ABSTRACT
Introduction: The coronavirus disease 2019 (COVID-19) has rapidly led to a global pandemic. Facing COVID-19 which is highly contagious, a healthcare worker is under both physical and psychological pressure. Nurses as frontline health workers are at high risk of exposure to the impact of the pandemic. Nurses who work at a hospital and can interact with COVID-19 patients could be psychologically stressed. The purpose of the present study was to examine the perceived stressors among nurses working in the hospital during the COVID-19 pandemic. Methods: The study design was a cross-sectional descriptive survey design. An online survey was designed based on perceived COVID-19 stressor questionnaires. The survey link was distributed to nurses via social media to personal and group accounts. These 238 nurses responded to the survey. The independent T-test and ANOVA were applied to analyze the data. Results: The overall mean score of the perceived stressor was 39.82, and inadequate protective equipment was reported as leading to very much stress 45.8%. Conclusion: Inadequate personal protective equipment appeared as the robust stressor while the availability of hospital goods supply raised as a factor with a high contribution to the occurrence of numerous stressors. Healthcare institutions and governments are necessary to provide equipment, support, and intervention to address psychosocial distress in nurses. © 2022 UPM Press. All rights reserved.
ABSTRACT
Background: After one year of the pandemic, Indonesia experienced a crisis where the addition of COVID-19 cases increased significantly in several big cities;it made the healthcare system collapse, including the intensive care unit (ICU) service for COVID-19. ICU nurses, who are at the frontline of fighting against COVID-19 and defusing this crisis, are faced with various challenges in providing care for COVID-19 patients, and exploring such challenges are significant. Purpose: This study aimed to explore the challenges experienced by Indonesian nurses who work in the ICU caring for COVID-19 patients. Methods: A multi-centered-qualitative study with a descriptive phenomenological design was used. Twenty nurses working in the ICU of COVID-19 in eight COVID-19 referral hospitals in seven major cities in Indonesia were recruited using purposive sampling. Semi-structured individual video call interviews were conducted to collect the data from July-September 2021. Data were analyzed using Colaizzi’s (1978) method. Results: The nurses reported the challenges throughout caring for COVID-19 patients in ICU, which are described in four major themes: (a) working under pressure and moral distress, (b) choosing to do the best, (c) adaptation, learning, and research, and (e) survive physically and mentally healthy. Conclusion: This study describes the challenges experienced by nurses working in ICUs during the COVID-19 crisis, such as working under pressure, facing dilemmas caring for patients, and trying to survive working in inadequate professional conditions. An in-depth understanding of these challenges in the current pandemic can help managers in the hospital to provide psychological support, adequate training for ICU nurses, and high-quality protocols for upcoming emergency scenarios, as well as maximizing resource management (human and material). Copyright © 2022, NMJN.
ABSTRACT
BACKGROUND: Nurses are at high risk of experiencing stress when treating patients with COVID-19. The presence of an outbreak could also result in burnout among nurses due to job stress, poor hospital resources for the treatment, and inadequate support from family and friends. All of these related obstacles might be interfered with the intention of nurses to work during a pandemic. AIM: The objective of the study was to identify perceived stress and intention to work during the COVID-19 pandemic among nurses. METHODS: An online-based cross-sectional study was conducted among nurses in Indonesia. There were 238 responses received. Multiple regression analysis was used to examine for data analysis. RESULTS: There was a significant correlation between perceived stress and intention to work (p < 0.001). The regression model showed the variance in the perceived stress with other main predictors. CONCLUSIONS: To maintain an adequate workforce during the pandemic, hospital management should ensure adequate hospital goods supply and deploy retention strategies to retain clinically experienced nurses.