Home care nurses' and managers' work environment during the Covid-19 pandemic: Increased workload, competing demands, and unsustainable trade-offs.

Rydenfält C, Persson J, Erlingsdóttir G, Larsson R, Johansson G

Appl Ergon 111 (-) 104056 [2023-09-00; online 2023-05-29]

Little research exists on how home care nursing personnel have experienced the Covid-19 pandemic. This qualitative study explores the work environment related challenges nurses and managers in home care faced during the pandemic. We discuss these challenges in relation to the Demand-Control-Support Model and reflect on how the organizational dynamics associated with them can be understood using the competing pressures model. During the pandemic, home care nurses and managers experienced both an increased workload and psychosocial strain. For managers, the increased complexity of work was a major problem. We identify three key takeaways related to sustainable crisis management: 1) to support managers' ability to provide social support to their personnel, 2) to increase crisis communication preparedness, and 3) to apply a holistic perspective on protective gear use. We also conclude that the competing pressures model is useful when exploring the dynamics of the work environment in complex organizational contexts.

Category: Health

Category: Social Science & Humanities

Type: Journal article

PubMed 37257218

DOI 10.1016/j.apergo.2023.104056

Crossref 10.1016/j.apergo.2023.104056

pmc: PMC10230855
pii: S0003-6870(23)00094-7

Publications 9.5.0