Challenges for Healthcare Workers Caring for COVID-19 Patients in Indonesia: A Qualitative Study

Setiawan, Herley Windo; Pratiwi, Ika Nur; Nimah, Lailatun; Pawanis, Zulfayandi; Bakhtiar, Arief; Fauzinigtyas, Rista

doi:10.1177/00469580211060291

Cited by 22 publications

(21 citation statements)

References 52 publications

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“…Limitations in infrastructural resources resulting in few hand washing stations and patient control or quarantine areas in emergency or other healthcare environments promoted increased risk of COVID-19 transmission by preventing sufficient adherence to prevention strategies [ 9 , 11 , 12 , 13 , 14 ]. Several studies have also reported adherence barriers arising from inadequate in-service training on COVID-19 infection prevention and control measures, the proper use of PPEs, and pitfalls and challenges in extended use of uncomfortable PPEs in patient care settings [ 9 , 11 , 12 , 14 , 16 , 17 , 21 , 22 , 23 ].…”

Section: Introductionmentioning

confidence: 99%

Why Do We Not Follow Lifesaving Rules? Factors Affecting Nonadherence to COVID-19 Prevention Guidelines in Indonesia: Healthcare Professionals’ Perspectives

Fauk

Seran²,

Raymond

et al. 2022

IJERPH

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This study aimed to understand Indonesian healthcare professionals’ (HCPs) perceptions and experiences regarding barriers to both HCP and community adherence to COVID-19 prevention guidelines in their social life. This methodologically qualitative study employed in-depth interviewing as its method for primary data collection. Twenty-three HCP participants were recruited using the snowball sampling technique. Data analysis was guided by the Five Steps of Qualitative Data Analysis introduced through Ritchie and Spencer’s Framework Analysis. The Theory of Planned Behaviour was used to guide study conceptualisation, data analysis and discussions of the findings. Results demonstrated that HCP adherence to COVID-19 prevention guidelines was influenced by subjective norms, such as social influence and disapproval towards preventive behaviours, and perceived behavioural control or external factors. Findings also demonstrated that HCPs perceived that community nonadherence to preventive guidelines was influenced by their behavioural intentions and attitudes, such as disbelief in COVID-19-related information provided by the government, distrust in HCPs, and belief in traditional ritual practices to ward off misfortune. Subjective norms, including negative social pressure and concerns of social rejection, and perceived behavioural control reflected in lack of personal protective equipment and poverty, were also barriers to community adherence. The findings indicate that policymakers in remote, multicultural locales in Indonesia such as East Nusa Tenggara (Nusa Tenggara Timur or NTT) must take into consideration that familial and traditional (social) ties and bonds override individual agency where personal action is strongly guided by long-held social norms. Thus, while agency-focused preventive policies which encourage individual actions (hand washing, mask wearing) are essential, in NTT they must be augmented by social change, advocating with trusted traditional (adat) and religious leaders to revise norms in the context of a highly transmissible pandemic virus. Future large-scale studies are recommended to explore the influence of socio-cultural barriers to HCP and community adherence to preventive guidelines, which can better inform health policy and practice.

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Section: Introductionmentioning

confidence: 99%

Why Do We Not Follow Lifesaving Rules? Factors Affecting Nonadherence to COVID-19 Prevention Guidelines in Indonesia: Healthcare Professionals’ Perspectives

Fauk

Seran²,

Raymond

et al. 2022

IJERPH

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“… 20 More notably, recent findings suggest that COVID-19 has had an important influence on the psychological well-being and mental health of healthcare professionals. 21 - 23 Those healthcare professionals who are engaged with social media during COVID-19 are more exposed to psychological problems. 4 During the pandemic, there was a noticeable increase in social media engagement among healthcare professionals.…”

Section: Coi On Social Media and Healthcare Professional’s Health And...mentioning

confidence: 99%

Investigating the Impacts of Information Overload on Psychological Well-being of Healthcare Professionals: Role of COVID-19 Stressor

Khan

2022

INQUIRY

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While past research has focused on the benefits of social media during pandemics, this study emphasizes the possible negative effects of social media use among healthcare professionals. It has been stated that healthcare professionals are exposed to COVID-19 and its impacts on the mental health of these workers. Even though recognizing the importance of healthcare professionals during the pandemic, the impacts of COVID-19 on the mental health of healthcare professionals have been rarely considered for investigation by researchers. By applying differential susceptibility to the media effects model (DSMM), the current article investigated the effect of COVID-19 information overload (CIO) on psychological and mental well-being and underline mechanisms. Time-wave technique was applied to collect the data. This study tested moderated mediation model by collecting data from 314 healthcare professionals. The findings stated that COVID-19 information overload impacted COVID-19 fatalism and COVID-19 exhaustion directly. Likewise, COVID-19 fatalism mediated the association between CIO and COVID-19 exhaustion. Moreover, the COVID-19 stressor moderated this mediating relationship. This study proposes several practical recommendations for healthcare professionals, social media platform providers, health authorities, organizations, and institutions on how to use social media effectively and sustainably during the global COVID-19 epidemic.

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“…The disease resulting from nearly 500 million confirmed SARS-CoV-2 infections (COVID- 19) had caused approximately 6 million deaths globally [1]. Healthcare workers (HCWs) serving these patients are at high risk of becoming infected [2,3].…”

Section: Introductionmentioning

confidence: 99%

Mortality among healthcare workers in Indonesia during 18 months of COVID-19

Ekawati

Arif²,

Hidayana

et al. 2022

Preprint

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The impact of SARS-CoV-2 infections upon Indonesian health care workers (HCWs) remains unclear, as mortality data specific to HCWs is not systematically collected or analyzed in this setting. This report describes findings from a systematic collation, abstraction and analysis of HCW fatalities during the first 18 months of COVID-19 in Indonesia. HCW who died during the period of March 2020 to July 2021 across Indonesia were identified on Pusara Digital, a community web-based digital cemetery database dedicated to HCW. We calculated mortality rates and death risk ratio among HCWs and the general population. Qualitative methods explored concerns regarding mortality among HCWs. The analysis suggests that at least 1,545 HCWs died during the study period. The death of males and females HCWs were almost equally distributed (51% vs. 49%). Most were medical doctors and specialists (535, 35%), nurses (428, 28%), and midwives (359, 23%). Deaths most frequently occurred in the age group of 40 to 59 years old with the median age of 50 years (IQR: 39-59). At least 322 (21%) deaths occurred with pre-existing conditions, including 45 who were pregnant. We estimated a minimal HCW mortality rate in Indonesia at 1.707 deaths per 1000 HCW during the first 18 months of COVID-19. Provincial HCW mortality rates ranged from 0.136 (West Sulawesi) to 5.32 HCW deaths per 1000 HCWs (East Java). HCW had a significantly higher mortality rate than the general population (RR = 4.92, 95% CI 4.67 – 5.17). The COVID-19 event in Indonesia resulted in the loss of many hundreds of HCWs, most of them being senior physicians, nurses, and midwives. The HCW death rates is 5-times higher than everyone else. The sheer sparseness of the workforce requires more protective steps and a national systematic surveillance of occupational mortality is urgently needed in this setting.

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Challenges for Healthcare Workers Caring for COVID-19 Patients in Indonesia: A Qualitative Study

Cited by 22 publications

References 52 publications

Why Do We Not Follow Lifesaving Rules? Factors Affecting Nonadherence to COVID-19 Prevention Guidelines in Indonesia: Healthcare Professionals’ Perspectives

Why Do We Not Follow Lifesaving Rules? Factors Affecting Nonadherence to COVID-19 Prevention Guidelines in Indonesia: Healthcare Professionals’ Perspectives

Investigating the Impacts of Information Overload on Psychological Well-being of Healthcare Professionals: Role of COVID-19 Stressor

Mortality among healthcare workers in Indonesia during 18 months of COVID-19

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