Risk Perception of Critical Care Nurses in Indonesia During the Covid-19 Pandemic

Abstract

Covid-19 in the intensive care unit. The complex and contradictory thoughts and feelings of critical care nurses about balancing their duty and fear of this emerging disease can influence their perceptions of risk about the pandemic. Risk perception is associated with precautionary actions and behaviour. Identifying risk perception is important for anticipating the behaviour of individuals regarding a new risk for which information or experience is lacking. This study aimed to measure the risk perception of critical care nurses during the Covid-19 pandemic in Indonesia. This was a cross-sectional study. The total sampling technique was used, leading to a sample of 82 critical care nurses. Data were collected by using the risk perception questionnaire in Google forms. The Chi-square test was employed to investigate the level of association among the variables. The results showed that almost all of the critical care nurses (97.6%) agreed that their job put them at great risk of exposure and 90.3% felt afraid of falling ill with Covid-19. However, 40.3% felt that they had not accepted the risk of being infected as part of their job. Many experienced that others avoid them because of their job as nurses (21.9%). Most (73.1%) felt that training about protection was adequate. Many felt anxious when thinking about Covid-19 (63.4%) and 36.6% felt a lack of emotional support. Healthcare institutions should protect critical care nurses and help them cope with the very stressful situations of the pandemic. Emotional support might be needed to overcome their stress and to develop effective behaviour.


Keywords: Covid-19, critical care nurses, pandemic impact, risk perception

References
[1] Giusti EM, Pedroli E, D’Aniello et al. The psychological impact of the COVID-19 outbreak on health professionals: a cross-sectional study. Frontiers in Psychology. 2020 Jul 10;11:1684.

[2] Kahar F, Dirawan GD, Samad S, Qomariyah N, Purlinda DE. The Epidemiology of COVID-19, Attitudes and Behaviors of the Community During the Covid Pandemic in Indonesia. structure. 2020;10:8.

[3] Phua J, Weng L, Ling L et al. Intensive care management of coronavirus disease 2019 (COVID-19): Challenges and recommendations. The Lancet Respiratory Medicine. 2020;8(5):506–17.

[4] Koh D, Lim MK, Chia SE, Ko SM. Risk perception and impact of severe acute respiratory syndrome (SARS) on work and personal lives of healthcare. Medical Care. 2005;43(7):676–82.

[5] Jackson D, Anders R, Padula WV, Daly J, Davidson PM. Vulnerability of nurse and physicians with COVID-19: Monitoring and surveillance needed. Journal of Clinical Nursing. 2020;29(19–20):3584–7.

[6] Pramana C, Indriana G, Setyopambudi K. Health Workers And Doctors Death During The Covid-19 Pandemic In Indonesia. Internal medicine. 2021;16(5):2.

[7] Shen X, Zou X, Zhong X, Yan J, Li L. Psychological stress of ICU nurses in the time of COVID-19. Critical Care. 2020;24(1):1-3

[8] Team E. The epidemiological characteristics of an outbreak of 2019 novel coronavirus diseases (COVID-19)—China, 2020. China CDC Weekly. 2020 Feb 21;2(8):113.

[9] Saptarini I, Novianti, Rizkianti A et al. Stigma during COVID-19 pandemic among healthcare workers in greater Jakarta metropolitan area: A cross-sectional online study. Health Science Journal of Indonesia. 2021;12(1):6–13.

[10] Ramaci T, Barattucci M, Ledda C, Rapisarda V. Social stigma during COVID-19 and its impact on HCWs outcomes. Sustainability. 2020 Jan;12(9):3834.

[11] Maunder RG, Lancee WJ, Rourke S et al. Factors associated with the psychological impact of severe acute respiratory syndrome on nurses and other hospital workers in Toronto. Psychosomatic Medicine. 2004;66(6):938–42.

[12] Schaffer Deroo S, Pudalov NJ, Fu LY. Planning for a COVID-19 vaccination program. Journal of the American Medical Association. 2020;323(24):2458–9.

[13] Wise T, Zbozinek TD, Michelini G, Hagan CC, Mobbs D. Changes in risk perception and self-reported protective behaviour during the first week of the COVID-19 pandemic in the United States: COVID-19 risk perception and behavior. Royal Society Open Science. 2020;7(9):200742

[14] Paul S. Perception of risk. Science. 1987;(236):280–5.

[15] Ferrer RA, Klein WMP. Risk perceptions and health behavior. Current Opinion in Psychology. 2015;5:85–9. http://dx.doi.org/10.1016/j.copsyc.2015.03.012

[16] Leoni T. What drives the perception of health and safety risks in the workplace? Evidence from European labour markets. Empirica. 2010;37:165–9.

[17] Dionne G, Desjardins D, Lebeau M, Messier S, Dascal A. Health care workers’ risk perceptions and willingness to report for work during an influenza pandemic. Risks. 2018;6(1):8.

[18] Barati M, Bashirian S, Jenabi E et al. Factors associated with preventive behaviours of COVID-19 among hospital staff in Iran in 2020: An application of the protection motivation theory. Journal of Hospital Infection. 2020;105(3):430–3. https://doi.org/10.1016/j.jhin.2020.04.035

[19] . Zafar N, Jamal Z, Mujeeb Khan M. Preparedness of the healthcare personnel against the Coronavirus disease 2019 (COVID-19) outbreak: An audit cycle. Frontiers in Public Health. 2020;8(Sep):1–7.

[20] . Setiawati Y, Wahyuhadi J, Joestandari F, Maramis MM, Atika A. Anxiety and resilience of healthcare workers during COVID-19 pandemic in Indonesia. Journal of Multidisciplinary Healthcare. 2021;14:1–8.

[21] . Poon E, Liu KS, Cheong DL, Lee CK, Yam LYC, Tang WN. Impact of severe acute respiratory syndrome on anxiety levels of frontline health care workers. Hong Kong Medical Journal. 2004;10(5):325–30.

[22] . Weaver MD, Vetter C, Rajaratnam SM, et al. Sleep disorders, depression and anxiety are associated with adverse safety outcomes in healthcare workers: A prospective cohort study. Journal of sleep research. 2018 Dec;27(6):e12722.

[23] . Paolo SD, Brain P, Willner P. Effects of chronic mild stress on performance in behavioural tests relevant to anxiety and depression. Physiology & behavior. 1994 Nov 1;56(5):861-7.

[24] . Gray J. Emotional modulation of cognitive control: Approach–withdrawal states double-dissociate spatial from verbal two-back task performance. Journal of Experimental Psychology Gen. 2001;130(3):436–52.

[25] . Brewer NT, Chapman GB, Gibbons FX, Gerrard M, McCaul KD, Weinstein ND. Meta-analysis of the relationship between risk perception and health behavior: The example of vaccination. Health Psychology. 2007;26(2):136–45.