1. Patient safety in the pandemic: Experiences of charge nurses.
- Author
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Ünal, Aysun, Öncü, Yasemin Ayhan, and Arikan, Emine
- Subjects
WORK ,PSYCHOLOGICAL resilience ,NURSE-patient relationships ,NURSE administrators ,PATIENT safety ,QUALITATIVE research ,ACADEMIC medical centers ,OCCUPATIONAL achievement ,INTERVIEWING ,RISK management in business ,HEALTH policy ,WORK environment ,DESCRIPTIVE statistics ,NURSING ,MOTIVATION (Psychology) ,SOUND recordings ,STATISTICS ,RESEARCH methodology ,ORGANIZATIONAL change ,PSYCHOLOGICAL stress ,PHENOMENOLOGY ,SOCIAL support ,COVID-19 pandemic ,EXPERIENTIAL learning ,INDUSTRIAL safety ,EMPLOYEES' workload - Abstract
Aim: The aim of this study was to identify charge nurses' experiences ensuring patient safety during the coronavirus disease 2019 (COVID‐19) pandemic. Methods: The research was conducted with charge nurses between July 2021 and February 2022. Research data were collected using a semi‐structured interview with two main questions, six sub‐questions and an audio recording. Interviews were conducted with 12 charge nurses and lasted ≈30 min. The content analysis method was used to transfer the collected data to written documents and define them to analyse the individual interview data. Content analyses were conducted independently by three different researchers. Inclusion and exclusion criteria for content were established to ensure consistency among all researchers. Researchers independently developed a coding scheme for content analysis based on the research objectives and applied it to the content. Intercoder reliability was assessed with Cohen's kappa coefficient to measure the consistency of coding among researchers. Results: Three main themes were identified as a result of the content analysis. The themes identified after independent examination by the three researchers were 'ensuring safety and protection', 'sustaining motivation and resilience' and 'organizational restructuring and challenges'. Conclusions: This study highlights the challenges faced by charge nurses during the COVID‐19 pandemic and their critical role in maintaining patient safety. The findings emphasize the importance of organizational adaptability, continuous motivation and comprehensive risk management strategies. Charge nurses played a key role in enhancing safety measures and fostering a culture of resilience among healthcare staff. Moving forward, these insights should guide health policies and practices to better prepare for future public health crises, ensuring the safety of both patients and staff. Summary statement What is already known about this topic? Nurse managers have experienced various difficulties in ensuring patient safety during the pandemic process.However, few studies have addressed patient and employee safety during the pandemic. What this paper adds? The research examines the organizational changes made in hospitals during the pandemic and their effects on patient safety.The article emphasizes the need for immediate updates in health policies based on the experiences of the pandemic.The research documents the experiences of charge nurses during the pandemic, arguing that these insights should form the basis for further health research and innovations. The implications of this paper: Pandemic experiences necessitate urgent updates to health policies.Support systems for nurses should be strengthened, both psychologically and professionally.Continuous education programmes that include crisis management should be developed.Experiences of charge nurses should form the basis for further research and innovation. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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