The Challenges of Intensive Care Unit Nurses Caring for COVID-19 Patients in Indonesia: A Qualitative Study

Fitri Mailani; Rahmi Muthia; Emil Huriani; Boby Febri Krisdianto; Elvi Oktarina

doi:10.14710/nmjn.v12i2.46250

DOI: https://doi.org/10.14710/nmjn.v12i2.46250

The Challenges of Intensive Care Unit Nurses Caring for COVID-19 Patients in Indonesia: A Qualitative Study

*Fitri Mailani

- Faculty of Nursing, Universitas Andalas, Indonesia

Rahmi Muthia - Faculty of Nursing, Universitas Andalas, Indonesia

Emil Huriani - Faculty of Nursing, Universitas Andalas, Indonesia

Boby Febri Krisdianto - Faculty of Nursing, Universitas Andalas, Indonesia

Elvi Oktarina - Faculty of Nursing, Universitas Andalas, Indonesia

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

BibTex Citation Data :

@article{NMJN46250,
    author = {Fitri Mailani and Rahmi Muthia and Emil Huriani and Boby Krisdianto and Elvi Oktarina},
    title = {The Challenges of Intensive Care Unit Nurses Caring for COVID-19 Patients in Indonesia: A Qualitative Study},
    journal = {Nurse Media Journal of Nursing},
  volume = {12},
    number = {2},
    year = {2022},
    keywords = {COVID-19; challenges; intensive care; nurses; qualitative study},
    abstract = {  Background:  After one year of the pandemic, Indonesia experienced a crisis where the addition of COVID-19 cases increased significantly in several big cities; it made the healthcare system collapse, including the intensive care unit (ICU) service for COVID-19. ICU nurses, who are at the frontline of fighting against COVID-19 and defusing this crisis, are faced with various challenges in providing care for COVID-19 patients, and exploring such challenges are significant.      Purpose:  This study aimed to explore the challenges experienced by Indonesian nurses who work in the ICU caring for COVID-19 patients.   Methods:  A multi-centered-qualitative study with a descriptive phenomenological design was used. Twenty nurses working in the ICU of COVID-19 in eight COVID-19 referral hospitals in seven major cities in Indonesia were recruited using purposive sampling. Semi-structured individual video call interviews were conducted to collect the data from July-September 2021. Data were analyzed using Colaizzi’s (1978) method.   Results:  The nurses reported the challenges throughout caring for COVID-19 patients in ICU, which are described in four major themes: (a) working under pressure and moral distress, (b) choosing to do the best, (c) adaptation, learning, and research, and (e) survive physically and mentally healthy.  Conclusion:  This study describes the challenges experienced by nurses working in ICUs during the COVID-19 crisis, such as working under pressure, facing dilemmas caring for patients, and trying to survive working in inadequate professional conditions. An in-depth understanding of these challenges in the current pandemic can help managers in the hospital to provide psychological support, adequate training for ICU nurses, and high-quality protocols for upcoming emergency scenarios, as well as maximizing resource management (human and material).},
   issn = {2406-8799},   pages = {233--248}  doi = {10.14710/nmjn.v12i2.46250},
    url = {https://ejournal.undip.ac.id/index.php/medianers/article/view/46250}
}

Citation Format:

Abstract

Background: After one year of the pandemic, Indonesia experienced a crisis where the addition of COVID-19 cases increased significantly in several big cities; it made the healthcare system collapse, including the intensive care unit (ICU) service for COVID-19. ICU nurses, who are at the frontline of fighting against COVID-19 and defusing this crisis, are faced with various challenges in providing care for COVID-19 patients, and exploring such challenges are significant.

Purpose: This study aimed to explore the challenges experienced by Indonesian nurses who work in the ICU caring for COVID-19 patients.

Methods: A multi-centered-qualitative study with a descriptive phenomenological design was used. Twenty nurses working in the ICU of COVID-19 in eight COVID-19 referral hospitals in seven major cities in Indonesia were recruited using purposive sampling. Semi-structured individual video call interviews were conducted to collect the data from July-September 2021. Data were analyzed using Colaizzi’s (1978) method.

Results: The nurses reported the challenges throughout caring for COVID-19 patients in ICU, which are described in four major themes: (a) working under pressure and moral distress, (b) choosing to do the best, (c) adaptation, learning, and research, and (e) survive physically and mentally healthy.

Conclusion: This study describes the challenges experienced by nurses working in ICUs during the COVID-19 crisis, such as working under pressure, facing dilemmas caring for patients, and trying to survive working in inadequate professional conditions. An in-depth understanding of these challenges in the current pandemic can help managers in the hospital to provide psychological support, adequate training for ICU nurses, and high-quality protocols for upcoming emergency scenarios, as well as maximizing resource management (human and material).

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Keywords: COVID-19; challenges; intensive care; nurses; qualitative study

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In Vol 12, No 2 (2022): (August 2022)

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