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Workplace Challenges and Support Needs Experienced by Nurse Leaders in Home and Community Care During the Covid-19 Pandemic

A Qualitative Study

Bibliographic Data

ID13775429
AuthorsSonia Nizzer (0000-0003-1929-1306, VHA Home HealthCare, Toronto, ON, Canada, corresponding author), Nicole A Moreira (0009-0003-2586-5318, VHA Home HealthCare, Toronto, ON, Canada), Emmelie T C L Mohammed (VHA Home HealthCare, Toronto, ON, Canada), Frances Bruno (0000-0002-3703-1957, VHA Home HealthCare, Toronto, ON, Canada), Sandra Mckay (0009-0004-4889-5680), Sandra M McKay (0000-0002-5073-3662, VHA Home HealthCare, Toronto, ON, Canada), D Linn Holness (0000-0001-6632-7688, Centre for Research Expertise in Occupational Disease, Toronto, ON, Canada), Emily C King (0000-0001-9398-5184, University of Waterloo)
Year2025
Volume62
Pages469580251329794-469580251329794
Publication date2025-03-31
Open AccessYes
TypeARTICLE
VenueINQUIRY The Journal of Health Care Organization Provision and Financing (JOURNAL)
Journal identifiersISSN: 0046-9580 • E-ISSN: 1945-7243
PublisherSAGE Publishing (PUBLISHER • US)
DOI10.1177/00469580251329794
PMID40162650
OpenAlexW4409086162
LanguageEN
References cited41

The COVID-19 pandemic had unprecedented impacts on the wellbeing of home care workers. Responsive leadership is a key facilitator for positive perceptions of work and reduced turnover intentions. Yet, the impact of the pandemic on nurse leaders working in home and community care remains to be explored. To describe the workplace experiences of point-of-care nurse leaders in the home and community care sector in Ontario, Canada during the COVID-19 pandemic. Semi-structured interviews were conducted with 8 nurse leaders in home care and analyzed thematically. Four overarching themes developed: (1) Inspired to lead-participants sought leadership roles to amplify their impact on client care, provider experience and the healthcare system. (2) Pandemic leadership challenges-leaders struggled to adapt to new pandemic-related workload demands, including unprecedented needs for staff well-being support. (3) Strategies to improve well-being-the personal toll of the pandemic was mitigated for some by maintaining personal boundaries and by strong support from peers and senior leaders. (4) Lessons learned-leaders expressed pride in their pandemic responses and professional growth through this time. They identified opportunities for stronger workplace structures to support them to excel in their roles. These experiences highlight the opportunity to better support nurse leaders in home and community care settings by creating work structures which promote healthy workplace boundaries, enable connections, and facilitate peer-to-peer information sharing. Such structures can support nurse leaders to thrive in their roles and continue to act as vital sources of support to their teams

2019-20 coronavirus outbreak · Coronavirus disease 2019 (COVID-19 · Infectious disease (medical specialty · Pandemic · Qualitative research · Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2 · Sociology · COVID-19 and Mental Health · COVID-19 Pandemic Impacts · Medicine · Nursing · Psychology · Virology

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