How Do Hospital Staff Cope with Covid-19 at Work? A Phenomenological Study

Wahyu Febrianto, Wiwin Indriani, A. Dewanto, H. Holipah
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Abstract

The Covid-19 pandemic has brought negative consequences on hospital finances, the mental health of health care workers (HCWs), and even resulted in the deaths of several health workers at Hasta Brata Hospital (HBH). This study aimed to explore the experiences of HBH's staff in dealing with the pandemic in the hospital. This research is qualitative research with a phenomenological approach. Data were collected using in-depth interviews with two of HBH's staff and then followed by the theme analysis. Hospital staff experienced job demands including emotional and physical stress at work, fear of infection, repeated conflicts with patient visitors, different mindsets among staff, increased workload, and feelings of frustration towards people who do not comply with prevention protocols. Fortunately, they had adequate job resources, ranging from the provision of personal protective equipment, nutrition improvement, and regular Covid-19 screening; update knowledge and methods of handling Covid-19; to motivational and spiritual support from HBH leaders. The staff also had strong personal resources so that they could cope with stressful work situations, feel optimistic that they could win against Covid-19, and hoped that the pandemic would end. Spiritual support embodies tawakal, an Islamic concept that gives complete surrender to God after employing maximum effort. The presence of strong job and personal resources has moderated job demands and resulted in work engagement. Tawakal is an added value for personal resources staff who finally realize that Covid-19 cannot be avoided and must be fought before surrendering entirely to God.
医院工作人员如何应对Covid-19 ?现象学研究
2019冠状病毒病大流行给医院财务和卫生保健工作者的心理健康带来了负面影响,甚至导致哈斯塔布拉塔医院(HBH)的几名卫生工作者死亡。本研究旨在探讨HBH员工在医院应对大流行的经验。本研究采用现象学方法进行定性研究。通过对两名HBH员工的深度访谈收集数据,然后进行主题分析。医院工作人员经历的工作需求包括工作中的情绪和身体压力、对感染的恐惧、与病人访客的反复冲突、工作人员之间的不同心态、工作量增加以及对不遵守预防协议的人感到沮丧。幸运的是,他们有足够的工作资源,包括提供个人防护装备、改善营养和定期进行Covid-19筛查;更新应对Covid-19的知识和方法;获得HBH领导人的激励和精神支持。工作人员也有强大的个人资源,可以应对紧张的工作环境,对自己能够战胜Covid-19感到乐观,并希望大流行能够结束。精神上的支持体现了tawakal,这是一个伊斯兰教的概念,在付出最大的努力后完全臣服于上帝。强大的工作和个人资源的存在缓和了工作需求并导致了工作投入。Tawakal对个人资源工作人员来说是一种附加价值,他们最终意识到Covid-19无法避免,必须在完全向上帝投降之前进行战斗。
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