Background: Perinatal death results in physical loss of a child as well as symbolic loss (loss of self, hope and self-esteem) experienced by many parents. Loss is often expressed via a grief response that can develop into chronic sorrow. Ineffective coping strategies may increase susceptibility to complications associated with chronic sorrow. These complications can include clinical depression, dysthymic disorder, post-traumatic stress disorder, attachment disorder, drug dependence, psychosis, and suicidal ideation. Therefore, it is crucial to understand the barriers and facilitators to chronic sorrow particularly among vulnerable populations. Aim: To explore the experience of chronic sorrow among Indonesian women who have suffered perinatal loss. Methods: The present qualitative study utilized a descriptive phenomenological approach. Participants included women who experienced chronic sorrow due to perinatal loss within the past seven weeks to three years. Maximum variation sampling was used based on women’s current number of children. Data were collected using semi-structured interviews and analyzed using a modified Stevick-Colaizzi-Keen method. Results: Three key themes emerged from the data: (1) recurrent experiences of grief are common particularly when exposed to certain triggers (memories from pregnancy, mementos); (2) adequate coping strategies and emotional support are needed to help treat grief; and (3) specific characteristics of chronic sorrow are associated with perinatal loss, such as grief that feels diminished and the presence of another child serving as both a cure and a trigger of sorrow. Conclusion: Chronic sorrow as a result of perinatal loss is experienced repeatedly when mothers face certain triggers. We have identified two characteristics (diminished grief, having another child serve to both cure and trigger sorrow) that are specific to the experience of chronic sorrow compared to that of general grief. It is important to understand the experience of chronic sorrow and how coping strategies and a support system can help grieving mothers to overcome their loss.
BACKGROUND: The coronavirus disease-19 (COVID-19) pandemic is of special concern in all parts of the world, including Indonesia. The number of active cases also continues to increase in most provinces in Indonesia, especially in the Special Region of Yogyakarta. This condition requires health workers to collaborate well in suppressing and handling COVID-19 patients. AIM: The aims of this study were to find out how collaboration occurs between health workers in handling COVID-19. This study identifies opportunities and challenges for Interprofessional Collaboration (IPC) health workers at the Primary Health Center of Bantul Regency. METHODS: The design of this study was a cross-sectional study. We used the purposive sampling method to recruit participants. This study was followed by 200 participants who were health workers at the Primary Health Center in Bantul Regency. We used a questionnaire as the instrument. The questionnaire consists of four dimensions of IPC such as knowledge, collaboration, service, and the role of a pharmacist. The data obtained were statistically analyzed using Chi-square and Spearman. RESULTS: The result showed that IPC health worker at Health Primary Center of Bantul was categorized as good (45%). However, IPC at the Health Primary Center is still not optimal. There were top three obstacles in collaborating, namely, lack of time, perception of complicated bureaucracy, and lack of trust from health workers about their knowledge and skill.Based on spearman test p-value for age, gender, education level, years of service, occupation were 0.764; 0,732; 0.808; 0.189; 0.582; 0.746. This result showed that the sociodemographic characteristics of the participants did not significantly affect the IPC (P>0.05). CONCLUSIONS: The main key in practicing IPC was building a good work team, good communication and relationship, responsibility for each other’s, keep learning from each other and being critical, and maintaining the ethics of each profession. Thus, effective and efficient collaboration will be established.
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