Implementation Of Nursing Management Functions By Nurse Managers During The Covid-19 Pandemic: A Qualitative Study

Andi Baso Tombong, Indra Gaffar, Framita Rahman

Abstract


During challenging periods such as the COVID-19 pandemic, the role of nurse managers in applying core management functions becomes increasingly vital. Despite this, there remains a lack of research exploring how these functions are implemented in crisis settings. This qualitative study, using a phenomenological approach, involved nurse managers from hospitals in South Sulawesi Province that provided inpatient care for COVID-19 patients. Participants were selected through purposive sampling, and data were collected via semi-structured interviews. Thematic analysis revealed three main themes and eight subthemes that reflect the lived experiences of nurse managers during the pandemic. The findings indicate that management practices were necessarily flexible, evolving in response to the unpredictable nature of the pandemic. The organizing function was particularly prominent, as nurse managers had to address urgent issues such as staffing shortages and the reconfiguration of treatment spaces. The study also highlights the importance of strengthening nurse managers’ skills in cross-sector collaboration and coordination, which proved essential in navigating the complexities of pandemic response. These insights offer practical guidance for nurse managers and healthcare institutions in preparing for future crises, emphasizing the need for adaptable management strategies and enhanced interprofessional cooperation.

Keywords


management function, nursing, nurse manager, pandemic

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References


Abdi, Z., Lega, F., Ebeid, N., & Ravaghi, H. (2022). Role of hospital leadership in combating the COVID-19 pandemic. Health Services Management Research, 35(1). https://doi.org/10.1177/09514848211035620

Ahti, M., Taipale-Walsh, L., Kuha, S., & Kanste, O. (2023). Health-care leaders’ experiences of the competencies required for crisis management during COVID-19: a systematic review of qualitative studies. Leadership in Health Services, 36(4). https://doi.org/10.1108/LHS-10-2022-0104

Asmaningrum, N., Nur, K. R. M., Purwandari, R., & Ardiana, A. (2020). Nursing work arrangement in health care settings during the pandemic of Covid-19: Nurse managers’ perspectives. NurseLine Journal, 5(2), 231–240.

Bianchi, M., Prandi, C., & Bonetti, L. (2021). The experience of middle management nurses during COVID‐19 pandemic in Switzerland: a qualitative study. Journal of Nursing Management, 29(7), 1956–1964. https://onlinelibrary.wiley.com/action/doSearch?ContribAuthorStored=Bonetti%2C+Loris

Cho, S. H., Lee, J. Y., You, S. J., Song, K. J., & Hong, K. J. (2020). Nurse staffing, nurses prioritization, missed care, quality of nursing care, and nurse outcomes. International Journal of Nursing Practice, 26(1). https://doi.org/10.1111/ijn.12803

Dewi, A., Hariyati, Rr. T. S., & Dewi, L. (2021). Pengembangan Panduan Peran dan Fungsi Top Manajer Keperawatan di Rumah Sakit. Journal of Telenursing (JOTING), 3(1). https://doi.org/10.31539/joting.v3i1.2065

Dignam, D., Duffield, C., Stasa, H., Gray, J., Jackson, D., & Daly, J. (2012). Management and leadership in nursing: an Australian educational perspective. Journal of Nursing Management, 65–71.

Einboden, R. (2020). SuperNurse? Troubling the Hero Discourse in COVID Times. In Health (United Kingdom) (Vol. 24, Issue 4). https://doi.org/10.1177/1363459320934280

Fallman, S. L., Jutengren, G., & Dellve, L. (2018). The impact of restricted decision‐making autonomy on health care managers’ health and work performance. Journal of Nursing Management, 27(4), 706–714.

Gab Allah, A. R. (2021). Challenges facing nurse managers during and beyond COVID-19 pandemic in relation to perceived organizational support. Nursing Forum, 56(3). https://doi.org/10.1111/nuf.12578

Galleryzki, A. R., Hariyati, Rr. T. S., & Kuntarti. (2021). Overview of Nurses’ Perceptions of the Headroom Management Function in Hospitals during the Covid-19 Pandemic. Journal of Global Research in Public Health, 6(2 SE-Articles).

Hoffman, R. L., Wojtaszek, K., Battaglia, A., Campbell, G., & Perpetua, Z. (2020). The Clinical Nurse Leader and COVID-19: Leadership and quality at the point of care. Journal of Professional Nursing, 36(4), 178–180.

Hofmeyer, A., & Taylor, R. (2021). Strategies and resources for nurse leaders to use to lead with empathy and prudence so they understand and address sources of anxiety among nurses practising in the era of COVID-19. Journal of Clinical Nursing, 30(1–2), 298–305. https://doi.org/10.1111/jocn.15520

Hølge-Hazelton, B., Kjerholt, M., Rosted, E., Hansen, S. T., Borre, L. Z., & McCormack, B. (2021). Improving person-centred leadership: A qualitative study of ward managers’ experiences during the covid-19 crisis. Risk Management and Healthcare Policy, 14. https://doi.org/10.2147/RMHP.S300648

Jackson, J., & Nowell, L. (2021). ‘The office of disaster management’ nurse managers’ experiences during COVID-19: A qualitative interview study using thematic analysis. Journal of Nursing Management, 29(8). https://doi.org/10.1111/jonm.13422

Jankelová, N., Joniaková, Z., Blštáková, J., Skorková, Z., & Procházková, K. (2021). Leading employees through the crises: Key competences of crises management in healthcare facilities in coronavirus pandemic. Risk Management and Healthcare Policy, 14. https://doi.org/10.2147/RMHP.S288171

Laschinger, H. K. S., Wong, C. A., Ritchie, J., D’Amour, D., Vincent, L., Wilk, P., Stassen, M. A., Matthews, S., Saxe-Braithwaite, M., Grinspun, D., Shamian, J., McCutcheon, A., Kerr, M., Macdonald-Rencz, S., Oke, B., Denney, D., White, J., & Almost, J. (2007). A profile of the structure and impact of nursing management in Canadian hospitals. Healthcare Quarterly (Toronto, Ont.), 11(2), 85–94. https://doi.org/10.12927/hcq.2008.19596

Masahuddin, L., Rachmawaty, R., & Bahar, B. (2020). Hubungan Pelaksanaan Fungsi Manajemen Kepala Ruangan Dengan Penerapan Patient Safety Di Ruang Perawatan Rsud Kota Makassar. Jurnal Ilmiah Keperawatan (Scientific Journal of Nursing), 6(1). https://doi.org/10.33023/jikep.v6i1.442

Mitchell, G. (2013). Selecting the best theory to implement planned change. Nursing Management, 20(1), 32–37.

Mohammed, S., Peter, E., Killackey, T., & Maciver, J. (2021). The “nurse as hero” discourse in the COVID-19 pandemic: A poststructural discourse analysis. International Journal of Nursing Studies, 117. https://doi.org/10.1016/j.ijnurstu.2021.103887

Morse, V., & Warshawsky, N. E. (2021). Nurse Leader Competencies Today and Tomorrow. Nursing Administration Quarterly, 45(1), 65–70.

Mugianti, S. (2016). Manajemen kepemimpinan dalam praktik keperawatan. Jakarta: Pusat Pendidikan Sumber Daya Manusia Kesehatan, Badan Pengembangan dan pemberdayaan Sumber Daya Manusia Kesehatan Kementerian Kesehatan RI.

Nowell, L. S., Norris, J. M., White, D. E., & Moules, N. J. (2017). Thematic Analysis. International Journal of Qualitative Methods, 16(1), 160940691773384. https://doi.org/10.1177/1609406917733847

Nurdiana, N., Hariyati, Rr. T. S., & Anisah, S. (2018). Penerapan Fungsi Manajemen Kepala Ruangan dalam Pengendalian Mutu Keperawatan. Jurnal Persatuan Perawat Nasional Indonesia (JPPNI), 2(3). https://doi.org/10.32419/jppni.v2i3.93

Poortaghi, S., Shahmari, M., & Ghobadi, A. (2021). Exploring nursing managers’ perceptions of nursing workforce management during the outbreak of COVID-19: a content analysis study. BMC Nursing, 20(1). https://doi.org/10.1186/s12912-021-00546-x

Rahmah, N. M., & Sarwati, P. (2019). Determinan Fungsi Manajemen Dan Kepemimpinan Kepala Ruangan Dengan Budaya Keselamatan Pasien Oleh Perawat Pelaksana Di Rs. Dr. Chasbullah Abdul Madjid. Jurnal Soshum Insentif. https://doi.org/10.36787/jsi.v2i2.126

Sriharan, A., Hertelendy, A. J., Banaszak-Holl, J., Fleig-Palmer, M. M., Mitchell, C., Nigam, A., Gutberg, J., Rapp, D. J., & Singer, S. J. (2022). Public Health and Health Sector Crisis Leadership During Pandemics: A Review of the Medical and Business Literature. In Medical Care Research and Review (Vol. 79, Issue 4). https://doi.org/10.1177/10775587211039201

Thompson, J. (2012). Transformational leadership can improve workforce competencies. Nursing Management, 18(10), 21–24. https://doi.org/10.7748/nm2012.03.18.10.21.c8958

Tombong, A. B., Irfanita Nurhidayah, & Andi Nurlaela Amin. (2022). Exploring the Lived Experience of Congestive Heart Failure Patients in Bulukumba Regency, Indonesia. Comprehensive Health Care, 6(2), 46-59. https://doi.org/10.37362/jch.v6i2.825

Tombong, A.B., & Ilmi, A. A. (2024). Nurse managers' experiences in managing inpatient wards during a Crisis: Lessons from the COVID-19 pandemic. Media Kesehatan Masyarakat Indonesia, 20(3), 133-144. https://doi.org/10.30597/mkmi.v20i3.36250

Vázquez-Calatayud, M., Regaira-Martínez, E., Rumeu-Casares, C., Paloma-Mora, B., Esain, A., & Oroviogoicoechea, C. (2022). Experiences of frontline nurse managers during the COVID-19: A qualitative study. Journal of Nursing Management, 30(1). https://doi.org/10.1111/jonm.13488

Wang, H., Feng, J., Shao, L., Wei, J., Wang, X., Xu, X., Shao, R., Zhang, M., He, J., Zhao, X., & Liang, T. (2020). Contingency management strategies of the Nursing Department in centralized rescue of patients with coronavirus disease 2019 *. https://doi.org/10.3761/j.issn.0254-1769

Whitehead, D., Dilworth, S., & Higgins, I. (2016). Common qualitative methods. In Z. Schneider, D. Whitehead, G. LoBiondo-Wood, & J. Haber (Eds.), Nursing and midwifery research: Methods and appraisal for evidence-based practice (5 ed., pp. 93-109). New South Wales: Elsevier Australia.

Wu, X., Zheng, S., Huang, J., Zheng, Z., Xu, M., & Zhou, Y. (2020). Contingency nursing management in designated hospitals during COVID‐19 outbreak. Annals of Global Health, 86(1), 1–5. https://doi.org/10.5334/aogh.2918




DOI: https://doi.org/10.37311/jnj.v8i1.33407

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