Psychological Responses Among Indonesian Nurses In The Outbreak Of Covid-19 Pandemic (original) (raw)
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The Open Nursing Journal
Introduction: Nurses as frontline health care providers during the COVID-19 pandemic were at high risk and vulnerable to virus infection. Physical and mental conditions in caring for COVID-19 patients in hospitals may be associated with the exacerbation of the nurses experiencing depression, anxiety, and stress among the nurses. Objective: The study aimed to identify the psychological conditions (depression, anxiety, and stress) among nurses providing clinical assistance in caring for COVID-19 patients. Methods: This investigation employed a comparative study with a cross-sectional study design. The respondents were 109 nurses working in the COVID-19 wards in two referral hospitals offering care for COVID-19 patients. Data were collected using the standardized DASS-21 questionnaire and analyzed using the Mann-Whitney U-test. Results: The results showed psychological conditions among nurses caring for COVID-19 patients with depression (moderate) among 60.0% and 58.8%, anxiety (severe...
BMC Nursing
Background The current outbreak of the COVID-19 pandemic has distorted the physical, mental, and psychological condition of frontline healthcare providers in health facilities. This study aims to investigate the prevalence, and risk factors of depression, anxiety, and stress among nurses working in a COVID-19 referral hospital in Indonesia. Methods A cross-sectional study was conducted among 491 nurses, aged between 31, and 56 years, using a self-administered questionnaire. The Depression Anxiety Stress Scale (DASS21), and demographic questions were used to screen the presence of psychological problems, and their associated factors. Results The prevalence of moderate to extremely severe depression, anxiety and stress was 8.5 %, 20.6 and 6.3 %, respectively. Regression analysis showed that anxiety was significantly higher among nurses working in non-COVID wards (p = .01), those who experienced social rejection (p
Psychological distress analysis among nurses during Covid-19 pandemic
Kognisi, 2022
During Covid-19 pandemic, the workload of nurses has become much higher. The condition of Covid-19 cases rate that continues to increase, adaptation to HSE measures and strict procedures to prevent transmission put great pressure on the health workers who are on duty. This study aims to measure the level of psychological distress in the form of stress, depression, and anxiety experienced by nurses at XYZ Hospital in Pemalang, Central Java using DASS 42 measuring instrument. The data analysis was processed using IBM SPSS Statistics 24 application with multiple linear regression method. The population is all nursing staff at XYZ Hospital, totaling 198 people. By using the stratified random sampling technique, a sample of 133 people was obtained consisting of 84 people from non-Covid-19 work units and 49 people from Covid-19 work units. Psychological distress factors are associated with internal factors (gender, age, years of service, education level, level of use of personal protective equipment) and external factors (level of PPE use, limited PPE, no PPE changing room facilities, lack of training, no zoning area, minimal formal psychological support, low social support, inadequate facilities and infrastructure, minimal information on the development of Covid-19, high working hours, fear of infection, chronic illness, trauma because the family has been exposed). The results showed that 75.2% of nurses experienced stress, 51.9% of nurses experienced depression, and 78.2% of nurses experienced anxiety disorders. The foremost vital factor influencing depression is age, anxiety is level of PPE use, and stress is length of time worked.
Psychological Stress of Nurses During the Covid-19 Pandemic
KnE Life Sciences
The COVID-19 pandemic has captured the world’s attention, especially regarding the risk of stress. The majority of nurses experience mild and moderate levels of stress. This is because nurses are particularly at risk of being infected with COVID-19. Many of nurses feel hot and breathless because of the PPE. This research illustrates the phenomenon of psychological stress amongst nurses working during the pandemic. This research uses a quantitative descriptive research approach. The research sample was 157 nurses working in all health care facilities from various regions in Indonesia, selected using convenience sampling. The results showed a high risk of stress, with the nurses experiencing mild and moderate stress. The study concludes by suggesting the government and health care providers pay greater attention to the early detection and reduction of stress, providing sports facilities, increasing the number of nurses, regular meetings to reflect on the problems faced and psychologic...
Psychological impact among health workers in effort to facing the COVID-19 in Indonesia
International Journal of Public Health Science (IJPHS), 2021
The coronavirus disease (COVID-19) pandemic in Indonesia has a psychological impact among health workers who are working in hospital and caring for patients with positive COVID-19. This study aimed to examines the psychological impact among health workers in effort to facing the coronavirus pandemic (COVID-19) in Indonesia. Snowball sampling technique was employed to gather the sample in the eight islands. The health workers were responded to the depression anxiety stress scales (DASS-42) questionnaire, with the total of 644 respondents. The results of this study showed that about 65.8% of respondents experienced anxiety due to COVID-19 outbreak, There were 3.3% experienced extremely severe anxiety and 33.1% experienced mild anxiety. Whereas those experienced stress due to COVID-19 outbreak were 55%, extremely severe stress levels were 0.8% and mild stress were 34.5%. Health workers who experienced depression were 23.5%. There were 0.5% with very severe depression and mild depression was 11.2%. There is a closed correlation between anxiety (r=0.152 p=0.000), stress (r=0.086 p=0.029), and depression (r=0.111 p=0.005), to the worried of being alienated if infected coronavirus (COVID-19). The Indonesian government has to handle the anxiety, stress and depression that occurs in health workers in particular and can provide protection to medical personnel so that they do not feel alienated by those around them.
DETERMINANTS PSYCHOLOGICAL DISTRESS OF INDONESIAN HEALTH CARE PROVIDERS DURING COVID-19 PANDEMIC
Systematic Reviews in Pharmacy, 2020
Background: The COVID-19 epidemic has caused serious threats to physical health and human life, including in Indonesia. After the announcement of Indonesia's emergency response to Covid-19 by the central government on March 16, 2020, the number of sufferers of Covid-19 is increase rapidly. Health Care Providers who are at the forefront of handling patients with Covid-19 could be experience psychological distress such as anxiety, stress and depression. Prolonged psychological distress can be contribute to their performance, decision making self-harm in advanced. Aim: to identify determinant factors of psychological distress experienced by health care providers during the Covid-19 pandemic in Indonesia Method:This study was a cross sectional survey. Respondents were taken using the snowball sampling technique. Data analysis used Pearson product moment to determine the influence of variables and multiple linear regression to determine the most dominant factor. Results: Six hundred and eighty two healthcare providers were involved in this study. There was a relationship between sex (p = 0.001), age (p = 0.028), Health Care Providers (p = 0.014) and workplace (p = 0.08) with anxiety levels and there was no relationship between education (p = 0.063) and marital status (p = 0.213) with anxiety levels. There is a relationship between sex (p = 0.007), Health Care Providers (p = 0.012), and marital status (p = 0.011) with stress levels, there is no relationship between age (p = 0.342), Education (p = 0.096) and workplace (p = 0.19) with stress levels. hypertension (p = 0.731) and alcohol consumption (p = 0.169). there is a relationship between workplace and depression level (p = 0.011) and there is no relationship between sex (p = 0.238), age (p = 0.434), education (p = 0.082), Health Care Providers (p = 0.064) and marital status (p = 0.458) with the level of depression of Health Care Providers. Sex was a dominant factor on anxiety, stress, and depression level and has a Beta value of 0.124 for anxiety, stress level has a Beta value of 0.119. Conclusion: Gender, Health Care Providers and marital status have a significant relationship with the level of stress of Health Care Providers in Indonesia during the Covid-19 pandemic. The workplace has a significant relationship with the level of depression in Indonesia Health Care Providers during the Covid-19 pandemic. Special attention needs to be paid to health care providers by providing free counseling at each health service venue. Improved facilities and tools to improve security for health care providers. Keywords: Covid-19, health care providers, Indonesia, Psychological distress, pandemic Correspondence: M. Hasinuddin STIKES Ngudia Husada Madura Contact: hasin_nhm@yahoo.com
Evaluation & the Health Professions, 2022
This study aimed to determine the depression, anxiety and stress levels that have negatively impacted nurses' mental health during the COVID-19 pandemic. A sample group of 826 nurses working in Turkey were asked to fill in an online questionnaire in order to evaluate their psychological responses and the related factors that have adversely affected their mental health during the COVID-19 pandemic. In total, 696 nurses (84.3%) showed symptoms of depression, 644 (78%) reported anxiety and 543 (65.74%) reported stress. This study also highlighted that the most concerning factor for the nurses was the risk of transmitting the COVID-19 infection to their household members (89.2%). The most important problems faced by the nurses during COVID-19 included equipment shortages (50.7%), administrative problems (38.5%) and issues such as accommodation and nutrition (27.4%). These were found to have a statistically significant correlation with the nurses' levels of depression, anxiety and stress. The fear of losing a household member, the inability to their household's social needs and the fear of death were among the factors that concerned nurses during the COVID-19 pandemic, significantly affecting their levels of depression, anxiety and stress. Taking the necessary measures to deal with the aforementioned problems and fears is important to protect the health, productivity and efficiency of nurses during the pandemic period.
International journal of community medicine and public health/International journall of community medicine and public health, 2024
Betacoronaviruses HCoV229E and HCoV-NL63, alphacoronaviruses HCoVHKU1 and HCoV-OC43, middle east pulmonary syndrome coronavirus (MERS-CoV), and severe acute lung disease coronavirus (SARS-CoV). It is well known that SARS-CoV and MERS-CoV are incredibly virulent and infectious, originating from bats to dromedary camels or palm civets and lastly to humans. 1 The CDC states that symptoms may begin to show 2-14 days after viral exposure, and asymptomatic individuals may potentially spread the virus, primarily through contact with other people but also through aerosols from the ABSTRACT Background: This study aims to assess anxiety, stress, and depression levels among nurses working during the COVID-19 pandemic. Methods: A quantitative non-experimental approach was employed, utilizing a descriptive cross-sectional design with 300 nurses selected through simple random sampling. Data collection included demographic and clinical variables. Anxiety, stress, and depression levels were measured using the Beck anxiety inventory (BAI), perceived stress scale, and Hamilton depression rating scale, respectively. Pearson's correlation and Chi-square tests were used for analysis in statistical package for the social sciences (SPSS). Results: A majority of staff nurses experienced mild anxiety (53.7%), stress (64.3%), and depression (71.7%). Scores indicated mean anxiety (14.42, SD=4.46), stress (13.74, SD=3.13), and depression (18.23, SD=4.23). Positive correlations were found between stress-anxiety (p=0.002, r=0.376) and anxiety-depression (p=0.040, r=0.119). A weak correlation existed between stress and depression (p=0.068, r=0.105). Anxiety correlated with age, professional experience, and marital status (p<0.05), while stress correlated with age and professional experience (p<0.05). Depression correlated with professional experience and marital status (p<0.05). Work-related variables and fears were associated with anxiety and stress but not depression among staff nurses during COVID-19. Conclusions: The study underscores widespread mild anxiety, stress, and depression among nurses during the pandemic, emphasizing their interconnection. Age, professional experience, and marital status influenced mental health outcomes. Tailored interventions and targeted support are crucial to address these challenges and enhance nursing wellbeing. Healthcare institutions should prioritize implementing such strategies to bolster nurses' resilience and effectiveness in navigating ongoing and future challenges.
The Open Nursing Journal
Introduction: COVID-19 is a dangerous, infectious disease that has affected the whole world in the past year. In Indonesia, many nurses were not only infected by the virus but also experienced varying psychological responses in providing treatment and performing their tasks. In other words, they faced the daunting responsibility of fighting the disease while taking care of COVID-19 patients. Objective: The study aimed to describe nurses’ psychological responses in caring for COVID-19 patients in Indonesia. Methods: This was a qualitative descriptive study involving 13 nurses. Using purposive sampling, the participants were selected from three public hospitals in Semarang, Indonesia. These nurses were assigned to take care of COVID-19 patients in the isolation room. The participants underwent face-to-face interviews, either by video calls or through an online application, using semi-structured and in-depth guidelines. The collected data were analyzed using Ello and Kyngas inductive c...
Journal of Multidisciplinary Healthcare
The current study was aimed to evaluate depression, anxiety, and stress among nurses during the COVID-19 (wave III) at a public hospital in Quetta city, Pakistan. Participants and Methods: By using the validated Depression, Anxiety and Stress Scale-21, three hundred and twenty-five nurses practicing at the Sandeman Provincial Hospital, Quetta were approached for data collection. Through SPSS, both descriptive and inferential statistics were used during data analysis. Chi-square test was used to assess the goodness-offit between observed values and demographic variables. The factors that were significantly associated with depression, anxiety, and stress were further assessed by binary logistic regression analysis. The statistical significance was set at 0.05. Results: Out of the 325 nurses, 297 participated in the study with a response rate of 91.3%. Mild depression and stress were reported in the current cohort of nurses (6.00 ± 5.30 and 8.01 ± 4.47), respectively. The mean anxiety score was 6.68 ± 4.86 indicating moderate anxiety among the study respondents. Marital status, working department, and job experience were significantly associated with depression, anxiety, and stress with moderate effect size (>0.3). The logistic regression reported department in which nurses were stationed (adjusted OR = 2.54, 95% CI = 1.118-1.415, p < 0.001) and job experience (adjusted OR = 1.004, 95% CI = 1.001-1.215, p = 0.002) as significant predictors of depression, anxiety and stress. Nurses working in the corona ward were more likely to develop depression, anxiety and stress by a factor of 2.54 and married nurses with a factor of 1.004 provided controlling other confounding factors. Conclusion: Moderate depression, anxiety, and stress were observed among nurses and it calls for hospital management to consider interventions for all nurses irrespective of their present working departments. Facilitating continuous and comprehensive support mechanisms aimed at protecting nurses' mental health is of great importance during pandemics. The findings of the study have some clear suggestions for mental health advocacy among nurses that are essential for improving the quality of services and patients' safety.