title: SARS (severe acute respiratory syndrome): reflective practice of a nurse manager.
abstract: OBJECTIVE
  This paper describes the reflective practice of a nurse manager in Hong Kong in supporting frontline nurses to overcome the crisis of SARS.
  
  
  BACKGROUND
  SARS infection was a crisis for everyone in endemic areas because of its threat to physical and emotional health. Hong Kong was the second leading endemic area in the world. Inadequate supplies of protective devices and the death of a nurse infected with SARS triggered nurses' negative emotions.
  
  
  METHODS
  A model of structured reflection was adopted to examine one's practice. A problem-solving model for crisis intervention was integrated into the reflective stage of structured reflection.
  
  
  RESULTS
  Promotion of nurses' safety and emotional stability were the major goals in handling the crisis. Strategies were employed including self-awareness, empowerment and team building, information sharing, provision of personal protective equipment and emotional support for frontline nurses.
  
  
  CONCLUSIONS
  SARS infection threatens the physical and emotional health of nurses. From a positive perspective, such a crisis created an opportunity to learn and grow in terms of ethical, personal and aesthetic arenas.
  
  
  CONCLUSIONS
  SARS epidemic raised worldwide attention and challenged the Hong Kong's health care system. Reflective practice is useful to guide and examine nurses' professional action during the crisis, and to put the experience into a learning perspective.
authors.affiliation: Nethersole School of Nursing, The Chinese University of Hong Kong, Shatin, Hong Kong.
authors.forename: Pui Yi
authors.initials: PY
authors.lastname: Lau
authors.forename: Carmen W H
authors.initials: CW
authors.lastname: Chan
mesh_terms: D000223:Adaptation, Psychological; D001291:Attitude of Health Personnel; D021821:Communicable Diseases, Emerging / Q000453:epidemiology / Q000517:prevention & control*; D003142:Communication; D003419:Crisis Intervention / Q000458:organization & administration; D004196:Disease Outbreaks / Q000517:prevention & control* / Q000706:statistics & numerical data; D019353:Endemic Diseases / Q000517:prevention & control / Q000706:statistics & numerical data; D006293:Health Promotion; D006723:Hong Kong / Q000453:epidemiology; D006801:Humans; D017053:Infection Control; D007400:Interprofessional Relations; D016294:Models, Nursing; D009718:Nurse Administrators / Q000458:organization & administration / Q000523:psychology; D024802:Nurse's Role; D015404:Nursing Methodology Research; D009741:Nursing Staff, Hospital / Q000458:organization & administration / Q000523:psychology; D016272:Occupational Health; D011209:Power, Psychological; D011340:Problem Solving; D045169:Severe Acute Respiratory Syndrome / Q000453:epidemiology / Q000517:prevention & control*; D012944:Social Support