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Stroke is a neurological disorder caused by impaired blood flow to the brain, resulting in brain tissue damage and various functional impairments. One of the common problems experienced by stroke patients is sleep disturbance, which may be influenced by neurological deficits, limited physical mobility, pain, and post-stroke anxiety. Persistent sleep disturbances can delay the recovery process and reduce patients’ quality of life. The long-term use of sleeping medications may lead to adverse effects; therefore, safe and easily applicable complementary therapies are needed. This study aimed to determine the effectiveness of peppermint oil aromatherapy in improving sleep quality among stroke patients in the working area of Barebbo Community Health Center, Bone Regency. The method used was the implementation of complementary therapy through the administration of peppermint oil aromatherapy to stroke patients experiencing sleep disturbances. Sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI) before and after the intervention. The assessment results showed that before the intervention, patients experienced poor sleep quality, characterized by difficulty initiating sleep, frequent nighttime awakenings, insufficient sleep duration, and daytime fatigue. After receiving peppermint oil aromatherapy, patients demonstrated increased comfort, reduced anxiety, improved ability to initiate sleep, and better overall sleep quality compared to their condition before the intervention. Therefore, peppermint oil aromatherapy was found to be effective in improving sleep quality among stroke patients and can be used as a complementary non-pharmacological intervention in nursing care.

Education is the main driver of a nation's progress, which is not only related to intellectual intelligence, but also the formation of student character. Unfortunately, currently the world of education is facing serious problems, such as declining interest in learning and increasingly complex external factors in the digital era. This study aims to explore in depth the impact of learning motivation on student academic achievement, identifying obstacles that hinder this achievement. The method used in the current study is a literature study with a qualitative approach. Data were collected through theoretical studies and analysis of various relevant scientific sources, including research journals and textbooks, which were then combined to develop a comprehensive argument. The findings of this study indicate that learning motivation is the main factor that encourages student persistence and consistency in achieving the best learning. Academic success is defined as the result of a complex interaction between internal and external factors, where the existence of a supporting ecosystem such as good learning facilities, a supportive environment, and effective communication between lecturers and students plays a very important role. On the other hand, phenomena such as digital fatigue, low independence, and excessive workload are identified as significant barriers that can reduce academic performance. This analysis concludes that there is synergy in strengthening psychological aspects and creating an adaptable learning environment to maintain the stability of academic achievement amidst global demands.

Nurse workload is the total number or volume of tasks that must be completed by nurses during their professional practice in hospitals, including both physical and mental responsibilities in providing nursing care to patients. Meanwhile, nurse burnout is a condition of emotional and mental fatigue experienced by nurses due to prolonged work pressure and the high intensity of emotional demands in the hospital environment. However, workload problems are still commonly found in hospitals, with one of the main contributing factors being work stress caused by excessive job demands and continuous pressure during work activities. The population in this study were outpatient, inpatient and emergency nurses at Ibnu Sina Islamic Hospital, Bukittinggi in 2025 This study used a quantitative method with a cross-sectional approach, analyzing the relationship between one variable and another. This study had 130 samples consisting of outpatient nurses, inpatient nurses, and emergency room nurses. Sampling was carried out using a total sampling technique. The results of this study indicate a significant relationship between workload and burnout at a significance level of 0.00 (≤ 0.05). There is a significant relationship between workload and nurse fatigue at Ibnu Sina Islamic Hospital Bukittinggi in 2025.

This study aims to examine the impact of academic burnout on students’ mental health in the context of hybrid learning through a literature review approach. The rapid transformation of learning systems in higher education, particularly the integration of online and offline methods, has increased academic demands and adaptation challenges for students. This condition potentially triggers academic burnout, which is characterized by emotional exhaustion, depersonalization, and decreased academic achievement. This research employs a literature review method by analyzing relevant scientific articles published between 2019-2025 obtained from indexed national journals and open-access sources. The findings indicate that academic burnout is still commonly experienced by students, generally at a moderate level, and has a significant impact on mental health, including increased stress, emotional fatigue, and decreased academic performance. The study also identifies several influencing factors, including internal factors such as self-efficacy and hardiness, as well as external factors such as social support, learning environment, and academic workload. Furthermore, technological developments, particularly Artificial Intelligence, have the potential to be utilized as an early detection and prevention tool for academic burnout. This study implies the importance of developing adaptive learning strategies and psychological interventions to support students’ well-being in hybrid learning environments.

Industrial hygiene management plays a critical role in protecting worker health by controlling exposure to hazardous factors in the workplace. However, many work environments still show suboptimal implementation, leading to increased risks of occupational diseases. This study aims to analyze the implementation of industrial hygiene management systems in improving worker health based on a literature review approach. The method used is a literature review by collecting and analyzing scientific articles from national databases published between 2021 and 2026. A total of ten relevant articles were selected through a systematic screening process based on predefined inclusion criteria. The findings indicate that workplace hazards such as physical, chemical, and ergonomic factors are significantly associated with various health problems, including respiratory disorders, musculoskeletal issues, and work-related fatigue. The implementation of industrial hygiene management systems, including hazard identification, risk control measures, use of personal protective equipment, and environmental monitoring, has been shown to reduce health risks among workers. However, the effectiveness of implementation is influenced by factors such as worker compliance, management commitment, and availability of facilities. These results highlight the importance of a comprehensive and systematic approach to industrial hygiene in maintaining worker health and preventing occupational diseases. Therefore, strengthening the implementation of industrial hygiene management systems is essential to create a safe and healthy working environment and to support sustainable occupational health practices.

Irregular sleep patterns are a common issue experienced by university students and are often considered a normal part of academic life. However, such conditions can have negative effects on students’ learning concentration and cognitive function. Poor sleep patterns are generally influenced by various factors, including high academic workload, habitual late-night activities, poor time management, and excessive use of electronic devices at night. This study aims to examine the relationship between sleep patterns and students’ learning concentration, identify factors contributing to irregular sleep patterns, and analyze constraints as well as propose solutions to improve sleep quality in order to enhance learning concentration. The method used in this scientific paper is a literature review, which involves examining relevant scientific sources such as research journals and academic literature related to sleep patterns and students’ learning concentration. The results of the review indicate that students with poor sleep patterns tend to experience physical fatigue, decreased immune function, cognitive impairment, and difficulties in maintaining focus and concentration during the learning process. In the long term, these conditions have the potential to reduce academic achievement and learning motivation. Therefore, it can be concluded that effective time management, limiting the use of electronic devices before bedtime, creating a conducive sleep environment, and support from universities through health education play an important role in improving students’ sleep patterns. With regular and high-quality sleep, students’ learning concentration is expected to improve, allowing the learning process and academic achievement to proceed optimally.

This study aims to analyze the impact of women’s dual roles and work stress on the work quality of female employees in the Production Division of PT Unggulrejo Wasono, Purworejo. The background of this research arises from the phenomenon of married female workers who must balance household responsibilities with factory production demands, a condition that often leads to stress and decreased work performance. Using a qualitative approach, data were collected through observation, in-depth interviews, and documentation, and analyzed using Miles and Huberman’s interactive model. The findings reveal that dual roles significantly influence work quality, with many female employees experiencing physical and mental fatigue that lowers concentration, accuracy, and productivity. Work stress is triggered by excessive workloads, high production targets, uncomfortable working conditions, and limited interpersonal support. There are three findings: (1) negative impacts on female employees without family support; (2) dual roles serve as a motivator when supported by spouses or parents; and (3) fluctuating effects depending on household and work conditions. The research implications affirm that PT Unggulrejo Wasono's efforts to address dual roles and work stress remain limited but somewhat helpful. Counseling programs and stress management training have had a positive impact on some female employees, although the effects are not yet widespread due to the absence of structural policies such as workload adjustments or childcare support. As a result, the work quality of employees who receive support tends to be more stable, while those without support remain vulnerable to decreased productivity and increased absenteeism. Therefore, while the existing  efforts  are beneficial,  their  effectiveness  needs  to  be improved  to  achieve broader  positive outcomes.

Low productivity and high sick leave in the weaving division of PT XYZ in Yogyakarta are caused by excessive physical and mental workload on Shuttle Loom Unit 2 operators. The productivity of the weaving division of PT XYZ was recorded at only 61.96% (target 75%) with sick leave of 4.17%, indicating operator fatigue. This study measured physical workload using the Cardiovascular Load (CVL) method based on heart rate and mental workload using NASA-TLX, and analyzed the correlation with age and length of service. The results showed a moderate physical workload category (40% light CVL <30, 60% moderate 30-60) at a temperature of 30.5°C, and high-very high mental workload (45% high 50-79, 55% very high ≥80, average EF 79.3) due to strict quality targets (0.5% defects). There is a correlation between CVL and NASA-TLX with age. Recommendations include reducing the daily production target from 100 to 85-88 yards, optimizing ergonomics, and training to reduce EF to 65 and defects to 0.3, to increase effective productivity.

The human element remains the most critical and most complex variable in maritime accident causation, with seafarer fatigue, excessive workload, and inadequate Crew Resource Management (CRM) consistently identified as the primary contributory factors in incidents ranging from groundings and collisions to cargo mishandling and man-overboard tragedies. This study investigates the relationship between fatigue, workload distribution, and CRM effectiveness among Indonesian seafarers operating aboard domestic and international vessels, proposing an evidence-based CRM training model for maritime academies and shipping operators. Employing a qualitative research design with thematic analysis, the study engaged maritime accident investigators, shipboard safety officers, occupational health specialists, and maritime education academics as primary respondents. Findings reveal an overall human element risk management composite score of 3.94 out of 5.00, with fatigue detection and management protocols and CRM communication effectiveness identified as the most critically deficient domains. The research demonstrates that Indonesian seafarers face disproportionate fatigue exposure attributable to understaffing practices, irregular watch scheduling, and inadequate rest period enforcement. The study contributes an evidence-based CRM training model directly applicable to STIP Jakarta's maritime safety education curriculum and Indonesian shipping company safety management systems.

Higher education management at the master's level currently faces urgent challenges, namely learning fatigue and low engagement among professional students, especially in Prior Learning Recognition (RPL) classes. Currently, lecturers still tend to apply conventional learning methods based on static presentations that fail to accommodate andragogical characteristics due to a lack of dynamic interaction. Therefore, this study aims to evaluate the effectiveness of the “Humanistic Digital Andragogy” approach through the integration of gamification (Kahoot) and visual thinking (Whimsical) in the Strategic Human Resource Management course. The researchers used a descriptive qualitative design with thematic analysis and collected data through feedback from students in the Master of Management Program (Semarang and Sorong classes). The results revealed that technology served as a double catalyst: Whimsical visualization effectively reduced the cognitive load of complex strategy material, while competition in Kahoot triggered positive adrenaline (eustress) that increased attention. These findings confirm that the success of technology is highly dependent on the role of lecturers as humanistic facilitators (high-touch). This synergy has been proven to change students' perceptions of HRM from merely administrative to strategic partners, as well as creating learning satisfaction that is relevant to the world of work.

The most valuable asset of a company is its employees due to their performance. The performance of PT. XYZ in recent times has tended to decline due to the heavy workload on Group A non-organic employees, which has resulted in reduced employee productivity. This study aims to determine the workload value and the level of fatigue experienced by Group A non-organic employees at PT. XYZ using the SOFI and SDS methods. It also aims to recommend efforts to reduce the workload and stress levels for Group A non-organic employees at PT. XYZ. This study is a descriptive qualitative research using interview methods and distributing questionnaires to 18 non-organic employees of group A. The results of the study indicate that the analysis of workload (fatigue) measurement using the SOFI method obtained a physical fatigue level among non-organic employees of group A at PT. XYZ with an average total score of 4.61, which means that the employees experienced a workload (fatigue) level categorized as moderate. Meanwhile, the analysis of work stress measurement using the SDS method obtained an average total score of 14, indicating that the stress level among non-organic employees of group A at PT. XYZ falls in the moderate category.

The most valuable asset of a company is its employees due to their performance. The performance of PT. XYZ in recent times has tended to decline due to the heavy workload on Group A non-organic employees, which has resulted in reduced employee productivity. This study aims to determine the workload value and the level of fatigue experienced by Group A non-organic employees at PT. XYZ using the SOFI and SDS methods. It also aims to recommend efforts to reduce the workload and stress levels for Group A non-organic employees at PT. XYZ. This study is a descriptive qualitative research using interview methods and distributing questionnaires to 18 non-organic employees of group A. The results of the study indicate that the analysis of workload (fatigue) measurement using the SOFI method obtained a physical fatigue level among non-organic employees of group A at PT. XYZ with an average total score of 4.61, which means that the employees experienced a workload (fatigue) level categorized as moderate. Meanwhile, the analysis of work stress measurement using the SDS method obtained an average total score of 14, indicating that the stress level among non-organic employees of group A at PT. XYZ falls in the moderate category.

MMP is a metal manufacturing company engaged in casting, forging, and machining processes with a three-shift work system, including night shifts that may increase mental and physical workload due to disruptions in workers’ biological rhythms. This study aims to analyze the mental and physical workload of die casting machine operators during the night shift and to propose improvement measures using the Fault Tree Analysis (FTA) method. The study involved 23 operators, with mental workload assessed using NASA-TLX and physical workload measured using CVL. The results indicate that mental workload falls into high to very high categories, with WWL values ranging from 46.6 to 97.3, where 12 operators experienced very high mental workload. The dominant contributing dimensions were effort, physical demand, and temporal demand. Meanwhile, physical workload ranged from 19.48% to 36.36% CVL, with most operators not experiencing fatigue. Although physical workload remains within acceptable limits, the high mental workload indicates the need for improvements. FTA analysis identified key contributing factors, including work methods, work systems, ergonomics, machine conditions, and the work environment. Proposed improvements include job rotation, improvements in work methods and task distribution, adjustments to the work system, enhanced machine maintenance, and ergonomics-based workplace improvements.

Syncope or fainting is an emergency condition that commonly occurs during sports activities due to reduced blood flow and oxygen to the brain. Rapid and appropriate management is essential to prevent further complications. This study aims to determine the syncope management procedures following sports activities performed by healthcare professionals at primary healthcare facilities. This study employed direct observation and structured interviews with healthcare workers at Puskesmas Boba, Ngada on November 28, 2025. Observed aspects included initial patient condition, initial actions, vital signs examination, medical assistance provision, condition monitoring, and follow-up actions. Healthcare workers performed management according to first aid procedures by positioning patients supine, elevating both legs, loosening tight clothing, checking vital signs using sphygmomanometer and stethoscope, providing oxygen and fluids when necessary, and monitoring until condition stabilized. Main causative factors of syncope were dehydration, physical fatigue, hypoglycemia, and anemia. Syncope management requires systematic actions and adequate medical equipment. Preventive education for athletes and the community, as well as collaboration among healthcare workers, coaches, and physical education teachers is crucial to prevent recurrence.

The fisheries sector is an important economic element but has high safety risks for fishermen due to harsh working conditions. This study aims to analyze the relationship between workload, mental fatigue, and Occupational Safety and Health (OHS) awareness among fishermen. This study uses a cross-sectional design with a quantitative descriptive-analytical approach4. Data were collected through questionnaires from active fishermen selected using a purposive sampling technique, with measurement instruments including NASA-TLX for workload and MFI-20 for mental fatigue. The results of the descriptive analysis show that most respondents are in the high workload (45%) and high mental fatigue (45%) categories, while the level of OHS awareness tends to be low (40%). Spearman's correlation test showed a significant positive relationship between workload and mental fatigue ($r = 0.612; p < 0.05), as well as a significant negative relationship between mental fatigue and OSH awareness ($r = -0.497; p < 0.05). This study concluded that workload indirectly influences OSH awareness through mental fatigue as an intermediary variable.8 These findings emphasize the importance of workload management and psychological interventions to improve fishermen's safety behavior at sea.

The hyper-connected work era has fundamentally blurred the temporal and psychological boundaries between professional and personal spheres, triggering a productivity paradox phenomenon where increased digital connectivity is inversely proportional to long-term cognitive efficiency. Consequently, this research aims to explore deeply and comprehensively the critical roles of cognitive resilience and digital wellbeing strategies as vital preventive mechanisms against the rising risk of burnout resulting from cumulative cognitive fatigue. Employing a qualitative approach with a rigorous literature review design, this study synthesizes extensive secondary literature retrieved from accredited academic databases and global policy reports within the last five years to analyze current trends and theoretical frameworks. The in-depth analysis reveals that cognitive resilience, significantly bolstered by metacognitive digital literacy, functions as an adaptive shield against the mounting pressures of information overload and attention fragmentation. Furthermore, the findings emphatically confirm that sustainable productivity is not achieved through borderless connectivity, but rather necessitates disciplined cognitive energy management and the strict implementation of "right to disconnect" protocols. Concluding the study, it is strongly recommended that organizations integrate comprehensive digital wellbeing policies into their work culture architecture to safeguard long-term employee performance and ensure organizational sustainability amidst the challenges of the attention economy.  

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 study aims to analyze the role of the tally man at PT. Gelora Perkasa Belawan in supporting the effectiveness and smoothness of loading and unloading processes at Belawan Port. As the front line in cargo supervision, the tally man bears a crucial responsibility for recording the quantity, condition, and types of goods, which serve as the primary data for company reports. The research method employed is descriptive qualitative, with data collection techniques involving field observations, interviews with operational staff, and literature reviews conducted during the internship period. The findings indicate that while the tally man performs a vital function as a supervisor and data recorder, their performance is often hindered by high workloads and a limited number of personnel. The main obstacles identified include dual responsibilities, which lead to decreased data accuracy and risks of operational delays due to physical fatigue. Optimization efforts are carried out by increasing personnel during peak hours and improving accuracy in validating cargo documents. The study concludes that strengthening the tally man's role through better workload management is essential for ensuring logistical reliability and the efficient flow of goods at the port.

Work fatigue is one of the occupational health problems that may affect productivity, concentration, and increase the risk of workplace accidents. Security officers at Ferry Mulia Raja Napitupulu Port, Balige, are at high risk of experiencing fatigue due to shift work systems, physical and mental workload, and poor sleep quality. This study aims to identify factors associated with work fatigue among security officers. A quantitative method with a cross-sectional design was applied. The sample consisted of 45 security officers selected using total sampling technique. Data were collected through questionnaires on individual characteristics, nutritional status, sleep quality, workload, and environmental temperature, and analyzed using bivariate tests. The results revealed significant relationships between age, nutritional status, sleep quality, workload, and temperature with work fatigue levels (p<0.05). It can be concluded that both individual and work environment factors contribute to fatigue among security officers. The study recommends that port management pay more attention to shift arrangements, rest patterns, and occupational health interventions to reduce fatigue risk and enhance officers’ productivity.

Low back pain (LBP) is one of the most common musculoskeletal complaints globally and is the main cause of decreased work productivity. One of the risk factors that has been widely studied in the literature is prolonged sitting duration. Prolonged sitting activities cause increased static pressure on the lumbar spine, fatigue of the supporting muscles, as well as a decrease in local blood flow that can trigger chronic pain. This study is a literature review with a meta-analytical approach that aims to analyze the relationship between long-term sitting and the incidence of LBP. The review process was carried out following PRISMA guidelines through searches on PubMed, Scopus, ScienceDirect, and Google Scholar databases for publication in 2020–2025. Of the 20 previous studies analyzed, most showed a positive association between sitting time and an increased risk of LBP, both in adults, adolescents, and children. Sitting for more than 6 hours per day increases the risk of LBP by 33%, especially in individuals with low physical activity. In addition, longer sitting durations with poor posture and minimal active rest were found in the group of office workers and professional drivers who had a high prevalence of LBP. Physical activity has been shown to play a protective role against the risk of LBP, while ergonomic interventions such as lumbar support can reduce pain complaints. Although most studies were observational, the consistency of results supports the importance of prevention through reduced sitting time, increased physical activity, and ergonomic work environment settings. These findings provide a scientific basis for multidimensional interventions to effectively reduce the incidence of LBP.