Nurses’ Feelings and Perspectives of the COVID-19 Pandemic: A Qualitative Study in a Developing Country

Restuning Widiasih; Ermiati Ermiati; Etika Emaliyawati; Sri Hendrawati; Raini Diah Susanti; Titin Sutini; Citra Windani Mambang Sari; Murtiningsih Murtiningsih

doi:10.3889/oamjms.2021.6592

Authors

Restuning Widiasih Department of Maternity Nursing, Faculty of Nursing, Universitas Padjadjaran, Bandung, Indonesia
Ermiati Ermiati Department of Maternity Nursing, Faculty of Nursing, Universitas Padjadjaran, Bandung, Indonesia https://orcid.org/0000-0002-1997-2788
Etika Emaliyawati Department of Critical Care Nursing, Faculty of Nursing, Universitas Padjadjaran, Bandung, Indonesia https://orcid.org/0000-0002-9123-4843
Sri Hendrawati Department of Pediatric Nursing, Faculty of Nursing, Universitas Padjadjaran, Bandung, Indonesia https://orcid.org/0000-0003-1307-3519
Raini Diah Susanti Department of Community Health Nursing, Faculty of Nursing, Universitas Padjadjaran, Bandung, Indonesia https://orcid.org/0000-0002-1660-6977
Titin Sutini Department of Maternity Nursing, Faculty of Nursing, Universitas Padjadjaran, Bandung, Indonesia
Citra Windani Mambang Sari Department of Community Health Nursing, Faculty of Nursing, Universitas Padjadjaran, Bandung, Indonesia https://orcid.org/0000-0002-1002-8328
Murtiningsih Murtiningsih STIKES Jendral Achmad Yani, Cimahi, Indonesia

DOI:

https://doi.org/10.3889/oamjms.2021.6592

Keywords:

Covid-19 pandemic, Experience, Nurses, Perspectives

Abstract

BACKGROUND: Nurses’ duties and responsibilities related to the risk of transmitting COVID-19. Studies that explore nurses’ feelings and perspectives in providing health services at COVID-19 referral hospitals, especially in developing countries like Indonesia, are limited.

AIM: This study aims to explore nurses’ feelings, perceptions, and expectations of the COVID-19 pandemic.

METHODS: This qualitative study applied the qualitative descriptive design that involved 17 nurses from different hospitals in Indonesia. The semi-structured interview gathered their views of COVID-19, and the comparative analysis for interviews technique was chosen to analyze the data.

RESULTS: Three themes emerged from the data analysis. The themes were nurses’ express psychological responses in facing the COVID-19 pandemic such as fear, surrender, panic, and calmness. Other two themes included the COVID 19 pandemic enhances nurses’ health awareness and behavior, and the government protect nurses from the COVID-19 transmission and social stigma.

CONCLUSION: The feelings reported dominantly by the nurse, in addition to information about health awareness, behavior, the government’s actions, and their expectations. Mental health assistance would be useful to prevent depression in nurses, and the government’s comprehensive approaches in dealing with the COVID-19 pandemic would increase the protection and productivity of health workers, including nurses.

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References

World Health Organization. WHO Director-general’s Opening Remarks at the Media Briefing on COVID-19. Geneva: World Health Organization; 2020. Available from: https://www.who.int/director-general/speeches/detail/who-director-general-s-opening-remarks-at-the-media-briefing-on-covid-19---11-march-2020. [Last accessed on 2020 Mar 11]. https://doi.org/10.1093/ww/9780199540884.013.u23682 DOI: https://doi.org/10.1093/ww/9780199540884.013.U23682

Satuan Tugas Penanganan COVID 19. Peta Sebaran. Indonesia: Satuan Tugas Penanganan COVID 19; 2020. Available from: https://www.covid19.go.id/peta-sebaran. [Last accessed on 2020 Oct 29].

Centers for Disease Control and Prevention. Steps to Prevent Illness. USA: Centers for Disease Control and Prevention; 2020. Available from: https://www.cdc.gov/coronavirus/2019-ncov/about/prevention. [Last accessed on 2020 Sep 29]. https://doi.org/10.1093/ofid/ofv131.60 DOI: https://doi.org/10.1093/ofid/ofv131.60

Kementerian Kesehatan RI. Tentang Novel Coronavirus (NCOV). Jakarta: Kementerian Kesehatan RI; 2020. Available from: https://www.kemkes.go.id/article/view/20012900002/Kesiapsiagaan-menghadapi-Infeksi-Novel-Coronavirus. [Last accessed on 2020 Sep 29].

Kementerian Kesehatan RI. Cegah nCoV, Kemenkes Siagakan Termoscanner di 135 Pintu Negara. Jakarta: Kementerian Kesehatan RI; 2020a. Available from: https://www.kemkes.go.id/article/view/20012100002/cegah-ncov-kemenkes-siagakan-termoscanner-di-135-pintu-negara. https://doi.org/10.32922/jkp.v8i1. [Last accessed on 2020 Sep 29]. DOI: https://doi.org/10.32922/jkp.v8i1

Kementerian Kesehatan RI. Pasien Positif Covid-19 Menjadi 19 Orang, Kemenkes Fokus Pada Tracing dan Tracking Contact. Jakarta: Kementerian Kesehatan RI; 2020b. Available from: https://www.kemkes.go.id/article/view/20030900003/pasien-positif-covid-19-menjadi-19-orang-kemenkes-fokus-pada-tracing-dan-tracking-contact. [Last accessed on 2020 Sep 29]. https://doi.org/10.32922/jkp.v8i2.290 DOI: https://doi.org/10.32922/jkp.v8i2.290

Kementerian Kesehatan RI. Keputusan Menteri Kesehatan Republik Indonesia Nomor HK.01.07/MENKES/169/2020 Tentang Penetapan Rumah Sakit Rujukan Penanggulangan Penyakit Infeksi Emerging Tertentu. Jakarta: Kementerian Kesehatan RI; 2020c. Available from: https://www.kemkes.go.id/article/view/20012900002/Kesiapsiagaan-menghadapi-Infeksi-Novel-Coronavirus. [Last accessed on 2020 Sep 29]. https://doi.org/10.31219/osf.io/gwrbh DOI: https://doi.org/10.31219/osf.io/gwrbh

CNN Indonesia. Kisah Pilu dari Penolakan Jenazah Perawat Corona di Semarang. Jakarta: CNN Indonesia; 2020a. Available from: https://www.cnnindonesia.com/nasional/20200410174518-20-492451/kisah-pilu-dari-penolakan-jenazah-perawat-corona-di-semarang. [Last accessed on 2020 Nov 01]. https://doi.org/10.35497/326 DOI: https://doi.org/10.35497/326

Huang L, Xu F, Liu H. Emotional responses and coping strategies of nurses and nursing college students during COVID-19 outbreak. BMJ Yale. 2020;15(8):e0237303. https://doi.org/10.1371/journal.pone.0237303 PMid:32764825 DOI: https://doi.org/10.1371/journal.pone.0237303

Jin YH, Huang Q, Wang YY, Zeng XT, Luo LS, Pan ZY, et al. Perceived infection transmission routes, infection control practices, psychosocial changes, and management of COVID- 19 infected healthcare workers in a tertiary acute care hospital in Wuhan: A cross-sectional survey. Mil Med Res. 2020;7(1):24. https://doi.org/10.1186/s40779-020-00254-8 PMid:32393381 DOI: https://doi.org/10.1186/s40779-020-00254-8

Prasad SK, Karahda A, Singh P, Gupta R. Role of mental health professionals in dealing with the stigma attached to COVID-19. Gen Psychiatr. 2020;33(5):e100298. https://doi.org/10.1136/gpsych-2020-100298 PMid:32908960 DOI: https://doi.org/10.1136/gpsych-2020-100298

Sandelowski M. What’s in a name? Qualitative description revisited. Res Nurs Health. 2010;33(1):77-84. https://doi.org/10.1002/nur.20362 DOI: https://doi.org/10.1002/nur.20362

Kim H, Sefcik JS, Bradway C. Characteristics of qualitative descriptive studies: A systematic review. Res Nurs Health. 2017;40(1):23-42. https://doi.org/10.1002/nur.21768 DOI: https://doi.org/10.1002/nur.21768

Doyle L, McCabe C, Keogh B, Brady A, McCann M. An overview of the qualitative descriptive design within nursing research. J Res Nurs. 2019;25(5):443-55. https://doi.org/10.1177/1744987119880234 DOI: https://doi.org/10.1177/1744987119880234

Carter N, Bryant-Lukosius D, DiCenso A, Blythe J, Neville AJ. The use of triangulation in qualitative research. Oncol Nurs Forum. 2014;41(5):545-7. PMid:25158659 DOI: https://doi.org/10.1188/14.ONF.545-547

Widiasih R, Nelson K. Muslim husbands’ roles in women’s health and cancer: The perspectives of muslim women in Indonesia. Asian Pac J Cancer Prev. 2018;19(6):1703-9. PMid:29938469

Polit DF, Beck C. Essentials of Nursing Research. 8th ed. Philadelphia, PA: Wolters Kluwer; 2014.

Mo Y, Deng L, Zhang L, Lang Q, Liao C, Wang N, et al. Work stress among Chinese nurses to support Wuhan in fighting against COVID-19 epidemic. J Nurs Manag. 2020;28(5):1002-1009. https://doi.org/10.1111/jonm.13014 PMid:32255222 DOI: https://doi.org/10.1111/jonm.13014

Kang L, Ma S, Chen M, Yang J, Wang Y, Li R, et al. Impact on mental health and perceptions of psychological care among medical and nursing staff in Wuhan during the 2019 novel coronavirus disease outbreak: A cross-sectional study. Brain Behav Immun. 2020;87:11-7. https://doi.org/10.1016/j.bbi.2020.03.028 PMid:32240764 DOI: https://doi.org/10.1016/j.bbi.2020.03.028

El-Hage W, Hingray C, Lemogne C, Yrondi A, Brunault P, Bienvenu T, et al. Health professionals facing the coronavirus disease 2019 (COVID-19) pandemic: What are the mental health risks? Encephale. 2020;46(3s):S73-80. PMid:32370984 DOI: https://doi.org/10.1016/j.encep.2020.04.008

Walton ME, Murray E, Christian MD. Mental health care for medical staff and affiliated healthcare workers during the COVID-19 pandemic. Eur Heart J Acute Cardiovasc Care. 2020;9(3):241-7. https://doi.org/10.1177/2048872620922795 PMid:32342698 DOI: https://doi.org/10.1177/2048872620922795

Elbay RY, Kurtulmuş A, Arpacıoğlu S, Karadere E. Depression, anxiety, stress levels of physicians and associated factors in Covid-19 pandemics. Psychiatry Res. 2020;290:113130. https://doi.org/10.1016/j.psychres.2020.113130 PMid:32497969 DOI: https://doi.org/10.1016/j.psychres.2020.113130

Aky. Jenazah Bocah Reaktif Covid-19 Dibawa Paksa Keluarga Naik Motor. Jakarta: Okezone.com; 2020. Available from: https://www.news.okezone.com/read/2020/09/01/340/2271113/jenazah-bocah-reaktif-covid-19-dibawa-paksa-keluarga-naik-motor. [Last accessed on 2020 Sep 29]. https://doi.org/10.33474/yur.v3i2.6745 DOI: https://doi.org/10.33474/yur.v3i2.6745

Iswara. Keluarga Ambil Paksa Jenazah Covid-19 hingga Pukul Tenaga Medis, Kesal dengan Perlakuan Pihak RS. Jakarta: Tribun News; 2020. Available from: https://wwww.newsmaker.tribunnews.com/2020/06/28/keluarga-ambil-paksa-jenazah-covid-19-hingga-pukul-tenaga-medis-kesal-dengan-perlakuan-pihak-rs?page=4. [Last accessed on 2020 Sep 29]. https://doi.org/10.52160/ejmm.v4i10.474 DOI: https://doi.org/10.52160/ejmm.v4i10.474

Oleribe EO, Alasia DD. Culture and health: The effect of Nupe cultural practice on the health of Nupe people. Niger J Med. 2006;15(3):325-8. https://doi.org/10.4314/njm.v15i3.37241 PMid:17111771 DOI: https://doi.org/10.4314/njm.v15i3.37241

Rassjo EB, Kiwanuka R. Views on social and cultural influence on sexuality and sexual health in groups of Ugandan adolescents. Sex Reprod Healthc. 2010;1(4):157-62. https://doi.org/10.1016/j.srhc.2010.08.003 PMid:21122615 DOI: https://doi.org/10.1016/j.srhc.2010.08.003

Alam SO. Satgas COVID-19: Kepatuhan Warga Pakai Masker di Bawah 70 Persen. Jakarta: Detik; 2020. Available from: https://www.health.detik.com/berita-detikhealth/d-5152510/satgas-covid-19-kepatuhan-warga-pakai-masker-di-bawah-70-persen. [Last accessed on 2020 Sep 29]. https://doi.org/10.33021/exp.v3i2.1251 DOI: https://doi.org/10.33021/exp.v3i2.1251

Herlambang AA. Bupati Blora Asyik Joget di Hajatan Tanpa Masker Bikin Warga Geram. Semarang: Ayo Semarang; 2020. Available from: https://www.ayosemarang.com/read/2020/10/13/65243/bupati-blora-asyik-joget-di-hajatan-tanpa-masker-bikin-warga-geram. [Last accessed on 2020 Sep 29].

Alam SO. Ratusan Orang Terinfeksi Corona dari Klaster Resepsi Pernikahan. Jakarta: Detik; 2020b. Available from: https://www.health.detik.com/berita-all/d-5162425/ratusan-orang-terinfeksi-corona-dari-klaster-resepsi-pernikahan. [Last accessed on 2020 Sep 29].

Dupuy B. Posts Misrepresent CDC Study Examining Mask Use. London: AP News; 2020. Available from: https://www.apnews. com/article/fact-checking-afs: Content:9573390682. [Last accessed on 2020 Oct 16].

Kaushik M, Agarwal D, Gupta AK. Cross-sectional study on the role of public awareness in preventing the spread of COVID-19 outbreak in India. Postgrad Med J. 2020. https://doi.org/10.1136/postgradmedj-2020-138349 DOI: https://doi.org/10.1136/postgradmedj-2020-138349

Giuffra JM. Altruism is the heart of our story. Nursing Outlook. 2020;61(2):67-9. https://doi.org/10.1016/j.outlook.2012.10.005 DOI: https://doi.org/10.1016/j.outlook.2012.10.005

Ahmad AR, Murad HR. The impact of social media on panic during the COVID-19 pandemic in Iraqi Kurdistan: Online questionnaire study. J Med Internet Res. 2020;22(5):e19556. https://doi.org/10.2196/19556 DOI: https://doi.org/10.2196/19556

Sahni H, Sharma H. Role of social media during the COVID-19 pandemic: Beneficial, destructive, or reconstructive? Int J Acad Med. 2020;6:70-5. https://doi.org/10.1186/s13054-020-2814-x

Liew MF, Siow WT, MacLaren G, See KC. Preparing for COVID-19: Early experience from an intensive care unit in Singapore. Crit Care.2020;24(1):83. PMid:32151274 DOI: https://doi.org/10.1186/s13054-020-2814-x

World Health Organization. Shortage of Personnel Protective Equipment Endangering-Health Workers Worldwide. Geneva: World Health Organization; 2020. Available from: https://www.who.int/news/item/03-03-2020-shortage-of-personal-protective-equipment-endangering-health-workers-worldwide. [Last accessed on 2020 Sep 29]. https://doi.org/10.26616/nioshpub2009106 DOI: https://doi.org/10.26616/NIOSHPUB2009106

Li J. Rehabilitation management of patients with COVID-19: Lessons learned from the first experience in China. Eur J Phys Rehabil Med. 2020;56(3):335-8. https://doi.org/10.23736/ s1973-9087.20.06292-9 PMid:32329589 DOI: https://doi.org/10.23736/S1973-9087.20.06292-9

Garg S, Basu S, Rustagi R, Borle A. Primary health care facility preparedness for outpatient service provision during the COVID-19 pandemic in India: Cross-sectional study. JMIR Public Health Surveill. 2020;6(2):e19927. https://doi.org/10.2196/preprints.19927 PMid:32452819 DOI: https://doi.org/10.2196/19927

Mayhew S, Gray G, Fairlie L, Eichbaum Q, Mayhew S, Allwood B, et al. COVID-19 in Africa: Care and protection for frontline healthcare workers. Global Health. 2020;16(1):46. PMid:32414379 DOI: https://doi.org/10.1186/s12992-020-00574-3

Kementerian Kesehatan RI. Pedoman Pencegahan dan Penanganan COVID-19 Revisi 5. Jakarta: Kementerian Kesehatan RI; 2020. Available from: https://www.covid19.kemkes.go.id/protokol-COVID-19/kmk-no-hk-01-07-menkes-413-2020-ttg-pedoman-pencegahan-dan-Penanganan-COVID-19/#.X3colNkzZdg. [Last accessed on 2020 Sep 29]. https://doi.org/10.22236/jmbp.v1i1.5708 DOI: https://doi.org/10.22236/jmbp.v1i1.5708

Kominfo RI. Inilah Besaran Insentif Tenaga Kesehatan Tangani COVID-19. Jakarta: Kominfo RI; 2020. Available from: https://www.kominfo.go.id/content/detail/26181/inilah-besaran-insentif-tenaga-kesehatan-tangani-COVID-19/0/berita. [Last accessed on 2020 Nov 01]. https://doi.org/10.23917/jk.v11i2.7536 DOI: https://doi.org/10.23917/jk.v11i2.7536

Chopra KK, Arora VK. Covid-19 and social stigma: Role of scientific community. Indian J Tuberc. 2020;67(3):284-5. https://doi.org/10.1016/j.ijtb.2020.07.012 PMid:32825854 DOI: https://doi.org/10.1016/j.ijtb.2020.07.012

Bagchi S. Stigma during the COVID-19 pandemic. Lancet Infect Dis. 2020;20(7):782. PMid:32592670 DOI: https://doi.org/10.1016/S1473-3099(20)30498-9

Hashmi FK, Iqbal Q, Haque N, Saleem F. Religious cliché and stigma: A brief response to overlooked barriers in COVID-19 management. J Relig Health. 2020;59(6):2697-700. PMid:32643082 DOI: https://doi.org/10.1007/s10943-020-01063-y

Uvais NA, Shihabudheen P, Hafi NA. Perceived stress and stigma among doctors working in COVID-19-designated hospitals in india. Prim Care Companion CNS Disord. 2020;22(4)2724. https://doi.org/10.4088/pcc.20br02724. PMid:32731315 DOI: https://doi.org/10.4088/PCC.20br02724