Hubungan Shift dan Non Shift Kerja dengan Stres Kerja Perawat di Bagian Rawat Inap dan Poli Anak RSUD Ciamis
Abstract
Abstract. Nurses at RSUD Ciamis work under both shift and non-shift systems. Shift work may increase the risk of stress due to biological rhythm disruptions, high workload, and limited rest periods. This study aims to analyze the relationship between shift and non-shift work systems and the level of work-related stress among nurses in the inpatient and pediatric outpatient departments of RSUD Ciamis. The research employed an observational analytic design with a cross-sectional approach. A total of 35 nurses were selected using total sampling based on inclusion and exclusion criteria. Stress levels were measured using Robbins' Job Stress Scale, and the relationship between work systems and stress was analyzed using the Fisher Exact test. Among the 35 nurses studied, 27 (77%) worked under the shift system, while 8 (23%) worked non-shift. Most nurses experienced moderate work-related stress, with 20 nurses (57.1%) falling into this category. Bivariate analysis revealed a significant relationship between shift and non-shift work systems and stress levels (p = 0.011; p < 0.05). The findings indicate that shift work is significantly associated with higher stress levels among nurses at RSUD Ciamis. Work-related stress can negatively affect nurses' performance, including reduced concentration and service quality. This study recommends effective stress management and improved work system arrangements to enhance nurses' well-being and healthcare service quality.
Abstrak. Perawat di RSUD Ciamis bekerja dalam sistem shift dan non-shift. Shift kerja dapat meningkatkan risiko stres akibat gangguan ritme biologis, beban kerja tinggi, dan waktu istirahat yang terbatas. Penelitian ini bertujuan menganalisis hubungan antara sistem kerja shift dan non-shift dengan tingkat stres kerja perawat di bagian rawat inap dan poli anak RSUD Ciamis. Penelitian menggunakan desain observasional analitik dengan pendekatan cross-sectional. Sebanyak 35 perawat dipilih menggunakan total sampling berdasarkan kriteria inklusi dan eksklusi. Tingkat stres diukur menggunakan Robbins' Job Stress Scale, dan hubungan antara sistem kerja dengan stres dianalisis menggunakan uji Fisher Exact. Dari 35 perawat yang diteliti, 27 orang (77%) bekerja dalam sistem shift, sedangkan 8 orang (23%) bekerja non-shift. Sebagian besar perawat mengalami stres kerja dalam kategori sedang, yaitu 20 orang (57,1%). Analisis bivariat menunjukkan adanya hubungan signifikan antara sistem kerja shift dan non-shift dengan tingkat stres kerja (p = 0,011; p < 0,05). Temuan menunjukkan bahwa sistem kerja shift berhubungan signifikan dengan tingkat stres kerja perawat di RSUD Ciamis. Stres kerja dapat berdampak negatif pada kinerja perawat, termasuk penurunan konsentrasi dan kualitas pelayanan. Penelitian ini merekomendasikan perlunya manajemen stres yang efektif serta perbaikan dalam pengaturan sistem kerja untuk meningkatkan kesejahteraan perawat dan kualitas pelayanan kesehatan.
References
[2] Fajar Satriani N, Saranani M. Perbedaan tingkat stres kerja antara shift pagi, sore dan malam pada perawat rawat inap ruangan lavender dan mawar di RSUD kota Kendari. Jurnal Ilmiah Karya Kesehatan [Internet]. 2021;1(2). Available from: https://stikesks-kendari.e-journal.id/jikk
[3] Rhamdani Indah, Wartono Magdalena. Hubungan antara shift kerja, kelelahan kerja dengan stres kerja pada perawat. Jurnal Biomedika dan Kesehatan [Internet]. 2019;2(3). Available from: http://dx.doi.org/10.18051/JBiomedKes.2019.v2.104-110
[4] Masty Amirah A, Agustini T, Keperawatan I, Masyarakat K. Pengaruh shift kerja terhadap stres kerja perawat instalasi rawat inap isolasi. Window of Nursing Journal. 2022;03(01):57–65.
[5] Shen J, Dicker B. The impacts of shiftwork on employees. The International Journal of Human Resource Management. 2008 Feb;19(2):392–405.
[6] Inoue M, Takano M, Ueno C, Moei M, Morimatsu Y, Matsumoto Y, et al. Advantages of the Variable Shift System, and Effective Use of Break Time to Better Support the Work Engagement of Nurses on Extended Day Shifts. Kurume Med J. 2018 Dec 31;65(4):155–68.
[7] Rosa D, Terzoni S, Dellafiore F, Destrebecq A. Systematic review of shift work and nurses’ health. Occup Med (Chic Ill). 2019 Jun 24;69(4):237–43.
[8] Galasso L, Mulè A, Castelli L, Cè E, Condemi V, Banfi G, et al. Effects of Shift Work in a Sample of Italian Nurses: Analysis of Rest-Activity Circadian Rhythm. Int J Environ Res Public Health. 2021 Aug 8;18(16):8378.
[9] Min A, Kang M, Hong HC. Sickness Presenteeism in Shift and Non-Shift Nurses: Using the Fifth Korean Working Conditions Survey. Int J Environ Res Public Health. 2021 Mar 21;18(6):3236.
[10] Tahghighi M, Brown JA, Breen LJ, Kane R, Hegney D, Rees CS. A comparison of nurse shift workers’ and non-shift workers’ psychological functioning and resilience. J Adv Nurs. 2019 Nov 1;75(11):2570–8.
[11] Geniş B. Factors Affecting Mental Status and Effects of Shift Working System in Healthcare Workers. J Psychiatr Nurs. 2020;
[12] Rohita T, Permana DNS. Hubungan Manajemen Stres dengan Kinerja Perawat di Rumah Sakit X. Jurnal Keperawatan Galuh [Internet]. 2024 Aug 3;6(2):125. Available from: https://jurnal.unigal.ac.id/JKG/article/view/15514
[13] Mazelda Fuzi. Tingkat Stres Kerja Dengan Kinerja Perawat Di Rumah Sakit. Jurnal Kepereawatan Jiwa : Persatuan Perawat Nasional Indonesia. 2022;10:345–54.
[14] Maharaj S, Lees T, Lal S. Prevalence and Risk Factors of Depression, Anxiety, and Stress in a Cohort of Australian Nurses. Int J Environ Res Public Health. 2018 Dec 27;16(1):61.
[15] Sharma P, Davey A, Davey S, Shukla A, Shrivastava K, Bansal R. Occupational stress among staff nurses: Controlling the risk to health. Indian J Occup Environ Med. 2014;18(2):52.
[16] Labrague LJ, McEnroe-Petitte DM, Gloe D, Thomas L, Papathanasiou I V., Tsaras K. A literature review on stress and coping strategies in nursing students. Journal of Mental Health. 2017 Sep 3;26(5):471–80.
[17] Severity of Stress in Nurses Everyday Life in Karachi, Pakistan. Journal of Liaquat University of Medical & Health Sciences. 2017 Mar 30;16(01):62–7.
[18] Chaudhari A, Mazumdar K, Motwani Y, Ramadas D. A profile of occupational stress in nurses. Annals of Indian Psychiatry. 2018;2(2):109.
[19] Yasinta Nurliasari S, Inayah Z, Sutarjo A, Ari Bowo E. Hubungan Shift Kerja Dengan Stres Kerja Pada Perawat Ruang Rawat Inap Di RS Muhammadiya Lamongan. Jurnal Medika Malahayati. 2023;7(3).
[20] Qalbi Nurul. Work Period and Work Shifts Associated with Work Stress in Inpatient Nurses at Dr. H. Chasan Boesoirie Ternate North Maluku Year 2022. Jurnal Kesehatan Masyarakat Mulawarman. 2023;5(1).
[21] Maranden AA, Irjayanti A, Wayangkau EC. Faktor yang Berhubungan dengan Stres Kerja pada Perawat di Rumah Sakit Jiwa Daerah Abepura Kota Jayapura. Jurnal Kesehatan Lingkungan Indonesia. 2023 Jun 1;22(2):221–8.
[22] Nursalam, Sunarno A, Fitriyah R. Hubungan Shift Kerja Dengan Stres Kerja Dan Circadian Rhytm Perawat.
