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“There was no panic”—Nurse managers’ organising work for COVID-19 patients in an outpatient clinic : A qualitative study

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dc.contributor Landspitali - The National University Hospital of Iceland
dc.contributor.author Jónsdóttir, Helga
dc.contributor.author Sverrisdóttir, Sólveig H.
dc.contributor.author Hafberg, Anna
dc.contributor.author Ómarsdóttir, Geirný
dc.contributor.author Ragnarsdóttir, Erla D.
dc.contributor.author Ingvarsdóttir, Steinunn
dc.contributor.author Ingadóttir, Brynja
dc.contributor.author Hafsteinsdóttir, Elín J.G.
dc.contributor.author Zoëga, Sigríður
dc.contributor.author Blöndal, Katrín
dc.date.accessioned 2022-01-08T01:02:55Z
dc.date.available 2022-01-08T01:02:55Z
dc.date.issued 2021
dc.identifier.citation Jónsdóttir , H , Sverrisdóttir , S H , Hafberg , A , Ómarsdóttir , G , Ragnarsdóttir , E D , Ingvarsdóttir , S , Ingadóttir , B , Hafsteinsdóttir , E J G , Zoëga , S & Blöndal , K 2021 , ' “There was no panic”—Nurse managers’ organising work for COVID-19 patients in an outpatient clinic : A qualitative study ' , Journal of Advanced Nursing . https://doi.org/10.1111/jan.15131
dc.identifier.issn 0309-2402
dc.identifier.other PURE: 44700810
dc.identifier.other PURE UUID: 2417b41e-3fa1-49c9-9e82-0de40f0e4580
dc.identifier.other Scopus: 85121479763
dc.identifier.uri https://hdl.handle.net/20.500.11815/2809
dc.description Funding information: University of Iceland Research Fund. Publisher Copyright: © 2021 The Authors. Journal of Advanced Nursing published by John Wiley & Sons Ltd.
dc.description.abstract Aim: To provide insight into the contribution of nursing to the establishment and running of a hospital-based outpatient clinic for COVID-19 infected patients, and thereby to inform the development of similar nursing care and healthcare more generally. Design: Qualitative descriptive study centred on collaboration between nurse managers and researchers. Methods: Drawing on Donabedian’s model of quality health services and the work of Allen on “Nurses’ organising work”, data were collected using four semi-structured, audio-recorded, focus group interviews with five nurse managers. The interviews were conducted in May and June 2020, transcribed, and subsequently analysed using deductive and inductive content analysis into an overarching category, main categories, and sub-categories. Results: “There was no panic – challenged by the unprecedented” was a strong thread, which was reflected in two categories: (a) Everyone walked in step, containing the sub-categories: Public officials set the tone, Creating order in disorder, and Mutual respect and teamwork, and (b) Inspired by extraordinary accomplishments, encompassing the sub-categories: Realising one's potential and Unexpectedly rewarding. In exceptional circumstances the nurse managers’ decision-making authority grew, material and manpower resources were sufficient, promptly constructed work procedures were in place, and tasks were completed instantly in trusting and respectful interdisciplinary collaboration. With sound support and trust from hospital directors, the nurse managers utilised their expertise to the fullest and they were proud of their work. Conclusion: The findings portray the almost invisible work of nurse managers in organising complex care. Although the circumstances were exceptional the findings speak to the accomplishments that can be gained when nurse managers have autonomy and the opportunity to utilise their professional capacity to the fullest. Impact: The findings reveal the almost invisible work of nurses in organising complex care and can inform the establishment of outpatient clinics for patients infected with COVID-19 and of healthcare development more generally.
dc.format.extent
dc.language.iso en
dc.relation.ispartofseries Journal of Advanced Nursing; ()
dc.rights info:eu-repo/semantics/openAccess
dc.subject COVID-19
dc.subject Göngudeildir
dc.subject Hjúkrunarfræðingar
dc.subject Eigindlegar rannsóknir
dc.subject Fjarlækningar
dc.subject ambulatory care
dc.subject COVID-19
dc.subject leadership
dc.subject nurses
dc.subject outpatient clinics
dc.subject pandemics
dc.subject qualitative research
dc.subject telemedicine
dc.subject urgent care
dc.subject Nursing (all)
dc.title “There was no panic”—Nurse managers’ organising work for COVID-19 patients in an outpatient clinic : A qualitative study
dc.type /dk/atira/pure/researchoutput/researchoutputtypes/contributiontojournal/article
dc.description.version Peer reviewed
dc.identifier.doi https://doi.org/10.1111/jan.15131
dc.relation.url http://www.scopus.com/inward/record.url?scp=85121479763&partnerID=8YFLogxK
dc.contributor.department Faculty of Nursing


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