humanities and Social Sciences Communications.

[9]  H. Ravaghi,et al.  Role of hospital leadership in combating the COVID-19 pandemic , 2021, Health services management research.

[10]  Oli R. Mihalache,et al.  How workplace support for the COVID‐19 pandemic and personality traits affect changes in employees' affective commitment to the organization and job‐related well‐being , 2021, Human resource management.

[11]  J. Jackson,et al.  ‘The office of disaster management’ nurse managers' experiences during COVID‐19: A qualitative interview study using thematic analysis , 2021, Journal of nursing management.

[12]  A. Alam,et al.  Using Peer Support to Strengthen Mental Health During the COVID-19 Pandemic: A Review , 2021, Frontiers in Psychiatry.

[13]  I. Fronteira,et al.  Organisation of the State, model of health system and COVID‐19 health outcomes in six European countries, during the first months of the COVID‐19 epidemic in 2020 , 2021, The International journal of health planning and management.

[14]  I. Kagan,et al.  A Mixed‐Methods Study of Nurse Managers’ Managerial and Clinical Challenges in Mental Health Centers During the COVID‐19 Pandemic , 2021, Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing.

[15]  N. Terblanche Managers' responses to the initial stages of the Covid-19 pandemic: an executive coaching perspective , 2021, Personnel Review.

[16]  J. Dort,et al.  Surgery and COVID-19: a rapid scoping review of the impact of the first wave of COVID-19 on surgical services , 2021, BMJ Open.

[17]  Marla J. De Jong,et al.  Nursing Leadership and COVID-19: , 2021, Nurse Leader.

[18]  S. Turner,et al.  Systematic review of experiences and perceptions of key actors and organisations at multiple levels within health systems internationally in responding to COVID-19 , 2021, Implementation Science.

[19]  R. Froutan,et al.  Nurse Managers’ Perceptions and Experiences during the COVID-19 Crisis: A Qualitative Study , 2021, Iranian journal of nursing and midwifery research.

[20]  Amal Refaat Gab Allah,et al.  Challenges facing nurse managers during and beyond COVID‐19 pandemic in relation to perceived organizational support , 2021, Nursing forum.

[21]  M. Bianchi,et al.  The experience of middle management nurses during COVID-19 pandemic in Switzerland: a qualitative study. , 2021, Journal of nursing management.

[22]  L. Benzakour,et al.  Adapting to the unexpected: Problematic work situations and resilience strategies in healthcare institutions during the COVID-19 pandemic’s first wave , 2021, Safety Science.

[23]  B. McCormack,et al.  Improving Person-Centred Leadership: A Qualitative Study of Ward Managers’ Experiences During the COVID-19 Crisis , 2021, Risk management and healthcare policy.

[24]  E. Alnazly,et al.  Anxiety, depression, stress, fear and social support during COVID-19 pandemic among Jordanian healthcare workers , 2021, PloS one.

[25]  Jane H White A Phenomenological Study of Nurse Managers’ and Assistant Nurse Managers’ Experiences during the COVID‐19 Pandemic in the United States , 2021, Journal of nursing management.

[26]  D. Bhugra,et al.  Personal and social changes in the time of COVID-19 , 2021, Irish Journal of Psychological Medicine.

[27]  I. Bolis,et al.  A systematic review on the impacts of Covid‐19 on work: Contributions and a path forward from the perspectives of ergonomics and psychodynamics of work , 2021, Human factors and ergonomics in manufacturing.

[28]  K. Bailey,et al.  Leading Through Chaos , 2021, Nursing administration quarterly.

[29]  Natasha Hubbard Murdoch,et al.  The Role of Uncertainty in the Experiences of Nurses During the Covid-19 Pandemic: A Phenomenological Study , 2021, The Canadian journal of nursing research = Revue canadienne de recherche en sciences infirmieres.

[30]  Z. Butt,et al.  What social media told us in the time of COVID-19: a scoping review , 2021, The Lancet Digital Health.

[31]  C. Vindrola‐Padros,et al.  Redeployment and training of healthcare professionals to Intensive Care during COVID-19: a systemic review , 2021, medRxiv.

[32]  Katherine Virkstis,et al.  An Executive Strategy to Support Long-Term Clinician Engagement Amid the COVID-19 Pandemic , 2020, The Journal of nursing administration.

[33]  E. Semino “Not Soldiers but Fire-fighters” – Metaphors and Covid-19 , 2020, Health communication.

[34]  F. Timmins,et al.  Lessons from Italian front-line nurses' experiences during the COVID-19 pandemic: a qualitative descriptive study. , 2020, Journal of nursing management.

[35]  Daryl Joslin,et al.  Nursing Leadership COVID-19 Insight Survey: , 2020, Nurse Leader.

[36]  D. Sperling Ethical dilemmas, perceived risk, and motivation among nurses during the COVID-19 pandemic , 2020, Nursing ethics.

[37]  José Gómez-Galán,et al.  Psychological Impact of COVID-19 Emergency on Health Professionals: Burnout Incidence at the Most Critical Period in Spain , 2020, Journal of clinical medicine.

[38]  Norhayati Binte Ahmad,et al.  Challenges faced by direct care nurse managers during the initial coronavirus disease 2019 pandemic: A reflection , 2020 .

[39]  Fawad Ahmed,et al.  Caring for the caregiver during COVID-19 outbreak: Does inclusive leadership improve psychological safety and curb psychological distress? A cross-sectional study , 2020, International Journal of Nursing Studies.

[40]  E. Vermeulen,et al.  Will the World Ever Be the Same After COVID-19? Two Lessons from the First Global Crisis of a Digital Age , 2020, European Business Organization Law Review.

[41]  L. Labrague,et al.  COVID‐19 anxiety among front‐line nurses: Predictive role of organisational support, personal resilience and social support , 2020, medRxiv.

[42]  Elinore J. Kaufman,et al.  Trauma center activity and surge response during the early phase of the COVID-19 pandemic—the Philadelphia story , 2020, The journal of trauma and acute care surgery.

[43]  B. Janz,et al.  Leading Change in Response to COVID-19 , 2020, The Journal of Applied Behavioral Science.

[44]  Angelika Zimmermann,et al.  International HRM insights for navigating the COVID-19 pandemic: Implications for future research and practice , 2020, Journal of international business studies.

[45]  P. Rangachari,et al.  Preserving Organizational Resilience, Patient Safety, and Staff Retention during COVID-19 Requires a Holistic Consideration of the Psychological Safety of Healthcare Workers , 2020, International journal of environmental research and public health.

[46]  E. Pituskin,et al.  Oncology Nursing During a Pandemic: Critical Reflections in the Context of COVID-19 , 2020, Seminars in Oncology Nursing.

[47]  Ingrid M. Nembhard,et al.  Responding to Covid-19: Lessons from Management Research , 2020, Nejm Catalyst Innovations in Care Delivery.

[48]  X. Liao,et al.  Novel coronavirus infection during the 2019–2020 epidemic: preparing intensive care units—the experience in Sichuan Province, China , 2020, Intensive Care Medicine.

[49]  Y. Hu,et al.  Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China , 2020, The Lancet.

[50]  Q. Aini Management Skill and Leadership: A Case Study from Hospital Managers of Charity Business in Health , 2018, The Journal of Social Sciences Research.

[51]  Teenie Matlock,et al.  Metaphors for the War (or Race) against Climate Change , 2017 .

[52]  G. Lindsay Constructing a nursing identity: reflecting on and reconstructing experience , 2006 .

[53]  D. Clandinin,et al.  Narrative Inquiry: Experience and Story in Qualitative Research , 1999 .

[54]  G. Hofstede Attitudes, Values and Organizational Culture: Disentangling the Concepts , 1998 .

[55]  THE WORLD HEALTH ORGANIZATION , 1954 .

[56]  B. McCormack,et al.  Improving person-centred leadership A qualitative study of ward managers’ experiences during the covid-19 crisis , 2021 .

[57]  M. Shabbir,et al.  Covid-19 challenges and human resource management in organized retail operations , 2020 .

[58]  A. Stievano,et al.  Nurse and health professional migration during COVID-19. , 2020, Professioni infermieristiche.

[59]  R. Spirig,et al.  Implementation of a nurse-led education programme for chronic heart failure patients during hospitalisation , and strategies supporting their self-management at home : a practice development project in the context of the Swiss healthcare system , 2015 .

[60]  A. Keeling,et al.  Nurses on the front line : when disaster strikes, 1878-2010 , 2011 .