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The Lived Experience of Adolescents With Type 1 Diabetes Mellitus in Bahir Dar, Ethiopia: Phenomenological Study.

Authors: Hussin Y, Awle D, Mekonnen Workie H, Amare D
Journal: JMIR diabetes
mental health psychology open access

Abstract

Nursing management is fundamental to maintaining care quality, workforce stability, and the overall resilience of healthcare organizations. Within the hospital hierarchy, nurse managers (NMs) play a uniquely demanding role that connects clinical practice with administrative oversight. They are expected to supervise staff, allocate resources, and ensure compliance with care standards while maintaining patient safety and team morale. This dual set of responsibilities exposes them to persistent occupational stress and increases their susceptibility to burnout—a syndrome marked by emotional exhaustion, depersonalization, and reduced personal accomplishment. Around the world, nurse leader burnout has become a pressing concern for both workforce sustainability and healthcare performance, and the problem that became even more visible during the COVID‐19 pandemic [, ]. The WHO announced the end of the COVID‐19 public health emergency in May 2023 [], yet NMs in Taiwan continued to face an increased postpandemic workload, staffing shortages, and accumulated administrative pressures during the data collection period. Accordingly, this study captures a critical postpeak but high‐burden transitional phase. The pandemic magnified long‐standing challenges in nursing leadership, including chronic staff shortages, rising turnover intentions, and constant organizational change. NMs often bore the brunt of these pressures while safeguarding the well‐being of frontline staff. International studies have reported that more than one‐third of NMs experienced moderate to severe burnout during this period [, ]. In Taiwan, NMs operate within a healthcare system characterized by long working hours, frequent administrative audits associated with hospital accreditation and quality assurance, and relatively hierarchical organizational structures. Previous studies show that these structural and managerial features place substantial administrative and emotional demands on NMs and may further intensify occupational stress in managerial nursing roles [, ]. These conditions underscore the need to examine not only the direct effects of occupational stress but also the psychological pathways through which stress contributes to burnout. Beyond the immediate psychological burden, these challenges reveal the structural fragility of nursing leadership systems. NMs serve as the critical link between policy directives and frontline implementation, and their ability to maintain composure under stress directly affects staff morale, retention, and patient safety. Understanding how managerial coping operates within this organizational context, therefore, provides not only psychological insight but also the managerial value, as it informs workforce sustainability strategies and leadership development in postpandemic healthcare.