Publication Search

Nursing documentation is an essential part of healthcare services, playing a key role in communication, care continuity, and serving as legal evidence. The introduction of the Hospital Management Information System (SIMRS) aims to improve the efficiency of documentation processes. However, high workloads in critical areas such as the Emergency Department (IGD) and Intensive Care Unit (ICU) may influence nurse compliance with documentation protocols. This study investigates the relationship between workload and nursing documentation compliance during the implementation of SIMRS at RSUD Haji Makassar's IGD and ICU. A quantitative cross-sectional design was used, with 30 nurses participating (total sampling). The workload was assessed using the NASA Task Load Index (NASA-TLX), while compliance was evaluated through a questionnaire. The data were analyzed using Chi-Square and Fisher’s Exact Test. The results showed that the majority of respondents experienced heavy workloads (83.3%), and most had compliant documentation (96.7%). However, the statistical analysis yielded a p-value of 1.000, indicating no significant relationship between workload and documentation compliance. Based on these findings, the study recommends optimizing SIMRS usage and providing ongoing training to ensure improved compliance with nursing documentation practices.

This study aims to analyze the relationship between public policy paradoxes, healthcare service quality, access to and continuity of postnatal care, and maternal mortality in Pekalongan Regency. A mixed-methods approach with a sequential explanatory design was employed, involving 30 respondents for quantitative analysis using Spearman correlation tests and 5 key informants for in-depth interviews. The results indicate that policy paradoxes are strongly correlated with service quality and with access and continuity of care. Service quality also shows a robust correlation with access and continuity. All variables are significantly associated with maternal mortality, with access and continuity of care demonstrating the strongest correlation. Qualitative findings reveal implementation gaps in Ministry of Health Regulation No. 21 of 2021, where postnatal visits are often conducted only 2–3 times instead of the mandated four visits, with 10 out of 13 maternal deaths occurring during the postnatal period. The persistence of maternal mortality is attributed to inconsistent implementation of standard operating procedures, high workload, and socio-cultural factors. The study highlights the need to strengthen supervision, enhance human resource capacity, and promote cross-sectoral collaboration to optimize postnatal care services.

Surveillance for diarrhea at the district level in Indonesia is still affected by the fragmented nature of the District Health Information System (DHIS) and Early Warning and Response System (EWARS), inconsistent reporting, patchy data interoperability, and the resulting public health delays. Although there are systems in place like the DHIS and EWARS, the persistent use of hybrid systems that combine manual and digital data entry, as well as the different skill levels of users, continues to produce issues of incompleteness, untimely reporting, and inaccurate data. The present study investigated the deficiencies in surveillance reporting of diarrhea cases, the surveillance data to determine the degree of integration and also investigated the health workers perceptions of the barriers to effective reporting. A mixed methods approach was adopted in this study where we investigated quantitatively the DHIS and routine diarrhea reports submitted for the entire year of 2023, and combined that with qualitative, in-depth interviews with the relevant surveillance officers, program managers, and district staff. The quantitative analysis indicated gaps in reporting about 55% in terms of completeness, and consistency of reporting and also significant differences were found between the manual register, DHIS, and EWARS whereby the integration of these systems was found to be low. The qualitative analysis pointed to the combination of disconnected workflows, limited cross-system interoperability, inadequate system training, excessive workloads, and weak organizational feedback, as the main barriers to effective reporting. The combination of these two datasets illustrates the fact that both system deficiencies and organizational factors are primary drivers of the reporting. Closing the gaps will require system level changes in the interoperability of reporting systems, simplified reporting workflows, training, reporting, and reporting feedback loops.

The availability of human resources (HR) in hospitals is a key factor in ensuring quality healthcare services. A type C general hospital in Medan faces challenges in terms of limited health personnel in several service units. The Workload Indicators of Staffing Need (WISN) method by WHO is applied to calculate staffing requirements based on actual workload. This study aimed to analyze the workload and HR needs of a type C general hospital in Medan using the WISN method. A quantitative descriptive study with a WISN approach. Data were obtained from hospital management reports including patient visits, bed occupancy rate (BOR), and staff distribution across main units. Analysis was carried out by calculating available working time, workload standards, allowance standards, and HR needs per unit. The analysis indicated shortages of personnel in several units: inpatient nurses (−20), anesthetists (−2), pharmacists (−1), laboratory analysts (−5), radiographers (−5), and medical records staff (−6). Some units had surplus staff, such as maternity (+8). The type C general hospital in Medan continues to face HR shortages in critical service units. Workload-based HR planning using the WISN method is crucial to support effective recruitment and staff redistribution.

The implementation of the Health Workload Analysis (ABK Kes) method reveals both strengths and weaknesses, particularly regarding the suboptimal execution of core tasks such as filing and distributing medical records. This study aims to compare the workload of health human resources (SDMK) between primary and advanced healthcare facilities—specifically Banyudono 1 Public Health Center and Indriati Boyolali Hospital—both of which have implemented hybrid medical record systems. Using primary data collected through interviews and observations and analyzed via the ABK Kes method, the results indicate a need for 10 additional staff members in the Casemix Unit at Indriati Boyolali Hospital and 2 additional medical record practitioners at Banyudono 1 Public Health Center. The Available Working Time (WKT) at the Public Health Center was set at 75,000 based on the Minister of PAN-RB Regulation No. 1 of 2020, whereas the Hospital used real-time calculations. While the Public Health Center aligns its policies with Ministry of Health Regulation No. 19 of 2020, the Hospital adjusts its staffing needs based on the ABK Kes results. Given that this method focuses primarily on quantity, future research and development (R&D) should integrate Lean Thinking for process analysis, ABK Kes for capacity, Queueing Theory for dynamic analysis, and NASA-TLX for psychological evaluation to provide a more holistic assessment of staffing needs.

Academic productivity is a vital indicator of student success in higher education, but it is often hampered by the complexity of tasks, transitions in the learning environment, and digital distractions that trigger procrastination. This phenomenon demands a high degree of adaptability so that students do not become trapped in physical and mental exhaustion due to unmanaged workloads. Therefore, this study aims to analyze in depth the causal relationship between time management skills and academic productivity, as well as investigate their role in mitigating academic stress levels in students. The research method applied is a literature review with a qualitative-descriptive approach. The research data was sourced from secondary data in the form of 21 reputable scientific articles (national and international journals) published between 2020 and 2025. The data analysis process was carried out through the stages of data reduction, synthesis of findings, and narrative conclusion drawing to systematically map the relationship between variables. The results and discussion of the study show that time management has a significant positive correlation with improved learning achievement. Specific indicators such as daily schedule planning, priority setting, and self-regulation have been empirically proven to increase task completion efficiency and Grade Point Average (GPA) achievement. Conversely, poor time management was identified as a major predictor of cognitive overload and exhaustion, especially among students with dense curricula such as engineering majors. This study concludes that mastery of time management is not merely a scheduling tool, but a fundamental cognitive strategy that functions as a coping mechanism to maintain mental health and achieve an optimal study-life balance.

Psychological well-being (PWB) represents an essential psychological condition that supports the effectiveness and professionalism of police officers, particularly those working in operational units. Criminal investigation officers routinely encounter complex job demands, strict time limitations, and high responsibility in case handling, which may intensify job stress and perceived workload and ultimately influence PWB. This study aimed to analyze the relationship between job stress and perceived workload with PWB being among officers of the Criminal Investigation Directorate of the Jambi Regional Police. A quantitative correlational approach was applied, involving 130 criminal investigation officers selected through purposive sampling. Data were obtained using online questionnaires consisting of a job stress scale, a perceived workload scale, and a PWB scale. Data analysis was performed using multiple correlation analysis with the assistance of SPSS software. The findings indicated that the majority of respondents were classified within the moderate category for all variables. The results of multiple correlation analysis demonstrated a significant relationship between job stress and perceived workload with PWB, indicated by a correlation coefficient of R = 0.409 with p < 0.001. These results suggest that job stress and perceived workload jointly contribute to variations in PWB of criminal investigation officers.

Burnout is a psychological issue often faced by Civil Servants (ASN) due to demanding job responsibilities, negatively impacting performance, motivation, job satisfaction, and productivity. Excessive workload is a primary factor contributing to burnout, making it essential to examine their relationship in the governmental context. This study investigates the perception of workload and the level of burnout among civil servants at the National Unity and Political Agency (Kesbangpol) of Jambi Province. Using a quantitative correlational approach, the study involved 65 civil servants selected through purposive sampling. Data were gathered through an online questionnaire consisting of a workload perception scale (30 items) and a burnout scale (22 items). The Pearson Product Moment correlation test with SPSS software was used for data analysis. Descriptive results showed that most respondents reported moderate to high levels for both variables. A correlation coefficient of r = 0.503 with a significance level of p = 0.001 (p < 0.05) indicates a significant positive relationship between workload perception and burnout. This suggests that higher perceived workload increases the likelihood of experiencing burnout. To reduce burnout and maintain optimal performance, balanced workload management, social support, and stress management strategies are essential for civil servants.

This report discusses the mental workload of employees in the Human Resources (HR) Department of PT X in Gresik, which is an important concern in the context of employee productivity and well-being. The purpose of this research is to identify the factors that influence mental workload and provide recommendations for improvement. The research methods used include observation, interviews, and the distribution of questionnaires to all HR employees, with the NASA TLX approach to measure the level of mental workload. The research sample consists of eight employees selected based on the questionnaire results. The data analysis technique was carried out by identifying factors that influence mental workload and evaluating the effectiveness of interventions through counseling sessions. The research results show that mental workload is influenced by high job demands, lack of team support, and poor communication. The counseling sessions conducted had a positive impact on employee stress management. The novelty of this research lies in its focus on mental workload within the organizational context, as well as recommendations for more humane policies. The implications of this research highlight the importance of paying attention to employees' mental well-being to enhance productivity and create a healthier work environment. This research is expected to serve as a reference for management in designing strategies that support employee well-being.

Introduction Shoulder pain is one of the most common complaints of Musculoskeletal Disorders (MSDs) experienced by workers due to non-ergonomic working postures, repetitive movements, and excessive workloads. This condition can reduce productivity and overall quality of life. Objective To increase restaurant workers’ knowledge about shoulder pain prevention through ergonomic education and simple stretching exercises that can be performed independently. Methods A descriptive observational study was conducted involving 20 kitchen workers at Potre Koneng Restaurant. The program consisted of permission procedures, workplace observation, questionnaire distribution, and health education using a leaflet. The educational material included the definition of shoulder pain, signs and symptoms, risk factors, preventive measures, and simple stretching techniques. Results The Form revealed that most workers experienced shoulder pain related to bending postures, lifting loads >5 kg, and limited rest breaks. Following the education session, participants demonstrated improved understanding of proper working posture and the importance of regular stretching, and expressed willingness to practice it during work breaks. Conclusion Ergonomic education and stretching exercises were effective in improving awareness of shoulder pain prevention among informal sector workers. Similar programs are recommended as promotive and preventive measures in high-risk workplaces.

Background: The scheduling of work of health workers, especially radiographers in type B hospitals, is a complex challenge due to the variety of radiology modalities, variations in the number of human resources, and the provisions of working hours regulations from the Ministry of Health of the Republic of Indonesia. Manual scheduling that is still in use tends to cause workload inequality, conflicts between employees, and operational inefficiencies. Objective: This study aims to design and develop an Artificial Intelligence (AI)-based radiographer shift scheduling system that is able to prepare work schedules automatically, fairly, flexibly, and integratedly, in accordance with hospital service regulations and needs. Research Method: This type of research is Research and Development (R&D). The development process is carried out through the stages of needs analysis, designing Python and Flask-based systems, simulating tests on data, and expert validation then the data collected and described from the initial mapping and also mapping potential problem-solving. Results: The system successfully manages morning, noon, night, and holiday shift schedules based on competence, fair rotation, and maximum working hours provisions. By showing a significant difference between user perceptions before and after using the system, which reflects improved efficiency, fairness, and ease of access to schedules. Respondents expressed satisfaction with the override feature and integrated notifications. Conclusion: The development of an AI-based radiographer shift scheduling system has proven to be feasible and effective in overcoming managerial problems of work scheduling in hospitals. This system is able to increase efficiency, transparency, and user satisfaction, and has the potential to be widely applied to various types of hospitals in Indonesia.

This study aims to investigate the relationship between Parenting Self-Efficacy and Work-Family Conflict among nurses in Bukittinggi City. Parenting Self-Efficacy refers to the belief of parents in their ability to successfully carry out caregiving roles, while Work-Family Conflict is defined as a condition of role conflict that arises when the demands of work and family interfere with one another, thereby disrupting role balance. Nurses are one of the professions highly vulnerable to experiencing work-family conflict due to the demands of shift work, workload, and responsibilities at home, particularly for those who are married and have children. This research employed a quantitative approach with a correlational design to examine the direction and strength of the relationship between the two variables. The participants consisted of 85 nurses working in Bukittinggi City, selected using purposive sampling with specific criteria, namely being married, having children, and having a minimum of three years of work experience. Data were collected using standardized instruments in the form of the Parenting Self-Efficacy Scale and the Work-Family Conflict Scale, both of which had previously undergone adaptation and validity testing. The data were analyzed using Pearson correlation analysis to determine the relationship between the two variables. The results showed a significant negative relationship between Parenting Self-Efficacy and Work-Family Conflict (r = -0.400, p < 0.01). This finding indicates that nurses with higher levels of Parenting Self-Efficacy tend to experience lower levels of Work-Family Conflict, and conversely, those with lower self-efficacy in parenting are more likely to encounter greater conflicts between work and family roles. These findings highlight the importance of strengthening Parenting Self-Efficacy as a strategy to help nurses manage dual-role demands more effectively.

The Emergency Department (ED) plays a pivotal role as the frontline of hospital services, requiring rapid and accurate response to ensure patient safety and optimal care outcomes. This study aims to analyze the influence of nurse competence and inter-team coordination on the effectiveness of patient transfers from ED to inpatient units, with nurse work motivation as a mediating variable. A quantitative approach was employed with hypothesis testing using path analysis (Structural Equation Modeling - SEM). The study was conducted at Graha Juanda Hospital, Bekasi, involving a sample of 55 nurses selected through total sampling from both the ED and inpatient departments.Primary data were collected through structured questionnaires, and data analysis was performed using SPSS 26 The results demonstrate that nurse competence and team coordination significantly affect service effectiveness, both directly and indirectly through work motivation. The findings also indicate that low work motivation—linked to factors such as limited professional development opportunities and unbalanced workloads—contributes to delays in transferring patients to inpatient care, with the average Length of Stay (LOS) exceeding six hours.The study concludes that improving nurse competence, strengthening inter-team coordination, and enhancing nurse motivation are critical strategies to improve the quality and timeliness of emergency services. This integrated internal performance approach is vital for reducing LOS in the ED and ensuring seamless, patient-centered care transitions.

This study investigates the adoption of Electronic Medical Records (EMR) by registration staff at Tangkiling Health Center, Palangka Raya, using the Technology Acceptance Model (TAM) framework. Out of 61 total healthcare workers, five medical record staff with educational backgrounds in midwifery, nursing, dental nursing, and non-medical high school were purposively selected as research participants. The study employed a qualitative descriptive method, combining in-depth interviews and direct field observations. Results indicate that while the staff acknowledged the usefulness of EMR in improving service efficiency and data accessibility, several barriers hindered its effective use—primarily a lack of training, limited digital literacy, unstable internet connectivity, and inadequate hardware such as computers and printers. Observations showed that only the registration unit had a single shared computer, while other units like outpatient clinics, pharmacy, and cashier still relied on manual documentation. This fragmentation has led to duplicate workloads and disrupted patient data continuity. Despite these challenges, the staff demonstrated a positive attitude and strong behavioral intention to adopt EMR if provided with sufficient infrastructure and regular training. The study concludes that successful EMR implementation in primary healthcare requires not only user acceptance but also institutional readiness, adequate resources, and integrated systems across all service units.

In recent years, rapid advancements in digital technology have significantly transformed global healthcare delivery. The COVID-19 pandemic acted as a catalyst, accelerating the integration of information technology into healthcare systems, particularly through the increased adoption of telemedicine. In the field of internal medicine, which often involves long-term care and management of chronic illnesses, telemedicine presents a promising solution to enhance service accessibility, improve care efficiency, and sustain favorable clinical outcomes. This study aims to conduct a narrative review to explore the impact of telemedicine on patient clinical outcomes, healthcare worker workload, and healthcare system efficiency within internal medicine practice. The review is based on an analysis of peer-reviewed literature published between 2020 and 2025, sourced from major databases including PubMed, Scopus, and Web of Science. Article selection was based on relevance to the topics of telemedicine and internal medicine, contextual applicability, and full-text availability. The findings of the review reveal that telemedicine contributes positively by expanding access to care, reducing travel time and logistical barriers for patients, accelerating clinical response times, and decreasing patient congestion in healthcare facilities. These outcomes are particularly beneficial for patients with chronic conditions who require regular monitoring and consistent communication with healthcare providers. However, the implementation of telemedicine also introduces new challenges, including increased administrative responsibilities and digital workload for healthcare professionals. The study underscores the importance of equipping healthcare systems with adequate digital infrastructure, implementing supportive and flexible policies, and providing comprehensive training for healthcare workers. These measures are crucial to ensure the successful and sustainable adoption of telemedicine in internal medicine. Overall, telemedicine holds strong potential to reshape the future of internal medicine, provided that its integration is strategically managed to balance technological advancement with human-centered care.

Patient safety is an important aspect of care standards that must be considered by all healthcare providers. Risk assessment, identification and management of hazards, documentation, analysis, and follow-up of accidents, and recovery provisions to reduce risks and prevent injuries are part of patient safety. The objective of this study is to determine the relationship between nurse workload and the implementation of patient safety in the Emergency Department (IGD) of Maria Walanda Maramis Regional General Hospital. The research uses a cross-sectional design. The sample in this study consisted of 22 respondents using the purposive sampling technique. Data collection on workload and the implementation of patient safety was conducted using a questionnaire, and analyzed using the Spearman rho statistical test. The research results majority of the workload was found to be in the light category, with 15 respondents (68.2%). The application of patient safety in the least category was poor, with 6 respondents (27.3%), while the most was in the good category, with 16 respondents (72.7%). The results of the Spearman rho test obtained a p-value of 0.032 where < α 0.05. Conclusion: There is a relationship between the nurses' workload and the implementation of patient safety in the Emergency Room (IGD) of Maria Walanda Maramis Regional General Hospital. It is recommended that nurses become more aware of the importance of fatigue management and effective coping strategies to maintain the quality of patient care.

This study aims to evaluate the completeness of inpatient daily census data and its impact on bed utilization efficiency at Assyifa Hospital Sukabumi using the 5M framework (Man, Machine, Method, Material, Money). Accurate inpatient census recording is essential for effective hospital management, particularly in optimizing bed occupancy rates and ensuring efficient resource allocation. However, issues related to incomplete data entry often lead to inaccuracies in bed utilization monitoring. By applying a qualitative descriptive approach, this research explores various factors influencing census completeness and their implications for bed usage. Data were collected through interviews, observations, and documentation, involving 37 nurses responsible for census recording. The findings reveal that human factors such as workload and understanding of standard operating procedures, technological limitations, procedural inconsistencies, inadequate supporting materials, and insufficient financial support are significant contributors to census incompleteness. Recommendations include enhancing staff training, improving technological systems, clarifying standard procedures, ensuring adequate materials, and allocating sufficient funding. This study provides valuable insights for hospitals aiming to improve their data recording processes and optimize resource utilization effectively.

Work fatigue and Musculoskeletal Disorders (MSDs) are common health issues among workers in the weaving industry. Fatigue often results from excessive workload, while MSD complaints typically include pain in the back, neck, wrists, elbows, and legs. This study used a cross-sectional design with a total sample of 45 active weavers in Numponi Village. The results showed significant associations between work fatigue and age (p=0.003), work duration (p=0.007), working posture (p=0.002), workload (p=0.014), and working hours (p=0.017), but not with temperature (p=0.561). Similarly, MSD complaints were significantly associated with age (p=0.001), work duration (p=0.003), working posture (p=0.025), workload (p=0.003), and working hours (p=0.002), with no significant link to temperature (p=0.826). It is recommended that weavers apply proper ergonomic principles to reduce the risk of fatigue and MSDs.

Admission services in the emergency department (IGD) are an important part of hospital operations that require effective management to support health services. Optimal medical record management requires human resource planning according to actual workload. This research was conducted to analyze the need for admission registration at the Duren Sawit Regional Special Hospital (RSKD) with a quantitative approach using descriptive methods. The research results show that RSKD Duren Sawit has Standard Operational Procedures (SPO) which refer to Minister of Health Regulation No. 33 of 2015 in planning health human resource needs (HRK). Health workload analysis indicates that the ideal requirement is seven admissions officers, while currently only five officers are available, so there is a shortage of two officers. Factors that influence the workload of admission registration include: Man, namely the limited number of officers in the medical records unit, Machine, namely the BPJS server down and power outages, Material, namely the mixed admissions work room with the cashier so the medical record files are still in one room, Method, namely the HR application process at RSKD Duren Sawit found no obstacles, Money, namely there is no budget planning for additional officers in the medical records unit.

Excessive workload can cause work stress among nurses, impacting their performance and the quality of healthcare services. Nurses in inpatient wards often experience this due to high job demands and a large number of patients. This study aims to analyze the relationship between workload and work stress levels among nurses in the inpatient ward of RSI Sultan Agung Semarang. This quantitative research employed a correlational design. A total of 100 nurses from the inpatient ward of RSI Sultan Agung Semarang were selected using total sampling. Data were obtained from a questionnaire measuring physical and psychological workload aspects and work stress indicators such as emotional exhaustion and decreased personal accomplishment. Data were analyzed using the Chi-Square test. The majority of respondents (82.8%) had a moderate workload, while most (76.8%) experienced moderate work stress. Bivariate analysis indicated a significant relationship between workload and work stress levels (< 0.05). A high workload significantly contributes to boost work stress levels among nurses in the inpatient ward of RSI Sultan Agung Semarang. Effective workload management strategies, such as adjusting nurse-to-patient ratios and providing stress management programs, are necessary to improve nurse well-being and enhance the quality of healthcare services