Managing the COVID-19 Pandemic: Experience of Managers in Healthcare: A Narrative Inquiry

The pandemic represented a challenge for hospital managers at different levels, required to reorganise services without compromising care. This study aimed to analyse the experiences of hospital managers during the COVID-19 pandemic. A narrative inquiry was conducted in a multisite acute hospital. D...

Full description

Bibliographic Details
Main Authors: Angela Tolotti, Sarah Jayne Liptrott, Loris Bonetti, Shaila Cavatorti, Davide Sari, Luigi Caoduro, Annette Biegger, Alessandro Bressan, Dario Valcarenghi
Format: Article
Language:English
Published: MDPI AG 2024-02-01
Series:Healthcare
Subjects:
Online Access:https://www.mdpi.com/2227-9032/12/4/447
_version_ 1797298162694619136
author Angela Tolotti
Sarah Jayne Liptrott
Loris Bonetti
Shaila Cavatorti
Davide Sari
Luigi Caoduro
Annette Biegger
Alessandro Bressan
Dario Valcarenghi
author_facet Angela Tolotti
Sarah Jayne Liptrott
Loris Bonetti
Shaila Cavatorti
Davide Sari
Luigi Caoduro
Annette Biegger
Alessandro Bressan
Dario Valcarenghi
author_sort Angela Tolotti
collection DOAJ
description The pandemic represented a challenge for hospital managers at different levels, required to reorganise services without compromising care. This study aimed to analyse the experiences of hospital managers during the COVID-19 pandemic. A narrative inquiry was conducted in a multisite acute hospital. Data were collected through narratives and open-ended questions. Direct and non-direct-care managers were invited to participate. Data were analyzed considering Clandinin & Connelly’s (2000) framework and Braun & Clarke, (2006). Thirty-six narratives and open-ended question responses were analysed. Participants were nurses (<i>n</i> = 20), doctors, technicians, administrative and hospitality service managers. Themes were grouped into three narrative dimensions: (1) personal—“the emergency engulfed us”, (2) practical/professional—“managing the pandemic”, (3) social—“the strength of the team and people”. Different narrative threads were identified between direct-care and non direct-care managers. Problems faced, factors helpful for management and suggestions for improvement were also reported. The pandemic had an important impact on managers and their roles, in terms of the need for clear concise information, staff support, and adequate professional and technical resources. A sense of unity and belonging facilitated management.
first_indexed 2024-03-07T22:30:53Z
format Article
id doaj.art-b16515068ad147d382733c9d3343fda6
institution Directory Open Access Journal
issn 2227-9032
language English
last_indexed 2024-03-07T22:30:53Z
publishDate 2024-02-01
publisher MDPI AG
record_format Article
series Healthcare
spelling doaj.art-b16515068ad147d382733c9d3343fda62024-02-23T15:18:16ZengMDPI AGHealthcare2227-90322024-02-0112444710.3390/healthcare12040447Managing the COVID-19 Pandemic: Experience of Managers in Healthcare: A Narrative InquiryAngela Tolotti0Sarah Jayne Liptrott1Loris Bonetti2Shaila Cavatorti3Davide Sari4Luigi Caoduro5Annette Biegger6Alessandro Bressan7Dario Valcarenghi8Nursing Development and Research Unit, Oncology Institute of Southern Switzerland, Ente Ospedaliero Cantonale (EOC), via Gallino 12, 6500 Bellinzona, SwitzerlandNursing Development and Research Unit, Oncology Institute of Southern Switzerland, Ente Ospedaliero Cantonale (EOC), via Gallino 12, 6500 Bellinzona, SwitzerlandNursing Development and Research Unit, Oncology Institute of Southern Switzerland, Ente Ospedaliero Cantonale (EOC), via Gallino 12, 6500 Bellinzona, SwitzerlandDepartment of Nursing, Regional Hospital of Bellinzona e Valli, Ente Ospedaliero Cantonale (EOC), via Gallino 12, 6500 Bellinzona, SwitzerlandDepartment of Nursing, Oncology Institute of Southern Switzerland, Ente Ospedaliero Cantonale (EOC), via Gallino 12, 6500 Bellinzona, SwitzerlandDepartment of Nursing, Pediatric Institute of Southern Switzerland, Ente Ospedaliero Cantonale (EOC), via Gallino 12, 6500 Bellinzona, SwitzerlandNursing Direction Department, Ente Ospedaliero Cantonale (EOC), viale Officina 3, 6500 Bellinzona, SwitzerlandHospital Directorate, Regional Hospital of Bellinzona e Valli, Ente Ospedaliero Cantonale (EOC), via Gallino 12, 6500 Bellinzona, SwitzerlandNursing Development and Research Unit, Oncology Institute of Southern Switzerland, Ente Ospedaliero Cantonale (EOC), via Gallino 12, 6500 Bellinzona, SwitzerlandThe pandemic represented a challenge for hospital managers at different levels, required to reorganise services without compromising care. This study aimed to analyse the experiences of hospital managers during the COVID-19 pandemic. A narrative inquiry was conducted in a multisite acute hospital. Data were collected through narratives and open-ended questions. Direct and non-direct-care managers were invited to participate. Data were analyzed considering Clandinin & Connelly’s (2000) framework and Braun & Clarke, (2006). Thirty-six narratives and open-ended question responses were analysed. Participants were nurses (<i>n</i> = 20), doctors, technicians, administrative and hospitality service managers. Themes were grouped into three narrative dimensions: (1) personal—“the emergency engulfed us”, (2) practical/professional—“managing the pandemic”, (3) social—“the strength of the team and people”. Different narrative threads were identified between direct-care and non direct-care managers. Problems faced, factors helpful for management and suggestions for improvement were also reported. The pandemic had an important impact on managers and their roles, in terms of the need for clear concise information, staff support, and adequate professional and technical resources. A sense of unity and belonging facilitated management.https://www.mdpi.com/2227-9032/12/4/447narrative inquiryCOVID-19nurse administratorsnarrationorganizationadministration
spellingShingle Angela Tolotti
Sarah Jayne Liptrott
Loris Bonetti
Shaila Cavatorti
Davide Sari
Luigi Caoduro
Annette Biegger
Alessandro Bressan
Dario Valcarenghi
Managing the COVID-19 Pandemic: Experience of Managers in Healthcare: A Narrative Inquiry
Healthcare
narrative inquiry
COVID-19
nurse administrators
narration
organization
administration
title Managing the COVID-19 Pandemic: Experience of Managers in Healthcare: A Narrative Inquiry
title_full Managing the COVID-19 Pandemic: Experience of Managers in Healthcare: A Narrative Inquiry
title_fullStr Managing the COVID-19 Pandemic: Experience of Managers in Healthcare: A Narrative Inquiry
title_full_unstemmed Managing the COVID-19 Pandemic: Experience of Managers in Healthcare: A Narrative Inquiry
title_short Managing the COVID-19 Pandemic: Experience of Managers in Healthcare: A Narrative Inquiry
title_sort managing the covid 19 pandemic experience of managers in healthcare a narrative inquiry
topic narrative inquiry
COVID-19
nurse administrators
narration
organization
administration
url https://www.mdpi.com/2227-9032/12/4/447
work_keys_str_mv AT angelatolotti managingthecovid19pandemicexperienceofmanagersinhealthcareanarrativeinquiry
AT sarahjayneliptrott managingthecovid19pandemicexperienceofmanagersinhealthcareanarrativeinquiry
AT lorisbonetti managingthecovid19pandemicexperienceofmanagersinhealthcareanarrativeinquiry
AT shailacavatorti managingthecovid19pandemicexperienceofmanagersinhealthcareanarrativeinquiry
AT davidesari managingthecovid19pandemicexperienceofmanagersinhealthcareanarrativeinquiry
AT luigicaoduro managingthecovid19pandemicexperienceofmanagersinhealthcareanarrativeinquiry
AT annettebiegger managingthecovid19pandemicexperienceofmanagersinhealthcareanarrativeinquiry
AT alessandrobressan managingthecovid19pandemicexperienceofmanagersinhealthcareanarrativeinquiry
AT dariovalcarenghi managingthecovid19pandemicexperienceofmanagersinhealthcareanarrativeinquiry