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

Abstract

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

Readiness of nurses working in COVID-19 pandemic

“…Psychological and social responses to health workers during the COVID-19 pandemic are complex and not yet fully understood (Dubey et al, 2020). External factors in the form of crisis management such as training and education during the COVID-19 pandemic facilitated by emergency hospitals and disaster management will help improve preparedness among health workers in working during the COVID-19 Pandemic (Kholis et al, 2021). The recommendation method is a form of simulation to help manage global crises such as the COVID-19 pandemic in 2020 and in potentially similar pandemics in the future (Kholis et al, 2021).…”

“…External factors in the form of crisis management such as training and education during the COVID-19 pandemic facilitated by emergency hospitals and disaster management will help improve preparedness among health workers in working during the COVID-19 Pandemic (Kholis et al, 2021). The recommendation method is a form of simulation to help manage global crises such as the COVID-19 pandemic in 2020 and in potentially similar pandemics in the future (Kholis et al, 2021). In order to better address psychosocial problems from various walks of life, such as health workers and the general public, a model of prevention and intervention for psychosocial crises must be developed immediately by the government, health workers and other responsible persons.…”