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      Challenges facing nurse managers during and beyond COVID‐19 pandemic in relation to perceived organizational support

      research-article
      , PhD 1 ,
      Nursing Forum
      John Wiley and Sons Inc.
      challenges, COVID‐19, nurse managers, organizational support, pandemic

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          Abstract

          Aim

          To explore challenges facing nurse managers during and beyond coronavirus disease, 2019 (COVID‐19) pandemic and its relation to perceived organizational support.

          Background

          When faced with high‐pressure situations like the COVID‐19 pandemic, it is critical that nurse managers be equipped with the support they need to successfully surpass these hard times.

          Methods

          Descriptive correlational design was utilized. The study was conduct at different health care settings across Egypt. Convenience sampling technique was employed to recruit (214) nurse managers. Two instruments were used; questionnaire of challenges faced by nurse managers and survey of perceived organizational support. Mann–Whitney test, Kruskal–Wallis test, Spearman's correlation, and regression analysis were utilized.

          Results

          The highest percentage of managers reported being faced with high level of challenges. There was a highly statistically significant negative correlation between challenges currently faced by managers and their perception of organizational support.

          Conclusion

          The COVID‐19 pandemic had placed additional challenges on nurse managers and these challenges are expected to persist in the future. Higher perception of organizational support minimizes managers' perception of being challenged in times of pandemics.

          Implications for Nursing Management

          Better training focused on disaster management, ethical decision making, leading in times of uncertainty, and maintaining well‐being will help nurse managers lead better their teams.

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          Most cited references35

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          Critical Care Utilization for the COVID-19 Outbreak in Lombardy, Italy: Early Experience and Forecast During an Emergency Response

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            Is Open Access

            Psychological Impact and Coping Strategies of Frontline Medical Staff in Hunan Between January and March 2020 During the Outbreak of Coronavirus Disease 2019 (COVID-19) in Hubei, China

            Background Throughout China, during the recent epidemic in Hubei province, frontline medical staff have been responsible for tracing contacts of patients infected with coronavirus disease 2019 (COVID-19). This study aimed to investigate the psychological impact and coping strategies of frontline medical staff in Hunan province, adjacent to Hubei province, during the COVID-19 outbreak between January and March 2020. Material/Methods A cross-sectional observational study included doctors, nurses, and other hospital staff throughout Hunan province between January and March 2020. The study questionnaire included five sections and 67 questions (scores, 0–3). The chi-squared χ2 test was used to compare the responses between professional groups, age-groups, and gender. Results Study questionnaires were completed by 534 frontline medical staff. The responses showed that they believed they had a social and professional obligation to continue working long hours. Medical staff were anxious regarding their safety and the safety of their families and reported psychological effects from reports of mortality from COVID-19 infection. The availability of strict infection control guidelines, specialized equipment, recognition of their efforts by hospital management and the government, and reduction in reported cases of COVID-19 provided psychological benefit. Conclusions The COVID-19 outbreak in Hubei resulted in increased stress for medical staff in adjacent Hunan province. Continued acknowledgment of the medical staff by hospital management and the government, provision of infection control guidelines, specialized equipment and facilities for the management of COVID-19 infection should be recognized as factors that may encourage medical staff to work during future epidemics.
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              COVID‐19 anxiety among frontline nurses: predictive role of organisational support, personal resilience and social support

              Abstract Aim This study examines the relative influence of personal resilience, social support and organisational support in reducing COVID‐19 anxiety in frontline nurses. Background Anxiety related to the COVID‐19 pandemic is prevalent in the nursing workforce, potentially affecting nurses’ well‐being and work performance. Identifying factors that could help maintain mental health and reduce coronavirus‐related anxiety among frontline nurses is imperative. Currently, no studies have been conducted examining the influence of personal resilience, social support and organisational support in reducing COVID‐19 anxiety among nurses. Methods This cross‐sectional study involved 325 registered nurses from the Philippines using four standardised scales. Results Of the 325 nurses in the study, 123 (37.8%) were found to have dysfunctional levels of anxiety. Using multiple linear regression analyses, social support (β = ‐0.142, p = 0.011), personal resilience (β = ‐0.151, p = 0.008) and organisational support (β = ‐0.127, p = 0.023) predicted COVID‐19 anxiety. Nurse characteristics were not associated with COVID‐19 anxiety. Conclusions Resilient nurses and those who perceived higher organisational and social support were more likely to report lower anxiety related to COVID‐19. Implication for Nursing Management COVID‐19 anxiety may be addressed through organisational interventions, including increasing social support, assuring adequate organisational support, providing psychological and mental support services and providing resilience‐promoting and stress management interventions.
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                Author and article information

                Contributors
                amalrefaat54@yahoo.com
                Journal
                Nurs Forum
                Nurs Forum
                10.1111/(ISSN)1744-6198
                NUF
                Nursing Forum
                John Wiley and Sons Inc. (Hoboken )
                0029-6473
                1744-6198
                19 April 2021
                : 10.1111/nuf.12578
                Affiliations
                [ 1 ] Nursing Administration, Faculty of Nursing Menoufia University Shibin Al Kawm Egypt
                Author notes
                [*] [* ] Correspondence Amal Refaat Gab Allah, PhD, Faculty of Nursing, Menoufia University, Tabloha‐ Tala‐ Menoufia, Shibin Al Kawm 32511, Egypt.

                Email: amalrefaat54@ 123456yahoo.com

                Author information
                http://orcid.org/0000-0003-1016-1337
                Article
                NUF12578
                10.1111/nuf.12578
                8250948
                33870510
                e026cdc6-1fe9-4e9a-bd0c-2931c9a0ec2b
                © 2021 Wiley Periodicals LLC

                This article is being made freely available through PubMed Central as part of the COVID-19 public health emergency response. It can be used for unrestricted research re-use and analysis in any form or by any means with acknowledgement of the original source, for the duration of the public health emergency.

                History
                : 29 December 2020
                : 13 March 2021
                Page count
                Figures: 1, Tables: 6, Pages: 11, Words: 6733
                Categories
                Research Manuscript
                Research Manuscript
                Custom metadata
                2.0
                corrected-proof
                Converter:WILEY_ML3GV2_TO_JATSPMC version:6.0.4 mode:remove_FC converted:02.07.2021

                challenges,covid‐19,nurse managers,organizational support,pandemic

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