Front-line nurses’ responses to organizational changes during the COVID-19 in Spain. A qualitative rapid appraisal

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Issue date
2021-05-10Author
Álvarez Mora, Bruna
Galbany Estragués, Paola
Subías Miquel, Martí
Vázquez Segura, Eva
Marre, Diana
Romeu Labayen, Maria
Suggested citation
Tort Nasarre, Glòria;
Álvarez Mora, Bruna;
Galbany Estragués, Paola;
Subías Miquel, Martí;
Vázquez Segura, Eva;
Marre, Diana;
Romeu Labayen, Maria;
.
(2021)
.
Front-line nurses’ responses to organizational changes during the COVID-19 in Spain. A qualitative rapid appraisal.
Journal of Nursing Management, 2021, vol. 0, p. 1-9.
https://doi.org/10.1111/jonm.13362.
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Show full item recordAbstract
Aims: Identify the organizational changes faced by front- line nurses working with COVID-
19 patients during the first wave and describe how they responded to these changes.
Background: The COVID-19 pandemic has altered the provision of care and the management
of health care around the world. Evolving information about SARS-coV-2 meant that health
care facilities had to be reorganized continually, causing stress and anxiety for nurses.
Methods: Qualitative study based on Rapid Research Evaluation and Appraisal (RREAL).
The research took place in Hospital and community health settings of the Spanish national
health system with a purposive sampling of 23 front- line nurses. Semi-structured interviews
were conducted between May and June 2020. The duration was 30 to 45 minutes per interview.
We used the Dedoose® data analysis software to perform a thematic analysis.
Results: Nurses responded to organizational changes using the following strategies: improvisation,
adaptation, and learning.
Conclusion: Our rapid approach allowed us to record how nurses responded to changing organization,
information that is easily lost in a disaster such as the COVID-19.
Implications for Nursing Management: Knowing about their strategies can help planning for
future health disasters, including subsequent waves of the COVID-19.