Factors Associated with Perceived Fear of COVID-19 in Penang, Malaysia: A Healthcare Professionals Survey

Authors

  • Vimala J Kasinathan Clinical Research Centre, Seberang Jaya Hospital, Penang, 13700 Perai, Pulau Pinang, Malaysia
  • Zarina Che Umar Clinical Research Centre, Penang General Hospital, Penang, 10990 George Town, Pulau Pinang, Malaysia
  • Nabisah Abdul Hamid Nursing Division, Seberang Jaya Hospital, Penang, 13700 Perai, Pulau Pinang, Malaysia

DOI:

https://doi.org/10.31674/mjn.2023.v14i04.016

Abstract

Background: This descriptive cross-sectional study aimed to assess the perceived fear of handling coronavirus disease 2019 (COVID-19) cases and its associated factors among healthcare professionals in two major hospitals in Penang, Malaysia, during the COVID-19 pandemic. Methods: Healthcare professionals working in clinical divisions, departments, and outpatient settings at Penang General Hospital and Seberang Jaya Hospital participated in this study. A total of 326 healthcare professionals who worked at these hospitals, aged between 20 and 58, were recruited between October 2020 and February 2021. The data was collected using a questionnaire. The questionnaire consisted of the validated COVID-19 scale. It also assessed 18 occupational risk exposures and socio-demographic characteristics. Results: Of the total 326 healthcare professionals surveyed, 172 (52.8%) perceived fear. Multiple linear regression analysis revealed that age, working department (discipline), working divisions, administering medications, and giving nebulizers to patients were significantly associated with perceived fear. In addition, socio-demographics and occupational risk exposures were essential correlates of fear among healthcare professionals when handling COVID-19 patients. Conclusion: The results of this study point to the necessity of increasing medical facilities and hiring more skilled healthcare workers to manage newly emerging and reemerging infectious illnesses in the healthcare environment.

Keywords:

Healthcare Professionals, Pandemic, COVID-19, Fear

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References

Ahorsu, D. K., Lin, C. Y., Imani, V., Saffari, M., Griffiths, M. D., & Pakpour, A. H. (2020). The fear of COVID-19 scale: development and initial validation. International Journal of Mental Health and Addiction, 1-9. https://doi.org/10.1007/s11469-020-00270-8

Alnazly, E., Khraisat, O. M., Al-Bashaireh, A. M., & Bryant, C. L. (2021). Anxiety, depression, stress, fear and social support during COVID-19 pandemic among Jordanian healthcare workers. PLoS One, 16(3), e0247679. https://doi.org/10.1371/journal.pone.0247679

ANA. (2020). Survey: Nurses Fear Going to Work Due to Lack of Protection from Virus More than 32k Nurses Share Experience from the Front Lines. https://www.nursingworld.org/news/news-releases/2020/survey-nurses-fear-going-to-work-due-to-lack-of-protection-from-virus-more-than-32k-nurses-share-experience-from-the-front-lines/

Brooks, S. K., Webster, R. K., Smith, L. E., Woodland, L., Wessely, S., Greenberg, N., & Rubin, G. J. (2020). The psychological impact of quarantine and how to reduce it: rapid review of the evidence. The Lancet, 395(10227), 912-920. https://doi.org/10.1016/s0140-6736(20)30460-8

Cai, H., Tu, B., Ma, J., Chen, L., Fu, L., Jiang, Y., & Zhuang, Q. (2020). Psychological impact and coping strategies of frontline medical staff in Hunan between January and March 2020 during the outbreak of coronavirus disease 2019 (COVID-19) in Hubei, China. Medical Science Monitor: International Medical Journal of Experimental and Clinical Research, 26, e924171-1. https://doi.org/10.12659/msm.924171

Cawcutt, K. A., Starlin, R., & Rupp, M. E. (2020). Fighting fear in healthcare workers during the COVID-19 pandemic. Infection Control & Hospital Epidemiology, 41(10), 1192-1193. https://doi.org/10.1017/ice.2020.315

Chan, J. F. W., Yuan, S., Kok, K. H., To, K. K. W., Chu, H., Yang, J., ... & Yuen, K. Y. (2020). A familial cluster of pneumonia associated with the 2019 novel coronavirus indicating person-to-person transmission: a study of a family cluster. The Lancet, 395(10223), 514-523. https://doi.org/10.1016/s0140-6736(20)30154-9

Covid, C. D. C., Team, R., Burrer, S. L., de Perio, M. A., Hughes, M. M., Kuhar, D. T., ... & Walters, M. (2020). Characteristics of health care personnel with COVID-19—United States, February 12–April 9, 2020. Morbidity and Mortality Weekly Report, 69(15), 477. https://doi.org/10.15585/mmwr.mm6915e6

De los Santos, J. A. A., & Labrague, L. J. (2021). The impact of fear of COVID-19 on job stress, and turnover intentions of frontline nurses in the community: A cross-sectional study in the Philippines. Traumatology, 27(1), 52. https://doi.org/10.1037/trm0000294

Din, M. A. U., & Boppana, L. K. T. (2020). An update on the 2019-nCoV outbreak. American Journal of Infection Control, 48(6), 713. https://doi.org/10.1016/j.ajic.2020.01.023

Dong, L., Hu, S., & Gao, J. (2020). Discovering drugs to treat coronavirus disease 2019 (COVID-19). Drug Discoveries & Therapeutics, 14(1), 58-60. https://doi.org/10.5582/ddt.2020.01012

European Centre for Disease Prevention and Control. ECDC, (January 17, 2020). Cluster of pneumonia cases caused by a novel coronavirus, Wuhan, China. https://www.ecdc.europa.eu/sites/default/files/documents/Risk%20assessment%20-%20pneumonia%20Wuhan%20China%2017%20Jan%202020.pdf

Fauci, A. S., & Morens, D. M. (2012). The perpetual challenge of infectious diseases. New England Journal of Medicine, 366(5), 454-461. https://doi.org/10.1056/NEJMra1108296

Fennelly, K., & Whalen, C. C. (2020). Asymptomatic health-care worker screening during the COVID-19 pandemic. The Lancet, 396(10260), 1393. https://doi.org/10.1016/s0140-6736(20)32208-x

Ganasegeran, K., Ch’ng, A. S. H., & Looi, I. (2020). COVID-19 in Malaysia: Crucial measures in critical times. Journal of Global Health, 10(2). https://doi.org/10.7189/jogh.10.020333

Ganasegeran, K., Ch’ng, A. S. H., & Looi, I. (2021). What is the estimated COVID-19 reproduction number and the proportion of the population that needs to be immunized to achieve herd immunity in Malaysia? A mathematical epidemiology synthesis. Covid, 1(1), 13-19. https://doi.org/10.3390/covid1010003

Guan, W. J., Ni, Z. Y., Hu, Y., Liang, W. H., Ou, C. Q., He, J. X., ... & Zhong, N. S. (2020). Clinical characteristics of coronavirus disease 2019 in China. New England Journal of Medicine, 382(18), 1708-1720. https://doi.org/10.1056/NEJMoa2002032

Hu, D., Kong, Y., Li, W., Han, Q., Zhang, X., Zhu, L. X., ... & Zhu, J. (2020). Frontline nurses’ burnout, anxiety, depression, and fear statuses and their associated factors during the COVID-19 outbreak in Wuhan, China: A large-scale cross-sectional study. E-ClinicalMedicine, 24, 100424. https://doi.org/10.1016/j.eclinm.2020.100424

Huang, L., Lei, W., Xu, F., Liu, H., & Yu, L. (2020). Emotional responses and coping strategies in nurses and nursing students during Covid-19 outbreak: A comparative study. PloS One, 15(8), e0237303. https://doi.org/10.1371/journal.pone.0237303

Jackson, D., Bradbury‐Jones, C., Baptiste, D., Gelling, L., Morin, K., Neville, S., & Smith, G. D. (2020). Life in the pandemic: Some reflections on nursing in the context of COVID‐19. Journal of Clinical Nursing, 29(13-14), 2041. https://doi.org/10.1111/jocn.15257

Khalid, I., Khalid, T. J., Qabajah, M. R., Barnard, A. G., & Qushmaq, I. A. (2016). Healthcare workers emotions, perceived stressors and coping strategies during a MERS-CoV outbreak. Clinical Medicine & Research, 14(1), 7-14. https://doi.org/10.3121/cmr.2016.1303

Lai, J., Ma, S., Wang, Y., Cai, Z., Hu, J., Wei, N., ... & Hu, S. (2020). Factors associated with mental health outcomes among health care workers exposed to coronavirus disease 2019. JAMA Network Open, 3(3), e203976-e203976. https://doi.org/10.1001/jamanetworkopen.2020.3976

Lam, K. K., & Hung, S. Y. M. (2013). Perceptions of emergency nurses during the human swine influenza outbreak: A qualitative study. International Emergency Nursing, 21(4), 240-246. https://doi.org/10.1016/j.ienj.2012.08.008

Lee, J. Y., Hong, J. H., & Park, E. Y. (2020). Beyond the fear: Nurses’ experiences caring for patients with Middle East respiratory syndrome: A phenomenological study. Journal of Clinical Nursing, 29(17-18), 3349-3362. https://doi.org/10.1111/jocn.15366

Lee, S. M., Kang, W. S., Cho, A. R., Kim, T., & Park, J. K. (2018). Psychological impact of the 2015 MERS outbreak on hospital workers and quarantined hemodialysis patients. Comprehensive Psychiatry, 87, 123-127. https://doi.org/10.1016/j.comppsych.2018.10.003

Lin, C. Y. (2020). Social reaction toward the 2019 novel coronavirus (COVID-19). Social Health and Behavior, 3(1), 1. https://doi.org/10.4103/SHB.SHB_11_20

Liu, Q., Luo, D., Haase, J. E., Guo, Q., Wang, X. Q., Liu, S., ... & Yang, B. X. (2020). The experiences of health-care providers during the COVID-19 crisis in China: a qualitative study. The Lancet Global Health, 8(6), e790-e798. https://doi.org/10.1016/s2214-109x(20)30204-7

Mhango, M., Dzobo, M., Chitungo, I., & Dzinamarira, T. (2020). COVID-19 risk factors among health workers: a rapid review. Safety and Health at Work, 11(3), 262-265. https://doi.org/10.1016/j.shaw.2020.06.001

Rampal, L., Liew, B. S., Choolani, M., Ganasegeran, K., Pramanick, A., Vallibhakara, S. A., Tejativaddhana, P., & Hoe, V. C. (2020). Battling COVID-19 pandemic waves in six South-East Asian countries: A real-time consensus review. The Medical Journal of Malaysia, 75(6), 613–625.

Raven, J., Wurie, H., & Witter, S. (2018). Health workers’ experiences of coping with the Ebola epidemic in Sierra Leone’s health system: a qualitative study. BMC Health Services Research, 18, 1-9. https://doi.org/10.1186/s12913-018-3072-3

Saleem, Z., Majeed, M. M., Rafique, S., Siqqiqui, Z., Ghandhi, D., Tariq, H., & Zegarra-Valdivia, J. A. (2020). COVID-19 pandemic fear and anxiety among healthcare professionals in Pakistan. https://doi.org/10.21203/rs.3.rs-37608/v2

Sampaio, F., Sequeira, C., & Teixeira, L. (2021). Impact of COVID-19 outbreak on nurses’ mental health: A prospective cohort study. Environmental Research, 194, 110620. https://doi.org/10.1016/j.envres.2020.110620

Wang, D., Hu, B., Hu, C., Zhu, F., Liu, X., Zhang, J., ... & Peng, Z. (2020). Clinical characteristics of 138 hospitalized patients with 2019 novel coronavirus–infected pneumonia in Wuhan, China. Jama, 323(11), 1061-1069. https://doi.org/10.1001/jama.2020.1585

World Health Organization. (‎2020)‎. Novel Coronavirus (‎2019-nCoV)‎: situation report, 1. World Health Organization. https://apps.who.int/iris/handle/10665/330760

Xu, M. C., & Zhang, Y. (2020). Psychological survey of the first-line clinical front-line support nurses to combat new coronavirus-infected pneumonia. Nursing Research of China, 34(3), 368-370. https://doi.org/10.3389/fpsyt.2020.598712

Published

30-04-2023

How to Cite

Kasinathan, V. J. ., Umar, Z. C., & Hamid, N. A. (2023). Factors Associated with Perceived Fear of COVID-19 in Penang, Malaysia: A Healthcare Professionals Survey. The Malaysian Journal of Nursing (MJN), 14(4), 152-162. https://doi.org/10.31674/mjn.2023.v14i04.016

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