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The Challenges of Nurse Redeployment and Opportunities for Leadership During COVID-19 Pandemic

Published online by Cambridge University Press:  14 February 2022

Helen Ballantyne  and
Nebil Achour Open the ORCID record for Nebil Achour [Opens in a new window]
Helen Ballantyne
Affiliation:
Anglia Ruskin University, Cambridge, UK
Nebil Achour*
Affiliation:
Anglia Ruskin University, Cambridge, UK
*
Corresponding author: Nebil Achour, Email: nebil.achour@aru.ac.uk.
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Abstract

Objective:

Literature has previously shown that healthcare staff redeployment has been widely implemented to build capacity, with little focus on nurses. This study aims to manage redeployment more effectively by capturing and scrutinizing nurses’ redeployment experiences.

Methods:

A cross-sectional short and structured interview was conducted. Data was analyzed using Braun and Clarkes 6 Step Thematic Analysis approach.

Results:

55 interviews were conducted predominantly from women (85%, N = 47), over the age of 45 years (45%, N = 25), who were in the role of Specialist Nurse or Staff Nurse (78%, N = 43). 5 critical themes emerged: willingness to work in redeployed role, poor communication, stress and anxiety, feelings of being unsupported and abandoned, and positive experiences despite challenging circumstances.

Conclusion:

Nurses in redeployed roles were susceptible to stress and anxiety and were seeking dedicated leadership as they worked during a pandemic with the additional challenge of unfamiliar workspaces and colleagues. Nurses play a major role in the resilience of healthcare service, which cannot be achieved without a comprehensive resilience strategy. Healthcare organisations are required to develop strategies, policies, and enforcement measures to ensure that their staff are well empowered and protected not just during potential redeployment but also in their daily operations.

Keywords

COVID-19 pandemicnurse redeploymentleadershipmental resiliencestressanxiety
Type
Original Research
Information
Disaster Medicine and Public Health Preparedness , Volume 17 , 2023 , e134
Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of Society for Disaster Medicine and Public Health, Inc.

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References

RCN Research Society. Impact of COVID-19 on nursing and midwifery workforce (ICON) study Part 1. 2020. https://rcni.com/nursing-standard/newsroom/news/covid-19-redeployment-training-non-existent-or-inadequate-nurses-reveal-160301.Google Scholar
Maben, J, Bridges, J. Covid-19: Supporting nurses’ psychological and mental health. J Clin Nurs. 2020;29(15–16):2742-2750. https://doi.org/10.1111/jocn.15307.CrossRefGoogle ScholarPubMed
Mahendran, K, Yogarajah, S, Ormond, M. Redeployment: creating value through diversity; 2020. https://www.fgdp.org.CrossRefGoogle Scholar
Sun, N, Wei, L, Shi, S, et al. A qualitative study on the psychological experience of caregivers of COVID-19 patients. Am J Infect Control. 2020;48(6):592-598. doi: 10.1016/j.ajic.2020.03.018.CrossRefGoogle ScholarPubMed
Hales, P, White, A, Eden, A, et al. A case study of a collaborative allied health and nursing crisis response. J Interprof Care. 2020;34(5):614-621. https://doi.org/10.1080/13561820.2020.1813093.CrossRefGoogle ScholarPubMed
Corley, A, Hammond, NE, Fraser, JF. The experiences of health care workers employed in an Australian intensive care unit during the H1N1 Influenza pandemic of 2009: a phenomenological study. Int J Nurs Stud. 2010;47(5):577-585. https://doi.org/10.1016/j.ijnurstu.2009.11.015.CrossRefGoogle Scholar
Damery, S, Wilson, S, Draper, H, et al. Will the NHS continue to function in an influenza pandemic? A survey of healthcare workers in the West Midlands, UK. BMC Public Health. 2009;9:1-13. https://doi.org/10.1186/1471-2458-9-142.CrossRefGoogle Scholar
Martin, SD. Nurses’ ability and willingness to work during pandemic flu. J Nurs Manag. 2011;19(1):98-108. https://doi.org/10.1111/j.1365-2834.2010.01190.x.CrossRefGoogle ScholarPubMed
Cai, H, Tu, B, Ma, J, et al. Psychological impact and coping strategies of frontline medical staff in Hunan between January and March, 2020 during the outbreak of coronavirus disease 2019 (COVID) in Hubei, China. Med Sci Monit. 2020;26(e924171):1-16. https://doi.org/10.12659/MSM.924171.Google ScholarPubMed
Jackson, D, Bradbury-Jones, C, Baptiste, D, et al. Life in the pandemic: Some reflections on nursing in the context of COVID-19. J Clin Nurs. 2020;29(13-14):2041-2043. https://doi.org/10.1111/jocn.15257.CrossRefGoogle ScholarPubMed
Maunder, R. The experience of the 2003 SARS outbreak as a traumatic stress among frontline healthcare workers in Toronto: lessons learned. Philos Trans R Soc Lond B Biol Sci. 2004;359(1447):1117-1125. doi: 10.1098/rstb.2004.1483.CrossRefGoogle ScholarPubMed
Liu, Q, Luo, D, Haase, JE, et al. The experiences of health-care providers during the COVID-19 crisis in China: a qualitative study. Lancet Glob Health. 2020;8(6):E790-E798. https://doi.org/10.1016/S2214-109X(20)30204-7.CrossRefGoogle ScholarPubMed
Braun, V, Clarke, V. Using thematic analysis in psychology. Qual Res Psychol. 2006;3(2):77-101. https://doi.org/10.1191/1478088706qp063oa.CrossRefGoogle Scholar
Royal College of Nursing (RCN). Building a better future for nursing; RCN members have their say. 2020a; London. https://www.rcn.org.uk/professional-development/publications/rcn-builiding-a-better-future-covid-pub-009366.Google Scholar
Greenberg, N, Weston, D, Hall, C, Caulfield, T, Williamson, V, Kong, F. Mental Health of staff working in intensive care during COVID-19. Occup Med. 2021;71(2):62-67. https://doi.org/10.1093/occmed/kqaa220.CrossRefGoogle ScholarPubMed
Labrague, LJ, De los Santos JAA. COVID-19 anxiety among front-line nurses: predictive role of organizational support, personal resilience and social support. J Nurs Manag. 2020;28(7):1653-1661. https://doi.org/10.1111/jonm.13121.CrossRefGoogle ScholarPubMed
Shechter, A, Diaz, F, Moise, N, et al. Psychological distress, coping behaviors, and preferences for support among New York healthcare workers during the COVID-19 pandemic. Gen Hosp Psychiatry. 2020;66:1-8. doi: 10.1016/j.genhosppsych.2020.06.007.CrossRefGoogle ScholarPubMed
Shanafelt, T, Ripp, J, Trockel, M. Understanding and addressing sources of anxiety among health care professionals during the COVID-19 pandemic. JAMA. 2020;323(21):2133-2134. https://doi.org/10.1001/jama.2020.5893.CrossRefGoogle ScholarPubMed
Considine, J, Shaban, RZ, Patrick, J, et al. Pandemic (H1N1) 2009 influenza in Australia: absenteeism and redeployment of emergency medicine and nursing staff. Emerg Med Australas. 2011;23(5):615-623. https://doi.org/10.1111/j.1742-6723.2011.01461.x.CrossRefGoogle ScholarPubMed
Achour, N, Munokaran, S, Barker, F, Soetanto, R. Staff stress: the sleeping cell of healthcare failure. Procedia Eng. 2018;212(2017):459-466. https://doi.org/10.1016/j.proeng.2018.01.059.CrossRefGoogle Scholar
McMullan, C, Brown, GD, O’Sullivan, D. Preparing to respond: Irish nurses’ perceptions of preparedness for an influenza pandemic. Int Emerg Nurs. 2016;26:3-7. https://doi.org/10.1016/j.ienj.2015.10.004.CrossRefGoogle ScholarPubMed
Pincha Baduge, MS, Morphet, J, Moss, C. Emergency nurses’ and department preparedness for an Ebola outbreak: a (narrative) literature review. Int Emerg Nurs. 2018;38:41-49. https://doi.org/10.1016/j.ienj.2017.12.002.CrossRefGoogle ScholarPubMed
Royal College of Nursing (RCN). Redeployment and COVID-19. 2020b. https://www.rcn.org.uk/get-help/rcn-advice/redeployment-and-covid-19.Google Scholar
Sull, A, Harland, N, Moore, A. Resilience of health-care workers in the UK; a cross-sectional survey. J Occup Med Toxicol. 2015;10(1):1-8. https://doi.org/10.1186/s12995-015-0061-x.CrossRefGoogle ScholarPubMed
Roberts, NJ, McAloney-Kocaman, K, Lippiett, K, Ray, E, Welch, L, Kelly, C. Levels of resilience, anxiety and depression in nurses working in respiratory clinical areas during the COVID pandemic. Respir Med. 2021;176:106219. https://doi.org/10.1016/j.rmed.2020.106219.CrossRefGoogle ScholarPubMed
Traynor, M. Guest editorial: what’s wrong with resilience. J Res Nurs. 2018;23(1):5-8. https://doi.org/10.1177/1744987117751458.CrossRefGoogle ScholarPubMed
Wei, H, Sewell, KA, Woody, G, Rose, MA. The state of the science of nurse work environments in the United States: a systematic review. Int J Nurs Sci. 2018;5(3):287-300. https://doi.org/10.1016/j.ijnss.2018.04.010.Google ScholarPubMed
Jones, N, Seddon, R, Fear, NT, McAllister, P, Wessely, S, Greenberg, N. Leadership, cohesion, morale, and the mental health of UK armed forces in Afghanistan. Psychiatry. 2012;75(1):49-59. https://doi.org/10.1521/psyc.2012.75.1.49.CrossRefGoogle Scholar
Que, J, Shi, L, Deng, J, et al. Psychological impact of the covid-19 pandemic on healthcare workers: A cross-sectional study in China. Gen Psychiatry. 2020;33(3). https://doi.org/10.1136/gpsych-2020-100259.Google ScholarPubMed
Prado-Inzerillo, ML, Clavelle, JT, Fitzpatrick, JJ. Leadership practices and engagement among magnet® hospital chief nursing officers. J Nurs Adm 2018;48(10):502-507. https://doi.org/10.1097/NNA.0000000000000658.CrossRefGoogle ScholarPubMed
Ehrenstein, BP, Hanses, F, Salzberger, B. Influenza pandemic and professional duty: family or patients first? A survey of hospital employees. BMC Public Health. 2006;6:3-5. https://doi.org/10.1186/1471-2458-6-311.CrossRefGoogle ScholarPubMed
Shabanowitz, RB, Reardon, JE. Avian flu pandemic - Flight of the healthcare worker? HEC Forum. 2009;21(4):365-385. https://doi.org/10.1007/s10730-009-9114-9.CrossRefGoogle ScholarPubMed
Achour, N, Miyajima, M. Post-earthquake hospital functionality evaluation: The case of Kumamoto Earthquake 2016. Earthq Spectra. 2020;36(4):1670-1694. https://doi.org/10.1177/8755293020926180.CrossRefGoogle Scholar
Achour, N, Elhaj, H, Ali, A. Hospital resilience to extreme events: a staff attendance perspective. Int J Disaster Risk Reduct. [Under review]. 2022 CrossRefGoogle Scholar
Liu, Y, Aungsuroch, Y. Work stress, perceived social support, self-efficacy and burnout among Chinese registered nurses. J Nurs Manag. 2009;27(7):1445-1453. https://doi.org/10.1111/jonm.12828.CrossRefGoogle Scholar
Watson, PJ, Brymer, MJ, Bonanno, GA. Post disaster psychological intervention since 9/11. Am Psychol. 2011;66(6):482-494. https://doi.org/10.1037/a0024806.CrossRefGoogle Scholar