On The Frontlines: Nursing Leadership in Pandemics

On The Frontlines: Nursing Leadership in Pandemics

Project Directors: Jennifer Dohrn, Wilmot James, Victoria Rosner
Coordinators: Kurt Holuba, Mina Shah
Graduate Assistant: Lauren J. DeVaughn

The working group On the Frontlines: Nursing Leadership in Pandemics seeks to understand the role of nurses as change agents in the prevention, detection and response to pandemic infectious disease outbreaks. Although nurses are crucial to combatting pandemics, their work is often not considered when international leaders gather to discuss global health issues. This is a consequence of both the MD-centered hierarchy of medical practice and the fact that nursing remains a profession in which women – whose work is systemically undervalued -- predominate (in the US, over 90% of registered nurses are women). This is a dangerous omission, since although nurses are on the front lines of care, little is known about the range of activities they undertake beyond what may be obvious in patient care. Even key clinical innovations are often overlooked when they should be universally implemented. And there is little record of the painful choices nurses and other health professionals often make between taking care of patients and protecting themselves and their families.

This working group is necessarily inter-sectoral and inter-disciplinary. On the Frontlines draws on the work of the health science community – nursing, medicine, public health, evolutionary biology and immunology, as well as demography – to understand the changing nature of infectious diseases and how to manage and contain them. We engage the scholarship – international health regulations, international law and the doctrine of the duty to protect – that deals with the ethical character of leadership in the global health and biodefense communities and the barriers nursing leaders face in pursuing the public good. Further, to document the role of nurses, we draw on historical methods, anthropology and journalism to capture nurses’ experience in the field.

This group formed around an interest in understanding the work of nurses and midwives in the 2014 Ebola outbreak in West Africa. In response to recent events, we have expanded our scope to include a comparative study of the work of nurses and midwives in the 2020 COVID-19 outbreak. In collaboration with the Columbia Center for Oral History Research, we are conducting oral histories of COVID-19 nurses, and this effort is being jointly directed by Mary Marshall Clark and Jennifer Dohrn.

News

Jennifer Dohrn, Eastern Cape Province, South Africa, 2006

Jennifer Dohrn, Eastern Cape Province, South Africa, 2006

Forth coming: FrontlineNurses.org

Currently under construction, frontlinenurses.org will feature interviews with nurses active during the 2014-16 Ebola crisis in Liberia and Sierra Leone.

Events

Fellows

Student Associates