RESUMEN
The mental health of healthcare workers during epidemics is a complex topic. The outbreak of coronavirus disease 2019 (COVID-19) that occurred in late 2019 has become a global public health threat and provides an opportunity to investigate this topic. Based on a large-scale investigation of Chinese healthcare workers during the COVID-19 epidemic, the article tests the assumption that the socioeconomic level of a city affects the mental health status of healthcare workers. The result is interesting and important: the mental health status of this population differs based on the city level. Hospital level, hospital type and departments risk level were investigated separately. With regard to the degree of anxiety, depression and post-traumatic stress disorder (PTSD), there were obvious differences based on the city level: the negative mental health impacts increase with increasing city level, such that healthcare workers in first-tier cities have the least negative mental health impacts, while those in third-tier cities have the most. City level reflects the degree of urban development, resource richness, resident satisfaction, and positive social atmosphere. Urban prosperity may affect mental health.
RESUMEN
Background: It is critical to train future nursing managers in advance for the prospective development of healthcare organizations, but a widely recognized curriculum content structure for leadership and management competency development for nurturing future nurse managers was lacking in China. Objective: To establish a curriculum content structure for the leadership and management competency cultivation for future nurse managers in Chinese healthcare setting. Methods: A modified Delphi study was conducted. 22 experts who have in-depth knowledge of nursing leadership and management from 4 main geographical regions in China were included. The initial curriculum content structure was constructed based on a previous qualitative study and two team meetings. Subsequently, a two-round Delphi survey was conducted with 22 panelists in the first round and 19 in the second round. Scores of importance and textual comments were collected and used to judge the achievement of consensus. Results: After the two-round Delphi process, consensus was reached, as each item was rated ≥4 by 84.21-100% of the experts and each one had a coefficient of variance (CV) ≤ 0.174. The finalized curriculum content contains 9 modules and 27 items. Conclusions: This study formed a curriculum content structure for leadership and management competency training for nurses preparing for managerial roles, which contribute to the establishment of a nursing management talent pipeline to meet the needs of healthcare institutions for contemporary nurse managers.