Nurses Self-Efficacy Caring for COVID-19 Patients: A Qualitative Study

  • Rai Dewi Damayanthi Pande Sanglah General Hospital, Bali, Indonesia
  • Dinar Saurmauli Lubis Master of Public Health Program, Faculty of Medicine, Udayana University, Bali, Indonesia
  • Cokorda Bagus Jaya Lesmana Department of Psychiatry, Faculty of Medicine, Udayana University/Sanglah Central Hospital, Bali, Indonesia
Keywords: self-efficacy, covid-19, covid-19 isolation room nurses, personal variables, organizational variables, external variables

Abstract

The Covid-19 pandemic causes nurses to experience various physical and mental stresses to deal with rapid case escalation with severe patient conditions. The workload of nurses is increasing and they are required to quickly adapt to the change in the function of the treatment room into a Covid-19 Isolation Room. High self-efficacy is needed for motivation and performance as well as controlling stress. This study aims to obtain an overview of the sources of nurse self-efficacy and explore other themes related to nurse self-efficacy in the Covid-19 Isolation Room. This research is a qualitative research by conducting semi-structured in-depth interviews with 12 informants. The informants were selected by purposive sampling consisting of the shift nurse, the team leader and the head nurse. Data analysis techniques with manual thematic analysis. The stress faced by nurses in the Covid-19 Isolation Room is related to workload, job risks and relational relationships at work and in the community. Sources of informants' self-efficacy were obtained from mastery experiences  through internships, vicarious experiences from role models and social persuasion from friends and superiors. Three themes were found that affect self-efficacy, namely personal, organizational and external variables. In each theme also found several sub-themes. In order to increase nurse's self-efficacy, it is necessary to utilize self-efficacy sources, maximize personal variables and get support from family and organizations.

 

References

Abidin, M. I. Z., Pangtuluran, Y., & Maria, S. (2016). Pengaruh Kepuasan Kerja, Lingkungan Kerja Dan Efikasi Diri Terhdap Komitmen Organisasi Di Rumah Sakit Smc Samarinda. Jurnal Ekonomi Dan Keuangan, 13(1), 1–10.

Ariefyanto. (2013). Mentorship dalam Keperawatan. https://ariefyantoshared.wordpress.com/2013/12/03/mentorship-dalam-keperawatan

Astuti, A. ., & Hidayati, L. . (2017). Hubungan Tingkat Spiritualitas dengan self efficacy pada pasien Diabetes Melitus di wilayah kerja Puskesmas Mlati I Yogyakarta. 1–12. http://repository.umy.ac.id/bitstream/handle/123456789/15320/d. ABSTRAK.pdf?sequence=4&isAllowed=y

Bandura, A. (1994). Self-Efficacy. In V. S. Ramachaudran (Ed.), Encyclopedia of Human Behavior (Vol., 4(1994), 71–81.

Bandura, A. (1997). Self-Efficacy. American Journal of Health Promotion, 12 No.1(September/October 1997), 8–10.

Bandura, A., & Locke, E. A. (2003). Negative Self-Efficacy and Goal Effects Revisited. Journal of Applied Psychology, 88(1), 87–99. https://doi.org/10.1037/0021-9010.88.1.87

Clarke, V., & Braun, V. (2017). Thematic analysis. The Journal of Positive Psychology, 9760, 1–2. https://doi.org/10.1080/17439760.2016.1262613

Dewi, S., & Hidayati, F. (2015). Self-Compassion Dan Altruisme Pada Perawat Rawat Inap Rsud Kota Salatiga. Empati, 4(1), 168–172.

Duncan, D. (2020). What the COVID-19 pandemic tells us about the need to develop resilience in the nursing workforce. Nursing Management RCN Publising Company Limited, May, 1–6. https://doi.org/10.7748/nm.2020.e1933

Elkazaz, R. H., & Berma, A. E. (2017). STRESS AND SELF EFFICACY AMONG NURSES IN NEONATAL INTENSIVE CARE UNITS. International Journal of Research-Granthaalayah, 5(2), 237–251. https://doi.org/https://doi.org/10.5281/zenodo.345678

Febriansyah, G. (2019). Hubungan Antara Efikasi Diri Dengan Altruisme Pada Relawan Palang Merah Indonesia. Empati, 7(4), 195–205.

Fida, R., Laschinger, H. K. S., & Leiter, M. P. (2016). The protective role of self-efficacy against workplace incivility and burnout in nursing : A time-lagged study. Health Care Management Review, 00(0), 1–9. https://doi.org/10.1097/HMR.0000000000000126

Fismasari, Z., & Edwina, T. . (2012). Hubungan Antara Efikasi Diri dan Dukungan keluarga dengan Kinerja pada Perawat. Jurnal Kajian Akuntansi Dan Bisnis, 012.

Gillespie, B. M., Chaboyer, W., Wallis, M., & Grimbeek, P. (2007). Resilience in the operating room: developing and testing of a resilience model. JAN Theoritical Paper The Author Journal Compilation@2007 Blackwell Publishing Ltd, 2007, 427–438. https://doi.org/10.1111/j.1365-2648.2007.04340.x

Handiyani, H., Sari, A., Karmila, R., & Wagiono, A. (2019). Nurses ’ self-efficacy in Indonesia. Enfemeria Clinica, 29(June 2019), 252–256. https://doi.org/https://doi.org/10.1016/j.enfcli.2019.04.030

Hassankhani, H., Mohajjel Aghdam, A., Rahmani, A., & Mohammadpoorfard, Z. (2015). The Relationship between Learning Motivation and Self Efficacy among Nursing Students. Research and Development in Medical Education, 4(1), 97–101. https://doi.org/10.15171/rdme.2015.016

Kurnia, T. A., Trisyani, Y., & Prawesti, A. (2019). Factors Associated with Nurses’ Self-Efficacy in Applying Palliative Care in Intensive Care Unit. Jurnal Ners, 13(2), 219. https://doi.org/10.20473/jn.v13i2.9986

Manojlovich, M. (2005). Promoting nurses’ self-efficacy: A leadership strategy to improve practice. Journal of Nursing Administration, 35(5), 271–278. https://doi.org/10.1097/00005110-200505000-00011

Mariani, B. . (2017). Faktor-Faktor Personal Sebagai Prediktor Terhadap Resiliensi Perawat Di Rumah Sakit Penyakit Infeksi. The Indonesian Journal of Infectious Disease, 2017, 14–21.

Molero, M. del M., Pérez-Fuentes, M. del C., & Gázquez, J. J. (2018). Analysis of the mediating role of self-efficacy and self-esteem on the effect of workload on Burnout’s influence on nurses’ plans to work longer. Frontiers in Psychology, 9(DEC), 1–7. https://doi.org/10.3389/fpsyg.2018.02605

Pisanti, R., Lombardo, C., Lucidi, F., Lazzari, D., & Bertini, M. (2008). Development and validation of a brief Occupational Coping Self-Efficacy Questionnaire for Nurses. Journal of Advanced Nursing :Research Methodology, 62 (2)(2008), 238–247. https://doi.org/10.1111/j.1365-2648.2007.04582.x

Schönfeld, P., Brailovskaia, J., Bieda, A., Zhang, X., & Margraf, J. (2016). The effects of daily stress on positive and negative mental health : Mediation through self-efficacy. International Journal of Clinical and Health Psychology, 16, 1–10. https://doi.org/E-mail address: pia.schoenfeld@rub.de (P. Schönfeld). http://dx.doi.org/10.1016/j.ijchp.2015.08.005

Schunk, D. H. (1984). Enhancing self-efficacy and achievement through rewards and goals: Motivational and informational effects. Journal of Educational Research, 78(1), 29–34. https://doi.org/10.1080/00220671.1984.10885568

Soudagar, S., Rambod, M., & Beheshtipour, N. (2015). Factors associated with nursesâ self-effi cacy in clinical setting in Iran, 2013. Iranian Journal of Nursing and Midwifery Research, 20(2), 226–231.

Stewart, L. . (2000). Crisis Intervention Training for Nurses. University of Florida, USA.

Whitehead, D. ., Weiss, S. ., & Tappen, R. . (2010). Essentials of Nursing Leadership and Management (DaCunha (ed.); Fifth). F.A Davis Company.

WHO. (2020). Mental health and psychosocial considerations during the COVID-19 outbreak. March, 1–6. https://apps.who.int/iris/handle/10665/331490

Yuanyuan, M., Deng, L., Zhang, L., Lang, Q., Liao, C., Wang, N., & Qin, M. (2020). Work stress among Chinese nurses to support Wuhan in fighting against COVID-19 epidemic. J Nurs Management, March, 1–8. https://doi.org/10.1111/jonm.13014

Zimmerman, B. J. (2000). Self-Efficacy : An Essential Motive to Learn. Contemporary Educational Psychology, 82–91. https://doi.org/10.1006/ceps.1999.1016

Zulkosky, K. (2009). Self-Efficacy: A Concept Analysis. The Author Journal Compilation © (2009), Wiley Periodicals, Inc, 93–102.

Published
2023-03-02
How to Cite
1.
Pande RDD, Saurmauli Lubis D, Bagus Jaya Lesmana C. Nurses Self-Efficacy Caring for COVID-19 Patients: A Qualitative Study. NHSJ [Internet]. 2023Mar.2 [cited 2024Jun.25];3(1):37-5. Available from: https://nhs-journal.com/index.php/nhs/article/view/153
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