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Published: Pena Cendekia Insani
THE INFLUENCE OF WORKLOAD ON THE WORK STRESS OF NURSES IN
THE INPATIENT ROOM AT MITRA MEDIKA AMPLAS HOSPITAL
Rahmawati Tarigan1.
Aida Sulisna2.
Andini Mentari Tarigan3 Department of Public Health.
Institut Kesehatan Helvetia.
Indonesia
Article Info
ABSTRACT
Article history:
Introduction: Workload is the volume of work that is imposed on a person both physically and mentally and is his responsibility.
Job stress is a condition of physical and psychological imbalance, which affects one's emotions, thought processes.
Based on the results of the initial survey, nurses said that the large number of patients was not matched by the number of nurses which caused workload, a full room also resulted in workload, work stress experienced, namely patient complaints, uncooperative patient families and lack of equipment.
Objectives: To identify and identify the effect of workload on nurses' work stress in inpatient rooms at Mitra Medika Hospital.
Methods: This type of research uses a quantitative cross-sectional approach .
The population and sample in this study used the Accidental Sampling Technique with a sample of 68 inpatient nurses.
Results: Chi square test there is a significant relationship between the internal performance load variable and the work stress of nurses in the inpatient room of Mitra Medika Amplas Hospital with a p-value of 0.
00 0 <0.
05 and there is a significant relationship between the external performance load variable and work stress of nurses in the inpatient room of Mitra Medika Amplas Hospital with a p-value of 0.
00 0 <0.
Conclusion: Based on data analysis, there is an influence of internal and external workload on work stress experienced by nurses in the inpatient room of Mitra Medika Amplas Hospital.
The advice that can be given is that it is hoped that the hospital management will pay attention to the workload of nurses again, by increasing the number of nurses in the inpatient room and conducting routine nursing performance evaluations in order to improve the quality of nursing care .
Received : 12 March 2022 Revised : 07 April 2022 Accepted : 19 May 2022 Keywords:
Workload.
Work Stress.
Nurses This is an open access article under the CC BY-SAlicense.
Corresponding Author:
Rahmawati Tarigan.
Department of Public Health Institut Kesehatan Helvetia.
Indonesia Email: rahma.
tarigan75@gmail.
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INTRODUCTION
Work is an activity to get results from the effort that has been done, too much work will affect a high workload which will cause one's work stress.
Workload is everything that includes the amount or difficulty of a person's work.
Job stress is a condition of physical and psychological imbalance, which affects one's emotions, thought processes, and conditions.
Stress that arises and is not handled properly will certainly have an impact on psychology and attitudes, this greatly affects the quality of one's work .
Services in hospitals are organizations engaged in the service sector, in these conditions hospital managers and human resource managers in them are required to manage it properly, and reliable health is also needed, one of which is nursing staff .
Nursing personnel are one of the necessary types of health workers without which hospital services cannot run .
Therefore, nursing in a hospital must be considered for its management so that hospital services run well so that they can meet the increasingly high demands of patients.
The success of the hospital in carrying out each of its roles can be seen from the quality of service .
Nurses have an important role in hospitals, this is because nurses meet patients more often than doctors.
Nurses in hospitals have a lot of tasks and responsibilities set by the hospital itself, so that the work done by nurses can provide a separate workload due to the many tasks and pressures that exist .
This workload will eventually cause pressure on nurses so that it affects the performance of nurses .
In carrying out their duties, nurses are prone to stress.
Nurses are not only related to patients, also with the work environment of nurses.
What can cause stress is the limited human The number of nurses with an unequal number of patients will cause fatigue at work because the patient's need for nurse services is greater than the standard ability of nurses.
This condition will have an impact on the psychological state of nurses such as fatigue, emotion, boredom, mood changes and can cause stress for nurses .
Work stress can also be triggered if a job carried out by a nurse exceeds the limits of her abilities which in the end results in a pressure that the nurse will experience.
This course will also greatly affect the performance of nurses .
Workload is the volume of work that is imposed on the workforce both physically and mentally and is their responsibility.
Every job is a burden for the perpetrator and each workforce has its own ability to handle its workload as workload which can be physical, mental or social work.
Workload is felt to be optimal for someone if the placement of the right workforce in the right job or the selection of the healthiest workforce for the healthiest job as well.
The degree of a work placement includes compatibility of experience, skills, motivation and so on .
Stress is a negative reaction from people who experience excessive pressure placed on them due to too many demands, obstacles or opportunities.
A condition of tension that affects one's emotions, thought processes and conditions .
Job stress can also be interpreted as a source or work stress that causes individual reactions in the form of physiological, psychological and behavioral reactions.
Work stress is all work conditions that are perceived by employees as a demand and can cause work stress.
Other factors that are also related to nurse work stress include:
motivation, rewards or salaries, rewards, work environment, relationships with other staff and superiors .
One of the cases faced by many hospitals today is work stress experienced by nurses due to excessive workload.
The more patients, the workload of nurses will increase.
This results in stress which will affect performance and service to patients .
Based on the results of an initial survey in the inpatient room of Mitra Medika Amplas Hospital on March 18 2022, the nurse's work system is divided into three shifts, namely morning 116 A E-ISSN: 2798-5156 P-ISSN: 2798-5377 .
, afternoon .
, night .
with the main task of nurses in inpatient rooms, namely starting from indirect actions to patients in the form of assessments, data analysis, formulating nursing diagnoses, accompanying doctor visits , handling over patients.
addition, nurses also take direct action on patients in the form of administering drugs, wound care, care for infusion areas to help patients' daily activities.
The results of interviews conducted by researchers with 10 nurses in the inpatient room, 7 nurses said that the large number of patients was not matched by the number of nurses which caused workload.
Then 3 nurses said that a full room also resulted in workload, where patients had to be transferred temporarily to other inpatient rooms, work shifts that sometimes changed, for example 1 nurse sometimes shifted 5 people, 4 people caused a fairly heavy workload where 1 nurse should handle 5 patients, whereas with an average number of patients per day of 40-45 people, 1 nurse can handle 8-9 patients in one shift.
Each nurse said that the work stress experienced, namely patient complaints, uncooperative patient families, then a lack of equipment such as (Infusion Pump.
Nebulizer Machine.
Syringe Pump.
Infusion Pole.
Oxyge.
causes work stress for nurses where if the tools are used are not available then the process of providing services to patients becomes hampered.
This excessive workload greatly affects the productivity of health workers and of course affects the productivity of nurses.
This condition triggers the emergence of work stress, because all patients who visit indirectly demand to get effective and efficient services so that the problems faced by patients are immediately resolved.
In connection with the insufficient number of staff, and research that has never been done on the effect of nurses' workload on work stress at the research site, the researcher is interested in researching it.
This study aims to determine and identify the effect of workload on nurses' work stress in inpatient rooms at Mitra Medika Amplas Hospital in 2022.
This research relates to previous research conducted by Haryanti.
Faridah Aini.
Puji Purwaningsih at Ambarawa Hospital, found there was a relationship workload on nurses, where the result of light workload is 33.
3% and heavy workload is 66.
The results of this study indicate that the workload of nurses at Ambarawa Hospital is high .
RESEARCH METHODE
This type of research uses quantitative research Quantitative research is research that is inferential in the sense of drawing conclusions based on the results of statistical hypothesis testing, using empirical data from the results of data collection through measurement .
Cross Sectional approach where the independent variable measurement time for workload and the dependent variable regarding nurse work stress is only done once, at one time.
Cross Sectional .
ne tim.
is research conducted at a certain time with one focus.
This study observes population or sample data only once at the same time or collects data from many different individuals at one point in time .
The location of this research was conducted at Mitra Medika Amplas Hospital.
When the research was carried out starting from the initial survey in January 2022 until it was completed.
The population used as the object in this study were all inpatient nurses at Mitra Medika Amplas Hospital.
The population in this study were 211 inpatient nurses.
The sampling technique in this study was Accidental Sampling.
The Accidental Sampling technique is a technique of determining a sample based on coincidence, that is, anyone who happens to meet a researcher can be used as a sample .
The sample size is determined by the slovin formula, namely 68 people.
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The data analysis used in this research is unvariate and bivariate analysis.
Univariate analysis is an analysis that describes a data that will be made either alone or as a group.
Bivariate analysis is an analysis conducted on two variables that are suspected to be related or correlated .
RESULT AND ANALYSIS
Table 1.
Frequency Distribution of Respondent Characteristics No.
Characteristics Age 20-30 Years 31-40 Years > 40 Years Education D3 Nursing S1 Nursing S1 Nursing Nurse Gender Male Female Years of service <1 year 1-2 Years >2 Years Amount above, it is known that out of 68 respondents, 61 respondents .
7%) were aged 20-30 years, 6 respondents .
8%) were aged 31-40 years, and 1 respondent .
5%) aged > 40 years.
Regarding the educational characteristics of the respondents, it can be seen from the number of 68 respondents, 53 respondents .
9 %) had D3 degrees in nursing, 11 respondents .
2 %) had a bachelor's degree in nursing, and 4 respondents .
9% ) had a nurse's bachelor's degree in nursing.
Regarding the gender characteristics of the respondents, it can be seen from the number of 68 respondents who were male there were 2 respondents .
9%) and those who were female were 66 respondents .
1%).
Furthermore, for the characteristics of the respondents' tenure, it can be seen from the number of 68 respondents, 16 respondents .
5 %) worked <1 year, 15 respondents .
1 %) worked 1-2 years, and 37 respondents .
4 %) worked >2 years.
Table 2 .
Distribution of Respondents According to Burden Work Internals No.
Variable Internal Workload
STS
External Workload
STS
Work stress
STS
Amount
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Amount Based on the table show that the opinions of respondents on internal workload variables from 68 respondents opinion very much disagree (STS) as many as 5 respondents .
4%), disagree (TS) as many as 7 respondents .
3%), undecided (RR ) as many as 8 respondents .
8%), agreed (S) as many as 32 respondents .
1%), and strongly agree (SS) as many as 16 respondents .
5%).
Respondents' opinions on the external workload variable out of 68 respondents strongly disagreed (STS) were 6 respondents .
8%), disagreed (TS) as many as 8 respondents .
8%), undecided (RR) as many as 16 respondents .
%), agree (S) as many as 30 respondents .
1%), and strongly agree (SS) as many as 10 respondents .
7%).
Respondents' opinions on the work stress variable out of 68 respondents strongly disagreed (STS) were 4 respondents .
9 %), disagreed (TS) as many as 6 respondents .
8%), undecided (RR) as many as 13 respondents .
1 %), agree (S) as many as 30 respondents .
1%), and strongly agree (SS) as many as 15 respondents .
1%).
Table 3 .
Cross Tabulation of Internal Workload Variable Relationship with Nurse Work
Stress
Variable Heavy Internal Workload
STS
External Workload
STS
Amount Nurse Work Stress Currently Light Total Asymp.
Sig Sided 0 0 0.
0 0 0.
5 2 2,9
25 36,8 1 1.
4 5,9 12 17,6
000< 0.
5 0 0.
0 0 0.
5 0 0.
0 0 0.
8 11,8 6 8,8 2 2,9
2 2,9 22 32,4 8 8,8
5 2 2,9 7 10,3
13 19,1 30 44,1 15 22,1
000< 0.
Based on the table above the relationship between internal workload variables with the work stress of nurses in the inpatient room of Mitra Medika Amplas Hospital Medan in 2022, it is known that of the 68 respondents to the internal workload variable in the category of strongly disagreeing ( STS), that is as many as 5 .
4 %) respondents who strongly disagree (STS) 2 .
9 %)
respondents and disagree (TS) 3 .
4 %) respondents.
For the internal workload variable in the category of disagreeing (TS), there were 7 .
3%) respondents, with those who strongly disagreed (STS) 2 .
9%) respondents, disagreed (TS) 3 .
4%) of respondents, and undecided (RR) 2 .
9%) of respondents.
For the internal workload variable with a doubtful category (RR), there are 8 .
8%) respondents, with those who strongly disagree (STS) 0 .
0%) respondents, disagree (TS) 0 .
, 0%) respondents, undecided (RR) 5 .
4%) respondents, agreed (S) 1 .
respondents and strongly agreed (SS) 2 .
9%) respondents.
For internal workload variables in the agree category (S), there are 32 .
1%) respondents, with those who strongly disagree (STS) 0 .
0 %) respondents, disagree (TS) 0 .
0%) ) respondents, undecided ( RR) 6 .
8%) respondents.
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agreed (S) 25 .
8%) respondents and strongly agreed (SS) 1 .
5%) respondents.
While the internal workload variable with the category strongly agree (SS) is as many as 16 .
respondents, with those who disagree (TS) 0 .
0%) respondents, agree (S) 0 .
0%) respondents, doubtful (RR) as many as 0 .
respondents, agree (S) 4 .
respondents and strongly agree (SS) 12 .
6%) respondents.
From the results of the chi-square test there is a significant relationship between the internal performance load variable and the work stress of nurses with a p-value of 0.
00 0 <0.
This shows that there is a relationship between the internal performance load variable and the work stress of nurses in the inpatient room of Mitra Medika Amplas General Hospital Medan in 2022 2 .
External workload variables with the work stress of nurses in the inpatient room of Mitra Medika Amplas Hospital Medan in 2022 , it is known that of the 68 respondents on the external workload variable with the category of strongly disagree (STS) as many as 6 .
8 %) respondents with those who strongly disagree (STS) 3 .
5 %) respondents, disagree (TS) 2 .
9%) respondents, doubtful -doubt (RR) 1 .
5%) respondents, agree (S) 0 .
0% ) respondents and strongly agree (SS) 0 .
0%) respondents.
For the external workload variable in the category of disagreeing (ST), there are 6 .
8%) respondents who strongly disagree (STS) 1 .
5%) respondents, disagree (TS) 4 .
9%) respondents, undecided (RR) 1 .
5%) respondents, and agree (S) 0 .
0%) respondents and strongly agree (SS) 0 .
0%) respondents.
For external workload variables in the doubtful category (RR), there are 16 .
5%) respondents, with those who strongly disagree (STS) 0 .
%) respondents, disagree (TS) 0 .
, 0%) respondents, undecided (RR) 8 .
8%) respondents, agreed (S) 6 .
8%) respondents and strongly agreed (SS) 2 .
9%) respondents.
For external workload variables in the agree category (S), there are 30 .
1%) respondents, with those who strongly disagree (STS) 0 .
0 %) respondents, disagree (TS) 0 .
0%) ) respondents, undecided ( RR) 2 .
9%) respondents, agreed (S) 22 .
4%) respondents and strongly agreed (SS) 6 .
While the external workload variable is in the category of strongly agreeing (SS) as many as 10 .
7%) respondents, strongly disagreeing (STS) 0 .
0 %) respondents, disagreeing (TS) 0 .
0%) ) respondents, undecided (RR) 1 .
5%) respondents, agreed (S) 2 .
respondents and strongly agreed (SS) 7 .
3%) respondents.
From the results of the chi-square test, there is a significant relationship between the external performance load variable and the work stress of nurses with a p-value of 0.
00 0 <0.
This shows that there is a relationship between the external performance load variable and the work stress of nurses in the inpatient room of Mitra Medika Amplas General Hospital Medan in 2022 2 .
DISCUSSION