Protecting Families: A Qualitative Study on the Implementation of Protective Measures to Prevent COVID-19 Transmission

Ni Komang Ari  Sawitri; Indah Mei  Rahajeng; Luh Putu Eva  Yanti; Ida Ayu Agung Novi  Jayanti

doi:10.3889/oamjms.2021.6486

Authors

Ni Komang Ari Sawitri Nursing Study Program, Faculty of Medicine, Udayana University, Kuta Selatan, Indonesia
Indah Mei Rahajeng Nursing Study Program, Faculty of Medicine, Udayana University, Kuta Selatan, Indonesia
Luh Putu Eva Yanti Nursing Study Program, Faculty of Medicine, Udayana University, Kuta Selatan, Indonesia
Ida Ayu Agung Novi Jayanti Southern Denpasar Community Health Centre, Denpasar, Indonesia https://orcid.org/0000-0001-9260-1687

DOI:

https://doi.org/10.3889/oamjms.2021.6486

Keywords:

Family, COVID-19, Protective measures, Health protection, Pandemic

Abstract

BACKGROUND: Health protocol compliance among family members can help curb the spread of COVID-19. However, not all families or family members can easily navigate the changes brought about by the pandemic; hence, minimizing virus transmission remains a challenge.

AIM: Therefore, observing how families implement health protocols in daily life will reveal the challenges and opportunities, and inform public health policies.

METHODS: We conducted a qualitative study by collecting data through phone interviews from November 2020 to February 2021. Eighteen families with a total of 30 individuals participated in this study. The interview data were transcribed verbatim and analyzed using thematic analysis.

RESULTS: The analysis shows that participants were actively involved in implementing protective measures to prevent transmission among their family members. Five themes emerged from the data, namely fundamental concerns, restraints and constraints, pandemic roles, compromises, and intergenerational attitudes. The themes described the families’ lives during the pandemic, their efforts in protecting family members, and the dynamic within the families related to the implementation of COVID-19 protective measures.

CONCLUSION: This study indicates that families could play a key role in both protecting and compromising the health of their family members. Families respond to the health crisis actively, but at times increase the risk to virus exposure because they have to continue going about their daily lives.

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References

Walton M. Person and family-centred care. Br J Nurs. 2014;23(17):949. PMid:25251178 DOI: https://doi.org/10.12968/bjon.2014.23.17.949

SATGAS COVID-19. COVID-19 Map; 2020. p. 1. Available from: https://www.covid19.go.id/peta-sebaran. [Last accessed on 2020 Aug 03].

Bali Province. COVID-19 Map in Bali; 2020. Available from: https://www.pendataan.baliprov.go.id. [Last accessed on 2020 Sep 11].

SATGAS COVID 19. Must Know: Adapting to New Habits What You Need to Know? Task Force for the Acceleration of Handling COVID-19; 2020. Available from: https://www.covid19.go.id/edukasi/apa-yang-harus-kamu-ketahui-tentang-covid-19/adaptasi-kebiasaan-baru. [Last accessed on 2020 Sep 11]. https://doi.org/10.31440/dftb.23868 DOI: https://doi.org/10.31440/DFTB.23868

Naidoo J. In: Wills J, editor. Foundations for Health Promotion. 4th ed. London : Elsevier; 2016.

Hanson CL, Crandall A, Barnes MD, Magnusson B, Novilla ML, King J. Family-focused public health: Supporting homes and families in policy and practice. Front Public Health. 2019;7:59. https://doi.org/10.3389/fpubh.2019.00059 PMid:30949468 DOI: https://doi.org/10.3389/fpubh.2019.00059

Barnes MD, Hanson CL, Novilla LB, Magnusson BM, Crandall AC, Bradford G. Family-Centered Health Promotion: Perspectives for Engaging Families and Achieving Better Health Outcomes. Los Angeles, CA: SAGE Publications; 2020. https://doi.org/10.1177/0046958020923537 DOI: https://doi.org/10.1177/0046958020923537

Vedanthan R, Bansilal S, Soto AV, Kovacic JC, Latina J, Jaslow R, et al. Family-based approaches to cardiovascular health promotion. J Am Coll Cardiol. 2016;67(14):1725-37. https://doi.org/10.1016/j.jacc.2016.01.036 PMid:27056780 DOI: https://doi.org/10.1016/j.jacc.2016.01.036

Gunn HE, Eberhardt KR. Family dynamics in sleep health and hypertension. Curr Hypertens Rep. 2019;21(5):39. https://doi.org/10.1007/s11906-019-0944-9 PMid:30982174 DOI: https://doi.org/10.1007/s11906-019-0944-9

Mashabi S. When the Government admits it’s wrong to Use “New Normal”; 2020. Available from: https://www.nasional.kompas.com/read/2020/07/14/05554601/saat-pemerintah-akui-salah-gunakan-diksi-new-normal?page=all. [Last accessed on 2021 May 28].

Trogen B, Caplan A. Risk compensation and COVID-19 vaccines. Ann Intern Med. 2021;174(6):858-9. https://doi.org/10.7326/m20-8251 PMid:33646837 DOI: https://doi.org/10.7326/M20-8251

Daly KJ. Qualitative Methods for Family Studies and Human Development. Los Angeles, CA: Sage Publications; 2007.

Gilgun JF, Daly K, Handel G. In: Gilgun JF, Daly K, Handel G, editors. Qualitative Methods in Family Research. Newbury Park London : Sage Publications; 1992. https://doi.org/10.2307/352829 DOI: https://doi.org/10.2307/352829

Kahlke RM. Generic qualitative approaches: Pitfalls and benefits of methodological mixology. Int J Qualitative Methods. 2014;13(1):37-52. https://doi.org/10.1177/160940691401300119 DOI: https://doi.org/10.1177/160940691401300119

Tucker BP, Parker LD. Comparing Interview Interaction Modes in Management Accounting Research: A Case to Answer? AAA; 2015. DOI: https://doi.org/10.2139/ssrn.2480247

Farooq MB, de Villiers C. Telephonic Qualitative Research Interviews: When to Consider them and how to do them. Meditari Accountancy Research; 2017. https://doi.org/10.1108/medar-10-2016-0083 DOI: https://doi.org/10.1108/MEDAR-10-2016-0083

Schober MF, Conrad FG, Antoun C, Ehlen P, Fail S, Hupp AL, et al. Precision and disclosure in text and voice interviews on smartphones. PLoS One. 2015;10(6):e0128337. https://doi.org/10.1371/journal.pone.0128337 PMid:26060991 DOI: https://doi.org/10.1371/journal.pone.0128337

Dedoose. Dedoose Version 8.0.35, Web Application for Managing, Analyzing, and Presenting Qualitative and Mixed Method Research Data; 2018. Available from: http://www.dedoose.com. [Last accessed on 2021 Apr 11].

Braun V, Clarke V. Using thematic analysis in psychology. Qual Res Psychol. 2006;3(2):77-101. DOI: https://doi.org/10.1191/1478088706qp063oa

Byrne D. Research Ethics. Los Angeles, CA : SAGE Publications, Inc.; 2016.

Comstock G. Research Ethics: A Philosophical Guide to the Responsible Conduct of Research. Cambridge: Cambridge University Press; 2013. DOI: https://doi.org/10.1017/CBO9780511902703

Orb A, Eisenhauer L, Wynaden D. Ethics in qualitative research. J Nurs Scholarsh. 2001;33(1):93-6. PMid:11253591 DOI: https://doi.org/10.1111/j.1547-5069.2001.00093.x

Silverman D. Doing qualitative research. 4th ed. Los Angeles: SAGE; 2013.

Denzin NK, Lincoln YS. Strategies of Qualitative Inquiry. 4th ed. Los Angeles, CA: SAGE; 2013.

The Ministry of Health R of I. Guidelines for Community Empowerment in Preventing Covid 19 in RT/RW/Village. The Ministry of Health; 2020.

Friedman MM, Bowden VR, Jones E. Family Nursing: Research, Theory and Practice. Hoboken, New Jersey: Prentice Hall; 2003.

Chen H, Xu W, Paris C, Reeson A, Li X. Social distance and SARS memory: Impact on the public awareness of 2019 novel coronavirus (COVID-19) outbreak. MedRxiv. 2020;2020:20033688. https://doi.org/10.1101/2020.03.11.20033688 DOI: https://doi.org/10.1101/2020.03.11.20033688

Dunphey DC. The Primary Group: A Handbook for Analysis and Field Research. New York: Appleton-Century-Crofts; 1972.

Quinn JR, Schmitt M, Baggs JG, Norton SA, Dombeck MT, Sellers CR. Family members’ informal roles in end-of-life decision making in adult intensive care units. Am J Crit Care. 2012;21(1):43-51. https://doi.org/10.4037/ajcc2012520 PMid:22210699 DOI: https://doi.org/10.4037/ajcc2012520

Morrongiello BA, Midgett C, Shields R. Don’t run with scissors: Young children’s knowledge of home safety rules. J Pediatr Psychol. 2001;26(2):105-15. https://doi.org/10.1093/ jpepsy/26.2.105 PMid:11181886 DOI: https://doi.org/10.1093/jpepsy/26.2.105

Thomas AM, Peterson L, Goldstein D. Problem solving and diabetes Regiman adherence by children and adolescents with IDDM in social pressure situations: A reflection of normal development. J Pediatr Psychol. 1997;22(4):541-61. https://doi.org/10.1093/jpepsy/22.4.541 PMid:9302851 DOI: https://doi.org/10.1093/jpepsy/22.4.541

Bhopal SS, Bagaria J, Olabi B, Bhopal R. Children and young people remain at low risk of COVID-19 mortality. Lancet Child Adolesc Health. 2021;5(5):e12-3. https://doi.org/10.1016/s2352-4642(21)00066-3 PMid:33713603 DOI: https://doi.org/10.1016/S2352-4642(21)00066-3

Saleem H, Rahman J, Aslam N, Murtazaliev S, Khan S. Coronavirus disease 2019 (COVID-19) in children: Vulnerable or spared? A systematic review. Cureus. 2020;12(5):e8207. https://doi.org/10.7759/cureus.8207 PMid:32577325 DOI: https://doi.org/10.7759/cureus.8207

Liu K, Chen Y, Lin R, Han K. Clinical features of COVID-19 in elderly patients: A comparison with young and middle-aged patients. J Infect. 2020;80(6):e14-8. https://doi.org/10.1016/j.jinf.2020.03.005 PMid:32171866 DOI: https://doi.org/10.1016/j.jinf.2020.03.005

Petretto DR, Pili R. Ageing and COVID-19: What is the Role for Elderly People? Basel, Switzerland: Multidisciplinary Digital Publishing Institute; 2020. DOI: https://doi.org/10.3390/geriatrics5020025

Kidenda MC. The necessity for parents to watch animated cartoons with children aged seven to eleven years. J Educ Pract. 2018;2(1):42-52. https://doi.org/10.47941/jep.261 DOI: https://doi.org/10.47941/jep.261

Beck MJ, Hensher DA. Insights into the impact of COVID-19 on household travel and activities in Australia the early days under restrictions. Transp Policy. 2020;96:76-93. https://doi.org/10.1016/j.tranpol.2020.07.001 PMid:32834680 DOI: https://doi.org/10.1016/j.tranpol.2020.07.001

Chiesa V, Antony G, Wismar M, Rechel B. COVID-19 pandemic: Health impact of staying at home, social distancing and “lockdown” measures a systematic review of systematic reviews. J Public Health (Oxford, England). 2021;2021:fdab102. https://doi.org/10.1093/pubmed/fdab102 DOI: https://doi.org/10.1093/pubmed/fdab102

Narici M, de Vito G, Franchi M, Paoli A, Moro T, Marcolin G, et al. Impact of sedentarism due to the COVID-19 home confinement on neuromuscular, cardiovascular and metabolic health: Physiological and pathophysiological implications and recommendations for physical and nutritional countermeasures. Eur J Sport Sci. 2020;21(4):614-35. https://doi.org/10.1080/17461391.2020.1761076 PMid:32394816 DOI: https://doi.org/10.1080/17461391.2020.1761076

Tobías A. Evaluation of the lockdowns for the SARS-CoV-2 epidemic in Italy and Spain after one month follow up. Sci Total Environ. 2020;725:138539. https://doi.org/10.1016/j.scitotenv.2020.138539 PMid:32304973 DOI: https://doi.org/10.1016/j.scitotenv.2020.138539

Zhao S, Chen H. Modeling the epidemic dynamics and control of COVID-19 outbreak in China. Quant Biol (Beijing, China). 2020;2020:1-9. https://doi.org/10.1101/2020.02.27.20028639 PMid:32219006 DOI: https://doi.org/10.1101/2020.02.27.20028639

Amer F, Hammoud S, Farran B, Boncz I, Endrei D. Assessment of countries’ preparedness and lockdown effectiveness in fighting COVID-19. Disaster Med Public Health Prep. 2021;15(2):e15-22. https://doi.org/10.1017/dmp.2020.217 PMid:32576332 DOI: https://doi.org/10.1017/dmp.2020.217

Ceballos F, Kannan S, Kramer B. Impacts of a national lockdown on smallholder farmers’ income and food security: Empirical evidence from two states in India. World Dev. 2020;136:105069. https://doi.org/10.1016/j.worlddev.2020.10506940 DOI: https://doi.org/10.1016/j.worlddev.2020.105069