Working Tenure as One of the Factor Associated with Stigma towards Healthcare Practitioners during Pandemic
DOI:
https://doi.org/10.56667/jikdi.v4i1.1355Keywords:
COVID-19 test, healthcare practitioners, mixed method, stigmaAbstract
Background: Healthcare practitioners faced psychological challenges, including stigmatization, during the COVID-19 pandemic. Both healthcare practitioners and the general population experienced stigma due to uncertainty. Aim: To understand factors associated with social stigma towards healthcare practitioners caring for COVID-19 patients. Method: A sequential mixed methods study was conducted. Quantitative data were collected first through an online survey distributed via WhatsApp to nursing directors at private hospitals, using the Indonesian version of the stigma scale. A total of 195 healthcare professionals (184 medical, 9 non-medical) participated. High-stigma participants were interviewed. Data were analyzed using descriptive statistics, ANOVA, and hierarchical regression. Thematic analysis was used for qualitative data. Results: Participants included nurses (84.5%), midwives (5.2%), doctors (5.7%), and non-medical professionals (4.6%). Probable COVID-19 status positively correlated with profession type (r=0.144, p<0.047). Stigma scores negatively correlated with COVID-19 testing type (r=-0.147, p<0.042) and working tenure (r=-0.147, p<0.041). Hierarchical regression showed that working tenure, probable status, and testing type predicted stigma. Profession type and confirmed cases did not predict stigma. Qualitative findings indicated junior nurses (1-2 years tenure) experienced stigma, especially when visiting testing facilities and having probable status. The negative correlation between tenure and stigma was consistent in qualitative data. Conclusions: Working tenure, probable COVID-19 status, and testing type are associated with stigma among healthcare practitioners. Recommendation: Future studies should use more rigorous designs and validated COVID-19-specific tools.
References
Ampon-Wireko, S., Zhou, L., Quansah, P. E., & Larnyo, E. (2022). Understanding the effects of COVID-19 stigmatisation on job performance: a survey of frontline healthcare workers. Annals of Medicine, 54(1). https://doi.org/10.1080/07853890.2022.2089910
Cassiani-Miranda, C. A., & ... (2020). Stigma-discrimination: Significant collateral damage of COVID-19. Indian Journal of Psychiatry. https://journals.lww.com/indianjpsychiatry/Fulltext/2020/62050/Stigma_discrimination__Significant_collateral.38.aspx
Creswell, J. (2018). Research design: Qualitative, quantitative, and mixed methods approach (4th ed.). Los Angeles: Sage.
De Korte, R. T., Vellacott, E. L., Pongtiku, A., Rantetampang, A. L., & Van Brakel, W. H. (2018). Neglected tropical diseases (NTD) morbidity and disability toolkit validation: A cross-sectional validation study of the EMIC-AP stigma scale for affected persons and the WHOQOL-DIS scale in Papua, Indonesia. Leprosy Review, 89, 219-230.
Dye, T. D., Alcantara, L., Siddiqi, S., Barbosu, M., Sharma, S., Panko, T., & Pressman, E. (2020). Risk of COVID-19-related bullying, harassment and stigma among healthcare workers: an analytical cross-sectional global study. BMJ open, 10(12), e046620. https://doi-org.autorpa.ntunhs.edu.tw/10.1136/bmjopen-2020-046620
InfoNTD. (2020). EMIC-affected persons. Retrieved from https://www.infontd.org/toolkits/emic-affected-persons
Mostafa, A., Sabry, W., & Mostafa, N. S. (2020). COVID-19-related stigmatization among a sample of Egyptian healthcare workers. PloS one, 15(12), e0244172. https://doi-org.autorpa.ntunhs.edu.tw/10.1371/journal.pone.0244172
Muhidin, S., Vizheh, M., & Moghadam, Z. B. (2020). Anticipating COVID‐19‐related stigma in survivors and health‐care workers: Lessons from previous infectious diseases outbreaks—An integrative literature review. psycnet.apa.org. https://doi.org/10.1111/pcn.13140
Rahmani, N., Roshan, F. S. S. N., Nabavian, M., & Alipour, H. (2023). The design and psychometric evaluation of a COVID-19 social stigma questionnaire in nurses. BMC Nursing, 22(1). https://doi.org/10.1186/s12912-023-01620-2
Ritin Mohindra, Divyashree K, Roop Kishor Soni, Vikas Suri, Ashish Bhalla & Shubh Mohan Singh (2021) The experience of social and emotional distancing among health care providers in the context of COVID-19: A study from North India, Journal of Human Behavior in the Social Environment, 31:1-4, 173-183, DOI: 10.1080/10911359.2020.1792385
Sulistiadi, W.,Rahayu, S., & Harmani, N. (2020). Handling of Public Stigma on COVID-19 in Indonesian Society. Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal), 1: 70-76. https://doi.org/10.21109/kesmas.v15i2.3909
Taylor, S., Landry, C. A., Rachor, G. S., Paluszek, M. M., & Asmundson, G. (2020). Fear and avoidance of healthcare workers: An important, under-recognized form of stigmatization during the COVID-19 pandemic. Journal of anxiety disorders, 75, 102289. https://doi-org.autorpa.ntunhs.edu.tw/10.1016/j.janxdis.2020.102289
Bagcchi S. (2020). Stigma during the COVID-19 pandemic. The Lancet. Infectious diseases, 20(7), 782. https://doi-org.autorpa.ntunhs.edu.tw/10.1016/S1473-3099(20)30498-9
Tsukuda, M., Ito, Y., Nojima, K., Kayano, T., & ... (2022). Development and Validation of the COVID-19-Related Stigma Scale for Healthcare Workers (CSS-HCWs). … and Public Health. https://www.mdpi.com/1660-4601/19/15/9641
Yufika, A., Pratama, R., Anwar, S., Winardi, W., Librianty, N., Prashanti, N., Harapan, H. (2021). Stigma Associated with COVID-19 Among Health Care Workers in Indonesia. Disaster Medicine and Public Health Preparedness, 1-5. doi:10.1017/dmp.2021.93
