Psychological Stress of Nurses During the Covid-19 Pandemic


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 psychological consulting facilities of nurses.


Keywords: COVID-19 Pandemic, Nurse, Nurse Stress

[1] Harapan, H., et al. (2020). Coronavirus Disease 2019 (COVID-19): A Literature Review. Journal of Infection and Public Health, Volume 13, Issue 5, pp. 667-673, doi: 03.019.

[2] WHO. (2020). Coronavirus Disease (COVID-19) Pandemic. Retrieved from emergencies/diseases/novel-coronavirus-2019.

[3] CNBC Indonesia. (2020, August). Retrieved August 8, 2020 from https://www.cnbcindonesia. com/news/20200808174746-16-178433/update-corona-8-agustus-2020-79306-sembuh-5658- meninggal.

[4] COVID-19.Go. (2020, June). Retrieved June 23, 2020 from

[5] (2020, July). Retrieved July 16, 2020 from 2020/04/06/54825/perawat-pasien-covid-19-rawan-alami-tekanan-psikologis-karena-beban-kerja.

[6] BBC News Indonesia. (2020 March). Retrieved June 23, 2020 from dunia-52101525.

[7] Joob, B. and Wiwanitkit, V. (2020). Traumatization in Medical Staff Helping with COVID-19 Control. Brain, Behavior and Immunity, Volume 87, Issue 10, p. 10 doi:

[8] theAsianparent.Indonesia. (2020, June). Retrieved June 23, 2020 from menggunakan-apd

[9] Shecher, A., et al. (2020). Psychological Distress, Coping Behaviors and Preferences for Support Among New York Healthcare Workers During the COVID-19 Pandemic. General Hospital Psychiatry, Volume 66, pp. 1-8, doi:

[10] Kang, L., et al. (2020). Impact on Mental Health and Perceptions of Psychological Care among Medical and Nursing Staff in Wuhan During the 2019 Novel Coronavirus Disease Outbreak: A Cross-Sectional Study. Brain, Behavior, and Immunity, vol. 87, pp. 11-17.

[11] Salsabila, A. P. (2020). Trending Tagar Indonesia Terserah, Berawal dari Tenaga Medis yang Kecewa. Jakarta:

[12] Sari, D. K., et al. (2020, June 24). Postive Correlation Between General Public Knowledge and Attitudes Regarding COVID-19 Outbreak 1 Month After First Cases Reported in Indonesa. Journal of Community Helath, Volume 46 (1), pp. 182-189, doi

[13] Mo, Y., et al. (2020). Work Stress Among Chinese Nurses to Support Wuhan in Fighting Againts COVID19 Epidemic. Journal of Nursing Management, Volume 28, Issue 5, pp. 1-8, doi: jonm.13014.

[14] Pappa, S., et al. (2020). Prevalence of Depression, Anxiety and Insomnia among Healthcare Workers During the COVID-19 Pandemic: A Systematic Review and Meta-Analysis. Brain, Behavior and Immunity Volume 88, pp. 901-907, doi:

[15] Cai, H., et al. (2020). Psychological Impact and Coping Strategies of Frontline Medical Staff in Hunan Between January and March 2020 During the Outbreak of Coronavirus Disease 2019 (COVID-19) in Hubei, China. Medical Science Monitor, Volume 26, pp.1-16, DOI: 10.12659/MSM.924171

[16] Lai, J., et al. (2020). Factors Associated with Mental Health Outcomes among Health Care Workers Exposed to Coronavirus Disease 2019. JAMA Network Open, Volume 3, Issue 3, pp. 1-12, doi: https: //10.1001/jamanetworkopen.2020.3976.

[17] Li, Z., et al. (2020). Vicarious Traumatization in General Public, Member and Non-Members of Medical Teams Aiding in COVID-19 Control. Brain, Behavior and Immunity, Volume 88, pp 916-919, doi: https: //

[18] Zhu, Z., et al. (2020). COVID-19 in Wuhan: Sociodemographic Characteristics and Hospital Support Measures Associated with the Immediate Psychological Impact on Healthcare Workers. EClinicalMedicine, Volume 24, pp 1-11, doi:

[19] Rossi, R., et al. (2020). Mental Health Outcomes among Frontline and Second-Line Health Care Workers during the Coronavirus Disease 2019 (COVID-19) Pandemic in Italy. JAMA Network Open, Volume 3, Issue 5, pp. 1-4.

[20] Dai, Y., et al. (2020). Psychological Impact of the Coronavirus Disease 2019 (COVID-19) Outbreak on Healthcare Workers in China. MedRxiv, pp 1-15.

[21] Albert, R. P. (2015). Why is Depression more Prevalent in Women. Ottawa Hospital Research Institute, Volume 40, Issue 4, pp. 219-221.

[22] Tumbage, S., Tasik, F. and Tumenkol, S. (2017). Peran Ganda Ibu Rumah Tangga Dalam Meningkatkan Kesejahteraan Keluarga di Desa Allude Kecamatan Kolongan Kabupaten Talaud. Acta Diurna, vol. 6, issue 2 pp. 1-14.

[23] AR, Mariatul, Q.H (2015). Rethinking Peran Perempuan dalam Keluarga. KARSA, vol. 23, issue 1, pp. 17-35, doi:

[24] Susanto (2010). Analisis Pengaruh Konflik Kerja-Keluarga Terhadap Kepuasan Kerja Pengusaha Wanita di Kota Semarang. Aset, vol. 12, issue 1, pp. 75-85.

[25] Aiken, L., et al. (2014, May). Nurses Staffing and Education and Hospital Mortality in Nine European Countries: A Retrospective Observational Study. National Institutes of Health Public Access, Volume 383, Issue 9931, pp 1-16, doi: http://10.1016/S0140-6736(13)62631-8.

[26] Yoo, J. Y., et al. (2019). Clinical Nurses’beliefs, Knowledge, Organizational Readness and Level of Implementation of Evidence-Based Practice: The First Step to Creating an Evidence-Based Practice Culture. PLoS ONE. Volume 14, Issue 12, pp. 1-15,

[27] Rahman, H. A., Jarrar, M. and Don, M. S. (2015, April). Nuses Level of Education, Quality of Care and Patients Safety in the Medical and Surgical Wards in Malaysian Private Hospitals: A Cross Sectional Study. Global Journal of Health Science, Volume 7, No.6, pp 331-337, doi: http://10.5539/gjhs.v7n6p331.

[28] Shaukat, N., Ali, D. M. and Razzak, J. (2020). Physical and Mental Health Impacts of COVID-19 on Healthcare Workers: A Scoping Review. International Journal of Emergency Medicine, Volume, 13, No.40, pp. 1-8, doi:https://10.1186/s12245-020-00299-5.

[29] Treston, C. (2020). COVID-19 in the Year of the Nurse. Journal of the Association of Nurses in AIDS Care, Volume 31, No.3, pp. 359-360, doi: 10.1097/JNC.0000000000000173

[30] Ran, L., et al. (2020). Risk Factors of Healthcare Workers With Coronavirus Disease 2019: A Retrospective Cohort Study in a Designated Hospital of Wuhan in China. Clinical Infectious Diseases Brief Report, Volume 71, Issue 16, pp 1-4.

[31] Zhang, X., et al. (2020). Nurses Reports of Actual Work Hours and Preferred Work Hours Per Shift among Frontline Nurses During Coronavirus Disease 2019 (COVID-19) Epidemic: A Cross-Sectional Survey. International Journal of Nursing Studies, Volume 17, No.16, pp 1-6.

[32] Salopek-Ziha, D., et al. (2020). Differences in Distress and Coping with the COVID-19 Stressor in Nurses and Physicians. Psychiatria Danubina, issue 32, pp. 287-293.

[33] Shen, X., et al. (2020). Psychological Stress of ICU Nurses in the Time of COVID-19. Critical Care, Volume 24, No. 200, pp.1-3.

[34] Song, X., et al. (2020). Mental Health Status of Medical Staff in Emergency Departements During the Coronavirus Disease 2019 Epidemic in China. Brain, Behavior and Immunity, Volume 80, pp. 60-65.

[35] Xiao, H., et al. (2020). The Effects of Social Support on Sleep Quality of Medical Staff Treating Patients with Coronavirus Disease 2019 (COVID-19) in January and February 2020 in China. Medical Science Monitor, Volume 26, pp. 1-7.

[36] Naranjee, N., Ngxongo, T. and Sibiya, M. (2019). Financial Management Roles of Nurse Managers in Selected Public Hospital in KwaZulu-Natal Province, South Africa. African Journal of Primary Health Care & Family Medicine, Volume 11, Issue 1, pp. 1-8.

[37] Pesulina, T. L. and Hetharie, Y. (2020). Perlindungan Hukum Terhadap Keselamatan Kerja Bagi Tenaga Kesehatan Akibat Pandemi COVID-19. SASI. Volume 26, No.2, pp. 280-285.