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Nurses are the largest group of healthcare workers in the world, and during the COVID‐19 pandemic, nurses have been recognized worldwide as frontline warriors working hard to stem suffering, infection rates and deaths. Korean nurses experienced the effects of the pandemic earlier than in most other countries, and the work of our nurses has been recognized as a successful model in responding COVID‐19. In this paper, we share the experiences of Korean nurses, including their experiences of workload, acute shortages of staff and equipment and work overload, and suggest ongoing tasks that need to be addressed to combat the pandemic's second wave and other possible waves. Specifically, the nursing issues relating to COVID‐19 are critically reviewed and recommendations for each issue are suggested in terms of nursing staffing, practice and policy, as well as health policy. [ABSTRACT FROM AUTHOR]

The novel coronavirus disease SARS‐CoV‐2 (COVID‐19) outbreak rapidly generated an unprecedented global, national, and state public health crisis with the need to rapidly develop alternate care sites (ACS) to care for COVID‐19 patients within an overburdened health care system. A hospital care model ACS to increase the health care capacity, provide care for mild to moderately symptomatic patients, and offer local self‐sustainment for a surge of patients was developed in Memphis, Tennessee located in Shelby County. We completed a temporary conversion of a large unused newspaper publication building to a health care facility for COVID‐19 patients. Developing an ACS from ground zero was met with many challenges, and throughout the process important lessons were learned. With the goal to complete the building conversion within a 28‐day timeframe, collaboration among the numerous governmental, health care, and private agencies was critical and nursing leadership was key to this process. The purpose of this paper is to describe the development of a COVID‐19 ACS in Memphis, TN, which has a large at‐risk population with limited access to health care. Specifically, we will discuss the strong leadership role of nursing faculty, key challenges, and lessons learned, as well as provide checklists and models for others in similar circumstances. [ABSTRACT FROM AUTHOR]

Aim: To clarify factors that support a policy change from pandemic to endemic status and to examine options for non‐medical responses to reduce COVID‐19 transmission. Background: Critical factors to be considered in pandemic response decisions are not limited to medical options or public health orders, although these are important. Sources of evidence: All evidence drawn from publicly available sources is presented through the lens of the authors' nursing, management, education, policy and research experience. Discussion: As COVID‐19 variants cause infections to surge nurses and other health practitioners, who are the de facto implementers of public and health policy, need to consider the evidence supporting a pandemic policy change to endemic status. Non‐medical options for reducing transmission and variant mutations are needed to enable at‐risk populations to avoid infection. Conclusion: Public policy that shifts infection risks onto the general population requires close scrutiny of the evidence base for such decisions and warrants open debate and review. If people are to manage risks arising from policy decisions, they need access to non‐medical virus detection options as well as access to effective medicines and treatment. Implications for nursing practice: Nurses have an extension to their advocacy role when policy changes about infectious disease status are declared. Evaluation of policy in terms of validity, equity and scientific basis is part of nursing's public responsibility. Policies that fail to reflect what is happening at the patient care level need to be questioned and modified where necessary. Only policies deemed 'good' policy by nurses should be implemented without challenge. Access to devices for environmental detection of the virus would enable real‐time estimation of infection risks and inform individual decisions about the real risk of participating in work or other activities. Implications for health and social policy: Policy decisions to transition from pandemic to endemic status must be evidence based. Clear messaging about risks and options assists policy implementation. Terminologies describing stages of infectious disease spread from 'outbreak, epidemic, endemic and pandemic' are not interchangeable, although they will expand and contract across the range in response to interventions such as public health safety measures (PHSM), quarantine, vaccinations, antivirals and fatalities that alter the case count in defined locations for those who avoid or survive an infection. [ABSTRACT FROM AUTHOR]