scholarly journals Snapshot of Nurse Readiness for the Covid-19 Pandemic in Indonesia: A Qualitative Study

2021 ◽  
pp. 310-322
Author(s):  
Anja Hesnia Kholis ◽  
Nurul Hidayah ◽  
Ratna Puji Priyanti ◽  
. Asri ◽  
Fahruddin Kurdi ◽  
...  

During the Covid-19 pandemic, nurses who served as frontline healthcare providers are experiencing issues with extreme workload demand and under-provision of protective resources. This study aims to understand nurse readiness for the Covid-19 pandemic in Indonesia. The study uses a qualitative phenomenology approach with purposive sampling. Participants were recruited from the regional hospital in East Java, Indonesia. The criteria of participants were nurses who worked face-to-face with Covid-19 patients from various wards. The total sample size is 20 participants. In-depth interviews were conducted to gather the data, which was analyzed using Colaizzi’s phenomenological method. Five themes emerged: (1) fear of getting infected; (2) PPE adequacy supply; (3) unclear patient distribution flow; (4) nurse supporting ecosystem; (5) education and training in infectious diseases. The evaluation of nurses’ readiness concerned their knowledge, the supply of safety equipment, and support from various ecosystems. Nurses were concerned about various elements including catching the disease themselves, adjusting to the environment and new work procedures, physical discomfort due to special protective equipment, witnessing the suffering and death of patients, and long-term separation from family members. They need an integrated support system to help them fighting Covid-19. Attention from fellow nurses who help each other in crises, family support, and institution support are the support systems that determine the readiness of nurses.   Keywords: covid-19, nurse readiness, pandemic, qualitative study

2021 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Fatemeh Asadollahi ◽  
Hamid Taher Neshat Doost ◽  
Mohammad Reza Abedi ◽  
Hamid Afshar Zanjani

Background: Persistent depressive disorder (PDD) is a chronic problem that is more prevalent among women than men. Various studies have revealed that these people experience many problems in their interpersonal relationships, which increase their suffering. Objectives: The present study was done to identify how people suffering from PDD experience interpersonal relationships that often seem troubled and broken. Methods: A phenomenological approach was adopted for this qualitative study. For this purpose, in-depth interviews were conducted with 21 individuals with PDD, focusing on exploring their experience and suffering in interpersonal relationships. All interviews were recorded and transcribed, and the transcripts were analyzed using Giorgi’s phenomenological descriptive method. Results: In general, five main themes and 16 sub-themes emerged. The main themes were: (1) Feeling empty of love and compassion; (2) feeling ignored; (3) ignoring others’ needs, conditions, and suffering; (4) feeling of being annoying to others; and (5) feeling confused and helpless in relationships. Conclusions: It seems that all five themes convey the message that these individuals demonstrate less skill in feeling compassion and receiving it from others. Therefore, it appears that long-term compassion-based interventions can effectively reduce the interpersonal suffering of these individuals. It should be noted that although these themes have commonalities in different cultural contexts, the culture can influence the content and intensity of these feelings.


2021 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Mansoureh Sabbagh-Bani-Azad ◽  
Roja Rahimi ◽  
Abbas Kebriaeezadeh ◽  
Mohammad Mahdi Zolfagharzadeh ◽  
Akbar Abdollahiasl

Background: Adherence to medications is crucial for them to be effective. Traditional Persian Medicine (TPM) is an ancient medical discipline originated from old Persia and is currently used along with modern medicine in Iran. Evaluating the factors affecting adherence to TPM can have far-reaching implications for policymakers to make informed decisions. Objectives: This qualitative study investigates the factors affecting tendency and adherence to TPM among Iranians. Methods: We collected data from stakeholders in TPM using a focus group involving 13 participants and by conducting four in-depth interviews. The saturation point was reached at the 4th interview. We recorded all the interviews and then transcribed them verbatim for thematic content analysis. Results: We obtained 297 codes and 29 sub-themes for the factors affecting adherence to TPM, including the factors affecting compliance and tendency. Then we extracted the main themes. People’s beliefs, the inherent characteristics of traditional medicine and its status quo, attempts to bring about positive changes to TPM, and the problems facing the modern health system were the main factors affecting adherence to TPM. Conclusions: Despite many strenuous efforts in Iran to study TPM along with the lines of evidence-based medicine, policymaking, financing, patients’ and healthcare providers’ education, popular beliefs, and administrative transparency are needed to be addressed more adequately to promote adherence to TPM and help build integrative medicine in Iran’s healthcare system.


2021 ◽  
Author(s):  
Minna Isomursu ◽  
Reija Kuoremäki ◽  
Mika Teikari

BACKGROUND Covid-19 pandemic has boosted digitalization in healthcare, as mobility restrictions and social distancing rules have made healthcare providers to adopt digital tools to replace or complement face-to-face interactions. OBJECTIVE In this paper, we discuss results of a survey study about the effects of Covid-19 pandemic on physician’s use of digital media. We examine whether Covid-19 conditions have changed how physicians use internet resources for information search, how they engage in social media, and how they participate in online events. METHODS The study compares a survey conducted in Finland in spring 2020 with two identical surveys done in 2019 and 2018. Spring 2020 was the time when Finland executed mobility restrictions and re-organization of healthcare because of pandemic. Comparing results of this survey with the results of two previous years gives us a unique opportunity to do comparative analysis if the results of Covid-19 spring are different from earlier years. RESULTS Our results show that the use of digital media for information search did increase, but not more than the steadily rising trend of previous years. Use of print media was still strong, and complementary digital media sources had already been relatively high prior 2020 and continued to stay in that level. Use of social media had also been steadily rising among physicians, and this steady rise continued in 2020. However, our results indicate that Covid-19 situation had an effect on physician’s participation in online events organized by healthcare ecosystem stakeholders. There was a rise in numbers in participation to online congresses, symposia and training, and physicians took part in more eDetailing organized by healthcare ecosystem actors. CONCLUSIONS As use of digital media including social media was already high prior Covid-19 in Finland, our results do not show significant change because of special circumstances in 2020. However, our results show increased participation in online events. With increased participation, also the attitudes towards organized online events had changed more positive, which could indicate that the higher participation numbers could continue also when pandemic related restrictions will be removed.


2021 ◽  
Vol VI (I) ◽  
pp. 204-221
Author(s):  
Samra Zubair Lodhi ◽  
Seema Gul

The facet of trauma as a constructive means is recent area of study in the field of Positive Psychology i.e, Posttraumatic growth. The present qualitative study is aimed to explore the process of PTG in the trauma victims of Pakistan. Total sample (N=40) having an equal number of participants i.e, manmade disaster (n=20, Male=10 & female=10) and natural disasters (n=20, Male=10 & female=10) was selected purposively. Interview protocol i.e, Semi-Structured Questionnaire was developed with the help of previous literature to go deep about the growth process in participants. The in-depth interviews were conducted on victims showing high Post-traumatic growth on PTGI. In-depth interviews were conducted, tape-recorded and transcribed. Themes were extracted out of bulk of the data through IPA to find out the process of PTG. Main themes were extracted and a Model of PTG was developed with the interaction of those themes.


2021 ◽  
Vol 0 ◽  
pp. 1-7
Author(s):  
Fahisham Taib ◽  
Khoo Teik Beng ◽  
Lee Chee Chan

Objective: Parents who have children with complex lifelong and life-limiting neurological conditions experienced many stresses and anxieties throughout their lives as caregivers. However, this information is still very limited. The study aimed to explore the challenges faced by parents with children who have complex neurological conditions, their coping strategies, needs, and expectations. Materials and Methods: A semi-structured, in-depth interviews were conducted in the either Malay or English language among the parents of children with complex lifelong neurological conditions and have been on long-term in-patient hospital care. The interviews were audio-recorded and transcribed for thematic analysis. The qualitative study was conducted from October to November 2016 at the Paediatric Institute of Hospital Kuala Lumpur. Grounded theory was used to examine the qualitative data with inductive and deductive types of coding. The transcripts were read repeatedly to allow familiarity to the themes presented by the participants. Further discussions were conducted among the researchers to triangulate the information. Results: A total of 11 parents were interviewed for this study. The thematic analysis resulted in 8 challenges: Physical wellbeing, Environment, Relationship, Financial, Occupational, Rational, Mental, and Spiritual. Coping strategies comprised problem focused issues related to the key challenges in the caregivers’ context. Similar to the needs and expectations, the key themes were derived from the key understandings of the challenges and looking at the palliative care impacts for these children. Conclusion: There are various challenges faced by parents of children with life-limiting neurological disorders. Physical, Environment, Relationship, Financial, Occupational, Rational, Mental, and Spiritual Wellbeing can be a platform for the assessment of the caregivers’ needs and the planning for palliative care support.


2011 ◽  
Vol 02 (03) ◽  
pp. 250-262 ◽  
Author(s):  
L. Volk ◽  
S. Simon ◽  
D. Bates ◽  
R. Rudin

SummaryBackground: The ability to electronically exchange health information among healthcare providers holds enormous promise to improve care coordination and reduce costs. Provider-to-provider data exchange is an explicit goal of the American Recovery and Reinvestment Act of 2009 and may be essential for the long-term success of the Affordable Care Act of 2010. However, little is known about what factors affect clinicians’ usage of health information exchange (HIE) functionality.Objective: To identify factors that affect clinicians’ HIE usage - in terms of frequency of contributing data to and accessing data from aggregate patient records - and suggest policies for fostering its usage.Methods: We performed a qualitative study using grounded theory by interviewing clinician-users and HIE staff of one operational HIE which supported aggregate patient record functionality. Fifteen clinicians were interviewed for one hour each about what factors affect their HIE usage. Five HIE staff were asked about technology and training issues to provide context. Interviews were recorded, transcribed and analyzed. Recruitment excluded clinicians with little or no familiarity with the HIE and was restricted to one community and a small number of specialties.Results: Clinicians were motivated to access the HIE by perceived improvements in care quality and time savings, but their motivation was moderated by an extensive list of factors including gaps in data, workflow issues and usability issues. HIE access intensities varied widely by clinician. Data contribution intensities to the HIE also varied widely and were affected by billing concerns and time constraints.Conclusions: Clinicians, EHR and HIE product vendors and trainers should work toward integrating HIE into clinical workflows. Policies should create incentives for HIE organizations to assist clinicians in using HIE, develop measures of HIE contributions and accesses, and create incentives for clinicians to contribute data to HIEs.


Children ◽  
2021 ◽  
Vol 8 (2) ◽  
pp. 158
Author(s):  
Emma Teasdale ◽  
Katy Sivyer ◽  
Ingrid Muller ◽  
Daniela Ghio ◽  
Amanda Roberts ◽  
...  

Eczema affects one in five children and can have a substantial impact on quality of life. This qualitative study aimed to explore children’s views and experiences of eczema and what may affect treatment adherence from their perspective. We conducted semi-structured, face-to-face interviews with children with eczema aged 6–12 years from March to July 2018. Interviews were transcribed verbatim and analysed using inductive thematic analysis. We found that children do not typically view eczema as a long-term condition, and topical treatments (predominately emollients) were seen to provide effective symptom relief. Uncertainty around co-managing at home was expressed as children typically felt that parental reminders and assistance with applying different types of topical treatments were still needed. For some children, eczema can be difficult to manage at school due to a lack of convenient access and appropriate spaces to apply creams and psychosocial consequences such as attracting unwanted attention from peers and feeling self-conscious. Treatment adherence could be supported by reinforcing that eczema is a long-term episodic condition, providing clear information about regular emollient use, practical advice such as setting reminders to support co-management at home, and working with schools to facilitate topical treatment use when necessary.


2017 ◽  
Vol 6 (2) ◽  
pp. 49-60
Author(s):  
Alois Nzembe

Abstract Educator morale has been a focus of educational leaders and managers throughout the world, because without educator motivation and morale the learning and teaching in our schools would be grossly compromised. It is against this background that this research was carried out to find out lecturers’ perceptions of leadership traits which promote motivation in a Technical and Vocational Education and Training (TVET) college in South Africa. The research questions which guided this research were as follows: What are lecturers′ perceptions of leadership traits which promote motivation in an educational and training institution in South Africa? How can educational leaders and management in South Africa integrate their experiences and practices with what educators believe are the main drivers of high lecturer morale? A qualitative study was used to generate data that would be useful in answering the research questions. The nature of this qualitative study required in-depth interviews with participants where qualitative data was generated and interpreted. The researcher saw it fit to use in-depth interviews because this method of data generation would enable the researcher to capture the perspectives, views and opinions of participants about leadership traits which facilitate motivation in the South African TVET College in particular and the South African education system in general. The views of the participants showed that leadership traits such as accountability, responsibility, empathy, decisiveness, assertiveness, charisma, pro-activeness, motivation and communication are the life-blood, foundation and bed-rock of effective leadership and management in the TVET College.


2020 ◽  
Author(s):  
Alireza Abdi ◽  
Aliakbar Vaisi -Raygani ◽  
Bahareh Najafi ◽  
Hamid saidi ◽  
khalil moradi

Abstract Background: Iran has experienced an increasing number of earthquake disasters in the past three decades. Nurses are the largest group of healthcare providers that play an important role in responding to disasters. Therefore, this study aimed to explore the nursing challenges to provide care to the injured in the Kermanshah earthquake, Iran. Methods: The present study was conducted as a qualitative conventional content analysis, and data collection was carried out through 16 semi‑structured and in‑depth interviews with the nurses involved in providing care to the injured in the Kermanshah earthquake. The data were analyzed following Graneheim and Lundman’s approach.Results: Data analysis led to the emergence of 453 primary codes, 14 subcategories, and 5 categories. The five categories were as follows: (a) organizational and managerial challenges; (b) human resources; (c) infrastructure; (d) educational system; (e) and ethical.Conclusion: The results of this study showed that nurses faced several challenges in providing care to earthquake victims. Based on these findings, better educational management and planning, infrastructure reform, and establishment of a crisis nursing national team seem necessary.


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