http://e-journal.unair.ac.id/JNERS 1
© 2022 Jurnal Ners. This is an open-access article distributed under the terms of the Creative
Commons Attribution 4.0 International License (https://creativecommons.org/licenses/by/4.0/).
Volume 17, Issue 1, April 2022, p. 1
http://dx.doi.org/10.20473/jn.v17i1.35400
EDITORIAL OPEN ACCESS
Transforming nurses from frontline to front
leaders: lesson learned from the pandemic
Ferry Efendi
1,
*
1
Faculty of Nursing, Universitas Airlangga, Indonesia
*Correspondence: Ferry Efendi. Address: UNAIR Campus C Mulyorejo, Surabaya City 60115, Indonesia.
Email: ferry-e@fkp.unair.ac.id
The Coronavirus Disease 2019 (COVID-19) pandemic
has changed all aspects of life, including the way people
work and interact with each other. During the pandemic,
several essential industries, not to mention healthcare
workers, have had to endure the chaotic or life-
threatening situation to keep working at desks to ensure
that the pandemic can be tackled. Their actions are
initially a kind of contribution that is rarely noticed by the
public, but they have begun to be recognized as the new
everyday heroes.
Nurses are the frontline workers among other health
workers who face the COVID-19 virus or other deadly
infectious disease. Nurses directly provide essential
healthcare services where they are most needed, both in
hospital and community settings. Not only physical
energy will be exploited, but mental sacrifices can also be
affected. This phenomenon has been proven by the
increase in mortality rate among nurses worldwide. The
International Council of Nurses’ latest data showed that
more than 1500 nurses have died from COVID-19 in 2020
(International Council of Nurses, 2020) and up to
180,000 health and care workers could have died from
COVID-19 in 2021 (World Health Organization, 2021).
This crisis emerged the demand for nurses who intend
and are able to substitute for those who have fallen. This
challenging situation leads nurses to be capable of
managing the crisis and, at the same time, they can be the
new leaders on the frontline.
The lesson learned that can be recorded from the
COVID-19 pandemic, is that nurses as the frontline
workers continue to manage a tough healthcare facilities
environment in order to save many people from COVID-
19. They are potential candidates being front leaders as
they have had experienced treating clients and
community in quite complex ways during the pandemic.
Because of that, it is essential to perceive them as future
leaders such as by providing greater policy support at a
national level. Equal opportunity to contribute to policy
making process would create a solid environment for
nurses. Standardized regulation on decent job and
salaries also needs to be developed in order to protect the
welfare of nurses. It goes without saying that nurse’s
salary in Indonesia varies across sectors, even though the
nurses are often going beyond their duties, many of them
have been expected to accomplish more with less
appreciation. These unfair situations should be
transformed into a good situation by equipping the
nurses with decent salaries equal to other frontline health
workers.
Talent management of nurses also needs to be
developed at national level to accommodate regeneration
and succession as a leader. This strategy will impact on
how nurses can have the same benchmark as other health
professions both regionally and nationally. A recent call
from the World Health Organization (2020) mandated
three pillars of essential aspects, namely, investment,
education, jobs and leadership. This pandemic has
opened an opportunity for nurses to move up the
leadership ladder and expand the leadership position in
every setting.
To sum up, we might call the frontline nurses’
personnel as heroes in the pandemic era; however, just
labelling them without also considering what they have
to say eliminates any chance of progress. Concrete policy
implementation is crucial, investing in the education
sector is inevitable, and bottom-up coordination is
critical in ensuring that frontline views are heard.
Regardless of whether or not things are optimal, frontline
nurses show up and perform their duties as do any leader
who serves and protects clients and community.
References
International Council of Nurses. (2020, October 28). ICN confirms 1,500
nurses have died from COVID-19 in 44 countries and estimates that
healthcare worker COVID-19 fatalities worldwide could be more than
20,000 | ICN - International Council of Nurses.
https://www.icn.ch/news/icn-confirms-1500-nurses-have-died-
covid-19-44-countries-and-estimates-healthcare-worker-covid
World Health Organization. (2021, October 20). Health and Care Worker
Deaths during COVID-19. https://www.who.int/news/item/20-10-
2021-health-and-care-worker-deaths-during-covid-19
World Health Organization, ICN, & Nursingnow. (2020). State of The
World’s Nursing 2020: investing in education, jobs and leadership.
World Health Organisation.
https://www.paho.org/es/documentos/situacion-enfermeria-
mundo-2020-resumen-orientacion