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All Journal An Idea Health Journal Sanitas: Journal of Health, Medical, and Psychological Studie
Menik Kustriyani
Universitas Widya Husada
Dentistry Health Professions Medicine & Pharmacology Nursing Public Health

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Impact of Nurse Workload on Work Efficiency, Patient Safety, and Job Satisfaction: A Cross-Sectional Study Niken Sukesi; Siti Khuzaimah Ahmad Sharoni; Rahayu Winarti; Heny Prasetyorini; Menik Kustriyani
An Idea Health Journal Vol 6 No 02 (2026)
Publisher : PT.Mantaya Idea Batara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53690/ihj.v6i02.673

Abstract

Background: Workload is a critical determinant of nursing performance and healthcare quality, influencing work efficiency, patient safety, and job satisfaction. Despite its importance, evidence regarding these relationships remains inconsistent. This study examined the associations among workload, work efficiency, patient safety, and job satisfaction among nurses Methods: A cross-sectional study was conducted with 136 nurses. Data were collected using self-administered questionnaires and analyzed with SPSS version 26. Spearman’s rank correlation assessed associations between variables, while the Kruskal–Wallis test compared job satisfaction across workload categories. Ordinal logistic regression identified predictors of job satisfaction. Model diagnostics included assessments of multicollinearity, model fit, pseudo R², and the proportional odds assumption. Results: Workload demonstrated a weak but significant positive association with work efficiency (ρ = 0.290, p < 0.001) and a weak negative association with patient safety (ρ = −0.231, p = 0.007), but was not significantly related to job satisfaction. The Kruskal–Wallis test indicated no significant differences in job satisfaction across workload categories (p = 0.392). Ordinal logistic regression revealed that workload and work efficiency were not significant predictors of job satisfaction (p > 0.05), whereas patient safety was significantly associated with job satisfaction (p < 0.001). The model demonstrated acceptable fit (χ² = 15.452, p = 0.017), modest explanatory power (Nagelkerke R² = 0.182), no multicollinearity (VIF < 5), and satisfied the proportional odds assumption (p = 0.823). Conclusion: Overall, workload is associated with work efficiency and patient safety, although these relationships are weak. Job satisfaction appears to be more closely associated with patient safety than with workload. These findings inform workload management strategies in hospital settings and underscore the importance of strengthening patient safety culture alongside workload regulation.
Terapi Genggam Bola Karet Meningkatkan Kekuatan Otot Mendorong Pemulihan Pasca Stroke Iq Balurrochman; Menik Kustriyani
Journal of Health, Medical, and Psychological Studies Vol 2 No 1 (2026): : August: Sanitas: Journal of Health, Medical, and Psychological Studies
Publisher : CV SCRIPTA INTELEKTUAL MANDIRI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.65310/fa7wnz46

Abstract

Stroke remains a primary etiology of persistent neurological disability, often manifesting as severe upper extremity motor deficits that critically restrict autonomous functioning. This empirical case study evaluated the clinical efficacy of a structured, nonpharmacological rubber ball gripping intervention on upper limb muscle strength dynamics among five post nonhemorrhagic stroke patients within a community health center framework. Employing a longitudinal pretest posttest design, baseline motor capacities were rigorously quantified utilizing the validated Manual Muscle Testing scale before undergoing a five day regimen of systematic mechanical stimulation. Comprehensive comparative matrix analysis revealed a uniform trajectory of motor recovery across all participants, characterized by an upward scale shift ranging from one to two functional tiers. Physiologically, the repetitive tactile and mechanical resistance induced by ball squeezing facilitated neuromuscular pathways, enhanced motor unit recruitment, and stimulated cortical neuroplasticity within the cerebral penumbra. These definitive clinical outcomes substantiate the therapeutic utility of simplified isometric exercises as an accessible, cost effective modality to rebuild motor architecture and enhance long term functional independencee.  
Co-Authors Heny Prasetyorini Iq Balurrochman Niken Sukesi Rahayu Winarti Siti Khuzaimah Ahmad Sharoni