Background During the COVID-19 pandemic, healthcare professionals (HCP) might experience mental health problems and work-related stress, which can lead to less satisfaction at work and decreased health and quality of life in the long period. This study aims to explore the role of mental health and workplace satisfaction on the quality of life in health professionals who are involved in handling the COVID-19 pandemic. Methods This study was a cross-sectional approach using purposive sampling techniques. The online survey was conducted from May through September 2020. A total of 200 respondents from the West Java province in Indonesia were included. Data on mental health, work satisfaction, and quality of life were analyzed using descriptive statistics, Pearson’s correlation coefficient, and multivariate regression analysis. Responses to open questions regarding concerns and strengths were analyzed using thematic analysis. Results An increased mental health symptom experienced by healthcare professionals was associated with decreased health status (β=−0.724, p=0.001) and self-perceived health (β=−0.59, p=0.001). Further, serving patients with COVID-19 (β=−0.133, p=0.024) was related to lower health status. Five themes emerged regarding concerns about being exposed to COVID-19, namely 1) fear of transmitting the virus, 2) the impact of COVID-19 on family life, 3) death and isolation, 4) personal safety, and 5) social stigma. Five themes emerged regarding the source of encouragement and strength, ie. 1) religiosity, 2) social support systems, 3) the moral responsibility of the profession, 4) following health and safety protocols, and 5) acceptance and positive attitudes towards the future. Conclusion Mental health problems impacted the quality of life. Serving patients with COVID-19 could predict lower health status. HCPs’ concerns and sources of strength when exposed to COVID-19 are discussed. Our results give a better understanding of the factors that can decrease and improve HCPs’ quality of life, therefore can be used to design psychological interventions to lower HCP’s psychological problems and improving their quality of life.
Background: Non-adherence to treatment regimens is a widespread problem of great clinical relevance among hemodialysis patients. However, only few studies have addressed the factors of non-adherence in End Stage Renal Disease (ESRD) patients, and none conducted in the Indonesia. Objective: The present study explores the reasons of non-adherence in end stage renal disease patients undergoing hemodialysis in Indonesia seen from perspectives of patients, caregivers and health professionals. Methods: The study is conducted using qualitative methods and is set in the hemodialysis unit in a private hospital in Bandung. A total of 23 respondents were recruited in this study. All participants were selected through purposive sampling and invited to participate in semi-structured interviews with open-ended questions. The data obtained were written in verbatim and analyzed using thematic analysis. Results: The six main themes related to non-adherence emerged. These themes were categorized into two clusters namely: (1) factors related to patient (patient related factors) (negative perception and treatment belief, denial, lack of awareness and knowledge and negative feelings) and (2) factors related to the treatment (treatment burden and financial problems). Conclusion: The findings showed determinants of non-adherence in ESRD patients from perspective of patients, caregivers and health professional. The finding from this study can be used as a base for designing an intervention, aimed to increase the adherence to treatment in ESRD patients who are undergoing hemodialysis.
Environmental issues have become global issues. Environmental damage caused by human activities has entered an alarming stage, which is basically more due to the nescience of the community to protect the environment. This nescience is also triggered by the lack of individual understanding of the importance of protecting the environment. Therefore, it is necessary to conduct environmental awareness activities to the community through counseling activities that take the Green Ethos theme. The target object of this counseling activity is junior high school students. The method used in this research is the description method, as an initial step to identify sources of information that form the understanding and environmental awareness possessed by the object of research. Data collection techniques used were using observation techniques and focus group discussions. The results show that the understanding and awareness of junior high school students in the city of Bandung tend to be formed from information obtained from friends, non-formal education, mass media, internet media, internet media, parents and teachers. However, there are a number of obstacles that become resistors for them to be able to actively participate in protecting the environment, among others are the availability of facilities such as a trash can that has been categorized, making it easier for students to dispose of waste according to their type, lack of available drinking water in public facilities to reduce the consumption of plastic beverage waste in packaging, as well as eating and drinking habits on the street or other public facilities which only provide minimal trash can
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