# Nursing leadership strategies in addressing COVID-19 in light of John Kotter’s framework

## TL;DR

This study explores how nurse leaders in Brazilian university hospitals used leadership strategies during the pandemic, aligning with John Kotter's change management framework.

## Contribution

The study applies Kotter’s leadership model to real-world nursing leadership during the pandemic, highlighting practical strategies used in hospital settings.

## Key findings

- Nursing leadership strategies were categorized into five subcategories related to managing care during the pandemic.
- Strategic vision and collaboration with healthcare teams were emphasized as key leadership components.
- The results align with John Kotter’s theoretical model of organizational change.

## Abstract

To analyze the leadership strategies of nurses in university hospitals in response to care management changes during the COVID-19 pandemic, informed by John Kotter’s insights.

This multicentric study utilized qualitative and analytical methods. It was conducted through semi-structured interviews with 139 lead nurses from 10 university hospitals in Brazil. Data analysis included Bardin’s content analysis and the webQDA software.

The primary category identified was “Nursing Leadership Strategies in the Battle Against COVID-19,” encompassing five subcategories. This category underscored the importance of strategic vision in nursing leadership for combating COVID-19 within hospital settings, as well as the necessity of working collaboratively with their teams and other healthcare professionals.

The results highlight the strategies used by lead nurses in confronting COVID-19, which can be associated with John Kotter’s theoretical framework and his model of change.

analisar as estratégias de liderança de enfermeiros em hospitais universitários diante das mudanças na gestão do cuidado no enfrentamento da covid-19 à luz de John Kotter.

pesquisa multicêntrica, do tipo qualitativa e analítica. Ocorreu por meio de entrevistas-semiestruturadas, com 139 enfermeiros-líderes, de 10 hospitais universitários, no Brasil. Na análise de dados utilizou a análise de conteúdo de Bardin e o software webQDA.

obteve-se uma principal categoria “Estratégias de liderança de enfermeiros no enfrentamento da covid-19”, e cinco subcategorias. Destacando a liderança de enfermeiros pela importância da visão estratégica para enfrentar a covid-19 no interior das instituições hospitalares, bem como a necessidade de trabalhar em conjunto com suas equipes e demais profissionais de saúde.

os resultados evidenciaram as estratégias utilizadas por enfermeiros-líderes no enfrentamento da covid-19, sendo possível de relacionar com o referencial teórico de John Kotter e seu modelo de mudança.