Strategy within limitations during COVID-19 pandemic in Indonesia: Shortage of PPE, prevention, and neurosurgery practice

Lauren, Christopher; Iskandar, Angel; Argie, Donny; Malelak, Elric Brahm; Sebayang, Samuel Edhi Surata; Mawardy, Reza; Junaidy, Vito Masagus; Firmansyah, Yohanes

doi:10.15562/bmj.v9i3.1825

Cited by 8 publications

(12 citation statements)

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“…Formulate an exhaustive description of the phenomenon under study in as unequivocal a statement of identification as possible 7.…”

Section: Discussionmentioning

confidence: 99%

“…Improving the immunity system will also be very useful in the recovery process of COVID-19 [23], [24]. Efforts such as sunbathing, dietary adjustment, and consuming vitamins continuously can increase immunity to accelerate the recovery process from COVID-19 infection [7]. All that self-management they do is fully conscious without coercion from others.…”

Section: Discussionmentioning

confidence: 99%

“…Another consideration of self-isolation at home was the health workers had sufficient knowledge as well as ability to perform their self-management at home. Moreover, the hospitals were full of COVID-19 patients from civil society who had severe signs and symptoms [6], [7].…”

Section: Introductionmentioning

confidence: 99%

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Exploring of Self-management Experience among Health Professional Survivors from Coronavirus Disease 2019 in West Nusa Tenggara, Indonesia

Pranata

Purwadi

et al. 2021

Open Access Maced J Med Sci

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BACKGROUND: Coronavirus is a health problem that is happened worldwide and impacted on many sectors. However, there is no research that provides information on health professional survivors from coronavirus disease 2019 (COVID-19) experience in self-management. AIM: The purpose of this study is to explore self-management experience among health professional survivors from COVID-19 in West Nusa Tenggara, Indonesia. METHODS: Purposive sampling, one-on-one, in-depth with semi-structural interviews was conducted to collect the data in this study. Data saturation was achieved after interviewing twelve health professional survivors from COVID-19 in West Nusa Tenggara, Indonesia. Narratives were analyzed by Colaizzi’s (1978) seven-step method. RESULTS: Four emergent themes were identified in this study including self-awareness (preventing transmission, improving immunity system, dietary adjustment and accessing appropriate treatment), social relationship (negative feeling and social support), stress management (sharing experience each other’s, reducing negative emotional, and self-introspection), focus on learning (looking for information from survival COVID-19, looking for information from YouTube and looking for information from google search). CONCLUSION: The experience among health professionals in self-management while struggling to recover quickly from COVID-19 can be used as valuable information for Indonesian society.

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“…Formulate an exhaustive description of the phenomenon under study in as unequivocal a statement of identification as possible 7.…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Exploring of Self-management Experience among Health Professional Survivors from Coronavirus Disease 2019 in West Nusa Tenggara, Indonesia

Pranata

Purwadi

et al. 2021

Open Access Maced J Med Sci

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“…Lack of PPE for healthcare workers such as coveralls, N95 masks, and face shields across healthcare facilities in the country is particularly worrying (18). Such shortage has been reported even in COVID-19 referral hospitals (28). In healthcare facilities where hazmat suits are severely limited, healthcare personnel must wear thin plastic raincoats when transporting patients under observation for COVID-19 (13).…”

Section: Stuff (Supplies)mentioning

confidence: 99%

“…Some healthcare workers have had to reuse masks and gloves. This shortage was the worst when the public was panic buying and stockpiling medical-grade masks, hand sanitizers, and gloves, which caused the price to increase drastically (28). To better manage the limited supply of PPE and essential equipment, the MoH has also introduced guidelines for hospitals to differentiate distribution of PPE based on the level of risk of the hospital service area, i.e., red zone (COVID-19 areas) and green zone (Non-COVID-19 areas) (29).…”

Section: Stuff (Supplies)mentioning

confidence: 99%

The Capacity of the Indonesian Healthcare System to Respond to COVID-19

Mahendradhata

Andayani

Hasri

et al. 2021

Front. Public Health

166

103

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The Indonesian Government has issued various policies to fight Coronavirus Disease (COVID-19). However, cases have continued to fluctuate over a year into the pandemic. There is a need to assess the country's healthcare system's capacity to absorb and accommodate the varying healthcare demands. We reviewed the current capacity of Indonesia's healthcare system to respond to COVID-19 based on the four essential elements of surge capacity: staff, stuff, structure, and system. Currently available medical staffs are insufficient to deal with potentially increasing demands as the pandemic highlighted the human resources challenges the healthcare system has been struggling with. The pandemic has exposed the fragility of medical supply chains. Surges in the number of patients requiring hospitalization have led to depleted medical supplies. The existing healthcare infrastructure is still inadequate to deal with the rise of COVID-19 cases, which has also exposed the limited capacity of the healthcare infrastructure to manage medical waste. The COVID-19 pandemic has further exposed the weakness of the patient referral system and the limited capacity of the healthcare system to deliver essential health services under prolonged emergencies. The Indonesian Government needs to ramp up the country's healthcare capacity. A wide range of strategies has been proposed to address those mounting challenges. Notwithstanding, the challenges of increasing healthcare capacity highlight that such efforts could represent only one part of the pandemic response equation. Effective pandemic response ultimately requires governments' commitment to increase healthcare capacity and flatten the curve concurrently.

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Impact of hospital readiness on patient safety incidents during the COVID-19 pandemic in Indonesia: health worker perceptions

et al. 2022

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ObjectivesThis study examined the impact of hospital readiness on patient safety from the healthcare workers’ perspective.DesignThe study employed a mixed-methods explanatory sequential design, with the quantitative phase taking precedence. We conducted an online survey of 235 healthcare workers at COVID-19 referral hospitals, followed by an interview with 11 participants from various hospital types.SettingCOVID-19 referral hospitals in Indonesia.ParticipantsHealth workers working at COVID-19 referral hospitals.MeasuresHospital ownership; hospital accreditation status; hospital readiness including incident management system, surge capacity, infection control and prevention, and human resource management; patient safety incident.ResultsAccording to the survey, 66.4% of the participants worked at a hospital owned by the provincial or district government, and 69.4% worked at a hospital which had received an excellent status accreditation. More than 80% of the hospitals scored well in the categories of the incident management system (86%), surge capacity (80.9%), infection control and prevention (97.9%), and human resource management (84.7%). However, only 50.6% of the hospitals scored well in managing patient safety incidents. Hospital ownership, accreditation status and hospital readiness all have an impact on patient safety incidents, which were reported in all types of hospitals by both studies.ConclusionsThis study provides significant results for Indonesia in terms of hospital preparedness and patient safety for the COVID-19 pandemic. The accreditation and ownership status of the hospital have aided hospital readiness. Despite the fact that no hospital in the world was prepared for the COVID-19 pandemic, hospital readiness has improved a year later; however, patient safety has not improved. Patient safety incidents occurred regardless of hospital status, with the most common occurrence being delayed treatment. Administrative errors were also recorded in COVID-19 field hospitals that were not accredited. Future research should focus on improving pandemic care quality and implementing initiatives that are applicable to all types of hospitals.

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Strategy within limitations during COVID-19 pandemic in Indonesia: Shortage of PPE, prevention, and neurosurgery practice

Abstract: N/A

Cited by 8 publications

References 0 publications

Exploring of Self-management Experience among Health Professional Survivors from Coronavirus Disease 2019 in West Nusa Tenggara, Indonesia

Exploring of Self-management Experience among Health Professional Survivors from Coronavirus Disease 2019 in West Nusa Tenggara, Indonesia

The Capacity of the Indonesian Healthcare System to Respond to COVID-19

Impact of hospital readiness on patient safety incidents during the COVID-19 pandemic in Indonesia: health worker perceptions

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