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. 2021 Sep-Oct;69(5):793-804.
doi: 10.1016/j.outlook.2021.05.008. Epub 2021 May 12.

A mixed methods study of an organization's approach to the COVID-19 health care crisis

Francesco Zaghini  1 , Jacopo Fiorini  2 , Lucilla Livigni  3 , Gemma Carrabs  3 , Alessandro Sili  2
Affiliations

A mixed methods study of an organization's approach to the COVID-19 health care crisis

Francesco Zaghini et al. Nurs Outlook. 2021 Sep-Oct.

Abstract

Background: Healthcare emergency can increase work-related stress and reduce nurses' job satisfaction and quality of life. Managerial decisions and proactive interventions implemented to react to the emergency ensure the best patient outcomes.

Purpose: The purpose of this study was to verify whether a proactive organizational approach can limit nurses' work-related stress and help preserve their job satisfaction and quality of life during a health emergency.

Methods: A longitudinal mixed methods study was conducted. Data were collected before and after the transformation into a SARS-CoV-2 Hospital and the implementation of organizational interventions. Focus groups were conducted to investigate quantitative data.

Findings: After the implementation of interventions and as the pandemic progressed, work-related stress decreased and job satisfaction and quality of life increased.

Discussion: Through proactive organization, even during an emergency, nurses are prepared for working, and work-related stress due to changes is reduced. Nurses are motivated and satisfied with their organization and management, and quality of life increases.

Keywords: COVID19; Healthcare emergency; Job satisfaction; Nurse; Quality of life; Work-related stress.

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Research design.
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References

    1. Ahn, M. H., Shin, Y. W., Kim, J. H., Kim, H. J., Lee, K.-U., & Chung, S. (2020). High work-related stress and anxiety response to COVID-19 among Healthcare Workers in South Korea: SAVE study. - PMC - PubMed
    1. Aiken L.H., Clarke S.P., Sloane D.M. Hospital staffing, organization, and quality of care: Cross-national findings. Int.J.Qual.Health Care. 2002;14(1):5–13. - PubMed
    1. Aiken L.H., Sloane D., Griffiths P., Rafferty A.M., Bruyneel L., McHugh M., Maier C.B., Moreno-Casbas T., Ball J.E., Ausserhofer D., Sermeus W., Heede K., Van Den, Lesaffre E., Diya L., Smith H., Jones S., Kinnunen J., Ensio A., Jylhä V., …, Van Achterberg T. Nursing skill mix in European hospitals: Cross-sectional study of the association with mortality, patient ratings, and quality of care. BMJ Quality and Safety. 2017;26(7):559–568. - PMC - PubMed
    1. Aiken L.H., Sloane D.M., Bruyneel L., Van den Heede K., Griffiths P., Busse R., Diomidous M., Kinnunen J., Kózka M., Lesaffre E., McHugh M.D., Moreno-Casbas M.T., Rafferty A.M., Schwendimann R., Scott P.A., Tishelman C., van Achterberg T., Sermeus W. Nurse staffing and education and hospital mortality in nine European countries: A retrospective observational study. The Lancet. 2014;383(9931):1824–1830. - PMC - PubMed
    1. Akter N., Akkadechanunt T., Chontawan R., Klunklin A. Factors predicting quality of work life among nurses in tertiary-level hospitals. Bangladesh. International Nursing Review. 2018;65(2):182–189. - PubMed