scholarly journals Social stigma towards nurses taking care of patients with COVID-19 in Indonesia: A mixed-methods study

2021 ◽  
Author(s):  
Marisa Junianti Manik ◽  
Siska Natalia ◽  
Theresia Theresia

Background: The condition of the Indonesians’ unpreparedness for the COVID-19 pandemic has caused anxiety and fear. The public’s fears of COVID-19 cases have led to a negative stigma. As part of health workers in disaster management’s main pillars in health services, nurses are most vulnerable to infection and not free from the stigma.Objective: This study aimed to describe the social stigma against nurses taking care of patients with COVID-19 and experiencing suspected or probable or confirmed COVID-19 cases in Indonesia.Methods: This study was a mixed-method study using a sequential explanatory design-participant selection model. The selection of respondents used the convenience sampling technique. The number of respondents in the quantitative stage was 118 respondents. For qualitative data, selected participants were respondents with a stigma score of more than 21 nurses and willing to continue the interview process. There were 11 participants in the qualitative stage. This study used the modified Stigma Scale of the Explanatory Model Interview Catalog for quantitative data and four semi-structured questions to obtain qualitative data. Quantitative data were processed in descriptive statistics, and a thematic analysis was performed to analyze the qualitative data.Results: The highest stigma score of 118 respondents was 37, and the lowest score was zero. The stigma score had a mean of 12.28 (SD ± 7.9). The higher the score obtained leads to a higher level of stigma received. From a total of 11 participants interviewed, four main themes emerged: rejection, feeling down and afraid, sources of support, and professional vigilance.Conclusion: The social stigma experienced by nurses comes from colleagues and society and impacts psychological distress. Support from families and colleagues strengthens nurses in facing social stigma. Nevertheless, nurses uphold the values to remain grateful and carry out professional responsibilities in taking care of patients. Nurses should be provided with psychological support and be prepared for disasters to provide excellent health services and reduce adverse mental health.Funded by the University of Pelita Harapan, Indonesia (321/LPPM-UPH/VI/2020).

2018 ◽  
Vol 7 (1) ◽  
pp. 104
Author(s):  
Adriana Moro ◽  
Ariane Woehl ◽  
Claudio Luis da Cunha Gastal ◽  
Brena Anaisa Trindade

O Suicídio, enquanto fenômeno social, cultural, histórico e ao mesmo tempo individual, tem preocupado as diversas instâncias organizacionais, dentro dos Serviços de Saúde. No Brasil, conforme relata Minayo (2010),o reconhecimento da violência pela área da saúde vem se fazendo de forma fragmentada, lenta, intermitente, todavia progressiva. Objetivou-se com esta pesquisa, conhecer as causas do silêncio frente ao suicido, bem como as dificuldades sociais vivenciadas pelos familiares, vítimas deste fenômeno. A metodologia para conseguir identificar o que acontece com esta comunidade foi a pesquisa prospectiva básica, descritiva, transversal e qualitativa. Para tradução dos dados coletados foi utilizado à técnica de análise temática do Discurso do Sujeito Coletivo (DSC). Abordar a temática neste estudo sobre o suicídio por si só, já caracteriza a complexidade que é para os trabalhadores de saúde em pensar, planejar, e criar estratégias de ações em saúde, para combater e/ou diminuir este fenômeno, bem como acolher os sobreviventes de um ato suicida. Quando se destina o olhar para os indicadores de saúde, de morbimortalidade, consegue-se traduzir em tela, a importância de refletir sobre o suicídio, que apesar de prevenção de muitos casos, ainda há uma distância em ações em saúde na prevenção e no acolhimento dos familiares. Quietude está disseminada tanto por parte dos Serviços de Saúde, quanto dos familiares sobreviventes de um suicídio exitoso. A morte por suicídio é dolorosa. O suicídio é um ato de extrema violência que não se esgota nele mesmo, atinge diretamente os familiares e amigos da pessoa que se auto violentou.AbstractSuicide, as a social, cultural, historical and at the same time individual phenomenon, has preoccupied the various organizational instances within the Health Services. In Brazil, as reported by Minayo (2010), the recognition of violence by health in a fragmented, slow, intermittent, yet progressive way. The objective of this research is to know the causes of the silence when facing suicide, as well as the social obstacles experienced by relatives who are victims of this phenomenon. To identify what happens with this community, we used the metodology of descritive, transversal, qualitative, basic prospective research. For translation of the collected data, it was used a technique known as Collective Subject Discourse (CSD). Only in addressing such issue in this study, we manifest the complexity at which health workers are involved in thinking, planning and adopting strategies in this field, aiming at the combat and/or reduction of this phenomenon, as well as taking care of the survivors of a suicidal act. If one looks at the indicators about health and morbimortality, one translates the importance of thinking about suicide to the screen, which - although prevention in many cases exists - there is still some distance to go in terms of prevention and family care. Silence that is disseminated by both health services and the remaining relatives of an accomplished suicide. Death by suicide is painful. Suicide is an act of extreme violence that does not end in itself and affects directly both family and friends of the person who self inflicts it.


Author(s):  
Khaulah Afifah ◽  
Lala M Kolopaking ◽  
Zessy Ardinal Barlan

Head of a village election with e-voting system is a new thing for community The success level of e-voting system can be reached by fulfil several principles in order to the implementation going effective and the result of the election can be accepted by all. The objectives of this research is to analyze the relation between the success level of e-voting system with social capital of the community. This research is carried out with the quantitative approach and supported by qualitative data. This research takes 60 respondents using simple random sampling technique. The results showed that the success level of e-voting has a correlation with the level of social capital of the community. Based on the field study, the social capital of the community is classified as high. The high social capital makes the implementation of e-voting successful and the success level is also high, because in the election ten years ago occurred a conflict. The community considers e-voting easier and more practical, cost effective and time-saving, and the results of e-voting are also reliable. A practical and fast of e-voting system can be a solution especially for “rural-urban” community who are busy or work outside the village.Keywords: E-voting, the success level of the system, social capital Pemilihan kepala desa dengan sistem e-voting merupakan hal yang baru bagi masyarakat. Keberhasilan penerapan sistem e-voting dilihat dari terpenuhinya beberapa prinsip agar penerapannya berlangsung efektif dan hasilnya dapat diterima oleh seluruh masyarakat. Penelitian ini bertujuan untuk menganalisis hubungan tingkat keberhasilan sistem e-voting dalam pemilihan kepala desa dengan tingkat modal sosial masyarakat. Bentuk penelitian ini adalah penelitian kuantitatif yang didukung oleh analisis data kualitatif. Penelitian ini mengambil enam puluh responden dengan teknik simple random sampling. Hasil penelitian menunjukkan bahwa tingkat keberhasilan e-voting memiliki hubungan dengan tingkat modal sosial masyarakat. Berdasarkan kajian di lapang, modal sosial masyarakat tergolong tinggi. Tingginya modal sosial tersebut membuat pelaksanaan e-voting berhasil dan tingkat keberhasilannya juga tergolong tinggi karena pada pemilihan sepuluh tahun silam sempat terjadi konflik. Masyarakat menganggap sistem evoting lebih mudah dan praktis, hemat dalam segi biaya dan waktu, serta hasil dari pemilihan juga dapat dipertanggungjawabkan. Sistem e-voting yang praktis dan cepat dapat menjadi solusi khususnya bagi masyarakat daerah “desa-kota” yang memiliki kesibukan atau pekerjaan di luar desa.Kata Kunci: E-voting, keberhasilan sistem, modal sosial. 


2021 ◽  
Vol 4 (1) ◽  
pp. 119-128
Author(s):  
Nancy Maino ◽  
Stephen Tomno Cheboi

This study sought to explore the influence of professional growth opportunities on the job performance of deputy principals of public secondary schools in Lugari Sub-County, Kenya. Adopting the descriptive research design, the study utilised mixed methods approach engaging both questionnaires and interview guide. The focus population for the study included 28 principals, 28 deputy principals and 420 teachers of public secondary schools within Lugari Sub- County. All the 28 principals and 28 deputy principals were purposively sampled for study whereas, 200 teachers were identified for study by simple random sampling technique. A pilot test-retest study was conducted in three public secondary schools from nearby Uasin Gishu County and a reliable Cronbach’s Alpha coefficient of 0.79 and 0.81 was obtained for the deputy principal response questionnaire and teacher response questionnaire, respectively. Supervisors and researchers from Mount Kenya University School of education were engaged to ascertain the validity of the research instruments and necessary adjustments effected on the tools before use. The questionnaires gathered quantitative data from teachers and deputy principals whilst the interview guide assembled qualitative data from the principals. The statistical Package for Social Sciences version 23.0 was used for the analysis of quantitative data yielding frequencies, percentages, means, and standard deviation. Qualitative data were analysed thematically based on the objectives and presented along with the quantitative data. The findings established that schools in Lugari Sub County hardly support deputy principals for in-service training, the majority of deputy principals perceived unfairness in promotion procedures and that the position of deputy principal did not adequately prepare deputy principals for principal-ship. The study recommends that deputy principals need to be supported by the school management to collaborate and improve their requisite skills to discharge their duties effectively.


2020 ◽  
Vol 3 (2) ◽  
pp. 248-254
Author(s):  
Siti Kumaiyah ◽  
Byba Melda Suhita ◽  
Sentot Imam Suprapto

This study aims to analyze the application of marketing strategies that have been carried out to increase the number of patients in Sumberglagah General Hospital Mojokerto. The research design used qualitative. The social situation was all the structural teams of Sumberglagah Hospital in Mojokerto. The sampling technique used Purposive sampling with the number of informants 7 people. Triangulation was carried out on 3 speakers. The research instrument was the researcher himself and the indeep interview and FGD guidelines. Data analysis uses data reduction, data presentation, data verification and data validity test. The results of the study showed that in general Sumberglagah Hospital Mojokerto in compiling a marketing plan followed the pattern and strategy of the marketing process aimed at improving quality and complete health services. The implementation of the Marketing Strategy includes types of public services with excellent services for modern leprosy care and reconstructive surgery and prosthetic services. Quantity increases occur during general patient visits. Hospital BOR has increased in general patient visits in the last 3 years. In 2016 the BOR of general patients was 67%, 2017 was 67.5% and in 2018 was 71%. While BOR for leprosy patients decreased, in 2016 amounting to 53.8% in 2017 amounting to 40.8% and in 2018 amounting to 38.08%. The increase in the number of general patients does not go hand in hand with leprosy patients. The number of leprosy patient visits actually decreased. Influence factors due to the number of leprosy, the increase in trained personnel and the stigma of the community towards leprosy. The hospital's efforts to further improve and design the promotion of health services and to innovate regarding empowering health workers that are owned related to efforts to increase the quantity of patients both non-leprosy and leprosy. Especially for leprosy cases, the mobile unit program is intensified so that privacy of leprosy clients is more accommodated


2020 ◽  
Vol 8 (12) ◽  
pp. 1073-1077
Author(s):  
Dina Andriani ◽  
◽  
Nuriah Arma ◽  
Novy Ramini ◽  
Yessy Syahradesi ◽  
...  

The Covid-19 pandemic demands changes in health services that focus on social restrictions. The use of digital technology is key in efforts to combat the Covid-19 virus through online homecare. Health workers play an important role as leaders in supporting the optimal implementation of online homecare. The leadership of health workers is identified through the behaviors shown during homecare services to patients. The purpose of this study is to analyze the leadership behavior of health workers in providing health services through the online homecare www.excellentcare.id during the Covid-19 pandemic. This type of research is quantitative with a descriptive survey method.The population in this study were all online homecare health workers www.excellentcare.id.com with a sampling technique in the form of a total sampling of 43 health workers. The results showed that most of the health workers with adults, most of the health workers were female, most of the health workers with a nurse professional education level and almost all health workers had good leadership behavior. Based on the results of this study, it is hoped that health workers will demonstrate and continuously improve leadership behavior through education and training in order to show exemplary, inspire patients to be able to face challenges, cooperate among health workers and provide support for patients and families.


2020 ◽  
Vol 12 (12) ◽  
pp. 4904
Author(s):  
Nan Yang ◽  
Gerbrand van Hout ◽  
Loe Feijs ◽  
Wei Chen ◽  
Jun Hu

With the development of sensing technology and the popularization of quantified-self devices, there are increasing types of health-related data that can be sensed, visualized and presented to the user. However, most existing quantified-self applications are designed to support self-management and self-reflection; only a few studies so far have investigated the social aspect of quantified-self data. In this study, we investigated the social role of quantified-self data by introducing the design and evaluation of SocialBike—a digitally augmented bicycle that aims to increase the user’s intrinsic motivation in physical activity through on-site quantified-self data sharing. We conducted a controlled experiment on a cycling simulation system. Two forms of SocialBike’s on-bike display were evaluated with 36 participants. We used the Intrinsic Motivation Inventory to collect quantitative data about users’ intrinsic motivation in physical activity; the cycling simulation system recorded quantitative data about user behavior. Qualitative data was collected through semi-structured interviews. We conducted paired sample t-test to analyze both types of quantitative data; qualitative data were analyzed by the method of thematic analysis. The results show that SocialBike’s front display significantly increased users’ intrinsic motivation in physical activity. A total of nine themes were identified from the qualitative analysis, providing supplementary explanations for the quantitative results and additional insights into the overall design.


2019 ◽  
Vol 4 (Suppl 3) ◽  
pp. A28.3-A29
Author(s):  
Joshua Adekeye ◽  
Eustasius Musenge ◽  
Oyedunni Arulogun

BackgroundThere is paucity of literature on organisational readiness in the health space. Previous studies focus on epidemic preparedness and often depict readiness as a minor element in the implementation space. This study investigated the predictors of health institutional readiness to implement innovations for combating an Ebola epidemic outbreak in Nigeria.MethodsThe cross-sectional, mixed methods design was employed. The study population was 785 health care workers and non-health workers working at University of Port-Harcourt Teaching Hospital (Nigeria). The purposive sampling was used for qualitative study while the stratified random sampling technique was utilised for the quantitative study. Qualitative data were collected from fifteen respondents while a total of 511 questionnaires were administered at the study site. The qualitative data was analysed using inductive thematic analysis. The quantitative data was analysed using structural equation modelling (SEM).ResultsThe qualitative study suggested that quality improvement was perceived as most useful in influencing all the tree sub-components of readiness. Training is perceived as most useful in building readiness while it is perceived to be moderately useful in influencing the sub-component of readiness. The OLS estimates indicates that QI/QA exert a positive and significant effect on motivation (β=0.004, p<0.05) and general capacity score (β=0.28 p<0.05) while it inversely but significantly exerts influence on innovation specific capacity (β=−0.21×10–3, p<0.05). The SEM/pathway analysis shows the direct and indirect routes of interactions among predictors of readiness after adjusting for confounders. All the explanatory variables have significant effect on readiness except gender which was dropped from the final model.ConclusionThe strength of evidence of how an evidence-based system for innovation support can influence readiness was established. Though readiness is a rate-determining step in ensuring robust and effective implementation outcomes for epidemic containment, exploring innovation outcomes and their amplification through explicitly target readiness dynamics requires further investigation.


2017 ◽  
Vol 2017 ◽  
pp. 1-10 ◽  
Author(s):  
Samuel Danjuma Wapwera ◽  
Jiriko Kefas Gajere

This paper seeks to examine the ethnoreligious urban violence and residential mobility in the city of Kaduna with a view to make recommendations towards ameliorating its effects by evaluating the causal factors fueling the crisis and examining the pattern and direction of the residential mobility in the city. The sources of data were both primary and secondary. The sampling technique used was purposive and random sampling from two residential districts from both the northern and southern parts of the city. A total of 1,000 questionnaires were administered within the study areas and 900 questionnaires were collected. Face-to-face interviews were conducted with major stakeholders from the two parts. The data obtained were analysed using thematic and content analysis for the qualitative data whilst the quantitative data were analysed using simple percentages. The results revealed that the factors causing the ethnoreligious urban violence and residential mobility are unemployment, social institutional breakdown, politics, and colonial impact and the pattern/direction of the residential mobility in the city of Kaduna show a clear polarization along religious lines based reactive residential mobility between the two parts of the city. Based on these results recommendations were made to assist the academia, practitioners, and policy makers.


Author(s):  
Anna Nguyen ◽  
Kaitlyn Baldwin ◽  
Sarah Wayer ◽  
Kira Morrison ◽  
Shelby Leclaire ◽  
...  

Almost every woman will experience menstruation during her life. These women will not only experience the biological symptoms of menstruation, but they will also experience the social stigma surrounding menstruation. Many studies have been conducted to understand the stigma found in today’s society. These studies discuss the awareness levels of women and men regarding this stigma. Additionally, studies show that women and adolescent girls internalize this stigma and feel required to modify their behaviors to adapt to societal rules surrounding menstruation. The purpose of our research is to replicate these studies and to further explore the prevalence of and reasons for the stigma and individual perceptions surrounding the discussion of women’s menstrual cycles in college women and men. Additionally, unlike previous studies, our study will ask both women and men about how comfortable they are with discussing menstruation with a variety of groups, including their family members, members of the same or opposite sex, friends, and coworkers; their attitudes towards menstruation; and how the quality of their relationships affect their attitudes. For this study we will be using a self-reported survey with semi-structured and open-ended questions, in which both qualitative and quantitative data will be collected. We will then use this data to discern the most common reasons for stigma and discomfort, experienced by both sexes, regarding the topic of menstruation. We expect to find women are relatively comfortable discussing the topic of menstruation with other females, but become uncomfortable when males are present. We predict the majority of men are uncomfortable discussing the topic of menstruation in all scenarios, though some may be less stigmatized due to previous exposure to the topic through relationships with other women in their lives, and the quality of those relationships. Data will be collected and analyzed from January through March 2019.


2021 ◽  
Vol 7 (3) ◽  
Author(s):  
Rosallin Kananu Ruteere ◽  
Beatrice Bunyasi Awori ◽  
Francis Kirimi

Abstract: The purpose of this study was to explore teachers’ perception on the effectiveness of head teachers’ supervisory role on teaching and learning of adaptive skills by learners with Intellectual Disabilities (ID), Kenya. The study used Effective School Theory advanced by Lezotte. A descriptive survey design involving both qualitative and quantitative approaches was used. The target population was 227 respondents (207 learners, 5 head teachers and 15 teachers). The sample size was 124 respondents (104 learners, 15 teachers and 5 Head teachers). Purposive sampling was used to select special schools and units. Stratified sampling technique was used to divide population into strata and then through simple random sampling, the exact respondents were identified, i.e., head teachers, teachers and learners in special programmes. Data was collected by use of interview guide for head teachers, observational check list for learners and questionnaire for teachers. Piloting was conducted in Kathelwa Special Unit in Igembe Central Sub-county. Test-retest method was done and a coefficient level of 0.7 was obtained. Quantitative data was analysed using SPSS Version 23.0 while qualitative data was analysed thematically. Data was presented using tables and figures for quantitative data while qualitative data was presented using reported verbatims and narratives. The key finding of this study was that majority of head teachers did not use appropriate instructional supervision skills due to lack of essential professional qualifications and knowledge of adaptive skills for learners with intellectual disabilities. The finding also established that teachers perceived majority of head teachers as ineffective in instructional supervision as they did not orientate or guide them in teaching strategies or even skills to teach their learners. The study also found that lack of adequate training and knowledge in adaptive skills, limited provision of teaching and learning resources hindered effective instructional supervision. The study recommended that there should be a policy that head teachers for special institutions be trained in the area of that disability so as to benefit both teachers and learners. The study also recommended that the government, through the ministry of education to provide and allocate adequate funds for both refresher courses and seminars for teachers and also for acquiring teaching and learning resources. <p> </p><p><strong> Article visualizations:</strong></p><p><img src="/-counters-/edu_01/0876/a.php" alt="Hit counter" /></p>


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