Original ArticlesNurse Executive Experiences With COVID-19 Now We Know—We Are Not Going BackLangan, Joanne C. PhD, RN, CNE; Griffin, Anne Reid MPH, BSN, RN; Shipman, Sallie EdD, MSN, RN, CNL, NHDP-BC, CNE; Dobalian, Aram PhD, JD, MPH Author Information Valentine School of Nursing, Saint Louis University, St Louis, Missouri (Dr Langan); VEMEC, US Department of Veterans Affairs, North Hills, California (Ms Griffin and Dr Dobalian); University of Florida, College of Nursing, Gainesville, Florida (Dr Shipman); and Division of Health Systems Management and Policy, University of Memphis School of Public Health, Memphis, Tennessee (Dr Dobalian). Correspondence: Joanne C. Langan, PhD, RN, CNE, Valentine School of Nursing, Saint Louis University, 3525 Caroline St, St Louis, MO 63104 ([email protected]). This material is based upon work supported by the US Department of Veterans Affairs, Veterans Health Administration, Office of Patient Care Services. The views expressed in this article are those of the authors and do not necessarily reflect the position or policy of the Department of Veterans Affairs or the US government. The authors declare no conflict of interest. Nursing Administration Quarterly: April/June 2022 - Volume 46 - Issue 2 - p E8-E15 doi: 10.1097/NAQ.0000000000000516 Buy Metrics Abstract We conducted semistructured telephone interviews with 2 hospital-based nurse leaders who supervised nurses during the initial phases of the COVID-19 pandemic in northeastern region of the United States. These interviews are a subset of a larger study with 11 nurse executives who supervised nurses during both natural and human-made disasters in different regions of the United States. Qualitative data were analyzed using a grounded theory approach, followed by a content analysis of emerging themes. Participants shared several key concepts: deep commitment of nurses in an extensive range of roles and responsibilities during tragic events; an emphasis on educational needs to best prepare nurses for disaster response; the importance of organizational strategies and definitive policies for supporting nurses' response and recovery; and mental/emotional health support as essential for nurses to cope with the events. The nurse executive participants reported many opportunities to enhance nurses' knowledge and skill set to augment care in the hospital. A team-based approach that leverages the expertise of team members to strengthen the health care team is implemented and demonstrates positive patient outcomes. © 2022 Wolters Kluwer Health, Inc. All rights reserved.