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

2021 ◽  
Vol 9 (G) ◽  
pp. 71-80
Author(s):  
Restuning Widiasih ◽  
Ermiati Ermiati ◽  
Etika Emaliyawati ◽  
Sri Hendrawati ◽  
Raini Diah Susanti ◽  
...  

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.

Pharmacy ◽  
2019 ◽  
Vol 7 (1) ◽  
pp. 31
Author(s):  
Laila Safitrih ◽  
Dyah Perwitasari ◽  
Nelci Ndoen ◽  
Keri Dandan

Background. An essential way to ensure patient safety in the hospital is by applying pharmacy services in emergency units. This strategy was implemented in Indonesia several years ago, with the aim of ensuring that adequate pharmacy services are given to patients in hospitals. To achieve this, pharmacists are required to cooperate with other health workers via inter-professional teamwork. This study intended to identify the perceptions and expectations of health workers with respect to pharmacy services in emergency units. Methods. This was a qualitative study, using a phenomenological approach with a semi-structured interview technique to obtain data. This study was performed at the Prof. Dr. W.Z. Johannes Hospital Kupang from June to September 2018. The results of the interviews were thematically analyzed using QSR NVivo software 11. Results. The themes identified in this study included: (1) The positive impact of pharmacists in service; (2) Badan Penyelenggara Jaminan Sosial (BPJS) influence; (3) Acceptance of health workers; (4) Medication administration information; and (5) Expectations of health workers. Various perceptions were conveyed by participants regarding the emergency unit services in the hospital’s pharmaceutical department. Data obtained proved that the existence of a pharmacist increased the efficiency of time for services and prevented human error. Conclusion. Pharmacists and policy-makers play a significant role in providing appropriate pharmaceutical services in emergency units. Pharmacists also need to improve their quality of practice in accordance with their competence. They must review the patient medical history and physician’s prescriptions, educate the patients and other health workers, so that the workload and service time will be reduced.


2021 ◽  
Vol 8 ◽  
pp. 233339362110148
Author(s):  
Restuning Widiasih ◽  
Ermiati ◽  
Etika Emaliyawati ◽  
Sri Hendrawati ◽  
Raini Diah Susanti ◽  
...  

As health service providers, nurses are at a high risk of COVID-19 infection, as are their family members who live with them. This study aimed to explore nurses’ actions to protect their families from COVID-19 in Indonesia. This qualitative descriptive study included seventeen nurses who were chosen using the snowball sampling technique. The semi structured interviews explored nurses’ actions and behavior, and comparative analysis was performed to analyze the data. The study identified four themes: nurses modified their behavior and environments to protect their families, provided supplements and nutritious food, enhanced their families’ knowledge and awareness of COVID-19, and protected their families from social stigma. Nurses play active roles in the health of their family members. The government should support nurses in their roles so that they can remain healthy while caring for COVID-19 patients, and not transmit COVID-19 to their own families.


Author(s):  
Nesa Aurlene ◽  
R Sindhu ◽  
A Haripriya

Introduction: India has become the Coronavirus Disease 2019 (COVID-19) epicentre with the highest number of COVID-19 cases being reported each day. This has caused a major impact on healthcare workers including dentists across the country. Most dental clinics in Tamil Nadu were closed during the initial two months of draconian lockdown enforced by the Government of India (GOI). As partial lockdown measures were introduced over the subsequent months, dental clinics have started functioning and receiving patients for emergency dental treatment. Aim: This study was done among dentists practicing in Tamil Nadu amidst the COVID-19 pandemic to understand how the pandemic has impacted their professional and personal lives. Materials and Methods: A qualitative study using online focus group discussion was conducted among 32 dentists practicing in Tamil Nadu, India using a structured interview guide in the month of July 2020. After data collection, the focus group discussions were transcribed manually and an inductive thematic analysis was performed using Braun and Clarke’s six phases for thematic analysis. Results: Three major themes were identified after the thematic analysis namely limitations of off-campus distance learning, challenges faced in dental practice during the COVID-19 pandemic and social life impacts of COVID-19 among dentists. Conclusion: Dentists in this study felt that the COVID-19 pandemic was negatively impacting their dental practices owing to lack of clarity in COVID-19 protocols, lack of patient awareness, high cost of Personal Protective Equipment (PPE), increasing overhead expenses, ergonomic difficulties in treating patients while wearing PPE, patients’ unwillingness to pay higher charges for treatment under COVID-19 protocols and fear of contracting COVID-19. Majority of participants in this study did not report any negative impacts of social isolation as many of them had stayed with their families during the lockdown.


2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Christiane Horwood ◽  
Lyn Haskins ◽  
Silondile Luthuli ◽  
Neil McKerrow

Abstract Background There is a high global burden of neonatal mortality, with many newborn babies dying of preventable and treatable conditions, particularly in low and middle-income countries. Improving quality of newborn care could save the lives of many thousands of babies. Quality of care (QoC) is a complex and multifaceted construct that is difficult to measure, but patients’ experiences of care are an important component in any measurement of QoC. We report the findings of a qualitative study exploring observations and experiences of health workers (HWs) and mothers of babies in neonatal units in South Africa. Methods A qualitative case study approach was adopted to explore care of newborn babies admitted to neonatal units in district hospitals. Observation data were collected by a registered nurse during working hours over a continuous five-day period. Doctors and nurses working in the neonatal unit and mothers of babies admitted during the observation period were interviewed using a semi-structured interview guide. All interviews were audio recorded. Observation data were transcribed from hand written notes. Audiotapes of interviews were transcribed verbatim and, where necessary, translated into English. A thematic content analysis was used to analyse the data. Results Observations and interviews were conducted in seven participating hospitals between November 2015 and May 2016. Our findings highlight the importance of information sharing between HWs and mothers of babies, contrasting the positive communication reported by many mothers which led to them feeling empowered and participating actively in the care of their babies, with incidents of poor communication. Poor communication, rudeness and disrespectful behaviour of HWs was frequently described by mothers, and led to mothers feeling anxious, unwilling to ask questions and excluded from their baby’s care. In some cases poor communication and misunderstandings led to serious mismanagement of babies with HWs delaying or withholding care, or to mothers putting their babies at risk by not following instructions. Conclusion Good communication between mothers and HWs is critical for building mothers’ confidence, promoting bonding and participation of mothers in the care of their baby and may have long term benefits for the health and well-being of the mother and her baby.


Author(s):  
Terhemen Kasso ◽  
Ojimah Chibianotu ◽  
Rosemary Ogu

Aim: To determine the reasons why women deliver outside institutions where they register for antenatal care. Study Design: Qualitative study. Place and Duration of Study: Antenatal clinic of the University of Port Harcourt Teaching Hospital in February 2018. Methodology: A qualitative study using in-depth interviews (IDIs) was conducted in Port Harcourt, Nigeria to collect information on various reasons why women do not deliver where they received antenatal care (ANC) or with skilled birth attendants (SBAs). This was done using structured interview guides. Specifically, we asked 30 pregnant women to elucidate the circumstances that lead women to deliver in places other than where they had received antenatal care, and recommendations to enhance the number of women delivering with skilled birth attendants. All in-depth interviews were audio-taped, transcribed and content-analyzed. Results: Thirty IDIs were carried out. The women were all pregnant; aged 20 to 43 years old with mean age of 32.9 ± 5.5 years. The broad themes that emerged from their responses: Cost/financial reasons relating to inability to afford the cost of care in the hospitals, personal reasons such as fear of Caesarean section, and hospital-related reasons such as health workers’ strike action. Conclusion:  Evidence from our study indicates that pregnant women’s non-use of skilled birth attendants during childbirth even when they received antenatal care in the hospital is mainly due to financial, personal and hospital-related reasons. These factors are modifiable and should be targeted to increase delivery with skilled attendants, a key strategy for the reduction of maternal and neonatal mortality and morbidity.


Author(s):  
Herley Windo Setiawan ◽  
Ika Nur Pratiwi ◽  
Lailatun Nimah ◽  
Zulfayandi Pawanis ◽  
Arief Bakhtiar ◽  
...  

COVID-19 pandemic raises various challenges faced by health workers in hospitals. This study explored strategies for overcoming challenges in caring for COVID-19 patients at hospitals in Indonesia based on healthcare workers’ experience. In-depth interviews were employed with 28 healthcare workers (physicians and nurses) who were purposively sampled. Data were collected via phone and analysed using the Colaizzi method. Five following challenges were found: difficulties in working with personal protective equipment (PPE), offline training for handling Covid and using PPE not being implemented evenly for all health workers, physical and psychological fatigue, difficulties in carrying out health education and assessment towards patients and families, and limited resources to cope with the COVID-19 pandemic. Meanwhile, some barriers require support from the government, public and hospital managers. The information gained from research on the strategies for caring for COVID-19 patients can contribute to better preparedness for hospitals and health workers facing the COVID-19 pandemic.


2018 ◽  
pp. 26-33
Author(s):  
Treesia Sujana ◽  
D Dary ◽  
Jenlti Dwi Elsa Longi

ABSTRAK Kesehatan dan kelangsungan hidup bayi baru lahir sangat penting untuk menjamin optimalitas pertumbuhan dan perkembangan anak-anak. Menurut Profil Kesehatan Kabupaten Semarang 2014, tercatat sebanyak 8,15% per 1000 Kelahiran Hidup (KH) angka kematian bayi baru lahir. Kasus kematian bayi baru lahir mendominasi kasus kematian bayi di Kabupaten Semarang. Tujuan dari penelitian ini adalah mendeskripsikan peran tenaga kesehatan dalam usaha pencegahan kesakitan dan kematian bayi baru lahir di wilayah binaan Puskesmas Getasan. Penelitian ini menggunakan metode kualitatif deskriptif dengan menggunakan teknik pengumpulan data wawancara mendalam. Teknik analisa data dilakukan dengan model Miles and Huberman, yaitu Data Reduction (reduksi data), Data Display (penyajian data) dan Conclusion Drawing/verification. Penelitian ini dilakukan selama 1 bulan pada Mei 2017 di Puskesmas Getasan. Hasil penelitian ini menyimpulkan bahwa peran tenaga kesehatan dalam usaha pencegahan kesakitan dan kematian bayi baru lahir yang terutama adalah sebagai pelaksana program yang telah dicanangkan pemerintah serta lebih berfokus pada layanan bayi neonatal & bayi dengan risiko. Dalam menjalankan perannya tenaga kesehatan melakukan berbagai inisiatif dalam usaha menurunkan angka kematian bayi baru lahir di wilayah binaan Puskesmas Getasan.   Kata Kunci: Kematian bayi baru lahir, peran tenaga kesehatan, layanan kesehatan primer.     ABSTRACT The health and survival of newborns are important to ensure the optimality of children’s growth and development. Semarang District Health Profile 2014, recorded that there were 8.15% deaths of newborns on every 1000 live births. The death cases of newborns dominated the contribution of infant mortality in Semarang District. The purpose of this research is to describe roles of health workers in the effort to descrease the morbidity and mortality numbers of newborns in Puskesmas Getasan’s target areas. This research used a qualitative descriptive method with in-depth interviews as the data collection method. The data analyzed with the Miles and Huberman model, which emphasized in the data reduction, data display and conclusion drawing/verification. This research was held for a month started from May 2017 at Puskesmas Getasan. The results of this study concluded that the main role of health workers in the effort to descrease the morbidity and mortality numbers of newborns is as implementer of programs that have been declared by the government and more focused on the services especially for neonatal with high risk of illness. However, strategies and initiatives had been done by health workers and resulted in the decrease of the mortality number of newborns in Puskesmas Getasan’s target area.   Keywords: Newborn deaths , role of health workers, primary health care.


Author(s):  
Leonardus Mangago

This research aimed to identify and analyze the principles, standards, elements, and quality of public services at the Office of Industry, Trade, and Cooperatives of Yahukimo Regency, Indonesia, located in a remote area. The research method applied was a qualitative descriptive survey with observation and interviews. The interviewees in this study were from 15 informants of different position levels. This study employed an interactive model to analyze the interview data. There were four main findings; firstly, in terms of the principle of public service transparency, the public was increasingly motivated to convey their demands, requests, and aspirations to the government. Meanwhile, accountability services were satisfactory per the provisions of laws and regulations, but public participation in public services was still lacking. Secondly, public service standards and service procedures were implemented following the stipulated provisions and competencies of officials. Those public officers had related-abilities in the form of knowledge, prowess, skill, attitude, and behavior that are required in completing their duties. Thirdly, in terms of public services, the public officers’ work ethic was a driving force for the officials to comply with the prior-set and agreed with rules and work procedures. At the same time, the facilities and infrastructure were adequate. Finally, regarding the quality of public services, the goals and targets of the service were well achieved.


2021 ◽  
Author(s):  
Chii Chii Chew ◽  
Xin Jie Lim ◽  
Chee Tao Chang ◽  
Philip Rajan ◽  
Nordin Nasir ◽  
...  

Abstract Background: Social stigma against persons infected with COVID-19 is not uncommon. This qualitative study aimed to explore the experience of social stigma among COVID-19 positive patients and their family members. This cross-sectional study was conducted between April to June 2020 in Malaysia. Patients recovered from COVID-19 for at least one month and their family members who were tested with negative results, Malaysian and aged 18-65 years old were purposively sampled. Cold call method was employed to recruit patients while their family members were recruited by their recommendations. Telephone interviews were conducted with the participants after obtaining their verbal consent.Results: Three themes emerged from the interviews: (Ι) experience of stigmatization, (ΙΙ) perspective on disease disclosure, and (ΙΙΙ) suggestion of coping and reducing stigma. The participants expressed their experiences of being isolated, labelled, stereotyped and blamed by the people surrounding them including the health care providers, neighbours, and staff at the service counters. Some respondents expressed their willingness to share their experience with others as a mean to stop the chain of virus transmission and while some of them chose to disclose the encountered history for official purpose because of fear and lack of understanding among the public. As suggested by the respondents, the approaches in addressing social stigma required the involvement of the government, the public, health care provider, and religious leader. Conclusion: Individuals recovered from COVID-19 and their families underwent experience of social stigma. Fear and lack of public understanding of the COVID-19 disease were the key factors for non-disclosure. Some expressed their willingness to share the experience and perceived it as method to increase public awareness and thereby reducing stigma. Multifaceted approaches with the involvement of multiple parties including the government, non-governmental organization as well as the general public were recommended as important measures to address the issues of social stigma.


Panggung ◽  
2014 ◽  
Vol 24 (2) ◽  
Author(s):  
Toto Sugiarto Arifin

ABSTRACT The construction of the monument of the Old Order in Jakarta is an integrated part of the struggle of the Indonesian nation. This research is a qualitative study with a qualitative descriptive analysis through textual and contextual analysis. Its focused on the spirit and visual representation of the five monu- ments built during the government of the Old Order in Jakarta, those are the Monumen Selamat Datang, Pembebasan Irian Barat, Pahlawan, Dirgantara, and Monumen Nasional (Monas). The Monuments of the Old Order government in Jakarta as a representation of Bung Karno’s thought of Nationalism, are reflected within the construction of  the monument in his government. It does not describe a particular ethnicity or class, but it contains the universal properties of Indonesian nation, and the Monas is consider- ed as the center point of the four other monuments. Bung Karno was a leader who had consistent with the ideology he believed; moreover, he had the ability to integrate a variety of ethnicity, class, and ideology. Everything is reflected in the five monuments which were initiated by him, so that Bung Karno can be stated as a model for leadership in Indonesia. Keywords: nationalism, monuments, spirit, visual representation    ABSTRAK Pembangunan monumen masa pemerintahan Orde Lama di Jakarta merupakan bagian integral dari perjuangan bangsa Indonesia. Penelitian ini adalah penelitian kualitatif dengan analisis deskriptif kualitatif melalui analisis tekstual dan kontekstual yang difokuskan terhadap spirit dan representasi visual dari lima monumen yang dibangun pada masa pemerintahan Orde Lama di Jakarta, yaitu Monumen Selamat Datang, Pembebasan Irian Barat, Pahlawan, Dirgantara, dan Monumen Nasional (Monas). Monumen masa pemerintahan Orde Lama di Jakarta sebagai representasi Nasionalisme Bung Karno, tercermin dalam pembangunan monu- men di masa pemerintahannya. Monumen ini tidak digambarkan sebagai tokoh, golongan atau ideologi tertentu, tetapi merupakan representasi dari seluruh jiwa rakyat Indonesia dan nilai- nilai kebudayaannya, serta Monas sebagai titik pusat dari keempat monumen lainnya. Bung Karno sebagai seorang pemimpin yang konsisten dengan ideologi yang diyakininya memiliki kemampuan untuk mengintegrasikan berbagai suku, golongan, dan ideologi. Semuanya itu tercermin pada kelima monumen yang digagasnya, sehingga Bung Karno dapat dijadikan role model bagi kepemimpinan di Indonesia. Kata kunci: Nasionalisme, monumen, spirit, representasi visual


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