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Intensive Care Managers’ Experiences of the COVID-19 Pandemic: A Dramatic Change of the Intensive Care Landscape
Karlstad University, Sweden.ORCID iD: 0000-0001-8709-342X
Luleå University of Technology, Sweden.ORCID iD: 0000-0001-6244-6401
Swedish Red Cross University, Department of Health Sciences.ORCID iD: 0000-0002-4381-4288
Karlstad University, Sweden.ORCID iD: 0000-0003-3899-3063
2023 (English)In: Journal of Nursing Management, ISSN 0966-0429, E-ISSN 1365-2834, article id 3052994Article in journal (Refereed) Published
Abstract [en]

Aim. To describe intensive care managers’ experiences of premises and resources of care in intensive care units during the COVID-19 pandemic. Background. Intensive care units (ICUs) were enormously pressured during the COVID-19 pandemic from many ill patients, requiring advanced care. Hospital and community volunteers increased staff strength. Obligatorily, recruitments were also conducted using transfer of staff from different hospital departments. However, there is little knowledge about intensive care managers’ (ICMs) experiences of leadership during the COVID-19 pandemic. Methods. A qualitative descriptive study was conducted from March to April 2022. Semistructured interviews were held with 12 ICMs who were purposively sampled from the ICU in ten Swedish hospitals. Data were analysed using qualitative content analysis. Results. Two themes emerged: a dramatic change of the intensive care landscape and we could handle more than we thought, but at a steep price. Participants described that the ICUs had to perform extraordinary changes at a very fast pace, which initially created a sense of cohesion. Training and introduction to war-like conditions associated with uncertainty meant that ICMs had to support ICU staff in prioritising interventions. Participants described how ICUs stood strong against a pandemic, but stress, worries, and anxiety took a heavy toll on ICU staff and ICMs. The pandemic eroded the resilience in ICUs. Participants described a deterioration in health and said that sick leaves and resignations occurred. Conclusion. Our findings show ICMs’ experiences as a field of tension between resources and demands, whereby the changes created a heavy burden that left intensive care weakened. Implications for Nursing Management. Findings emphasised the importance of creating working conditions using human resources and materials in order to rebuild resilience in intensive care with the ability to conduct safe patient care.

Place, publisher, year, edition, pages
Hindawi Publishing Corporation, 2023. article id 3052994
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:rkh:diva-4680DOI: 10.1155/2023/3052994OAI: oai:DiVA.org:rkh-4680DiVA, id: diva2:1805342
Funder
Karlstad UniversityRegion VärmlandAvailable from: 2023-10-17 Created: 2023-10-17 Last updated: 2023-10-17Bibliographically approved

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Andersson, Maria

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