ABSTRACT
Introduction: Nursing students are a vulnerable population during the COVID-19 pandemic because they experience a higher level of stress and mental health problems than the non-healthcare student population, putting them at a higher risk for suicidal behaviour.Aim: To explore suicidality among nursing students and assess the association between independent variables and suicidality. Methods: This cross-sectional study involved 670 nursing students from 5 Indonesian universities who were recruited using consecutive sampling. Self-administered validated instruments consisted of 8 sections: sociodemographic questionnaire, RSES to assess self-esteem, BHS to assess hopelessness, UCLA-3 to assess loneliness, GSES to assess self-efficacy, PHQ-9 to assess depression, CD-RISC-10 to assess resilience, and SBQ-R to assess suicidality. Binary logistic regression was employed to identify significant predictors of suicidality.Results: Suicidality prevalence among nursing students was 22.8%. The following factors were significantly associated with suicidality (p < 0.05): low resilience (AOR = 2.044;95%CI: 1.309-3.192), loneliness (AOR = 1.609;95%CI: 1.040-2.492), hopelessness (AOR = 4.448;95%CI: 2.356-8.398), and depression (AOR = 9.413;95%CI: 5.795-15.288).Conclusions: These findings provide evidence that resilience, loneliness, hopelessness, and depression are risk factors for suicidality among nursing students. This outcome can be used as a basis to develop appropriate suicide prevention strategies.
ABSTRACT
BACKGROUND: The coronavirus disease-19 (COVID-19) pandemic is of special concern in all parts of the world, including Indonesia. The number of active cases also continues to increase in most provinces in Indonesia, especially in the Special Region of Yogyakarta. This condition requires health workers to collaborate well in suppressing and handling COVID-19 patients. AIM: The aims of this study were to find out how collaboration occurs between health workers in handling COVID-19. This study identifies opportunities and challenges for Interprofessional Collaboration (IPC) health workers at the Primary Health Center of Bantul Regency. METHODS: The design of this study was a cross-sectional study. We used the purposive sampling method to recruit participants. This study was followed by 200 participants who were health workers at the Primary Health Center in Bantul Regency. We used a questionnaire as the instrument. The questionnaire consists of four dimensions of IPC such as knowledge, collaboration, service, and the role of a pharmacist. The data obtained were statistically analyzed using Chi-square and Spearman. RESULTS: The result showed that IPC health worker at Health Primary Center of Bantul was categorized as good (45%). However, IPC at the Health Primary Center is still not optimal. There were top three obstacles in collaborating, namely, lack of time, perception of complicated bureaucracy, and lack of trust from health workers about their knowledge and skill.Based on spearman test p-value for age, gender, education level, years of service, occupation were 0.764;0,732;0.808;0.189;0.582;0.746. This result showed that the sociodemographic characteristics of the participants did not significantly affect the IPC (P>0.05). CONCLUSIONS: The main key in practicing IPC was building a good work team, good communication and relationship, responsibility for each other’s, keep learning from each other and being critical, and maintaining the ethics of each profession. Thus, effective and efficient collaboration will be established.