Risk Management in Thai Nursing Homes During COVID-19 : Insights from Nurse Entrepreneurs

Abstract

Effective risk management in nursing homes (NHs) during the COVID-19 pandemic has been critical to safeguarding resident health, maintaining nursing care quality, and ensuring business sustainability. For nurse entrepreneurs, understanding risk management practices during such crises offers valuable insights for future preparedness. This study explores the experiences of Thai nurse entrepreneurs in managing risks within their NHs during the COVID-19 pandemic. A descriptive phenomenological approach was employed, utilizing in-depth interviews conducted via online platforms with ten NH nurse entrepreneurs. Data collection methods included semi-structured interviews, observation, and audio recording. Participants were recruited through purposive and snowball sampling, and data were analyzed using Colaizzi’s phenomenological method. Trustworthiness was established through triangulation, member checking, and collaborative work with the research team. Three major themes emerged: (1) Managing COVID-19 risks, including the development of staff policies, care guidelines, daily monitoring, and environmental sanitization; (2) Restoring essential supplies, such as food and medical equipment; and (3) Balancing income and expenditure, through strategies to maintain resident numbers and control staffing costs. Despite significant challenges, nurse entrepreneurs demonstrated resilience by implementing comprehensive strategies to protect residents, manage resources efficiently, and sustain operations. These findings offer valuable implications for nursing home management and pandemic preparedness in future public health crises.