LAUSR

This integrated review adds to the existing evidence base around COVID-19 and the impact this had upon global health systems. This particular research focus was upon nurse managers and the impact COVID had upon them through the completion of an integrated review. This brought together the evidence and led to four themes being created. These illustrate the nurse manager perspective of the pandemic event. The workplace demands were a prominent theme, and one that a number of managers, but also the wider staff could relate to. Especially when faced with uncertainty around the virus and how best to manage this unique patient group. This certainly would link to the physical and psychological health theme, due to being faced with this uncertainty, and supporting their staff during this period. Despite these challenges, they also led to the third theme of creating new coping measures and resilience which were employed by the nurse managers. However, as the fourth theme suggests there is also the need to take this forward within the development of future support mechanisms that could be employed. The availability of support, that may entail and how it would be offered can be challenging to ascertain the most appropriate approach. As a future crisis or even pandemic may require the same level, but equally may present other challenges that need adaption and agility. The nursing workforce and managers responded to the crisis, and this has been shown within this integrated review, but these events require learning to occur. COVID-19