Publication Search

Rapid global environmental changes, especially due to advances in technology and information, have had a significant impact on various sectors of life, including the health sector. In the context of modern health services, hospitals are no longer just places of healing, but also institutions that are required to provide high-quality services, based on patient safety, and are able to adapt to the dynamics of community needs. This change requires a transformation in human resource management, especially related to the interpersonal and psychosocial competencies of nurses as the spearhead of medical services.Purposes:​ to analyze the effect of effective communication and Assertive Attitude on Nurses' Work Productivity in hospitals, with Work Fatigue as a mediating variable.Methods: This type of research is quantitative, using statistical figures to measure the influence of independent variables on dependent variables. The research design is a cross-sectional study.Results: The results of this study indicate that effective communication, assertiveness, and job fatigue collectively significantly influence nurses' work productivity. Communication and assertiveness positively contribute to job fatigue, which in turn affects productivity. Job fatigue is also shown to be a significant mediator in the relationship between communication and assertiveness on work productivity .Conclusion : The importance of strengthening effective communication as a strategy to increase productivity. Organizations need to design communication systems that support openness, transparency, and clarity of information and culture-based assertiveness training, so that employees can express their opinions appropriately without causing resistance in the team.

This research is motivated by the high risk of fatigue experienced by ship crews during voyages, which directly affects occupational safety and mental well-being. Fatigue arises from long working hours, inadequate rest time, heavy workloads, and extreme environmental conditions such as high temperatures, engine noise, and vessel vibrations. On the MT. Sultan Mahmud Badaruddin II, the problem becomes more complex due to the tight work rhythm, short berthing periods, and fast, repetitive loading–unloading activities. Harsh weather conditions, short but intensive sailing distances, and limited relaxation facilities make the crew increasingly vulnerable to both physical and mental fatigue. In addition, a work culture that tends to be authoritarian and lacks communication exacerbates psychological pressure, especially when crew members find it difficult to report their fatigue to superiors. This study uses a qualitative method through direct observation and interviews with all crew members in the deck and engine departments. The aim is to analyze the influence of the work environment and work culture on fatigue levels onboard. The results show that environmental factors such as high temperatures, narrow workspaces, and vessel instability significantly affect physical fatigue. Meanwhile, mental fatigue is triggered by ineffective communication, hierarchical pressure, and an unsupportive work culture. These findings align with the perspectives of Mathis and Jackson and comply with the provisions of the STCW 2010 and MLC 2006, which emphasize the importance of regulating working hours and fatigue management. Overall, optimizing rest hours, improving the work environment, and reforming organizational culture are required to reduce fatigue risks.

Work fatigue is a significant issue faced by employees in Indonesia, with approximately 65% experiencing symptoms that reduce their concentration and performance. Excessive workload, particularly mental workload, can result in cognitive strain and decreased productivity. This study aims to measure the level of mental workload experienced by quality control employees at PT Delta Dunia Tekstil I using the NASA Task Load Index (NASA-TLX) method. The research also investigates the relationship between employees’ age, length of service, and perceived mental workload through T-tests and F-tests to provide a more comprehensive analysis. Data were collected from 20 quality control employees who are responsible for monitoring textile production under strict standards. Results from NASA-TLX calculations indicate that the average mental workload falls within the high category, with effort and own performance emerging as the dominant dimensions contributing to mental strain. Correlation analysis shows a negative but not statistically significant relationship between age, length of service, and mental workload, suggesting that other factors play a stronger role in shaping employees’ perceptions. The study further highlights fluctuations in employee attendance and quality performance indicators, emphasizing the importance of workload evaluation. To address these issues, recommendations include adding more operators per machine, which is projected to reduce mental workload scores by approximately 33%. Such measures can optimize task distribution, improve efficiency, and promote employee well-being. Overall, the findings suggest that systematic workload assessments using tools such as NASA-TLX are essential for enhancing productivity and supporting sustainable human resource management in the textile industry.

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.

Based on the International Labour Organization (ILO), two million workers die each year due to work accidents due to fatigue. Work accidents experienced have a significant relationship with work fatigue. Finally, it results in decreased work capacity and individual physical endurance. The purpose of this study is specifically to determine the factors related to work fatigue with TKBM. In general, it is to determine the relationship between age, nutritional status, education level, insight, medical history, length of service and manual material handling on work fatigue of TKBM Tanjung Emas Port, Semarang. The type of research applied is quantitative using a correlation approach. The design applied is cross-sectional. After analyzing the data and conducting statistical tests using the Chi Square test, the results obtained were age (p-value = 0.002); nutritional status (p-value = 0.143); education level (p-value = 0.135); insight (p-value = 0.018); medical history (p-value = 0.041); length of service (p-value = 0.031); manual material handling (p-value = 0.007). The conclusion that can be drawn from this study is that there is a relationship between age, insight, medical history, length of service and manual material handling with work fatigue, and there is no relationship between nutritional status and level of education with work fatigue.

Background: Work fatigue experienced by intensive care room nurses shows several symptoms that are often experienced when nurses are tired, namely drowsiness, difficulty concentrating and physical fatigue. The sleepiness experienced by the nurse was indicated by frequent yawning and wanting to lie down. The aim of this research is to determine the factors that influence the level of work fatigue of nurses at Mitra Medika Amplas General Hospital in 2022. This research is a type of quantitative research with a cross-sectional approach. The population in this study were all nurses at the Mitra Medika Amplas General Hospital in 2022. The sample in this study was 93 people, using purposive sampling, namely taking samples according to the wishes of the researcher. Data was collected using questionnaires and interviews, then processed computerized. Quantitative data analysis was carried out in 3 stages, namely univariate, bivariate and multivariate analysis using Chi-Square, if p ≤ 0.05 then there is an influence between the dependent and independent variables. Statistical test results: age (p value 0.001), gender (p value 0.002), BMI (p value 0.005, education (p value 0.001), sleep patterns (p value 0.001), length of service (p value 0.001), physical work ( p value 0.009), length of work (p value 0.008), it can be concluded that there is a relationship between age, gender, BMI, education, sleep patterns, length of service, length of work, and the level of work fatigue of nurses at Mitra Medika Amplas General Hospital. 2022. The conclusion of this research is that there is a relationship between age, gender, BMI, education, sleep patterns, length of service, length of work, and the level of work fatigue of nurses at Mitra Medika Amplas General Hospital in 2022. It is recommended that Mitra Medika Amplas General Hospital be able to improve health services as well as existing infrastructure in hospitals

East Java is a Province in Indonesia with the highest of traffic accident cases on 2022 years, it is 3.555 cases. Efforts to prevent and reduce cases of traffic accidents can be done by safety riding. The application of safety riding can be realized if it was balanced with a good knowledge and attitude by drivers on the road. Along Malang City Road are dominated by Gojek drivers with an infinite population each year. Based on preliminary studies, it was known that Gojek drivers often experience work fatigue and supported by erratic work durations even exceeded standards, which can lead to unsafe behavior when driving. The purpose of this research was to determine a relationship between knowledge, attitudes and work fatigue with safety riding behavior on Gojek drivers in Malang City. This research method used a cross sectional design with a quantitative approach and accidental sampling technique. Sample of 60 Gojek drivers in Malang City. The bivariate test used a chi square test. The results showed that there was no relationship between knowledge and attitude with safety riding behavior (p=0,697 dan p=1,000), and there was a relationship between work fatigue with safety riding behavior (p=0,000). It can be concluded that the higher level of Gojek drivers fatigue, it make more unsafe their safety riding behavior. So, it was recommended to pay more attention an enough rest time and focus while working.

The results of a preliminary study conducted by researchers using the DASS 21 questionnaire and stress impact questionnaire on 10 workers at PT Nindya Citra Kharisma KSO's Manggarai "Mainline 1" project in 2023, found that there were workers who experienced stress with the most impact felt feeling easily tired. The purpose of this study is to determine the relationship between working time and fatigue with work stress. This study used a cross sectional design with a population of 60 people and the sampling method used was a total sampling of 50 people. Data analysis using univariate and bivariate analysis with chi square test. The results of the analysis showed that as many as 29 (58%) workers experienced stress. There is no relationship between years of service (p value = 1,000; PR = 0.967) with work stress and there is a relationship between fatigue and work stress (p value = 0.45; PR 2,057). It can be concluded that fatigue is related to work stress while working period are not related to work stress. Researchers suggest that a work fatigue and stress control program be held through a shift work system so that the duration of work does not exceed NAB (8 hours / day).

Every year two million female teachers fall victim to work-related injuries due to fatigue. A National Safety Council study of 2,010 US female teachers found that burnout was responsible for about 13% of workplace accidents. The aim of this study was to look at the relationship between length of work and working age with physical fatigue in female workers who work as elementary school teachers. The study used a cross-sectional approach that collected data on private elementary school teachers in the City of Penyabungan, Mandailing Natal Regency, North Sumatra. The results of the study concluded that there is a relationship between length of work and workload with work fatigue in female workers. So it takes time to rest and stretch on the sidelines of work to avoid excessive physical fatigue.

Introduction: Work stress in nurses is one of the problems in human resource management in hospitals. Nurses in hospitals are one of the potential resources that have a dangerous risk of burnout in workers. One of the triggering factors for work burnout in workers is work stress experienced by hospital workers. Research objectives: The purpose of this study was to analyze the relationship between work stress and job burnout in hospital nurses in various regions in Indonesia. Research Method: The research method used is the literature review study method by reviewing previous research that is relevant to the topic discussed as a study accessed on the Google Scholar database. Research Results: The results of the research conducted were that there was a significant relationship between work stress and job burnout in hospital nurses in various regions of Indonesia. The conclusion of this study is that work fatigue is influenced by work stress.

A nurse is someone who works and provides excellent and quality service 24 hours a day, so a nurse must be in good physical condition. The condition of the body which should be in the rest phase must be conditioned on working conditions which can result in work stress and end in work fatigue. Work fatigue is a tired condition felt by a person which is also characterized by a decrease in work productivity. Workload is the volume of work of nurses in a hospital unit. This study aims to determine the relationship between nurse characteristics and workload with work fatigue in inpatient rooms at the Tanjungpinang City Regional Hospital. The design of this research is cross sectional. The sample in this study was 86 patients treated at the Tanjungpinang City Regional Hospital using a total sampling technique and the data were analyzed using the chi square test. The results show that there is a relationship between workload and the level of fatigue in inpatient nurses at Tanjungpinang City Regional Hospital with a p value of 0.000. It is recommended that nurses should carry out Benson therapy after providing nursing care so that the level of fatigue can be reduced, understand the work and duties of nursing so that nurses can carry out their duties according to applicable regulations, and make the best use of rest time.

Fatigue is a problem that needs attention. All types of work both formal and informal cause fatiguehWork. Fatiguehwork will reduce performance and increase work errors. Fishermen are one of the marine communities that need to receive government attention in the health sector, namely fishermen, because fishermen's work is dangerous to health. The purpose of this study was to describe work fatigue in fishermen in Waisarisa Village, Kairatu Barat District, West Seram Regency. The type of research used is descriptive research. with a total sample of 20 respondents. By way of sampling, namely Total Sampling. The data that has been collected is then tabulated in a table according to the variable to be measured. Data analysis was carried out through the stages of editing, coding, tabulation and statistical testing. The statistical test used was univariate. The results showed that 12 people (60%) had a work attitude that was considered the most at risk, and 35% had work fatigue. It was concluded that what can be described in this study shows that work attitudesrespondentor fisherman is best described with a heavy risk attitude. And in the most fatigue described there are respondents who experience a lot of fatigue at work.

The Relationship between Work Shift and Work Fatigue in the Emergency Room Nurses and the Ward Room of RSUD Piru, West Seram Regency in 2020. Therefore, shift work every day, namely the morning shift starting at 08.00-17.00 WIT while the night shift starts at 17.00-08.00 WIT. The health of nurses is very important so that health services in the community can be optimal, considering that nurses are human resources who play an important role in the hospital for 24 hours. And one of the efforts to improve the quality of service with work shift regulations. Work shifts need to be considered the time or biological clock that corresponds to our body for work accidents. Work fatigue contributes to the occurrence of work accidents caused by fatigue factors. This type of research uses quantitative research with a cross-sectional study design (cross-sectional) where measurement of the variables can be done at the same time so that it is quite effective and efficient. Research subjects were taken 30 nurses from the ER and Ward at PIRU Hospital. The measurement results show the relationship between work shifts and work fatigue of nurses in the ER and Ward there are 8 respondents (26.7%) who have a morning shift schedule and experience fatigue and 7 respondents (23.3%) respondents who have a night shift schedule and do not experience fatigue. The statistical test results show a significant value α <0.003, which means that Ha is accepted by Ho is rejected.