AimTo elucidate strategies for improving organisational adaptation during public health emergencies from the perspectives of nurse managers.DesignThis study utilised a qualitative approach, incorporating complex adaptive system theory within a phenomenological tradition.MethodsSemi‐structured interviews were conducted from May 2022 to June 2022. Participants included core members of the Shanghai Public Health Emergency Teams‐Nursing from 12 tertiary hospitals in Shanghai, all of whom had substantial experience as nurse leaders impacting health systems. Data obtained were coded and analysed using interpretative phenomenological analysis.ResultsSeventeen frontline nurse managers participated, leading to the emergence of three key themes related to complex organisational adaptation: seeking institutional support for environmental adaptation, building intrateam support for structural adaptation and activating individual support for behavioural adaptation. A conceptual framework of organisational adaptation was proposed, displaying the interconnections among these themes.ConclusionsThe study provides valuable insights into managing nursing teams involved in public health emergency preparedness and response as an adaptive system. Identified managerial strategies offer guidance to ensure effective organisational assembly and optimal utilisation of the nursing workforce within the healthcare system.Implications for the ProfessionRecognising the crucial role of nurses in managerial positions, who leverage leadership, adaptability and decision‐making skills to coordinate frontline teams, is vital for effective public health emergency response. Their involvement in administrative roles underscores the importance of nursing perspectives in strategic planning, organisational adaptation and enhancing health system resilience during crises.ImpactThe organisational adaptation strategies effectively adopted by nurse managers provide a reference for international scholars seeking to enhance the function and performance of nursing staff in healthcare system during public health emergencies.Reporting MethodConsolidated Criteria for Reporting Qualitative Research (COREQ) checklist.Patient or Public ContributionsNo Patient or Public Contributions.

中文翻译：

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护士长在公共卫生紧急情况下组织适应的经验：一项定性研究


目的 从护士经理的角度阐明在公共卫生紧急情况下改善组织适应的策略。设计本研究采用定性方法，将复杂的适应性系统理论纳入现象学传统。方法2022 年 5 月至 2022 年 6 月进行半结构化访谈。参与者包括来自上海 12 家三级医院的上海公共卫生应急团队护理核心成员，他们都拥有作为影响卫生系统的护士领导的丰富经验。使用解释性现象学分析对获得的数据进行编码和分析。结果17 名一线护士经理参与其中，导致了与复杂组织适应相关的三个关键主题的出现：为环境适应寻求机构支持，为结构适应建立团队内部支持，以及激活对行为适应的个人支持。提出了一个组织适应的概念框架，展示了这些主题之间的相互联系。结论该研究为将参与公共卫生应急准备和响应的护理团队作为一个适应性系统进行管理提供了有价值的见解。确定的管理策略为确保医疗保健系统内有效的组织组装和护理劳动力的最佳利用提供指导。对职业的影响认识到护士在管理职位上的关键作用，他们利用领导力、适应能力和决策技能来协调一线团队，对于有效的公共卫生应急响应至关重要。 他们参与行政角色强调了护理视角在战略规划、组织适应和在危机期间增强卫生系统复原力的重要性。影响护士经理有效采用的组织适应策略为国际学者在公共卫生紧急情况下寻求加强医疗保健系统中护理人员的功能和绩效提供了参考。报告方法报告定性研究 （COREQ） 清单的综合标准。患者或公众捐款没有患者或公众捐款。