THE EFFECTS OF WORKLOAD AND SHIFT WORK ON NURSES' WORK STRESS AT MAYJEND HM RYACUDU REGIONAL GENERAL HOSPITAL
Published 2026-08-07
Keywords
- workload, shift work, work stress, nurses
Abstract
Nurses face continuous service demands, complex clinical responsibilities, and rotating work schedules that may increase occupational stress. This study examined the effects of workload and shift work on nurses' work stress at Mayjend HM Ryacudu Regional General Hospital, North Lampung Regency. A quantitative design using descriptive and verification approaches was applied. The entire population of 105 nurses was included through saturated sampling. Data were collected through observation, questionnaires, and documentation and were analyzed using validity and reliability tests, a normality test, multiple linear regression, partial t-tests, a simultaneous F-test, and the coefficient of determination. Workload had a positive and significant effect on work stress (t = 3.294; p = 0.001), while shift work also had a positive and significant effect (t = 19.277; p < 0.001). Simultaneously, workload and shift work significantly affected work stress (F = 1,264.762; p < 0.001). The model explained 96.1% of the variance in nurses' work stress, while 3.9% was attributable to factors outside the model. These findings highlight the need for proportional workload distribution, balanced shift scheduling, and adequate recovery time to support nurses' well-being and service quality.
References
- Azwar, S. (2021). Reliabilitas dan validitas [Reliability and validity] (4th ed.). Pustaka Pelajar.
- Ghozali, I. (2020). Aplikasi analisis multivariate dengan program SPSS [Application of multivariate analysis using SPSS] (3rd ed.). Badan Penerbit Universitas Diponegoro.
- Manuaba, A. (2024). Ergonomi, kesehatan dan keselamatan kerja [Ergonomics, occupational health, and safety]. Guna Widya.
- Munandar, A. S. (2014). Psikologi industri dan organisasi [Industrial and organizational psychology]. UI-Press.
- Rizaldi, A. (2021). Pengelolaan kinerja karyawan melalui kecerdasan emosional dan stres kerja [Managing employee performance through emotional intelligence and work stress]. Journal of Applied Business Administration, 5(1), 34–43. https://doi.org/10.30871/jaba.v5i1.2033
- Robbins, S. P., & Judge, T. A. (2023). Organizational behavior (19th ed.). Pearson Education.
- Schultz, D. P., & Schultz, S. E. (2020). Psychology and work today: An introduction to industrial and organizational psychology. Routledge.
- Sugiyono. (2022). Metode penelitian kuantitatif [Quantitative research methods]. Alfabeta.
- Suma'mur, P. K. (2024). Higiene perusahaan dan kesehatan kerja (HIPERKES) [Industrial hygiene and occupational health]. Sagung Seto.
- Tarwaka. (2020). Ergonomi industri: Dasar-dasar pengetahuan ergonomi dan aplikasi di tempat kerja [Industrial ergonomics: Fundamental knowledge and workplace applications]. Harapan Press.
- World Health Organization. (2020). Mental health in the workplace. World Health Organization.
- Wulan. (2020). Hubungan beban kerja fisik dengan stres kerja perawat di ruang instalasi rawat inap Rumah Sakit Umum GMIM Pancaran Kasih Manado [The relationship between physical workload and nurses' work stress in the inpatient unit of GMIM Pancaran Kasih General Hospital, Manado]. Jurnal Keperawatan, 6(1).