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☐ ☆ ✇ Journal of Advanced Nursing

The Practice of Nurse Managers, Their Support Needs and the Importance of Shared Leadership: A Multicentre International Qualitative Research

ABSTRACT

Aim

To shed new light on the management practice and needs for support, mentoring and continuous education of nurse managers (head nurses and assistant head nurses) during and since the COVID-19 pandemic to identify the innovative strategies they put in place to mobilise teams and foster a healthy work environment.

Design

A multi-centre exploratory descriptive study with a qualitative descriptive exploratory design was used.

Methods

10 focus groups held between December 2021 and July 2022, five from a Canadian healthcare centre and five from a Swiss healthcare centre, were conducted with 35 nurse managers. The data were analysed using thematic analysis.

Results

Six central themes emerged: (1) A difficult context to navigate: Continuous adaptation necessary to navigate through difficulties and a rapidly changing context, (2) Maintaining a visible presence and engaging in active listening with team members to promote commitment, motivation and mobilisation, (3) Frequent short meetings, instant and transparent communication, (4) Role legitimacy and recognition, along with continuous professional development, (5) Integration and cohesion among team members, and the quality of care and (6) Shared leadership: A key strategy to prioritise.

Conclusion

The present study offers unique insights into the innovative strategies nurse managers have put in place to ensure the optimal functioning of their care team, to foster a positive work climate, and to ensure the commitment, motivation and mobilisation of their teams. A shared leadership approach appears to be a key lever of action to optimally tackle the present and future needs and challenges of nurse managers.

Implications for the Profession and/or Patient Care

This study highlights key managerial strategies that can be beneficial in all contexts or during future crises, ultimately helping healthcare organisations and nurse managers have a better understanding of their role and influence.

Reporting Method

Consolidated Criteria for Reporting Qualitative Research (COREQ).

Patient or Public Contribution

No patient or public contribution.

☐ ☆ ✇ BMJ Open

Understanding the game experiences and mental health of youth: protocol for the Game-in-Action Quebec cohort study

Por: Paquin · V. · Raugh · I. · Davies · M. · Lepage · M. · Lavigne · K. M. · Dion · J. · Abdel-Baki · A. · Shah · J. L. · Iyer · S. N. · Ferrari · M. — Septiembre 1st 2025 at 17:06
Introduction

Video games have been linked to a range of positive and negative effects on the mental health of adolescents and young adults. However, to better understand how games affect the mental health of young people, their use and experiences must be situated in the sociocultural and personal life contexts of individuals. Drawing from a cultural-ecosocial approach, this study combines cross-sectional and digital phenotyping measures to examine the effects of video games on the mental health of youth.

Methods and analysis

Participants will be young people aged 16–25 years from the community and living in the province of Quebec, Canada. An initial sample of 1000 youth will complete a cross-sectional survey online, including measures of socio-demographic context, gaming practices and experiences, streaming practices and experiences, as well as personality and well-being. Qualitative questions will explore personal views on games and mental health. A subsample of 100 participants will be selected for digital phenotyping, including daily surveys of well-being, gaming, streaming and social experiences, combined with passive mobile sensing (eg, geolocation). Analyses will include regression and mixed models for quantitative data, reflexive thematic analysis for qualitative data, and an integration of quantitative and qualitative results using participatory methods.

Ethics and dissemination

The study received ethical approval from the Institutional Review Board of McGill University (24-02-015). The dissemination of results will be conducted in partnership with a multi-stakeholder advisory committee, including youth who play video games, and will involve peer-reviewed publications, presentations to policymakers in Quebec, and workshops for clinicians and researchers.

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