Smartphone-Based Spiritual Support Applications to Overcome Anxiety in Emergency Unit Nurses during the COVID-19 Pandemic: Extended Rapid Application Development

Authors

  • Iwan Purnawan Department of Nursing, Faculty of Health Sciences, Jenderal Sudirman University, Purwokerto, Indonesia
  • Arif Imam Hidayat Department of Nursing, Faculty of Health Sciences, Jenderal Sudirman University, Purwokerto, Indonesia https://orcid.org/0000-0003-2602-7730
  • Sidik Awaludin Department of Nursing, Faculty of Health Sciences, Jenderal Sudirman University, Purwokerto, Indonesia
  • Galih Noor Alivian Department of Nursing, Faculty of Health Sciences, Jenderal Sudirman University, Purwokerto, Indonesia
  • Eman Sutrisna Department of Pharmacology, Faculty of Medicine, Jenderal Sudirman University, Purwokerto, Indonesia
  • Condro Kartiko Department of Software Engineering, Faculty of Informatics, Telkom Institute of Technology Purwokerto, Purwokerto, Indonesia https://orcid.org/0000-0001-6080-3540
  • Ikit Netra Wirakhmi Faculty of Health Sciences, Harapan Bangsa University, Purwokerto, Indonesia

DOI:

https://doi.org/10.3889/oamjms.2023.9538

Keywords:

Anxiety, Emergency Room Nursing, spiritual therapies, pandemic

Abstract

BACKGROUND: Spiritual assistance cannot be provided ideally to emergency room (ER) nurses facing anxiety during the COVID-19 pandemic. It is because of the clergy’s restrictions and the available time.

AIM: This study aimed to develop an independently usable smartphone-based spiritual support application.

METHODS: This study is an extensive rapid application development (ERAD). Four specialists in spirituality, music, psychology, and information  technology evaluated the Muzida Spiritual Support (MSS) prototype’s validity and reliability. Thirty-two ER nurses who handle COVID-19 patients were subjected to prototype acceptance tests.

RESULTS: The content validity test demonstrates a high level of accessibility for content accuracy (0.9), rhythm and tempo compatibility (0.8), and the relaxing impact that results (0.8). Intraclass correlation coefficients (ICC) values indicate that the MSS application is reliable (0.71). The mean ± standard deviation (SD) application interface score 7.84 ± 1.25, the voice clarity aspect 8.9 ± 1.28, the ease of use 7.56 ± 1.31, the effect on reducing anxiety 7.65 ± 1.21, the boost effect 8.0 ± 1.16, the happiness effect 8.03 ± 1.32, and the calming effect 8.1 ± 1.32. The mean ± SD acceptance score is 8.06 ± 0.44, indicating that the user can run MSS very well.

CONCLUSION: The prototype of the MSS application has adequate validity, reliability, and acceptability, so it is suitable for use as a therapy.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

Plum Analytics Artifact Widget Block

References

Worldometers. Coronavirus Cases; 2020. Available from: https://www.worldometers.info/coronavirus/country/indonesia [Last accessed on 2022 Mar 04].

Kang L, Li Y, Hu S, Chen M, Yang C, Yang BX, et al. The mental health of medical workers in Wuhan, China dealing with the 2019 novel coronavirus. Lancet Psychiatry. 2020;7(3):e14. https://doi.org/10.1016/S2215-0366(20)30047-X PMid:32035030 DOI: https://doi.org/10.1016/S2215-0366(20)30047-X

Cai H, Tu B, Ma J, Chen L, Fu L, Jiang Y, et al. Psychological impact and coping strategies of frontline medical staff in Hunan between January and March 2020 during the outbreak of coronavirus disease 2019 (COVID) in Hubei, China. Med Sci Monit. 2020;26:e924171. https://doi.org/10.12659/MSM.924171 PMid:32291383 DOI: https://doi.org/10.12659/MSM.924171

Rachman BE, Rusli M, Miftahussurur M. The hidden vulnerability of COVID-19 observed from asymptomatic cases in Indonesia. Syst Rev Pharm. 2020;11(2):703-13. https://doi.org/10.31838/ srp.2020.2.103

Xiang YT, Yang Y, Li W, Zhang L, Zhang Q, Cheung T, et al. Timely mental health care for the 2019 novel coronavirus outbreak is urgently needed. Lancet Psychiatry. 2020;7(3):228-9. https://doi.org/10.1016/S2215-0366(20)30046-8 PMid:32032543 DOI: https://doi.org/10.1016/S2215-0366(20)30046-8

Labrague LJ, de los Santos JA. Fear of COVID-19, psychological distress, work satisfaction and turnover intention among frontline nurses. J Nurs Manag. 2020;29(3):395-403. https://doi.org/10.1111/jonm.13168 PMid:32985046 DOI: https://doi.org/10.1111/jonm.13168

Teshome A, Glagn M, Shegaze M, Tekabe B, Getie A, Assefa G, et al. Generalized anxiety disorder and its associated factors among health care workers fighting COVID-19 in southern Ethiopia. Psychol Res Behav Manag. 2020;13:907-17. https://doi.org/10.2147/PRBM.S282822 PMid:33177897 DOI: https://doi.org/10.2147/PRBM.S282822

Hanggoro AY, Suwarni L, Selviana, Mawardi. The psychological impact of the covid-19 pandemic on healthcare workers: Studi. J Kesehat Masy Indones. 2020;15(2):13-8. DOI: https://doi.org/10.26714/jkmi.15.2.2020.13-18

Nasus E, Tulak GT, Bangu B. The anxiety level of health workers undergoing rapid tests to detect early Covid 19. J Endur. 2021;6(1):94-102.

Hinkle JL, Cheever KH. Brunner and Suddarth’s Textbook of Medical-Surgical Nursing. Vol. 13. United States: Lippincott Williams and Wilkins. 2014. p.1311.

Sulianti A, Yulianti Y, Riswanda R, Amalia AD, Anwar R. Dhikr to manage epileptiform activity in a teenager with depressive disorder. IOP Conf Ser Mater Sci Eng. 2018;288(1):012015. https://doi.org/10.1088/1757-899X/288/1/012015 DOI: https://doi.org/10.1088/1757-899X/288/1/012015

Sukarni S, Mardiyono M, Parwati MD. 4T Zikr in anxiety reduction in acute coronary syndrome patients. J Ris Kesehat. 2014;3(2):567-75.

Misnawati W, Ropyanto CB. The Effect of Dzikir Concerning to Pain Level after Surgical Operation Reduction Internal Fixation (ORIF). In: Utami RS, editor. Harmony of Caring and Healing Inquiry for Holistic Nursing Practice: Enhancing Quality of Care, Semarang; 2015.

Ly AL, Saide AR, Richert RA. Perceptions of the efficacy of prayer and conventional medicine for health concerns. J Relig Health.

;59(1):1-18. https://doi.org/10.1007/s10943-018-0704-1 PMid:30315480 DOI: https://doi.org/10.1007/s10943-018-0704-1

Urden LD, Stacy KM, Lough ME. Critical Care Nursing : Diagnosis and Management. 7th ed. Canada: Mosby; 2014.

Moss H. Music therapy, spirituality and transcendence. Nord J Music Ther. 2019;28(3):212-23. https://doi.org/10.1080/08098131.2018.1533573 PMid:34205491 DOI: https://doi.org/10.1080/08098131.2018.1533573

Solanki MS, Zafar M, Rastogi R. Music as a therapy: Role in psychiatry. Asian J Psychiatr. 2013;6(3):193-9. http://dx.doi. org/10.1016/j.ajp.2012.12.001 DOI: https://doi.org/10.1016/j.ajp.2012.12.001

Williams VS, Morlock RJ, Feltner D. Psychometric evaluation of a visual analog scale for the assessment of anxiety. Health Qual Life Outcomes. 2010;8:57. https://doi. org/10.1186/1477-7525-8-57 PMid:20529361 DOI: https://doi.org/10.1186/1477-7525-8-57

Stoll RD, Pina AA, Gary K, Amresh A. Usability of a smartphone application to support the prevention and early intervention of anxiety in youth. Cogn Behav Pract. 2017;24(4):393-404. https://doi.org/10.1016/j.cbpra.2016.11.002 PMid:29056845 DOI: https://doi.org/10.1016/j.cbpra.2016.11.002

Lee JH, Jung HK, Lee GG, Kim HY, Park SG, Woo SC. Effect of behavioral intervention using smartphone application for preoperative anxiety in pediatric patients. Korean J Anesthesiol. 2014;65(6):508-18. https://doi.org/10.4097/kjae.2013.65.6.508 PMid:24427456 DOI: https://doi.org/10.4097/kjae.2013.65.6.508

Putra MD, Umar J, Haya B, Utomo AP. The impact of sample size and intraclass correlation coefficients (Icc) on the bias of parameter estimation in multilevel latent variable modeling: A Monte Carlo Study. J Chem Inf Model. 2017;53(9):1689-99.

Alivian GN, Purnawan I, Setiyono D. The effectiveness of listening to murottal and prayer to reduce anxiety in hemodialysis patients. J Keperawatan Sriwij. 2019;6(2):13-7.

Hendryadi H. Validitas isi: Tahap awal pengembangan kuesioner. J Ris Manaj Bisnis Fak Ekon UNIAT. 2017;2(2):169-78. https://doi.org/10.36226/jrmb.v2i2.47 DOI: https://doi.org/10.36226/jrmb.v2i2.47

Sugiharni GA, Setiasih NW. Validasi Butir Instrumen Evaluasi Model Alkin Menggunakan Formula Aiken. In: Prosiding Seminar Nasional Pendidikan Teknik Informatika. 2018. p. 31-7.

Rahadi DR. Pengukuran Usability Sistem Menggunakan Use Questionnaire Pada Aplikasi Android Interface pengguna Android didasarkan pada manipulasi langsung menggunakan masukan sentuh yang serupa dengan tindakan di dunia nyata, seperti menggesek (swiping), mengetuk. J Sist Inf. 2014;6(1):661-71.

Kuswanto J, Radiansah F. Media pembelajaran berbasis android pada mata pelajaran sistem operasi jaringan kelas XI. J Media Infotama. 2018;14(1):15-20. https://doi.org/10.37676/jmi.v14i1.467 DOI: https://doi.org/10.37676/jmi.v14i1.467

Ristyanto AN, Windarto J, Handoko S. Simulator efisiensi sistem pembangkit listrik tenaga uap (Pltu) rembang. Transient J Ilm Tek Elektro. 2013;2(2):234-40. https://doi.org/10.14710/ transient.v2i2.234-240

Simão TP, Caldeira S, Carvalho EC. The effect of prayer on patients’ health : Systematic. Religions. 2016;7(11):1-11. https://doi.org/10.3390/rel7010011 DOI: https://doi.org/10.3390/rel7010011

Atiyaningsih N, Wulandari I. Dhikr Therapy to Improving Sleep Quality for Post Surgery Patient at Banten Indonesia. In: The 5th AASIC 2017. Khon Kaen, Thailand: Indonesian Student Association in Thailand; 2017.

Arslan S. Effect of music on preoperative anxiety in men undergoing urogenital surgery. Aust J Adv Nurs. 2015;26(2):46–54.

Aalbers S, Re F, Spreen M, Jcf K, Ac V, Maratos A, et al. Music therapy for depression (review). Cochrane Database Syst Rev.

;11(11):CD004517. https://doi.org/10.1002/14651858.CD004517.pub3 PMid:29144545 DOI: https://doi.org/10.1002/14651858.CD004517.pub3

Liu Y, Petrini MA. Effects of music therapy on pain, anxiety, and vital signs in patients after thoracic surgery. Complement Ther Med. 2015;23(5):714-8. http://dx.doi.org/10.1016/j.ctim.2015.08.002 PMid:26365452 DOI: https://doi.org/10.1016/j.ctim.2015.08.002

Chlan L. Effectiveness of a music therapy intervention on relaxation and anxiety for patients receiving ventilatory assistance. Heart Lung. 1998;27(3):169-76. https://doi.org/10.1016/s0147-9563(98)90004-8 PMid: 9622403 DOI: https://doi.org/10.1016/S0147-9563(98)90004-8

Downloads

Published

2023-01-03

How to Cite

1.
Purnawan I, Hidayat AI, Awaludin S, Alivian GN, Sutrisna E, Kartiko C, Wirakhmi IN. Smartphone-Based Spiritual Support Applications to Overcome Anxiety in Emergency Unit Nurses during the COVID-19 Pandemic: Extended Rapid Application Development. Open Access Maced J Med Sci [Internet]. 2023 Jan. 3 [cited 2024 Nov. 21];11(G):90-7. Available from: https://oamjms.eu/index.php/mjms/article/view/9538

Issue

Section

Emergency Nursing

Categories