Nurse Managers’ Experiences and Competency Requirements in the Care of Patients with Emerging Infectious Diseases: A Meta-Synthesis

Objective: This study seeks to synthesize the experiences, challenges, and core competency requirements of nurse managers caring for patients with emerging infectious diseases to inform targeted training and strengthen emergency response systems. Background: The frequent emergence of emerging infectious diseases has placed unprecedented strain on global public health systems, with nurse managers playing a pivotal role in coordinating and sustaining outbreak responses. Methods: A literature search was conducted across PubMed, CINAHL (EBSCO), Embase, Web of Science, Scopus, CNKI, and other databases. Qualitative studies were screened and assessed using the JBI appraisal tool. Thirteen studies were included and meta-synthesized. Thematic synthesis was used to synthesize the findings. Results: Four main themes emerged: multidimensional experiences of nurse managers, dual pressures from resource shortages and environmental constraints, core competency requirements, and the need for organizational and system support. Discussion: Outbreaks intensified physical and mental strain, increased burnout and turnover, yet also fostered professional growth. Systemic support, flexible staffing, digital training, and inclusive governance are needed to ensure well-being, care resilience, and leadership retention. Conclusion: This study outlines challenges and competencies of nurse managers during health crises, underscoring the need for comprehensive support to guide specialized training and improve public health preparedness.