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"Perawat IGD merupakan salah satu profesi yang rentan mengalami stres kerja. Faktor penyebab perawat IGD stres antara lain kematian pasien, konflik dengan dokter, kurangnya persiapan, masalah dengan sesama profesi, masalah dengan supervisor, beban kerja yang berlebihan, ragu-ragu dalam memberikan treatment, serta masalah yang disebabkan oleh pasien dan keluarganya. Penelitian deskriptif dengan desain cross sectional ini bertujuan untuk menggambarkan stres kerja perawat di ruang IGD (emergency setting) RSUD Cibinong. Sampel penelitian berjumlah 21 perawat (total sampling). Hasil penelitian didapatkan bahwa sebanyak 61,9% perawat mengalami stres rendah dan 38,1% perawat mengalami stres tinggi.Penelitian ini memberikan rekomendasi kepada para perawat IGD agar mampu mengidentifikasi penyebab stres kerja dan mampu meminimalisasi stres kerja.

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Emergency Room Nurse is one of the professions that is susceptible to job stress. Factors causing stress among the emergency room nurses were patient's death, conflict with physicians, inadequate preparation, problems with fellow profession, problems with supervisors, workload, uncertainty in giving treatment, and problems caused by patients and their families. This descriptive research designed in cross sectional study that aimed to describe nurse stress in the emergency room (emergency setting) of Cibinong Public Hospital. The sample were 21 nurses (total sampling). The results showed that 61.9% of nurses had lower stress and38.1% of nurses experiencing high stress.This study provided recommendations to the emergency room nurses to be able to identify the causes of workplace stress and to minimize the work stress."

"Stres postpartum sering terjadi pada ibu primipara, dimana ibu mulai berusaha untuk memenuhi kebutuhan anaknya sendiri tanpa bantuan orang lain. Penelitian ini merupakan penelitian deskriptif yang bertujuan untuk mengetahui respon stres ibu primipara postpartum. Sampel penelitian ini menggunakan teknik total sampling yang memenuhi kriteria inklusi sebanyak 64 responden dalam satu bulan. Hasil penelitian dianalisis menggunakan analisis univariat. Hasil penelitian didapatkan bahwa ibu primipara postpartum mengalami stres positif. Peran serta perawat untuk membantu ibu primipara dalam beradaptasi terhadap peran baru menjadi ibu perlu dilakukan untuk mengurangi stres ibu primipara postpartum.

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Postpartum stress happens largely among primiparous mothers. Mothers begin to provide their own children needs without help from others. The aim of this study is to determine the stress response of postpartum primiparous mothers. This study design is descriptive. Total sampling that met the inclusion criteria is used to collect data. There are 64 respondents of study sample in a month. The results were analyzed by using univariate analysis. The results showed that postpartum primiparous mothers were having positive stress. The role of the nurse is to assist primiparous mothers in adapting to the new role of being a mother. It needs to be done for decreasing the stress of postpartum primiparous mothers."

"ABSTRAKPengalaman hospitalisasi pada anak merupakan salah satu stresor utama orangtua selamahospitalisasi. Peningkatan stres pada orangtua yang terjadi karena penampilan dan perilakuanaknya yang sakit, dapat mengubah respon perilaku dan emosional orangtua yang berdampakpada peran dan kemampuan untuk beradaptasi dengan situasi untuk merawat anak mereka.Sebelum merencanakan intervensi keluarga, adalah penting untuk menilai lingkungan yangberpotensi menimbulkan stres orangtua. Penelitian ini bertujuan melihat gambaran tingkat stresorangtua pada anak berusia 0-18 tahun yang sedang dihospitalisasi. Desain penelitian inideskriptif dengan teknik purposive sampling terhadap 75 orangtua di ruang anak RSUDCibinong Bogor. Dengan analisis univariat, hasilnya bervariasi yaitu orangtua merasa stresringan (68,0%), stres sedang (16,0%); tidak stres (13,3%); dan stres berat (2,7%). Bagi perawatanak disarankan untuk menerapkan aspek caring dan family centered care untuk mengurangistres orangtua. Disarankan untuk penelitian selanjutnya menghubungkan tingkat stres denganvariabel lain, misalnya dengan tingkat kepuasan pelayanan, dsb.

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ABSTRACTExperience of hospitalization in children is one of the major stressor parents duringhospitalization. An increase in parental distress at this time over the child’s appearance andbehavior may alter parents’ behavioral and emotional responses, impacting their role andinterfering with their ability to adapt to the situation and care for their child. Before planning afamily intervention, it is important to assess the potential environmental parental stressors. Thisstudy aims to look at the level of parental stress in children aged 0-18 years who werehospitalized. Design of this research is descriptive with purposive sampling technique to 75parents in pediatric care unit Cibinong Bogor Hospital. The result are the parents feel no stress(13,3%); mild stress (68,0%); medium stress (16,0%); and severe stress (2,7%). For caregiversare advised to apply aspect of caring and family centered-care to reduce parental stress. It isrecommended for further research linking stress levels with other variables, such as the level ofservice satisfaction, etc."

"Perawat merupakan salah satu profesi yang berisiko mengalami distres. Distres pada perawat dapat disebabkan oleh berbagai faktor seperti pada arena individu (jenis kelamin, usia, status pekerjaan dan masa kerja), arena kerja (ketaksaan peran, konflik peran, pengembangan karir, hubungan interpersonal, beban kerja dan lingkungan kerja), dan arena sosial (dukungan sosial dari supervisor dan dukungan sosial dari rekan kerja). Hal ini dapat memberikan dampak pada perawat seperti kelelahan, perilaku kasar, anxiety, peningkatan tekanan darah, kurangnya kepercayaan diri, penurunan efisiensi, dan lain-lain. Tujuan penelitian ini adalah mengambarkan tingkat distres dan menganalisis faktor-faktor yang memengaruhi tingkat distres pada perawat ruang perawatan di RSUD X Tembilahan. Penelitian ini menggunakan desain studi cross-sectional yang dilakukan pada Mei-Agustus 2022. Populasi dalam penelitian ini adalah seluruh perawat di ruang perawatan RSUD X Tembilahan. Distres diukur menggunakan kuesioner COPSOQ III dan NIOSH Generic Job. Data dianalisis menggunakan Chi-square dan regresi logistik ordinal. Ditemukan bahwa 28,9% perawat mengalami tingkat distres rendah,  68,9% perawat mengalami tingkat distress sedang, dan 2,2% perawat mengalami tingkat distress tinggi. Analisis regresi logistik ordinal menunjukkan bahwa perawat perempuan berisiko mengalami distres lebih tinggi dibandingkan perawat laki-laki (OR=4,03). Faktor risiko yang paling berpengaruh pada arena kerja dengan tingkat distress adalah konflik peran (OR=3,15) dan beban kerja (OR=3,8). Pengelolaan tingkat distres pada level organisasi dapat berupa melakukan pengawasan dalam pelaksanaan peraturan mengenai hak pekerja perempuan, memperhatikan deskripsi pekerjaan dan sumber daya  manusia yang dibutuhkan, monitoring status kesehatan perawat, menyeimbangkan beban kerja dengan kapasitas kemampuan yang dimiliki perawat, dan mengupayakan sistem reward baik berupa materi maupun apresiasi terhadap hasil kerja untuk meningkatkan motivasi bagi perawat. Sedangkan pada level individu dapat berupa melaksanakan strategi perawatan diri yang sehat, work-life balance, dan melakukan relaksasi. Hal ini dibutuhkan untuk mencegah peningkatan tingkat distres pada perawat ruang perawatan di RSUD X Tembilahan.

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Nursing is one of the stressful professions. Distress emerged on nurses due to various factors such as in the individual arena (gender, age, marital status and work experience), the work arena (role ambiguity, role conflict, career development, interpersonal relationships, workload and work environment), and the social arena (social support from supervisors and social support from colleagues). This can have an impact on nurses such as fatigue, harsh behavior, anxiety, increase of blood pressure, lack of self-confidence, decrease in efficiency, etc. This study aims to describe the level of distress and to analyze the factors affected with the level of distress on nurse in the treatment room at X Hospital Tembilahan. This study uses a cross-sectional study design that was conducted in May-August 2022. The population in this study were all inpatient nurse in X Hospital Tembilahan. The distress level is measured using the COPSOQ III and NIOSH Generic Job questionnaires. Data are analysed using chi-square and multiple logistic regression. such as in the individual arena (gender, age, employment status and years of service), the work arena (role ambiguity, role conflict, career development, interpersonal relationships, workload and work environment), and the social arena (social support from supervisors and social support from colleagues). This can have an impact on nurses such as fatigue, rude behavior, anxiety, increased blood pressure, lack of confidence, decreased efficiency, and others. The purpose of this study was to describe the level of distress and to analyze the factors that influence the level of distress in nurses in the treatment room at X Tembilahan Hospital. This study used a cross-sectional study design which was conducted in May - August 2022. The population in this study were all nurses in the X Tembilahan Hospital. Distress was measured using the COPSOQ III and NIOSH Generic Job questionnaires. Data were analyzed using Chi-square and ordinal logistic regression. It was found that 28.9% of nurses experienced low levels of distress, 68.9% of nurses experienced moderate levels of distress, and 2.2% of nurses experienced high levels of distress. Ordinal logistic regression analysis showed that female nurses had a higher risk of experiencing distress than male nurses (OR=4.03). The most influential risk factors in the work arena with a level of distress are role conflict (OR=3.15) and workload (3.8). Management of the level of distress at the organizational level can be in the form of supervising the implementation of regulations regarding the rights of women workers, paying attention to job descriptions and human resources needed, monitoring the health status of nurses, balancing the workload with the capacities of nurses, and pursuing a reward system in the form of material as well as appreciation of work results to increase motivation for nurses. Meanwhile, at the individual level, it can be in the form of implementing healthy self-care strategies, work-life balance, and relaxation. This is needed to prevent an increase in the level of distress in nurses in the treatment room at X Tembilahan Hospital."

"Tesis ini membahas tentang stres kerja serta faktor yang mempengaruhi stres kerja pada perawat IGD RSUD Pasar Rebo Tahun 2014. National Institute for Occupational Safety and Health (NIOSH) membagi faktor yang mempengaruhi stres kerja menjadi faktor kondisi pekerjaan, non pekerjaan, individu dan dukungan. Penelitian dilakukan pada 24 perawat IGD. Desain penelitian yang digunakan adalah deskriptif observasional dengan metode cross sectional.Pada penelitian ditemukan 45,8% perawat mengalami stres yang tinggi. Perbedaan proporsi terbesar ditemukan pada faktor individu (kepercayaan diri) dan dukungan (dukungan atasan). Hasil merekomendasikan perbaikan deskripsi kerja yang lebih jelas dan akurat serta pelatihan komunikasi terkait upaya manajemen dalammengelola stres kerja.

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This study discusses work stress and the factors that affect work stress among nurses In Emergency Room in RSUD Pasar Rebo 2014. National Institute for Occupational Safety and Health (NIOSH)categorizes the factors that influence work stress, which are as job stressor, non-work, individual, and support factors. This study was conducted among 24 emergency room nurses at RSUD Pasar Rebo. Descriptive observational cross-sectional method was used in this study.The results found that 45.8% of nurses experienced high stress. The largest proportionswere found in individual factor (self-esteem) and support (supervisor support). This study recommend improvements on clearer job descriptions and accurate communication and training related to management efforts in managing work stress."

"Tuntutan kerja yang tinggi dapat menjadi faktor resiko stres kerja bagi perawat yang bekerja di ruang IGD. Mekanisme koping yang adaptif sangat penting bagi perawat dalam menghadapi masalah kerja yang terjadi. Penelitian deskriptif ini bertujuan untuk mengidentifikasi tingkat stres kerja dan mekanisme koping perawat IGD RS Husada. Sampel pada penelitian ini adalah total populasi yaitu sebanyak 23 responden. Analisis data yang digunakan pada penelitian ini adalah dengan analisis univariat.Hasil dari penelitian ini menunjukkan bahwa 14 orang (60.9%) perawat di IGD mengalami tingkat stres kerja sedang dan perawat yang memiliki mekanisme koping adaptif berjumlah 14 orang (60,9%). Penelian ini diharapkan dapat menjadi bahan referensi perawat, sehingga perawat IGD memiliki mekanisme koping yang adaptif dalam menghadapi stres kerja di IGD.

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High work demands in Emergency Department may be the risk factor that increasing job stress for the nurses. The adaptive coping mechanism is an important thing to hold for nurses to face their problems at work. This descriptive research is made for identifiying the stage of job stress and coping mechanism in Husada Hospital Emergency Department nurses. The respondents of its research contains of 23 respondents in total population. The methode of analysis which applied in this research is univariat analysis.

As the result, there are 14 nurses (60,9%) have a middle stage of job stress and 14 nurses have an adaptive coping mechanism. Hopefully, this research might be the reference for nurses, so they may have an adaptive coping mechanism that usefull for dealing with their job stress in Emergency Department."

"Stres pada perawat dapat disebabkan oleh berbagai faktor, diantaranya adalah beban kerja. Beban kerja perawat di rumah sakit meliputi beban kerja fisik dan mental. Penyebab beban kerja dalam penelitian ini berfokus pada penyebab eksternal, yaitu: aspke tugas / pekerjaan, organisasi, aspek lingkungan. Penelitian ini bertujuan untuk mengetahui hubungan antara variabel beban kerja dengan stres kerja pada perawat IGD di Rumah sakit Pemerintah dan Rumah sakit Non Pemerintah. Penelitian menggunakan rancangan cross sectional terhadap perawat IGD. Analisis data secara analitik menggunakan uji korelasi product moment pearson untuk menguji hubungan beban kerja terhadap stres kerja ditiap rumah sakit digunakan uji statistik one way Anova.

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Hasil penelitian menunjukkan bahwa baik Rumah sakit Pemerintah maupun non Pemerintah berpotensi untuk terjadinya stres kerja pada perawat yang ditimbulkan oleh adanya beban kerja. Rekomendasi penelitian ini adalah perlu adanya rotasi, kesejahteraan diperhatikan, pengembangan jenjang karier, gathering/refreshing untuk menghindari kejenuhan.

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ABSTRACT

Stress in nurses can be caused by a variety of factors, including the workload. Workload of nurses in hospitals include physical and mental workload. Cause workload in this study focused on external causes, namely: aspke tasks / jobs, organizations, environmental aspects. This study aims to determine the relationship between the variable workload with work stress in nurses in the hospital emergency department and the Government Non-Government Hospitals. Studies using cross-sectional design of the ER nurses. Analytic data analysis using Pearson product moment correlation test to examine the relationship to work stress workload in each hospital used one way ANOVA statistical test.

The results showed that both hospital and non-government government has the potential to work on the stress caused by the presence of nurse workload. Recommendation of this study is the need for rotation, note welfare, career development, gathering / refreshing to avoid saturation."

"Latar Belakang: Pandemi COVID-19 berdampak pada penanganan pasien di Rumah Sakit, terutama di Instalasi Gawat Darurat (IGD). Dampak pandemi COVID-19 terhadap mortalitas pasien gawat darurat masih kontroversial. Selama pandemi terjadi peningkatan lama rawat IGD, namun angka kematian sebelum dan saat pandemi tidak berbeda bermakna. Kasus kematian 7 hari ini diterapkan sebagai indikator untuk mengukur kematian dini di IGD, karena keputusan klinis yang paling penting dibuat pada minggu pertama setelah masuk rumah sakit. Saat ini belum ada studi yang meneliti faktor risiko kematian 7 hari pada pasien COVID-19 di Indonesia.Metode: Penelitian ini merupakan penelitian deskriptif analitik retrospekstif dengan pengambilan data sekunder pasien terkonfirmasi COVID-19 yang masuk IGD di Rumah Sakit Universitas Indonesia (RSUI) dari Januari sampai Desember 2021. Luaran yang dinilai adalah angka kematian 7 hari pada pasien COVID-19 dan faktor-faktor yang memengaruhinya (lama waktu tunggu, komorbiditas, kriteria triase, derajat keparahan COVID-19).Hasil: Total pasien yang masuk ke IGD RSUI selama tahun 2021 adalah sebesar 3710 pasien dengan pasien terkonfirmasi COVID-19 sebesar 38,6%. Angka kematian 24 jam pada populasi pasien COVID-19 sebesar 5,4%. Angka kematian 7 hari pasien di IGD RSUI sebesar 12,2% (175 pasien). Faktor-faktor yang memengaruhi angka kematian 7 hari di IGD RSUI antara lain derajat keparahan COVID-19 (RR 7,1;IK 95% [4,055-12,515]), kriteria triase (RR 4,2;IK 95% [2,763-6,452]), dan komorbiditas (RR 4,2;IK 95% [2,679-6,613]). Hasil penelitian ini menunjukkan bahwa lama waktu tunggu tidak meningkatkan risiko kematian 7 hari (RR 1,01; IK 95% [0,975-1,050]; p=0,595).Simpulan: Faktor-faktor yang memengaruhi angka kematian 7 hari di IGD RSUI adalah komorbiditas, kriteria triase, derajat keparahan COVID-19. Lama waktu tunggu pasien di IGD tidak memiliki hubungan yang signifikan terhadap angka kematian 7 hari.

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Background: The COVID-19 pandemic has had an impact on the treatment of patients in hospitals, especially in the Emergency Department (ED). The impact of the COVID-19 pandemic on mortality in emergency department patients is still controversial. During the pandemic there was an increase in the length of stay in the emergency room, but the mortality rate before and during the pandemic was not significantly different. 7-day mortality was recently applied as an indicator to measure early death in the ED, because the most important clinical decisions are made in the first week after admission. Currently, there are no studies that examine the risk factors for 7-day death in COVID-19 patients in Indonesia.

Methods: This study is a retrospective analytic descriptive study by collecting secondary data from patients with confirmed COVID-19 who entered the emergency room at the University of Indonesia Hospital (RSUI) from January to December 2021. The outcomes assessed were the 7-day mortality rate in COVID-19 patients and its risk factors (ED waiting time, comorbidity, triage criteria, degree of severity of COVID-19).

Results: The total number of patients admitted to the RSUI ED during 2021 was 3710 patients with confirmed COVID-19 patients at 38.6%. The 24-hour mortality rate in the COVID-19 patient population is 5.4%. The 7-day mortality rate of patients in RSUI ED was 12.2% (175 patients). Factors that influence the 7-day mortality rate in the RSUI ED include the degree of severity of COVID-19 (RR 7,1; CI 95% [4,055-12,515]), triage criteria (RR 4,2; CI 95% [2,763-6,452]), and comorbidity (RR 4,2; CI 95% [2,679-6,613]). The results of this study indicated that ED waiting time did not increase the risk of 7-day mortality (RR 1,01 ; CI 95% [0,975-1,050]; p=0,595).

Conclusion: The factors that influence the 7-day mortality rate in the RSUI ED are comorbidities, triage criteria, and the degree of severity of COVID-19. The patient's ED waiting time has no significant relationship to the 7-day mortality rate."

"ABSTRAKKepuasan kerja perawat merupakan indikator mutu pelayanan keperawatan yang dapat mempengaruhi kinerja. Perilaku caring merupakan kinerja perawat yang menjadi inti dari praktik keperawatan untuk memberikan asuhan keperawatan yang berkualitas. Penelitian ini bertujuan untuk mengidentifikasi hubungan kepuasan kerja dengan perilaku caring perawat pelaksana di RSUD Cibinong. Desain penelitian adalah deskriptif korelasi dengan pendekatan cross sectional. Sampel penelitian adalah perawat pelaksana di ruang rawat inap sebanyak 108 orang dengan teknik proportional sampling. Uji bivariat menggunakan chi-square menunjukkan adanya hubungan antara kepuasan kerja dengan perilaku caring perawat pelaksana (p=0,000, CI 95%). Perawat yang merasa puas mempunyai peluang 4,7 kali untuk berperilaku caring. Uji regresi logistik menyatakan bahwa kepuasan kerja intrinsik merupakan faktor yang paling dominan yang mempengaruhi kepuasan kerja. Manajer keperawatan harus melakukan monitoring kepuasan kerja perawat pelaksana serta melakukan pengarahan dan pengawasan pelaksanaan caring. Perawat yang kurang berperilaku caring harus diberikan pembinaan, sedangkan untuk rekrut perawat baru perlu melakukan psikotes untuk mengkaji faktor intrinsik calon perawat baru.

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ABSTRACT

Nurse job satisfaction is an indicator of the quality of nursing care and affects performance. Caring behavior as the performance of nurse which become the core of nursing practice in providing quality of nursing care. Caring is the essence of nursing practice that reflects the quality of nursing care. This study aims to identify the relationship of job satisfation with caring behavior of nurses in Cibinong Hospital. This study was a descriptive correlation with cross sectional approach. The research sample were taken nurses in the inpatient unit as many as 108 people with a stratified sampling technique. Bivariate test using a chi-square showed no relationship between job satisfaction and nurses caring behavior (p < 0.05). Nurses who were satisfy have the opportunity to practice caring 4.7 times. Logistic regression analysis stated that intrinsic job satisfaction is the most dominant factor. Nursing managers should be monitoring job satisfaction as well as the direction and supervision of the implementation of caring. Nurse who practice caring less should be given guidance. For new nurses in recruit nurses should emphasize the intrinsic factor this would include making psikotes."

"Needlestick and Sharps Injury (NSSI) atau Cedera Tertusuk dan Tersayat adalah luka yang disebabkan oleh benda tajam secara tidak sengaja menusuk atau menyayat kulit seseorang yang bekerja. Penelitian ini bertujuan untuk menganalisis prevalensi dan faktor apa saja yang berhubungan dengan kejadian NSSI pada perawat di RSUD Cibinong. Penelitian ini dilakukan dengan menggunakan metode analitik dengan desain studi cross sectional. Pengambilan data dilakukan dengan pengisian kuesioner kepada sampel penelitian, yaitu perawat RSUD Cibinong. Analisis data kemudian dilakukan dengan analisis deskriptif dan inferensial menggunakan uji chi square. Hasil penelitian menunjukkan bahwa sebanyak 16,2% perawat mengalami NSSI dan terdapat hubungan yang signifikan antara tindakan tidak aman, persepsi pelatihan, dan kelelahan dengan kejadian NSSI pada perawat RSUD Cibinong. Untuk mencegah terjadinya NSSI diperlukan peningkatan pengetahuan serta kesadaran mengenai tindakan yang aman, pelaporan kejadian NSSI, dan promosi pencegahan NSSI.

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Needlestick and Sharps Injury (NSSI) is a wound caused by a sharp object accidentally piercing or slicing the skin of a worker. This study aims to analyze the prevalence and what factors are associated with the incidence of NSSI in nurses at Cibinong Hospital. This research was conducted using analytic methods with a cross-sectional study design. Data collection was carried out by filling out questionnaires to the research sample, namely nurses at Cibinong Hospital. Data analysis was then performed with descriptive and inferential analysis using the chi square test. The results showed that as many as 16,2% of nurses experienced NSSI and there was a significant relationship between unsafe acts, perceptions of training, and fatigue with the incidence of NSSI in nurses at Cibinong Hospital. To prevent the occurrence of NSSI, it is necessary to increase knowledge and awareness regarding safe actions, reporting of NSSI events, and promotion of NSSI prevention."