RESUMO
Experiencing leadership in the Corona pandemic in Hessian general hospitals: A descriptive qualitative study Abstract. Background: The second corona pandemic wave is leading to high work demands on the part of nurses and managers of Hessian general hospitals. The associated organizational challenges result in burdens for the managers. Aim: Due to the importance of leaders in securing care structures, this study aims to explore their perception of their leadership role in dealing with the pandemic management. Methods: Telephone qualitative expert interviews with 13 ward and 13 nursing managers of Hessian general hospitals form the basis for the qualitative content analysis that structures the content. Results: To support the nursing staff, the managers choose a personal caring leadership style that also includes the psychosocial needs of the nursing staff. For their part, managers are exposed to high levels of burden, which they counter with professional experience, resilience and an optimistic attitude, among other things. Conclusions: Health-related leadership is essential for maintaining the health of employees. The self care of managers as well as the integration of workplace health promotion into the corporate goal of hospitals should receive more attention for the current and future safeguarding of crisis management.
RESUMO
The situation of nurses in hospitals during the second wave of the COVID-19 pandemic: an online survey Abstract. Background: The COVID-19 pandemic has an impact on stress and wellbeing of nurses. Anxiety of infection, lack of protective equipment and insufficient expertise in care of these patients were described as reasons of burnout. Aim: The influence of work-related sense of coherence as well as perceived organizational support on the burnout level and the intention to leave the job will be explored. Method: In December 2020 and January 2021, staff of 81 hospitals in Hessia, Germany were invited to participate in an online survey using the BAT (Burnout-Assessment-Tool), work-SoC (work-related - Sence of Coherence), the POS-s (perceived organizational Support - short version) and items based on a literature review. Results: Of 595 nurses, 47.6% showed a moderate or high burnout level, 20.7% want to leave the job after the pandemic. The higher the work-SoC (ß = -0.467; p < 0.001) and the higher the POS-s (ß = -0.178; p < 0.001), the lower the burnout level. Trainings in the organization were mentioned by 24.7% of the nurses as a positive factor. They missed support in mindfulness and resilience training, in child care and health-related topics. 55.1% did not agree that the employer does everything to support them. Conclusions: Regardless of the pandemic, salutogenic leadership is required, which deals with "moral injuries" of employees as a result of implicit rationing and foster health-related support.
Assuntos
Esgotamento Profissional , COVID-19 , Esgotamento Profissional/prevenção & controle , COVID-19/epidemiologia , Estudos Transversais , Hospitais , Humanos , Satisfação no Emprego , Pandemias , Inquéritos e QuestionáriosRESUMO
BACKGROUND: The SARS-CoV-2 pandemic has an impact on the wellbeing of health care workers. The influence of a work-related sense of coherence as well as perceived organizational support on the level of burnout and the intention to leave the job is largely unknown, especially for physicians in German hospitals. METHOD: In December 2020 and January 2021, physicians of 81 hospitals in Hessian (Germany) participated in an online survey using the BAT (Burnout Assessment Tool), Work-SoC (Work-related Sense of Coherence), the POS-s (Perceived Organizational SUPPORT - short version) and literature-based items based. RESULTS: Of 181 physicians, 34% showed a moderate or high burnout level, 21% would leave the job after the pandemic. The higher the work-SoC (ßâ¯=â¯-0.560; pâ¯<â¯0.001) and the higher the POS-s (ßâ¯=â¯-0.125; pâ¯<â¯0.05), the lower the burnout level. Not being able to care sufficiently for their patients has a negative impact on the sense of coherence. 46.4% reported that they did not feel sufficiently prepared by their employer during the pandemic. They wished to have support in the form of the mindfulness and resilience trainings (45%), emergency childcare (41%) and a crisis counselor in their team (32%). CONCLUSION: Regardless of the pandemic, health-promoting work conditions have to be developed that facilitate coherent work and prevent "moral injuries" or enable physicians to deal with them.