Female Nurses’ Experience of Psychological Changes when Caring COVID-19 Patients in Indonesia: A Qualitative Study

Authors

  • Ira Kusumawaty Department of Nursing, Politeknik Kesehatan Kemenkes Palembang, Palembang, Indonesia
  • Suzanna Suzanna Department of Psychiatric Nursing, IkesT Muhammadiyah Palembang, Palembang, Indonesia
  • Yunike Yunike Department of Nursing, Politeknik Kesehatan Kemenkes Palembang, Palembang, Indonesia
  • Marlinda Marlinda Department of Nursing, Universitas Muhammadiyah Pringsewu, Lampung, Indonesia
  • Arif Setyo Upoyo Department of Nursing, Faculty of Health Sciences, Universitas Jenderal Soedirman, Purwokerto, Indonesia https://orcid.org/0000-0002-2204-5141

DOI:

https://doi.org/10.3889/oamjms.2022.8654

Keywords:

COVID-19, Nurses, Psychological changes, Caring

Abstract

BACKGROUND: Nurses as health workers at the frontline have major challenges in dealing with COVID-19. The COVID-19 pandemic can cause the risk of psychological changes in nurses in maintaining the quality of public health services.

AIM: This study aims to explore nurses’ experiences through their psychological changes when giving treatment to COVID-19 patients.

DESIGN AND METHOD: This qualitative research employed a phenomenological approach. Purposive sampling was applied to determine the participants with criteria of female nurses caring COVID-19 patients and working in hospitals until achieved data saturation. The data were collected by interviewing participants through phone and video calls. In-depth interview recordings were presented in transcriptions, and the contents were analyzed into codes, categories, and themes.

RESULTS: Eight nurses participated in this study. This research resulted three themes: Self-surrender during early nursing care for COVID-19 patients, acceptance of the feelings and achievements as COVID-19 nurses, and self-empowerment supported by the environment.

CONCLUSIONS: The psychological changes during the nursing care start from self-surrender in the early period of COVID-19 patient care, self-acceptance for any feelings and achievements as COVID-19 nurses, to the forms of self-empowerment and environmental support.

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References

Wang C, Horby PW, Hayden FG, Gao GF. A novel coronavirus outbreak of global health concern. Lancet. 2020;395(10223):470- 3. https://doi.org/10.1016/S0140-6736(20)30185-9 PMid:31986257 DOI: https://doi.org/10.1016/S0140-6736(20)30185-9

World Health Organization. Coronavirus Disease Situation Report. Vol. 19. Geneva: World Health Organization; 2020.

Vieira CM, Franco OH, Restrepo CG, Abel T. COVID-19: The forgotten priorities of the pandemic. Maturitas. 2020;136:38-41. https://doi.org/10.1016/j.maturitas.2020.04.004 DOI: https://doi.org/10.1016/j.maturitas.2020.04.004

Setiati S, Azwar MK. COVID-19 and Indonesia. No. April. Geneva: World Health Organization; 2020.

Djalante R, Lassa J, Setiamarga D, Sudjatma A, Indrawan M, Haryanto B. Progress in Disaster Science Review and Analysis of Current Responses to COVID-19 in Indonesia: Period of January to March 2020. Vol. 6; 2020. https://doi.org/10.1016/j.pdisas.2020.100091 DOI: https://doi.org/10.1016/j.pdisas.2020.100091

Gutenbrunner C. COVID-19 Pandemic in Indonesia: Situation and Challenges of Rehabilitation COVID-19 Pandemic in Indonesia; 2020.

Apresian SR. Responding to the COVID-19 Outbreak in Indonesia: Lessons from European Countries and South Korea; 2020.

Susanna D. When will the COVID-19 Pandemic in Indonesia End? Vol. 15. 2020. p. 160-2. https://doi.org/10.21109/kesmas.v15i4.4361 DOI: https://doi.org/10.21109/kesmas.v15i4.4361

Gao J, Zheng P, Jia Y, Chen H, Mao Y, Chen S, et al. Mental health problems and social media exposure during COVID-19 outbreak. PLoS One. 2020;15(4):1-10. https://doi.org/10.1371/journal.pone.0231924 PMid:32298385 DOI: https://doi.org/10.1371/journal.pone.0231924

Chang YK, Hung CL, Timme S, Nosrat S, Chu CH. Exercise behavior and mood during the COVID-19 pandemic in Taiwan: Lessons for the future. Int J Environ Res Public Health. 2020;17(19):1-17. https://doi.org/10.3390/ijerph17197092 PMid:32998207 DOI: https://doi.org/10.3390/ijerph17197092

Wu CC, Lin CC, Chang SC, Chou HL. Identifying the positive energy for retention in clinical nurses: A focus group study. J Nurs Manag. 2019;27(6):1200-7. https://doi.org/10.1111/jonm.12792 PMid:31102544

Olson K, Young RA, Schultz IZ. Handbooks in Health, Work, and Disability Handbook of Qualitative Health Research for Evidence-Based Practice. Berlin: Springer; 2016. DOI: https://doi.org/10.1007/978-1-4939-2920-7

Duan L, Zhu G. Psychological interventions for people affected by the COVID-19 epidemic. Lancet Psychiatry. 2020;7(4):300-2. https://doi.org/10.1016/S2215-0366(20)30073-0 PMid:32085840 DOI: https://doi.org/10.1016/S2215-0366(20)30073-0

Sun N, Wei L, Shi S, Jiao D, Song R, Ma L, et al. A qualitative study on the psychological experience of caregivers of COVID-19 patients. Am J Infect Control. 2020;48(6):592-8. https://doi.org/10.1016/j.ajic.2020.03.018 PMid:32334904 DOI: https://doi.org/10.1016/j.ajic.2020.03.018

Chong YY, Cheng HY, Chan HY, Chien WT, Wong SY. COVID-19 pandemic, infodemic and the role of eHealth literacy. Int J Nurs Stud. 2020;108:103644. https://doi.org/10.1016/j.ijnurstu.2020.103644 PMid:32447127 DOI: https://doi.org/10.1016/j.ijnurstu.2020.103644

Fernandez R, Lord H, Halcomb E, Moxham L, Middleton R, Alananzeh I, et al. Implications for COVID-19: A systematic review of nurses’ experiences of working in acute care hospital settings during a respiratory pandemic. Int J Nurs Stud. 2020;111:103637. https://doi.org/10.1016/j.ijnurstu.2020.103637 PMid:32919358 DOI: https://doi.org/10.1016/j.ijnurstu.2020.103637

Chen Q, Liang M, Li Y, Guo J, Fei D, Wang L, et al. Mental health care for medical staff in China during the COVID-19 outbreak. Lancet Psychiatry. 2020;7(4):e15-6. https://doi.org/10.1016/S2215-0366(20)30078-X PMid:32085839 DOI: https://doi.org/10.1016/S2215-0366(20)30078-X

Otu A, Charles CH, Yaya S. Mental health and psychosocial well-being during the COVID-19 pandemic: The invisible elephant in the room. Int J Ment Health Syst. 2020;14(1):38. https://doi.org/10.1186/s13033-020-00371-w PMid:32514302 DOI: https://doi.org/10.1186/s13033-020-00371-w

Abdelhadi A. Patients’ satisfactions on the waiting period at the emergency units. Comparison study before and during COVID-19 pandemic. J Public Health Res. 2021;10(1):1956. https://doi.org/10.4081/jphr.2021.1956 PMid:33708749 DOI: https://doi.org/10.4081/jphr.2021.1956

Hacimusalar Y, Kahve AC, Yasar AB, Aydin MS. Anxiety and hopelessness levels in COVID-19 pandemic: A comparative study of healthcare professionals and other community sample in Turkey. J Psychiatr Res. 2020;129:181-8. https://doi.org/10.1016/j.jpsychires.2020.07.024 PMid:32758711 DOI: https://doi.org/10.1016/j.jpsychires.2020.07.024

Liu Q, Luo D, Haase JE, Guo Q, Wang XQ, Liu S, et al. The experiences of health-care providers during the COVID-19 crisis in China: A qualitative study. Lancet Glob Health. 2020;8(6):e790-8. https://doi.org/10.1016/S2214-109X(20)30204-7 PMid:32573443 DOI: https://doi.org/10.1016/S2214-109X(20)30204-7

Patton MQ. Nontraditional Regulations, and Innovations in Darning-Centered, Doctoral Education, Including Faculty Meetings That Are Interesting and Important, an Indication of Knovation of the Highest Order; 2002.

Sargeant J. Qualitative research Part II: Participants, analysis, and quality assurance. J Grad Med Educ. 2012;4(1):1-3. https://doi.org/10.4300/jgme-d-11-00307.1 PMid:23451297 DOI: https://doi.org/10.4300/JGME-D-11-00307.1

Foli KJ, Reddick B, Zhang L, Krcelich K. Nurses’ psychological trauma: They leave me lying awake at night. Arch Psychiatr Nurs. 2020;34(3):86-95. https://doi.org/10.1016/j.apnu.2020.04.011 DOI: https://doi.org/10.1016/j.apnu.2020.04.011

Singh C, Cross W, Munro I, Jackson D. Occupational stress facing nurse academics a mixed-methods systematic review. J Clin Nurs. 2020;29(5-6):720-35. https://doi.org/10.1111/jocn.15150 PMid:31856356 DOI: https://doi.org/10.1111/jocn.15150

Chen CH, Wang J, Yang CS, Fan JY. Nurse practitioner job content and stress effects on anxiety and depressive symptoms, and self-perceived health status. J Nurs Manag. 2016;24(5):695-704. https://doi.org/10.1111/jonm.12375 PMid:27086775 DOI: https://doi.org/10.1111/jonm.12375

Johnson J, Louch G, Dunning A, Johnson O, Grange A, Reynolds C, et al. Burnout mediates the association between depression and patient safety perceptions: A cross-sectional study in hospital nurses. J Adv Nurs. 2017;73(7):1667-80. https://doi.org/10.1111/jan.13251 PMid:28072469 DOI: https://doi.org/10.1111/jan.13251

Sevillano-Jiménez A, Romero-Saldaña M, Molina-Recio G. Nursing role on rapid recovery programmes fast-track. Enferm Clín (Eng Ed). 2018;28(4):266-73. https://doi.org/10.1016/j.enfcle.2017.04.009 DOI: https://doi.org/10.1016/j.enfcle.2017.04.009

Zhang Y, Wei L, Li H, Pan Y, Wang J, Li Q, et al. The psychological change process of frontline nurses caring for patients with COVID-19 during its outbreak. Issues Ment Health Nurs. 2020;41(6):525-30. https://doi.org/10.1080/01612840.2020.1752865 PMid:32497451 DOI: https://doi.org/10.1080/01612840.2020.1752865

Xie J, Tong Z, Guan X, Du B, Qiu H, Slutsky AS. Critical care crisis and some recommendations during the COVID-19 epidemic in China. Intensive Care Med. 2020;46(5):837-40. https://doi.org/10.1007/s00134-020-05979-7 PMid:32123994 DOI: https://doi.org/10.1007/s00134-020-05979-7

Wu CC, Lin CC, Chang SC, Chou HL. Identifying the positive energy for retention in clinical nurses: A focus group study. Journal of nursing management. 2019;27(6):1200–1207. https://doi.org/10.1111/jonm.12792 DOI: https://doi.org/10.1111/jonm.12792

Kim Y. Nurses’ experiences of care for patients with Middle East respiratory syndrome-coronavirus in South Korea. Am J Infect Control. 2018;46(7):781-7. https://doi.org/10.1016/j.ajic.2018.01.012 PMid:29502886 DOI: https://doi.org/10.1016/j.ajic.2018.01.012

Ryff CD, Keyes CL. The structure of psychological well-being revisited. J Pers Soc Psychol. 1995;69(4):719-27. https://doi.org/10.1037/0022-3514.69.4.719 PMid:7473027 DOI: https://doi.org/10.1037/0022-3514.69.4.719

Contel JC. Integrated care and the challenge of chronic illness. Enferm Clín (Engl Ed). 2018;28(1):1-4. https://doi.org/10.1016/j.enfcle.2017.12.001 PMid:29352862 DOI: https://doi.org/10.1016/j.enfcle.2017.12.001

Pedrola JL. The management of emotions in clinical practice. An intelligent and healing way to improve the health of people. Enferm Clín (Engl Ed). 2018;28(2):77-80. https://doi.org/10.1016/j.enfcle.2018.02.001 DOI: https://doi.org/10.1016/j.enfcle.2018.02.001

Munawar K, Choudhry FR. Exploring stress coping strategies of frontline emergency health workers dealing Covid-19 in Pakistan: A qualitative inquiry. Am J Infect Control. 2021;49(3):286-92. https://doi.org/10.1016/j.ajic.2020.06.214 PMid:32649990 DOI: https://doi.org/10.1016/j.ajic.2020.06.214

Shakil MH, Munim ZH, Tasnia M, Sarowar S. COVID-19 and the environment: A critical review and research agenda. Sci Total Environ. 2020;745:141022. https://doi.org/10.1016/j.scitotenv.2020.141022 PMid:32711074 DOI: https://doi.org/10.1016/j.scitotenv.2020.141022

Khalid I, Khalid TJ, Qabajah MR, Barnard AG, Qushmaq IA. Healthcare workers emotions, perceived stressors and coping strategies during a MERS-CoV outbreak. Clin Med Res. 2016;14(1):7-14. https://doi.org/10.3121/cmr.2016.1303 PMid:26847480 DOI: https://doi.org/10.3121/cmr.2016.1303

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Published

2022-03-15

How to Cite

1.
Kusumawaty I, Suzanna S, Yunike Y, Marlinda M, Upoyo AS. Female Nurses’ Experience of Psychological Changes when Caring COVID-19 Patients in Indonesia: A Qualitative Study. Open Access Maced J Med Sci [Internet]. 2022 Mar. 15 [cited 2024 Apr. 19];10(G):279-85. Available from: https://oamjms.eu/index.php/mjms/article/view/8654

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Nursing in Internal Medicine

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