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Organizational resilience and psychological support are key to improving ICU nurse teamwork during pandemicsTeamwork challenges and strengths for ICU nurses in COVID-19

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Key Takeaway
Recognize that organizational resilience and psychological support are essential for maintaining ICU nurse teamwork.

This meta-synthesis of 48 qualitative studies synthesizes the experiences of ICU nurses regarding team collaboration and teamwork during the COVID-19 pandemic. The analysis identifies six main themes and thirteen sub-themes: (1) support/understanding from colleagues, team, and management; (2) interpersonal unfamiliarity and tension; (3) instability in the team structure; (4) managerial inadequacies; (5) team adaptability; and (6) empowered teamwork.

The findings highlight significant stressors including interpersonal tension and structural instabilities within nursing teams. The authors conclude that strengthening organizational resilience is a key factor in improving teamwork outcomes for staff working in high-pressure environments like the ICU during a pandemic.

While the study provides qualitative insights into the professional experience of nurses, it does not provide quantitative evidence of clinical outcomes or specific safety data. Practice relevance centers on the need for targeted psychological support and organizational improvements to bolster team cohesion. These findings may inform hospital leadership in developing better support structures for frontline staff during public health crises.

A new analysis of 48 qualitative studies looked at the teamwork experiences of ICU nurses during the COVID-19 pandemic. The research identified six main themes: support and understanding from colleagues and management, interpersonal unfamiliarity and tension, instability in the team structure, managerial inadequacies, team adaptability, and empowered teamwork.

Nurses reported that support from their team and management was crucial, but they also faced challenges like working with unfamiliar colleagues, frequent changes in team makeup, and poor management. On the positive side, teams showed adaptability and some felt empowered by their collaborative work.

The study highlights the importance of strengthening organizational resilience to improve teamwork. It suggests that hospitals need to provide psychological support and build stable, well-managed teams to help ICU nurses cope during crises.

Because this is a qualitative review, it describes experiences and themes rather than measuring outcomes like patient survival. The findings offer insights for hospital leaders and policymakers, but they do not prove that specific changes will lead to better results. Readers should see this as a starting point for improving support for ICU nurses.

What this means for you:
Teamwork for ICU nurses during COVID-19 had both supports and challenges; organizational resilience is key.

Common questions

What did the study find about teamwork among ICU nurses during COVID-19?

The study identified six themes: support from colleagues and management, interpersonal unfamiliarity and tension, unstable team structure, poor management, team adaptability, and empowered teamwork.

How many studies were included in this review?

The review included 48 qualitative studies about the teamwork experiences of ICU nurses during the COVID-19 pandemic.

What does the study suggest for improving teamwork?

The study suggests that strengthening organizational resilience is key to improving teamwork, including providing psychological support and building stable teams.

Study Details

Study typeMeta analysis
EvidenceLevel 1
PublishedJul 2026
View Original Abstract ↓
This study included qualitative studies and employed a meta-synthesis to assess the support, challenges, and coping strategies related to teamwork among Intensive Care Unit (ICU) nurses during the Corona Virus Disease 2019 (COVID-19) pandemic. A systematic search was conducted across five databases: PubMed, Web of Science, Embase, CINAHL, and PsycINFO. The search period covered from inception to December 11, 2025. The study employed the three-stage thematic synthesis approach by Thomas and Harden, aided by the NVivo 14 software. A total of 48 qualitative studies were included, and six main themes with thirteen sub-themes were identified: (1) the support and understanding received from colleagues, the team, and management; (2) interpersonal unfamiliarity and tension; (3) instability in the team structure; (4) managerial inadequacies; (5) team adaptability; (6) empowered teamwork. Beyond the need for psychological support from colleagues, the team, and management, it was found that strengthening organizational resilience was key to improving teamwork. https://www.crd.york.ac.uk/PROSPERO/view/CRD420261281080, identifier PROSPERO (CRD420261281080).
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